It is not easy to get or navigate the system with benifits. I was born with mild cerebral palsy and have a learning disability that makes it hard to have the executive functioning skills  to have a professional job although I have a degree. I also know that working full time is not an option for me.  As even 30 hours a week,has been very tiring for  me. I am now working 15 hours a week doing basic clerical duties. This is a temporary position with the state with no benifits. It took me 3 years to finaly find a position that is a good fit for me,after loosing a few positions and I rely on SSI and Medicaid for not just health insurance and income,but case management services to help me live independently. The idea of Medicaid in a block grant terrifies me. I don't think the poor will always be among us means there shouldn't be a safety net.