When is a $2.3 trillion infrastructure invoice probably not about infrastructure? How about when $400 billion would go to broaden Medicaid funds for residence healthcare, with a lot of that padding the rolls of the Service Staff Worldwide Union (SEIU)? That not-so-little element is likely one of the line gadgets the media don’t wish to cowl in President Biden’s newest spending blowout. Permit us to fill the data hole.
State Medicaid packages spend about $40 billion on nursing houses and $76 billion on in-home and private care yearly. Most states have been shifting extra long-term care to houses as a result of it’s cheaper. Many aged additionally favor to remain of their houses, which is comprehensible when their well being permits it.
Mr. Biden desires to spend $400 billion to broaden Medicaid in-home and “community-based” care (e.g., grownup day care), rising annual spending by 50%. The high-quality print of his proposal says his home-care plan would “create good middle-class jobs with a free and honest selection to hitch a union . . . and the power to collectively cut price.” That is the place the SEIU is available in. The union has been in a position to exploit Medicaid home-care packages to broaden its membership with assist from state Democratic lawmakers.
Many home-care employees are relations or employed by households. However since Medicaid pays for residence care, Democratic states have deemed them public workers and designated the SEIU as their unique consultant for collective bargaining. The union then bargains with the identical politicians the union helps in elections to deduct member dues robotically from home-worker Medicaid funds.
The Supreme Courtroom in Harris v. Quinn (2014) dominated that these workers who don’t belong to the union can’t be required to pay charges for representing them in collective bargaining. Democratic states and the SEIU, nevertheless, have made it laborious for caregivers to choose out of the union. Final September the SEIU, Healthcare Illinois and Indiana settled a lawsuit introduced by an Illinois home-care employee who stated the union stored deducting dues from her Medicaid funds regardless of two requests to cease. After her second request, SEIU officers instructed her she wanted to offer—get this—a photograph ID.