Republicans Push Ahead on Medicaid Restrictions
The Trump administration on Friday approved Ohio’s request to impose work requirements on Medicaid recipients. Starting in 2021, the state will require most able-bodied adults aged 19 to 49 to either work, go to school, be in job training or volunteer for 80 hours a month in order to receive Medicaid benefits. Those who fail to meet the requirements over 60 days will be removed from the system, although they can reapply immediately.
The new work requirements include exemptions for pregnant women, caretakers and those living in counties with high unemployment rates and will apply only to those covered through the expansion of Medicaid under the Affordable Care Act. There are currently about 540,000 people on Medicaid in Ohio who receive coverage through the expansion, according to Kaitlin Schroeder of The Dayton Daily News, compared to roughly 2.6 million Medicaid recipients in the state overall.
Once implemented, the work requirements are expected to result in 36,000 people losing their Medicaid eligibility, according to state officials, though critics say the reductions could be significantly larger. Similar work requirements in Arkansas pushed 18,000 people off the Medicaid rolls in six months.
A larger GOP project: The creation of new work requirements is part of a larger effort by Republicans to limit the expansion of Medicaid, says The Wall Street Journal’s Stephanie Armour. Since the Affordable Care Act passed in 2010, 36 states have expanded their Medicaid programs under the ACA and the number of people in the program has grown by 50 percent, from roughly 50 million to about 75 million. But many red-state governors have expressed concerns about the cost of Medicaid expansion and worries about a lack of self-sufficiency among the able-bodied poor, and are embracing new limitations on the program for both fiscal and political reasons.
In 2017, the White House in 2017 gave states the green light to explore ways to limit the reach and expense of their Medicaid programs. Governors have proposed a variety of new rules, which require waivers from the federal government to enact. Kentucky, for example, wants to drug-test Medicaid recipients, and Utah wants a partial expansion and a cap on payments. Kaiser Health News summarizes the variety of waivers states have requested, which are governed by Section 1115 of the Social Security Act, in the chart below.
Legal challenges: Efforts to restrict Medicaid have received legal challenges, and U.S. District Judge James Boasberg blocked work requirements in Kentucky last year. The same judge, who has expressed doubts about the administration’s approach to Medicaid, will rule on the legality of work requirements in both Kentucky and Arkansas by April 1.
The bottom line: The Trump administration is seeking fundamental changes in how Medicaid works. Even if Boasberg rules against work requirements, expect the White House and Republican governors to continue to push for new limitations on the program.
Here’s Why Americans Are Keeping Their Cars Longer than Ever
As cars get more reliable Americans are holding onto their vehicles for longer than ever before. The average age of cars and light trucks is now 11.5 years old, according to a new report from IHS Automotive.
In addition to better reliability, cars are getting older because Americans bought far fewer new cars in the years following the Great Recession, as concerns lingered about unemployment and the strength of the economy.
Even as consumers have started purchasing new vehicles again, they’re still holding onto their older ones. The average length of ownership of a new vehicle reached 6.5 years in the first quarter of 2015, more than two years longer than in 2006. The number of cars more than 12 years old continues to grow and is expected to increase 15 percent by 2020.
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IHS predicts that the average age of vehicles will inch up slightly over the next few years, hitting 11.7 years in 2018.
The number of cars on the road hit a record 258 million, posting a 2.1 percent increase over last year, driven by the purchase of new cars. IHS expects that volume of cars less than 5 years old will increase by 24 percent over the next five years.
Consumer sales of autos were on pace to rise 4.2 percent this month, according to TrueCar, compared to July of 2014, thanks to increased demand, summer sales events and the growing popularity of premium brands.
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The Most Expensive Cities for Singles -- and the Cheapest
Looking for love in all the pricey places? Check out these lists of the most and least expensive cities for singles before you go on that next date or plan your next move. Looking good doesn’t come cheap, and the price of a decent wardrobe and a gym membership add ups before you even step out the door.
To determine which cities were the least and most affordable for singles, GoBankingRates examined 89 cities and rated them according to four expense categories -- clothing, dates, gym memberships and rent -- using data from Numbeo.com. “Singles are more likely to exercise, and to have a gym membership,” says Elyssa Kirkham, a finance writer for GoBankingRates. “They’re more likely to rent than own a home, and spend more money on dates and clothing.”
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San Francisco is the most expensive city for singles, especially when it comes to rent. Rent is 30 percent more expensive in San Francisco than it is in Honolulu. The cost of a date here is $147, compared with the median cost of $109. California just might be the most expensive state to date in, claiming seven of the top 15 spots: San Francisco, Fremont, Glendale, Irvine, Los Angeles, San Diego and Oakland.
The second most expensive city? New York City, which boasts the most expensive gym membership at $90 per month. Clothing costs here are the second-highest in the nation -- bad news for all the Carrie Bradshaws out there. And date night will set you back $145.
The most expensive date night in the country is in Washington, D.C., which came in third overall. Date night in our nation’s capital costs $166 for dinner, a bottle of wine, two movie tickets and a 10-mile taxi ride. Compare that to Chattanooga, Tennessee, which had the cheapest date night at $78.
Looking for more bang for your buck? Move to Reno, Nevada. Rent here is just 86 cents per square foot, and a night out averages $97.30. Keep in mind, though, that “the Biggest Little City in the World” was once known as the divorce capital of the world, so dating there may offer less promise than other locales.
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Most Expensive Cities for Singles
- San Francisco
- New York
- Washington, D.C.
- Honolulu
- Boston
- Fremont, California
- Glendale, California
- Anchorage, Alaska
- Miami
- Seattle
- Irvine, California
- Los Angeles
- San Diego
- Oakland, California
- Madison, Wisconsin
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15 Cheapest Cities for Singles
- Reno, Nevada
- Tucson, Arizona
- Grand Rapids, Michigan
- Tacoma, Washington
- Indianapolis
- Mesa, Arizona
- Little Rock, Arkansas
- Albuquerque, New Mexico
- Huntsville, Alabama
- Memphis, Tennessee
- St. Louis, Missouri
- Jackson, Mississippi
- Stockton, California
- Omaha, Nebraska
- Chattanooga, Tennessee
Donald Trump Isn’t as Rich as He Says…but He’s Still Pretty Rich
“I’m really rich,” Donald Trump boasted last month when he announced he was running for president. A new analysis by Bloomberg confirms that claim, but finds that the real estate mogul and presidential candidate is worth about $7 billion less than he claims.
When he announced his presidential bid, Trump touted a net worth of about $8.7 billion, a figure that soon ballooned to $10 billion. But Bloomberg calculates his wealth closer to around $2.9 billion. The Bloomberg Billionaires Index, a daily ranking of the world’s biggest fortunes, arrived at the value using both prior-known information and a 92-page personal disclosure form that Trump filed with the Federal Election Commission.
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The federal form that all presidential candidates are required to submit asks only for broad ranges in asset values, not specific sums. Anything above $50 million in value is lumped together in one category, which in Trump’s case left plenty of room for questions about just how valuable some of his assets are. The federal report also doesn’t require candidates to list personal property like art, clothing or real estate that’s for his own use.
The Bloomberg analysis went into much more depth, using figures such as purchase dates, square footage, rental rates and more.
The disclosure form revealed that most of Trump’s fortune comes from real estate holdings, such as the Trump Doral resorts in Florida and Trump Tower on Fifth Avenue in New York City. Other lucrative properties include premier golf courses in the U.S., Ireland and Scotland.
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Trump had valued his golf and resort properties at $2 billion. Bloomberg, using price-to-sales ratios for similar properties, put the value at a combined $570 million.
The Bloomberg methodology also doesn’t put much value in the Trump brand, counting only the cash being held as part of licensing or other business deals. “Trump’s own estimations,” Bloomberg noted, “include much higher values for his brand.”
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In a Black Eye for Wearable Tech, Nike Giving Refunds for FuelBand
If you thought that the calorie count and steps tracked by your Nike FuelBand were inaccurate, you may have been right.
Nike and Apple have agreed to settle a class action lawsuit claiming that the companies made misleading statements regarding the product’s ability to accurately track calories and steps, according to a website maintained by settlement administrator Gilardi & Co.
The companies have denied the allegations and claim they broke no laws, but they have agreed to a settlement in which Nike will give consumers who join the class action suit by January $15 or a $25 Nike gift card. The total cost of the refunds could reach more than $2 million.
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Anyone who purchased a FuelBand from January 19, 2012 through June 17, 2015 is eligible for the refund.
Last year, Nike began shifting its focus away from producing FuelBands, choosing instead to focus on apps, including one for the Apple watch, that support fitness tracking. The company has said it has more than 60 million digital fitness software users.
The FuelBand was an early entrant into what has become a crowded field or wearable fitness trackers, despite questions about their accuracy. However smart watches, which offer built-in fitness trackers along with other apps, may soon eclipse the demand for that standalone products.
A report released last year by tech analysts Juniper Research projected that revenue from wearable tech, would increase from $4.5 billion in 2014 to more than $53 billion in 2019.
Sweet, Sour, Salty and...Fat? Scientists Add a New Basic Taste
The thousands of taste buds on a human tongue each contain as many as 100 taste receptors. The interaction between those receptors and the chemicals in our food determine the taste of that hamburger or salad you’re having for lunch.
Our sense of taste has long been broken into four basic categories — sour, sweet, salty and bitter. A fifth basic taste was added more recently: umami, which means “delicious” in Japanese but refers to a meaty or savory flavor sensation. Now researchers claim there’s a sixth basic taste.
Scientists at Purdue University have published a new study in the journal Chemical Sense that they say provides evidence that chemicals called nonesterified fatty acids (NEFA) — in other words, fat — causes a taste sensation that is different from the other five tastes. The researchers have proposed that the new taste be referred to as “oleogustus.” “Oleo” is the root word for oily or fatty in Latin and “gustus” means taste.
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The researchers emphasize that they are talking about a taste, not just the creamy mouth feel you get from eating a rich piece of meat or a dish loaded in butter.
The fat that delivers that creamy, smooth feeling is a triglyceride, made up of three different fatty acids, they explain. Oleogustus — a gag-inducing taste on its own, but much more appetizing in combination with other flavors — comes from only one of those fatty acids that breaks off from the larger molecule in the food or as you’re chewing.
This finding has the potential to generate big changes in the food industry. Understanding the taste component of fat can do more than add to our knowledge of how our brain and digestive system interact. It may also help the food industry create more appealing, and potentially healthier, products.
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