A few months ago a friend of mine explained how he felt his family and others in a similar situation were "sucked in to the [welfare] system and it was hard to climb out." When I asked him for details, he explained how he and other disabled people he knew had a hard time accepting entry-level jobs because they often did not include benefits, or the premiums were too high (because of their disabilities, going without health coverage for a short time would be devastating).
Fortunately the ACA solved this issue by allowing people to work and still get Medicaid, up to a point where they can purchase subsidized private insurance. The Medicaid expansion is part of a multifaceted solution to getting people off government assistance.
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