Jamila Michener

@povertyscholar

Prof studying |Author of Fragmented Democracy: Medicaid, Federalism & Unequal Politics|Believer

New York, USA
Vrijeme pridruživanja: kolovoz 2014.

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  1. Prikvačeni tweet
    7. svi 2018.

    Wow! Amazing thread from on my book . There are few things better than when a scholar whose work you value also finds value in your work. Also, b/c reaching a wider audience is important to me, I LOVED seeing a non-political scientist process the book.

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  2. I was featured on this short marketplace snippet about the current state of US health care. We'll see how the reality of our healthcare system aligns with what emerges in the SOTU

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  3. 31. sij
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  4. proslijedio/la je Tweet
    30. sij

    I know you all have a lot of op-eds about electability to write, but we should be more attentive to this CMS move to convert part of Medicaid into block grants. It'd probably be the biggest retrenchment of the American welfare state since 1996.

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  5. 30. sij

    Informing coverage of this drama along w/ & . This quote points to the fact that b/c it is buried in administrative complexity, CMS's strategy COULD be effective, despite its risks. But let me add: only if folks don't respond, mobilize & organize.

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  6. proslijedio/la je Tweet
    30. sij

    If you need a quick guide to Medicaid block grants, ' Medicaid working group has you covered. Here is our expert tip sheet: . Share widely, especially w/ anyone who might be covering the CMS announcement today.

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  7. 30. sij

    In addition to being mad or sad, do something (if you can).

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  8. 30. sij

    Been overwhelmed this week thinking about all the people who stand to be hurt by the rules & programs being promulgated by this administration. But I don't have to stand by helplessly. We submitted a public comment. & Susan Giaimo led the way.

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  9. 30. sij

    Despite the anodyne & euphemistic language CMS uses to describe the "Healthy Adult Opportunity" program this is about making healthcare harder to get for folks on the margins & asserting healthcare as a privilege, not a right. If you're against that, then you're against HAO. /END

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  10. 30. sij

    Don't be fooled by the pretense of "performance indicators" as a mechanism for accountability. What are the baseline expectations for these indicators? What will happen if indicators show people are being harmed? What about the voice and perspectives of actual beneficiaries?

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  11. 30. sij

    The narrative of deservingness & attempt to block grant tap into the same underlying agenda. This is abt eroding , controlling who has access, excluding as many economically & racially marginalized people as possible & insisting that healthcare is NOT a right.

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  12. 30. sij

    In addition to a false narrative of deservingness this program pushes another agenda as well, one with a long history: removing Medicaid's status as an entitlement, capping its funding & undermining its ability to help everyone who is eligible (i.e. block granting it).

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  13. 30. sij

    If CMS truly believed that this program was in the best interest of beneficiaries, why not apply it to everyone? Thank goodness they do not, of course. But the choice reflects a narrative that Verma's CMS has consistently pushed: only the most sympathetic are "deserving" of care

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  14. 30. sij

    Here is the glaring indicator that CMS knows full well that this "flexibility" is not in the best interest of Medicaid beneficiaries: they limit the program to the least sympathetic populations. They only want to do this to the folks they think don't "deserve" health care.

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  15. 30. sij

    Nearly every aspect of the "flexibility" that CMS so giddily touts is about states having the power to take away benefits, exclude beneficiaries and make the whole system/process harder for the people it is meant to help.

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  16. 30. sij

    "cost sharing" = beneficiaries pay "aligning benefits"= they get fewer things covered "programmatic adjustment" = administrative burdens that make benefits harder to get "applying conditions"= fewer people are eligible "wavering retroactive coverage"= less coverage

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  17. 30. sij

    Flexibility is mentioned 8 times in this short fact sheet. It sounds harmless enough, so what is the big deal? Well, look at what the flexibility will be used for. Most of these things represent additional burdens on Medicaid beneficiaries or reductions to the Medicaid program.

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  18. 30. sij

    Notice that the "opportunity" here is for states. The emphasis is on giving states "flexibility"--something they already have an immense amount of when it comes to . Beneficiaries are not explicitly mentioned until the end of the intro paragraph, barely an afterthought.

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  19. 30. sij

    CMS released details today on their latest attempt to undermine . It's called the Health Adult Opportunity (HAO) Program. The euphemism filled "fact sheet" they posted is designed to obscure the purpose & consequences of HAO. Let me break it down.

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  20. proslijedio/la je Tweet
    29. sij

    1 Require CBO to score the effects of every major fiscal policy on poverty or 2 Create a Congressional Poverty Office to do the same. & 3 Procedural point of order against legislation that significantly increases poverty.

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  21. 24. sij

    Philly’s Mayor Kenney is up right now. He’s talking about the city’s priorities. There’s a lot going on in Philly. Struck—and pleased—that he’s mentioned race and poverty again and again

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