Just got done talking with a friend. He's currently on Medicaid in NJ. He doesn't have to pay for his health coverage because he only made about $11,000 last year. He also has student loan debt but doesn't have to pay it back because of his income. In fact, he's currently on IBR.
Now, here is the kicker. He's trying to better himself. He's working 2 jobs which will put him in a higher income bracket. About $25-30k a year. I say good for him. You want to move up. That's the American dream. But, he just got off the phone with HealthCare.gov and they informed him that since his income has increased he's looking at $300 a month for health coverage. It's the same for his student loans. He will have to start paying them back. And he should. He took out the loans and he knows the deal. He accepts responsibility, but he doesn't know if he's going to have the funds. With rent, food, daily expenses, and additional bills there is going to be nothing left over for health coverage and his student loans. And, let's face it. $30k a year in NJ is peanuts.
It seems that unless you're making a ton of money it's just better to be broke so you can let the government cover your expenses. I'd never want to give the government control over my life, but when you're on the edge of poverty like my friend, it seems that poverty is the better solution. Hell, I've known people who collect unemployment and work under the table. It's not a great way to live, but at least they aren't busting their asses.
It just seems that the people who are really trying to better themselves are the fools, and the people who game the system are the smart ones. I don't want to believe that, because this is still America.
This situation is one of the big ones cited in support of minimum guaranteed income. In a system with means testing for benefits there is a perverse disincentive to improve your situation lest you lose all of your benefits.
Imagine working two jobs and not having enough to eat or a decent place to live vs not working at all and getting both. The best choice is obvious to anyone in that situation. Even worse it can take months to get on those programs thanks to the means testing and needing to prove you qualify. So if you lose that job and would qualify again it can be months before you get assistance. We've set up a donut hole where there's little to be gained by not being a "leech".
With a minimum guaranteed income everyone gets $X/year and all of the social safety nets for poor people go away. These plans are touted in areas that already have socialized medical so that's not part of it, and is likely required for such a system to work. But no longer do you need welfare, disability, unemployment, SS, etc. Since everyone gets $X than any job will mean you get more. There is always incentive to work. Can also remove minimum wage as the risk vs reward for the job has to be sufficient for people to bother.
Whether or not such a system is actually feasible is still unknown but you have seen first one hand of the ills our current system fosters.