Kentucky Thinks People Are Poor Because They Don't Know How Bank Accounts Work
Last week, when Kentucky announced it would become the first state to impose work requirements on Medicaid recipients, state lawmakers endorsed the idea that people who utilize health services do so because they lack a moral compass. But the state’s new rules also include a bizarre set of educational mandates for people who may be out of work, suggesting lawmakers believe the cycle of poverty is caused by, say, not understanding how an overdraft fee works.
When the state’s rules were approved by the Trump administration, Governor Matt Bevin, who has been pushing for the changes for years, invoked the “dignity” and “opportunity” people would supposedly get by being forced to prove they worked volunteer or job hours so they could retain their basic health care. “I was raised by a father who said, ‘Don’t take something that is not earned,” Bevin told the local media, reciting the longstanding Republican belief that being poor is a matter of individual choice.
Also included in the rules, in something of an aside, is a truly unfathomable clause about “financial and health care literacy” classes. In Kentucky, if you’re kicked off your coverage because you’re out of work or unable to navigate the bureaucratic nightmare of proving your employment, you could be forced into a pass-fail educational program. This week, when the New York Times asked the state agency responsible for details on the program, the agency admitted it hadn’t been entirely worked out yet, but that it would likely include “household budgeting, opening a checking account, weight management, and chronic disease management” as well as “healthy habits” and “understanding commercial market insurance concepts.”