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" ... By definition, the pauperized elderly population eligible for dual Medicare-Medicaid coverage—often in nursing homes—would not be candidates for employment. Nor would the blind and disabled, except in very rare circumstances. Nor would be the children covered by Medicaid. Nor would be their moms. If they were employed by an employer sponsoring health insurance, they would not be in Medicaid in the first place. If they are working and are in Medicaid, it must mean that their employer pays them very low wages and does not sponsor insurance, as many employers with predominantly low-wage workers do not. ... "