Compassionate conservatism in Kentucky

Imagine being the kind of person asshole who dreams this stuff up:

From a glance at Bevin’s proposal, it’s easy to mistake the “MyRewards” idea for an expansion of coverage. The changes are described as “benefit enhancements” in a new, detailed implementation proposal from the consulting firm Deloitte.
Bevin’s plan is in fact a benefit cut. Kentucky’s Medicaid program currently includes vision and dental. If you’re eligible for Medicaid in Kentucky, then you’re eligible for coverage of regular tooth checkups and eye exams under state law.

Bevincare would “enhance” Medicaid benefits by taking several of them away. You will lose the security of knowing your eye doctor and dentist will see you when you need them, and gain the exciting new opportunity to earn chits toward the cost of those same services.

But to accrue those chits, you must live by Bevin’s rules. MyRewards points accumulate based on the enrollee’s participation in job training, health screening, smoking cessation, volunteer, and educational programs, at the rates listed below…

[…] Bevin’s behavioral incentives effectively convert his definition of good character into a state-enforced moral code which everyone who can’t afford health insurance must follow — and whose compliance the state must monitor.
“This requires building a massive database about people’s individual behaviors, and then keeping it up. Never mind that it’s massively expensive, it also feels very invasive,” former Centers for Medicare and Medicaid Services (CMS) administrator Andy Slavitt said in an interview. “I’m not sure the government should be tracking if I put on five pounds, or if I’m advancing in my job, or what grade I got on my GED exam.”