By: Phil McCausland
At 40, Adrian McGonigal had the best job of his career working in the shipping department of Southwest Poultry in Pea Ridge, Arkansas — a town of about 5,700. He’d suffered from a slew of serious medical conditions, but thanks to the state’s decision to expand Medicaid, he was able to go to the doctor and get the prescriptions he needed to continue to work.
Experts and critics, however, hope that this will force the Trump administration and state governments to be more transparent about the impact that these policies could have and contend with the realities of a low-income labor market that doesn’t always produce the 80 hours of work needed each month to meet the requirement. “There’s going to have to be more public discussion of who’s going to get dropped off, what’s going to happen to them and what’s the justification for that,” said Andy Schneider, a researcher at Georgetown University and Medicaid expert who worked at CMS during the Obama administration.
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