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Meet Washington’s #1 Medicaid giant: Amazon

Meet Washington’s #1 Medicaid giant: Amazon

Plus Ferguson stacks campaign cash, the ferry hikes cometh and some recommended reading

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Paul Queary
Jun 20, 2025
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The Washington Observer
The Washington Observer
Meet Washington’s #1 Medicaid giant: Amazon
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More workers are tapping Medicaid for health care at Amazon than at any other employer in Washington, even as the the e-commerce giant wows Wall Street investors.1

The news comes from the state Health Care Authority’s latest figures, which crowned Amazon as Washington’s largest cost driver for Medicaid, the state/federal program that pays for care for low-income people, ahead of even Walmart and McDonald’s. Some 8,000 Amazon workers cost the state $19 million in Medicaid dollars per biennium and another $41M in federal dollars.2

It’s safe to say that these are the folks on the bottom rung at Amazon–people sorting packages or driving a delivery van–rather than the computer nerds raking in six figures a year. Given Washington’s high minimum wage, a single person working full time at Amazon is making more than the $1,800 maximum monthly income that’ll get you on Apple Health, so we’re talking workers with dependent children, for whom the limit can be more than $5,500 per month.

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