MedicalResearch.com Interview with: Leighton Ku, PhD, MPH Professor, Dept. of Health Policy and Management Director, Center for Health Policy Research Milken Institute School of Public Health George Washington University Washington, DC 20052   MedicalResearch.com: What is the background for this study? Response: In this study, we examined how requirements that low-income adults work in order to keep their food assistance benefits (SNAP, formerly called food stamps) affects the number of people receiving benefits.  Briefly, we found, based on analyses of data from 2,410 counties from 2013 to 2017, that soon after work requirements are introduced, more than a third of affected participants lose their food assistance.  This meant that about 600,000 poor adults lost food assistance very quickly. This is important for two reasons: (1) Work requirements create greater hardship, including food insecurity and increased risk of health problems, when poor people lose their nutrition benefits. (2) The Trump Administration is trying to broaden this policy, expanding it further in SNAP, but also applying work requirements to Medicaid (for health insurance) and public housing benefits.  This is a massive effort at social experimentation that will cause tremendous harm. And the sad part is that we already know, from other research, that these work requirement programs do not actually help people get jobs, keep them or to become more self-sufficient.  This is because the work requirements do not address the real needs of low-income unemployed people, to learn how to get better job skills or to have supports, such as child care, transportation or health insurance, that let them keep working.