New York’s Boom In Home Health Aides Is Just Another Medicaid Racket

Not long ago, I wrote in The Federalist about “labor unions’ racket,” as it relates to corruption within one Service Employees International Union (SEIU) local. But the “racket” doesn’t end there. It extends to the people who finance it: federal taxpayers like you and me.

You don’t have to take my word for it. Consider the following quote:

I’m telling you right now, when you look on TikTok and you see ads of young people saying, “Guess what, you can make $37 an hour by sitting home with your Grandma. You know, here’s how you sign up,” it has become a racket.

The speaker is none other than New York’s Democrat Gov. Kathy Hochul, describing her own state’s Medicaid program. And the reason why she has suddenly changed her rhetoric and refuses to fix the problem has much to do with the union corruption I wrote about recently.

Union Dues Skimming

As with most things in politics, keen observers should follow the money. The New York Post recently criticized Hochul for reneging on her plan to attack the “racket” she described last year, with the Post alleging that she “switch[ed] sides with an eye on her re-election run” in 2026. 

The outlet explained that “the health care worker unions — above all, 1199[SEIU] — are a ginormous lobbying power.” The push to expand home health workers, including family members giving care, which Hochul previously criticized as a “racket,” has “morphed into a mass unionization drive,” as the Post noted.

Explosion of New Aides

That “mass unionization drive” comes as home health jobs within New York state have soared. The Empire Center, a conservative think tank, reviewed the data from the Bureau of Labor Statistics. From 2023 to 2024, home health employment grew by 57,000 jobs in New York alone. That’s a 10 percent increase in home health employment within one year, with New York accounting for one-fifth of all the new home health aides nationwide.

On both an absolute and relative basis, the data reveals New York’s absurdly high number of home health aides. The Empire State has more than three times as many home health aides (623,000) as fast food workers (183,810), and more than four times as many aides as waiters and waitresses (140,890). On a relative basis, New York has by far the most home health aides per 1,000 senior citizens, more than twice as many as the national average and 24 percent higher than the next-highest state, California.

As one observer told Newsweek last year, the home health aide program started with good intentions by “allow[ing] family members and friends to get paid for providing home health assistance to loved ones using Medicaid and Medicare dollars. The problem is now you have individuals taking advantage of a pretty liberal, open-ended process for determining who qualifies.” 

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Author: HP McLovincraft

Seeker of rabbit holes. Pessimist. Libertine. Contrarian. Your huckleberry. Possibly true tales of sanity-blasting horror also known as abject reality. Prepare yourself. Veteran of a thousand psychic wars. I have seen the fnords. Deplatformed on Tumblr and Twitter.

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