Adding work needs to Medicaid isn't a bad idea

Over the past 46 years that I've been part of America’s job training system, work requirements for government benefits have been proposed several times.

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Each time these work rules have been initially denounced by opponents as “cruel,” “punitive,” “blaming the victim” — with accompanying fears that benefit recipients were not ready to be employed and would lose needed benefits. Yet each time work requirements have been implemented, they have resulted in increased employment and other life benefits for a significant segment of participants, their families and local communities. Those are the metrics by which to measure success; reducing the rolls of benefit programs has not been the main goal sought by advocates of previous work requirements. The results have been documented over the years by scholars representing a range of viewpoints: Harry Holzer of Georgetown, Lawrence Mead of New York University and the professional research staff at MDRC, to cite a few. These results have been seen with work rules imposed for welfare recipients, recipients of various General Assistance benefits and parents who owe child support. They will be seen again if the proposed Medicaid work rules go forward and are implemented seriously and with purpose.