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I hate those arbitrary cut offs for aid. Oops, you got a raise and now make $28,100 sorry no more medicare. It locks people into low paying jobs because if they make too much, they instantly loose all the benefits that their little raise doesn't match.
if we're not going to do free-for-all, it should at least be on a very large scale,
make less then 28k = 100% covered,
29, 99% covered
30, 98% covered
...
All the way up to when 128k = 0% covered
(You'd have fix healthcare prices too, procedures/medicines are priced so insurance looks like they are doing you a favor "you only had to pay $700 for this $25,000 procedure and the $600 follow up medicine will only cost you $100 a week")
Agreed. All cut-offs for everything should have a ramp-down rather than full to zero. Lose $1 of benefit for every $X above the threshold. You should never be worse off for making a few bucks more.
There is something of a welfare cliff for medicaid, but aren't there also means tested subsidies/discounts on the health insurance market for when you make more than that but are still poor?
Yes, but didn’t red states reject that?
They rejected expanded access to medicaid, but afaik the health insurance marketplace system established by the ACA is still accessible.