By skyforbes 
Many among the GOP are raving about the “Healthy Indiana” medicaid model. However have discussions with Indiana social workers and you will understand what is really happening here.
Republicans have for years weaponized bureaucracy to discourage voter participation and suppress the vote. This technique has now been applied to social services with disastrous consequences.
Social workers describe a program where Medicaid patients are required to pay meaningless nominal $1–10 fees. The important caveat here is that the fees CANNOT be paid in cash. Many low income patients do not have bank accounts, forcing them to purchase money orders to pay the state. The money order costs more than the fee, and adds a hurdle. Another added hurdle — compliance requires any changes in income to be filed. For many low-income citizens, their income is unreliable and varies wildly. This may mean completely refiling monthly. Any failure in this new set of hurdles yields the individual a SIX MONTH BAN from Medicaid.
Republicans are shouting enthusiasm for this “cost savings”. In fact it is making the program’s bureaucracy cumbersome enough to cause failure, and then forgetting the effect on these people’s health and access to medication is the true cost.
Social workers must not grapple with aiding their clients through these hurdles, and deciding whether it is better to just swipe their own card for that $1–10 rather than allow a mother with HIV to go untreated (for six months, that is life or death!).
DO NOT allow this program to be mimicked nationwide!