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	<title>U.S. Department of Homeland Security Archives - Show-Me Institute</title>
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	<title>U.S. Department of Homeland Security Archives - Show-Me Institute</title>
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		<title>In Arkansas, 80,000 Ineligible Medicaid Recipients Removed from Rolls</title>
		<link>https://showmeinstitute.org/article/free-market-reform/in-arkansas-80000-ineligible-medicaid-recipients-removed-from-rolls/</link>
		
		<dc:creator><![CDATA[]]></dc:creator>
		<pubDate>Fri, 22 Dec 2017 12:00:00 +0000</pubDate>
				<category><![CDATA[Free-Market Reform]]></category>
		<category><![CDATA[Health Care]]></category>
		<guid isPermaLink="false">http://showmeinstitute.local/in-arkansas-80000-ineligible-medicaid-recipients-removed-from-rolls/</guid>

					<description><![CDATA[<p>Since as far back as 2015, we have talked about the idea of performing regular audits of the state&#8217;s Medicaid rolls. The purpose of such audits is several-fold: not only [&#8230;]</p>
<p>The post <a href="https://showmeinstitute.org/article/free-market-reform/in-arkansas-80000-ineligible-medicaid-recipients-removed-from-rolls/">In Arkansas, 80,000 Ineligible Medicaid Recipients Removed from Rolls</a> appeared first on <a href="https://showmeinstitute.org">Show-Me Institute</a>.</p>
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										<content:encoded><![CDATA[<p><a href="https://showmeinstitute.org/blog/health-care/support-outside-audit-missouris-medicaid-program">Since as far back as 2015</a>, we have talked about <a href="https://showmeinstitute.org/blog/health-care/house-passes-medicaid-audit-bill">the idea</a> of performing <a href="https://thefga.org/solution/welfare-reform/welfare-integrity/stop-the-scam/">regular audits of the state&#8217;s Medicaid rolls</a>. The purpose of such audits is several-fold: not only to ensure that taxpayer money is going to qualified beneficiaries and to detect malfeasance, but above all else to ensure that the state&#8217;s limited resources are making it to the most vulnerable members of our society.&nbsp;</p>
<p>Arkansas has an auditing program similar to the one we&#8217;ve talked about, and it appears&nbsp;<a href="https://www.apnews.com/6234d8b5c63a4b74a4aceb3a68984fbc/Arkansas-removes-80K-from-Medicaid-after-eligibility-review">the state just turned up a lot of ineligible beneficiaries</a>.</p>
<p style="">Nearly one-third of those cases involved people who did not report changes of address as required by the state. <strong>More than 25,000 people were removed from the program because they were receiving public benefits from more than one state.</strong>&nbsp;[Emphasis mine]</p>
<p style="">DHS says more than 16,000 people were removed because of unreported employment. Others were removed from the program because they were eligible for Medicare, while another 4,100 cases involved inmates who still had Medicaid coverage.</p>
<p>In all, about 80,000 Arkansans ineligible for Medicaid were removed from the program&#8217;s rolls.&nbsp;</p>
<p>As we&#8217;ve noted before, there are lots of non-nefarious reasons that someone may be on Medicaid but ineligible for it, including unfamiliarity with its rules and regular fluctuations in their own income. But whatever the reason for that ineligibility, the more efficiently the state can steward funds and direct them to needy beneficiaries who actually qualify for the program, the better the results will be for the program, its beneficiaries, and the taxpayers who fund those benefits.</p>
<p>The post <a href="https://showmeinstitute.org/article/free-market-reform/in-arkansas-80000-ineligible-medicaid-recipients-removed-from-rolls/">In Arkansas, 80,000 Ineligible Medicaid Recipients Removed from Rolls</a> appeared first on <a href="https://showmeinstitute.org">Show-Me Institute</a>.</p>
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		<title>No Good Deed Goes Unpunished in Michigan, the Literal Nanny State</title>
		<link>https://showmeinstitute.org/article/regulation/no-good-deed-goes-unpunished-in-michigan-the-literal-nanny-state/</link>
		
		<dc:creator><![CDATA[]]></dc:creator>
		<pubDate>Thu, 01 Oct 2009 00:26:34 +0000</pubDate>
				<category><![CDATA[Economy]]></category>
		<category><![CDATA[Regulation]]></category>
		<guid isPermaLink="false">http://showmeinstitute.local/no-good-deed-goes-unpunished-in-michigan-the-literal-nanny-state/</guid>

					<description><![CDATA[<p>Lisa Snyder watches her neighbors&#8217; children for less than an hour every day while they wait for the school bus. She is a stay-at-home mom and she does not accept [&#8230;]</p>
<p>The post <a href="https://showmeinstitute.org/article/regulation/no-good-deed-goes-unpunished-in-michigan-the-literal-nanny-state/">No Good Deed Goes Unpunished in Michigan, the Literal Nanny State</a> appeared first on <a href="https://showmeinstitute.org">Show-Me Institute</a>.</p>
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										<content:encoded><![CDATA[<p>Lisa Snyder watches her neighbors&#8217; children for less than an hour every day while they wait for the school bus. She is a stay-at-home mom and she does not accept any money in exchange for doing this. According to the Department of Human Services in Michigan, however, she is running an illegal daycare center. Department officials have notified Snyder that she needs to get a license in order to continue this informal babysitting, or she&#8217;ll go to jail for 90 days or pay a $1,000 fine. Even if it is raining or snowing, and even if the arrangement has been agreed upon by the parents, the DHS says that it is illegal for the children to come into Snyder&#8217;s home (or even into her garage).</p>
<p>Snyder&#8217;s story is getting a lot of attention in the national media. <a href="http://www.msnbc.msn.com/id/33068650/ns/today-parenting_and_family/">&#8220;The Today Show&#8221;</a> and <a href="http://www.foxnews.com/video/index.html?playerId=011008&amp;streamingFormat=FLASH&amp;referralObject=10216067&amp;referralPlaylistId=b895e6943a20a5ba0d5beadb011b18b7ea0a1398">Fox News</a> have both reported on it. </p>
<p>By requiring licenses, the government is telling individuals that it knows better than they do. It&#8217;s paternalism in another form. The parents in Snyder&#8217;s neighborhood know her very well, so they are in a much better position to determine whether her home is a safe environment for their children.</p>
<p>Furthermore, having a daycare license does not ensure that a person is fit to supervise children. Earlier this year, for example, a woman running a licensed daycare in Arkansas accidentally placed windshield wiper fluid in her refrigerator and later <a href="http://arkansasmatters.com/content/fulltext/news/?cid=200362">served it to children</a>! As a parent, I would much rather leave my kids under the supervision of a person like Lisa Snyder than a person who can&#8217;t tell the difference between wiper fluid and Gatorade. The Department of Human Services would feel differently, apparently.</p>
<p>Daycare licensure requirements do not result in better outcomes (e.g., fewer ER visits), nor do they improve the general welfare. In this case, all the involved parties (i.e., Snyder, parents, and children) are happy with their current arrangement. If the DHS gets its way, the parents will either have to stay home from work or pay a licensed daycare provider to watch their children.</p>
<p>Professional licensing has many negative consequences, which <a href="/2009/05/professional-licensing.html">contributors</a> <a href="/2008/09/cost-of-child-care.html">to</a> <a href="/2009/07/daycare-in-a-tattoo-parlor.html">this</a> <a href="/2009/03/crazy-licensing-requirements.html">blog</a> <a href="/2009/01/smi-in-the-sbj.html">have</a> <a href="/2009/09/atrocious-article-about.html">discussed</a> extensively. The Show-Me Institute <a href="https://showmeinstitute.org/publication/id.169/pub_detail.asp">has</a> <a href="https://showmeinstitute.org/publication/id.171/pub_detail.asp">produced</a> <a href="http://www.showmeliving.org/files/show_me_the_licensing-readme.pdf">scholarly</a> <a href="https://showmeinstitute.org/publication/id.208/pub_detail.asp">work</a> on this subject, as well.</p>
<p>The post <a href="https://showmeinstitute.org/article/regulation/no-good-deed-goes-unpunished-in-michigan-the-literal-nanny-state/">No Good Deed Goes Unpunished in Michigan, the Literal Nanny State</a> appeared first on <a href="https://showmeinstitute.org">Show-Me Institute</a>.</p>
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		<title>Regional Cooperation Continues in Northwest Missouri</title>
		<link>https://showmeinstitute.org/article/municipal-policy/regional-cooperation-continues-in-northwest-missouri/</link>
		
		<dc:creator><![CDATA[]]></dc:creator>
		<pubDate>Fri, 16 Nov 2007 22:42:22 +0000</pubDate>
				<category><![CDATA[Municipal Policy]]></category>
		<category><![CDATA[State and Local Government]]></category>
		<guid isPermaLink="false">http://showmeinstitute.local/regional-cooperation-continues-in-northwest-missouri/</guid>

					<description><![CDATA[<p>As regular readers know (my old joke would have been to insert &#34;both of you&#34; there, but I am pretty sure we are up to three by now), I like [&#8230;]</p>
<p>The post <a href="https://showmeinstitute.org/article/municipal-policy/regional-cooperation-continues-in-northwest-missouri/">Regional Cooperation Continues in Northwest Missouri</a> appeared first on <a href="https://showmeinstitute.org">Show-Me Institute</a>.</p>
]]></description>
										<content:encoded><![CDATA[<p>As regular readers know (my old joke would have been to insert &quot;both of you&quot; there, but I am pretty sure we are up to three by now), I like to use this blog to point our examples of cooperation between local governments in Missouri. With as many small governments as we have, cooperation is the way in which we will keep quality services and efficiently use tax dollars. </p>
<p>In Northwest Missouri, 15 counties have joined together to create a regional hazardous material response squad. Apparently, though, it has been having financial difficulties because of a reduction in grants from Homeland Security. The <em>St. Joseph News-Press</em> has the <a href="http://www.sjnp.net/news/2007/nov/16/haz-mat-team-wont-be-dissolved/">full story here</a>. The good news is that some of the problems were worked out in a joint meeting recently, and the team will continue. Every county involved in the program deserves great credit for being a part of it. Apparently, though, there could be even more cooperation:</p>
<blockquote>
<p>Complicating the situation is a new team in Chillicothe and the St. Joseph haz-mat team splitting the diminishing federal funds three ways.</p>
</blockquote>
<p dir="ltr">Do both Buchanan County and St. Joseph need their own haz-mat teams? Are there that many dangerous spills and leaks in one county? </p>
<p dir="ltr">I also enjoyed this idea:</p>
<blockquote>
<p>The board also discussed alleviating some of the financial burden on the smaller counties by not counting prison populations as county citizens.</p>
</blockquote>
<p dir="ltr">So they get to count the prison population when it helps, as with political redistricting and federal block grants, but not count it when it hurts? Makes sense to me &#8212; and, besides, why would an emergency response team ever have to go to a prison?</p>
<p dir="ltr">All these counties deserve kudos for this program, but as the article makes clear, many of them are unable to afford their contributions. Along with lack of 911 service for parts of rural Missouri, this is an example of the choices people in very low-tax areas, such as rural Missouri, have to make. Frankly, they would not even need to raise tax rates to properly fund these public safety issues on a local basis if their assessments were only accurate. But that is another issue, and I hope this regional haz-mat team continues to serve the residents of this area for a long time.</p>
<p>The post <a href="https://showmeinstitute.org/article/municipal-policy/regional-cooperation-continues-in-northwest-missouri/">Regional Cooperation Continues in Northwest Missouri</a> appeared first on <a href="https://showmeinstitute.org">Show-Me Institute</a>.</p>
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		<title>The Cost of Enforcing Immigration Laws</title>
		<link>https://showmeinstitute.org/article/economy/the-cost-of-enforcing-immigration-laws/</link>
		
		<dc:creator><![CDATA[]]></dc:creator>
		<pubDate>Tue, 21 Aug 2007 02:10:25 +0000</pubDate>
				<category><![CDATA[Economy]]></category>
		<guid isPermaLink="false">http://showmeinstitute.local/the-cost-of-enforcing-immigration-laws/</guid>

					<description><![CDATA[<p>Missouri&#8217;s hard-to-enforce policy toward illegal immigrants is in the news again. The St. Joseph News-Press reports on the uphill battle to prevent illegal immigrants from working: The governor is asking [&#8230;]</p>
<p>The post <a href="https://showmeinstitute.org/article/economy/the-cost-of-enforcing-immigration-laws/">The Cost of Enforcing Immigration Laws</a> appeared first on <a href="https://showmeinstitute.org">Show-Me Institute</a>.</p>
]]></description>
										<content:encoded><![CDATA[<p>Missouri&#8217;s hard-to-enforce policy toward illegal immigrants is in the <a href="http://www.stjoenews-press.com/main.asp?SectionID=81&amp;SubSectionID=272&amp;ArticleID=96026&amp;TM=28039.42">news</a> again. The <em>St. Joseph News-Press</em> reports on the uphill battle to prevent illegal immigrants from working:</p>
<blockquote>
<p><span face="Arial">The governor is asking the commission to use a computer database administered through the Department of Homeland Security to ensure the legitimacy of workers at the site. He wants the commission to terminate contracts or tax credits with developers who knowingly allow contractors to use illegal workers.</span></p>
</blockquote>
<p dir="ltr"><span face="Arial">Proponents of these regulations argue that there&#8217;s a cost in unemployment or lower wages when we allow illegal immigrants to work. Even if that&#8217;s true (and it&#8217;s not clear to me that it is), we should also consider the costs of identifying illegal immigrants and tracking them down. </span></p>
<p>The post <a href="https://showmeinstitute.org/article/economy/the-cost-of-enforcing-immigration-laws/">The Cost of Enforcing Immigration Laws</a> appeared first on <a href="https://showmeinstitute.org">Show-Me Institute</a>.</p>
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		<title>The REAL ID Revolt</title>
		<link>https://showmeinstitute.org/article/uncategorized/the-real-id-revolt/</link>
		
		<dc:creator><![CDATA[]]></dc:creator>
		<pubDate>Thu, 22 Mar 2007 10:00:00 +0000</pubDate>
				<category><![CDATA[Uncategorized]]></category>
		<guid isPermaLink="false">http://showmeinstitute.local/the-real-id-revolt/</guid>

					<description><![CDATA[<p>I&#8217;m not too worried about the coming of the antichrist, but I think the drive to opt Missouri out of the REAL ID Act is a great idea. Here&#8217;s a [&#8230;]</p>
<p>The post <a href="https://showmeinstitute.org/article/uncategorized/the-real-id-revolt/">The REAL ID Revolt</a> appeared first on <a href="https://showmeinstitute.org">Show-Me Institute</a>.</p>
]]></description>
										<content:encoded><![CDATA[<p>I&#8217;m not too worried about <a href="http://www.stltoday.com/stltoday/news/stories.nsf/stlouiscitycounty/story/70BFADE9E841FCBF862572A60010ABEB?OpenDocument">the coming of the antichrist</a>, but I think the drive to opt Missouri out of the REAL ID Act is a great idea. Here&#8217;s a good YouTube clip of my <a href="http://www.techliberation.com/contributors/jim_harper.php">co-blogger</a> Jim Harper facing off against a national ID advocate on MSNBC last month:</p>
<p>It&#8217;s important to keep in mind that if Missouri refuses to implement REAL ID, there&#8217;s very little chance of negative repercussions for Missourians. In theory, we won&#8217;t be able to use our drivers&#8217; licenses to board airplanes, but it&#8217;s extremely unlikely that the Department of Homeland Security would actually blacklist an entire state from air travel. More likely, if Missouri refused to implement REAL ID, it would provide a powerful signal to Congress that the American people don&#8217;t want a national ID card.</p>
<p>The post <a href="https://showmeinstitute.org/article/uncategorized/the-real-id-revolt/">The REAL ID Revolt</a> appeared first on <a href="https://showmeinstitute.org">Show-Me Institute</a>.</p>
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