The speaker worries that distributing wealth through Medicaid could tie recipients to the goods and services Medicaid procures rather than the radically different goods and services available in a post-AI world.

“And the worry there.”

“selfishly from a human perspective is you'll get locked into the kinds of goods and services that Medicaid procures rather than the crazy technology that will be around the crazy goods and services that will be around after AI world and another reason why UBI”