{"id":34334,"date":"2025-06-18T20:26:55","date_gmt":"2025-06-18T20:26:55","guid":{"rendered":"https:\/\/cincinnatirighttolife.org\/?p=34334"},"modified":"2025-06-18T20:26:56","modified_gmt":"2025-06-18T20:26:56","slug":"medicaid-use-strongly-tied-to-out-of-wedlock-births-study","status":"publish","type":"post","link":"https:\/\/cincinnatirighttolife.org\/medicaid-use-strongly-tied-to-out-of-wedlock-births-study\/","title":{"rendered":"Medicaid Use Strongly Tied to Out-of-Wedlock Births: Study"},"content":{"rendered":"\n

By: Ben Johnson, originally published June 6, 2025, The Washington Stand<\/a><\/em><\/strong><\/p>\n\n\n\n

As congressional Republicans debate whether to approve measures that would slightly reduce the rate of growth in Medicaid, experts say the most effective way to prevent government dependence involves following a biblical precept: avoid having children outside wedlock.<\/p>\n\n\n\n

A new study finds a near one-to-one ratio in welfare use and the ability to follow the three steps Brookings Institution researchers Isabel Sawhill and Ron Haskins identified as \u201cThe Success Sequence<\/a>\u201d: graduate high school, get married before having a baby, and work (or marry someone who works) a full-time job.<\/p>\n\n\n\n

\u201cAs matters stand now, most teen and unmarried births in the U.S. wind up being subsidized by taxpayer dollars,\u201d\u00a0found<\/a>\u00a0Nicholas Zill, a research psychologist and a senior fellow of the Institute for Family Studies (IFS). In a newly published survey, Zill correlated demographic data about mothers with payment records for their child\u2019s birth, culled from the National Vital Statistics Reports released on March 18. Then Zill added one additional requirement to the sequence: that a mother wait until at least the age of 20 to give birth.<\/p>\n\n\n\n

He found that \u201cfor every 10 percentage-point increase in the extent to which parents in an ethnic group stuck to the [Success Sequence] pathway, there was an 8.4 percentage-point increase in non-reliance on welfare for payment of a baby\u2019s delivery.\u201d<\/p>\n\n\n\n

Only 45% of babies born in America had mothers who had completed all the steps of the Success Sequence, he found. But the percentage varied widely across demographic groups. Three-quarters (76%) of Asian-Americans and nearly two-thirds (62%) of white babies were born to couples who completed all the steps of the Success Sequence. Less than one-third of Hispanics and one in seven (15%) black children were born in similar circumstances. At the same time, \u201c75% of Asian births and 69% of White births were paid for by private dollars, whereas the same was true for only 33% of Black births and 38% of Hispanic births.\u201d<\/p>\n\n\n\n

\u201cA straight-line relationship between success sequence adherence and welfare independence accounted for 94% of the variation across ethnic groups in welfare non-reliance,\u201d wrote Zill.<\/p>\n\n\n\n

The IFS did not immediately respond to The Washington Stand\u2019s query about what percentage of Medicaid use can be directly attributed to out-of-wedlock births. But the report\u00a0stated<\/a>, \u201cThe major factor driving the ethnic variation in Success Sequence babies was marriage.\u201d<\/p>\n\n\n\n

Richard V. Reeves, a colleague of Sawhill and Haskins at the Brookings Institution and\u00a0president<\/a>\u00a0of the American Institute for Boys and Men,\u00a0found<\/a>, \u201cif blacks followed the success sequence they were just as likely as whites to become middle class.\u201d<\/p>\n\n\n\n

The benefits accrue to members of all ethnic groups. Young people who observe all three measures \u201chave a\u00a097% chance<\/a>\u00a0of avoiding poverty as they move into adulthood\u201d and are \u201csignificantly less likely to experience\u00a0family<\/a>\u00a0breakdown and\u00a0emotional distress<\/a>\u00a0as adults,\u201d\u00a0said<\/a>\u00a0Brad Wilcox, a professor of sociology at the University of Virginia.<\/p>\n\n\n\n

National leaders have long known of the benefits brought to those who follow the three-prong life plan. Then-Senator and two-time presidential hopeful\u00a0Rick Santorum<\/a>\u00a0popularized the Success Sequence in the 2012 Republican primaries. It would be repeated in the next election cycle by then-Senator and current Secretary of State\u00a0Marco Rubio<\/a>.<\/p>\n\n\n\n

Legislators hope teaching the practical benefits of godly morality will reduce teen births, ease the public rolls, and launch young people on the road to prosperity. Ohio\u2019s\u00a0S.B. 156<\/a>,\u00a0sponsored<\/a>\u00a0by state Senator Al Cutrona (R-33), would direct the Ohio Department of Education to \u201cdevelop standards and a model curriculum about the success sequence for grades six to twelve, which shall include evidence, identified using the best research methods available, describing the positive personal and societal outcomes associated with the success sequence. \u2026 Each school district board of education shall provide instruction on the success sequence.\u201d The Center for Christian Virtue, based in Columbus,\u00a0champions<\/a>\u00a0the bill.<\/p>\n\n\n\n

Separate studies have found that Medicaid use often saps another pillar of life satisfaction and poverty reduction: work. By some measures, maintaining a full-time job alone accounts for\u00a0nearly all<\/a>\u00a0of the sequence\u2019s poverty reduction. \u201cA nationwide study of able-bodied adult ObamaCare expansion enrollees in Medicaid showed that\u00a055 percent<\/a>\u00a0did not work at all. Worse still, nearly\u00a075 percent<\/a>\u00a0of prime working-age able-bodied adults collecting food stamps reported no work. Less than\u00a0three percent<\/a>\u00a0of these individuals reported working full time,\u201d\u00a0wrote<\/a>\u00a0Michael Greibrok, a senior research fellow at the Foundation for Government Accountability (FGA).<\/p>\n\n\n\n

Expanded work requirements \u201cwould save taxpayers more than $175 billion over the next decade, moving millions of able-bodied adults back to work and providing a much-needed boost to the economy,\u201d the FGA\u00a0found<\/a>. It would also benefit families. Within a year, the incomes of those who entered work doubled; within two years, they tripled,\u00a0more than compensating<\/a>\u00a0for any lost public benefits.<\/p>\n\n\n\n

Experts say requirements that work-capable Medicaid recipients engage in some form of employment, as currently contemplated by the Trump administration, help all society. \u201cRequiring able-bodied individuals to work or look for work is not a new concept. Conditioning work in exchange for receiving other welfare benefits were a key part of welfare reform in the 1990s. Work requirements are a way to promote a pathway out of poverty and improving their overall well-being,\u201d Nina Owcharenko Schaeffer, director of the Center for Health and Welfare Policy at the Heritage Foundation, told The Washington Stand.<\/p>\n\n\n\n

\u201cWelfare programs with work requirements have positive effects on recipients and society,\u201d\u00a0found<\/a>\u00a0a Heritage study. Thanks to work-based entitlement reforms, \u201csome 9 million additional children now live in married, rather single-parent, families.\u201d Moreover, work improved the lives of those who transitioned from government dependence to work. \u201cWhen mothers who were formerly dependent on welfare find employment, we see increased\u00a0physical health<\/a>, as well as emotional and\u00a0psychological health<\/a>. There are even\u00a0better\u00a0<\/a>educational<\/a>\u00a0outcomes, as well as improved\u00a0health and behavioral\u00a0<\/a>well-being for their children,\u201d it stated.<\/p>\n\n\n\n

\u201cWork requirements, for instance, are essential to reducing\u00a0welfare<\/a>\u00a0dependency. When individuals are encouraged to contribute to society through meaningful work, they regain a sense of dignity and self-worth \u2014 key elements for the stability and strength of the family unit,\u201d\u00a0agreed<\/a>\u00a0Vance Ginn, president of Ginn Economic Consulting and the author of the\u00a0new book<\/a>\u00a0\u201cEmpower Patients\u201d with Dr. Deane Waldman. \u201cBlock grants, eligibility checks, and work requirements are essential first steps\u201d to Medicaid reform, Ginn\u00a0told<\/a>\u00a0TWS.<\/p>\n\n\n\n

The issue became a sticking point in the most recent round of budget talks, in which experts have highlighted numerous ways lawmakers can\u00a0cut Medicaid\u2019s cost without reducing services<\/a>, such as eliminating intergovernmental transfers (IGT), which analysts have likened to \u201cmoney laundering.\u201d<\/p>\n\n\n\n

But the workforce could also use an injection of fresh labor. The U.S. labor market had\u00a07.4 million<\/a>\u00a0unfilled jobs in April, according to the U.S. Bureau of Labor Statistics. \u201cWe have [more than] seven million healthy American men of working age who aren\u2019t working right now. Let\u2019s do them a favor: Let\u2019s help them get a job. The best safety net out there is a job,\u201d Senator Roger Marshall (R-Kan.)\u00a0told<\/a>\u00a0\u201cWashington Watch\u201d on Thursday. \u201cIt\u2019s good for your mental health. It brings purpose to your life.\u201d<\/p>\n\n\n\n

The labor participation rate is 62.1%, down nearly 7% in the last 20 years. The labor participation rate has been above that level with only two exceptions since\u00a0October 1977<\/a>. The decline in work rate has been\u00a0steeper<\/a>\u00a0among men than women, and among whites than blacks. Some\u00a021 million<\/a>\u00a0Americans of prime work age (25 to 54) are\u00a0not currently in the workforce<\/a>\u00a0\u2014 19 million of whom say they do not want a job. Only 483,000 Americans in their peak working years say they are jobless because of disability or health issues (67,000<\/a>), family responsibilities (89,000), schooling (28,000), or other necessities.<\/p>\n\n\n\n

\u201cOur Christian duty is to take care of those who are the least amongst us, and I will guarantee you that I will do everything I can to protect Medicaid for those who need it the most,\u201d including children and the disabled, said Marshall. \u201cWe want to do our godly duty and give people a hand up, not a hand out.\u201d <\/p>\n\n\n\n

Nearly three-quarters (72%<\/a>) of Americans say work-capable Medicaid recipients should be required \u201cto at least look for work or participate in community service part-time in order to keep their Medicaid benefits,\u201d\u00a0found<\/a>\u00a0a poll from Fabrizio, Lee, and Associates, a Republican-aligned polling firm.<\/p>\n\n\n\n

The proposal should enjoy bipartisan support. \u201cWe should insist that people move off welfare rolls and onto work rolls. We should give people on welfare the skills they need to succeed \u2026 and become a productive member of society,\u201d\u00a0declared<\/a>\u00a0future President Bill Clinton in 1991 as he announced his first presidential campaign. Clinton also wanted to see society crack down on deadbeat dads by demanding the \u201ctoughest possible child support enforcement.\u201d<\/p>\n\n\n\n

\u201cGovernments don\u2019t raise children,\u201d said President Clinton. \u201cParents do.\u201d<\/p>\n\n\n\n

Ben Johnson is senior reporter and editor at The Washington Stand.<\/strong><\/em><\/p>\n\n\n\n

<\/p>\n","protected":false},"excerpt":{"rendered":"

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