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An Open Letter

To: Sen. Ernst, Rep. Feenstra, Sen. Grassley

From: A verified voter in Fort Dodge, IA

May 30, 2025

I'm writing with some verifiable FACTS about Medicaid that shows that the GOP rhetoric about Medicaid is bullshit. 1. 64% of adult Medicaid recipients already work. 2. Adults on Medicaid who aren’t working have good reasons not to. --12 percent are primary caregivers. --10 percent have an illness or disability. --7 percent are attending school. 3. So, 93 percent of all Medicaid recipients are either already working or have good reason not to. The entire work requirement would affect 7 percent at most. 4. The work requirement kicks eligible people off Medicaid because of its burdensome and confusing reporting requirements. 5. When Arkansas enacted work requirements, there was no significant change in employment rates. Stop spreading LIES about Medicaid work requirements! Millions of people will lose health coverage. Their deaths will be on your hands.

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