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Another faulty spin from Faux News. Sure some people will deliberately reduce their hours at work to maintain a hefty premium subsidy or to remain on Medicaid. But that is a very small minority. That is just like those who ty to milk the system to get on disability when they could be productive. There are always a few people who are just plain lazy and unmotivated. That will not change any time soon no matter what health care reform bill is passed.
But the truth is that most Americans want to be productive and prosperous. Most people do want to work and make as much money as they can. Even people who grow up in poverty and are poorly educated will often find an entrapreneurial opportunity in marketing recreational pharmaceuticals or some other illegal activity. The welfare system was changed in 1996 to require parents of children on welfare to actually do something to be productive. They are now required to upgrade their education, such as getting a GED or learning some marketable skill or be actively seeking work. The welfare system no longer penalizes work and will kick a parent off welfare if they refuse to do something to be productive.
To listen to the Obama haters and right wing; one would think that the premium subsidies and Medicaid expansion would be an incentive for millions of young people (and many not so young) to just slide by and mooch off the system deliberately. But the reality is much different. Sure some will be lazy and refuse to better themselves. But that is a very small percentage. Let them wallow in poverty. Most people, if given the chance and opportunity, will be very happy to work to escape poverty.
Back in the mid 1970s I worked four years at a county welfare office where my major job was to determine eligibility for Medicaid and welfare programs. For the past six years I have been working with low income Medicare beneficiaries. I run across many people every day who are either aged or on disability. Almost every one I encounter would much rather be productive and not living in poverty.
I also run across many young adults who are on disability because of some mental condition. Since I am not a mental health professional, I am in no position to pass judgement about their condition, but I do know that the bar for total and permanent disability to qualify for disability benefits is pretty high.
Rather than focus on the very few lazy people who would take advantage of the ACA to remain on Medicaid or receive a hefty premium subsidy; it would be much more productive to focus on how to improve the job market and increase wages so working people do not have to receive assistance or premium subsidies from the government. Their wages from working should be enough so they can support themselves or a family without assistance, just on the income from their work. Rather than complain about a few lazy people; how about addressing the fact that the government is subsidizing low wages from very prosperous and wealthy corporations (like Wal Mart) who employ those people.