The Spark

the Voice of
The Communist League of Revolutionary Workers–Internationalist

“The emancipation of the working class will only be achieved by the working class itself.”
— Karl Marx

Medicaid to Require More Paperwork from the Disabled

Jun 9, 2025

Medicaid originally never had a work requirement. Medicaid was originally created as a health insurance safety net to provide coverage for low-income dying people, disabled people, children, and the folks who had to stop working to care for all of the above.

Medicaid was able to get passed in Congress 60 years ago partly because it helped health insurance corporations to not have to pay for the most expensive coverage for the sickest of the sick. It transferred those costs onto the federal government!

An expansion of Medicaid passed in Congress in 2010 as part of the Affordable Care Act. Now part of the working class was able to qualify for Medicaid if earning up to 138% of the federal poverty line. This helped employers of low-wage workers by shifting health insurance costs onto the federal government.

The proposed federal budget promises to deliver over half a TRILLION dollars in cuts to Medicaid over 10 years. This dastardly legislation is being sold as a good thing, encouraging “work.”

The hidden truth behind this fiendish legislation is that those who wrote it are counting on people on Medicaid getting bogged down in new red tape they are creating. Few will be able to collect and submit the piles of paperwork to document “work,” “frailty,” or other requirements.

It will be like winning the lottery to be able to complete ALL the paperwork AND submit it AND for short-staffed agencies to process it!

Few will continuously keep coverage. Losing coverage in the middle of chemotherapy for cancer can be deadly.

What society DOES need is work requirements for the billionaires who will get the tax cuts! Eighty hours a month of useful hourly work! Submit paystubs to a computer program with an imaging system that loses half of what is entered. Make billionaires jump through so many hoops they can never meet program requirements and they never get their promised tax cuts!

Budget shortfalls solved!