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

Shifting On and Off Medicaid Causes Senseless Chaos

Jul 21, 2025

For many working people, there is no number of extra shifts they could take on to be able to afford to pay for their health care out of pocket. Unless you land a well-paid, full-time job that offers or affords you the ability to purchase quality health insurance, you are left with two choices: keep your income low enough to stay on Medicaid or go without insurance.

Shifting from on Medicaid, to uninsured, to on private insurance, and back again, is a common cycle for many working people. Different insurances only cover certain doctors and hospitals—meaning, every time your insurance status or insurance company changes, so do the doctors you are able to see and hospitals you’re allowed to go to. This causes the people stuck in this cycle of changing health insurances to put off or receive disjointed preventive care.

Many will die and others will live with treatable pain because they have to delay needed tests and treatments.