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Archive for September, 2011

ADAPT Marches to the White House

September 19th, 2011

By Ian Engle, Boulder ADAPT

Slide Show of ADAPT on Sunday

Ian Engle

Ian Engle

Our Medicaid matters Mr. President! The message resounded loud and clear in front of the White House today as ADAPT arrived with somber indignation to defend our right to freedom and inclusion in community. As President Obama prepares to compromise away Medicaid, opportunities for choosing and directing our own supports are placed squarely on the chopping block. In signature ADAPT fashion, we confronted the issue and clarified why our Medicaid matters.

ADAPT rolled in, set up in front of the White House and demonstrated our discontent, with street theater, chanting and sharing real stories from real people about why Medicaid matters. ADAPT members amplified personal stories of dire consequence over loudspeakers to get the message across that Americans will suffer if Medicaid Home and Community Based programs are cut. The reality of the situation weighed heavy on everyone as we listened to our brothers and sisters describe what will happen if Medicaid funding is cut, leaving only institutional options as an entitlement for long term care.

Laura from Washington, Pennsylvania described how Medicaid matters to her family as she considered aloud what would have and will happen to her son Kyle Glozier if he doesn’t have access to Medicaid Home and Community Based supports and services. Laura made it clear that Kyle would be forced into an institution to receive the basic supports that he now accesses through Medicaid Long Term Care services. Laura let it be known to President Obama that her Medicaid matters because without it, her son would lose the supports and services that allow him to live successfully in the community, if Medicaid gets cut, Kyle will lose his freedom and independence.

Ben in front of the White House

Ben in front of the White House

John from Erie, Pennsylvania explained how he was able-bodied 25 years, went through an accident and acquired a disability, but not insurance. John came to in a nursing home and described it as the worst experience of his life. It was Medicaid that covered the medical bills that he would never have been able to pay for otherwise. John said, “Without Medicaid, I would be in a nursing home. Do you know what that costs?” John let it be known that it is not only morally irresponsible to cut funding to Medicaid for community-based long term care services, it is also fiscally irresponsible for people to be relegated to an absolutely dependent situation that costs over twice as much in tax payer revenue. John, facing the White House, used the microphone, amplifier and speakers to tell President Obama that it costs about $5000 per month to be warehoused in a nursing home, compared to the $2000 per month it costs for him to choose and direct supports in his own home.

In the meantime, a mock up individual in an Obama mask toting giant scissors, went about theatrically cutting those of us who use Medicaid Long Term Care services to live freely in our home communities. We chanted “My Medicaid Matters” loud and strong in true ADAPT style. Finally, we shared a letter drafted to President Obama and it goes like this -

Dear President Obama:

ADAPT marches to the White House

ADAPT marches to the White House

The ADAPT Community has spent over 20 years working to eliminate the institutional bias in Medicaid. This institutional bias has forced millions of Americans into institutions because institutional services are an entitlement while community based services that provide supports in our own homes is optional. We have achieved systemic Medicaid reforms that have freed many of our brothers and sisters from oppressive institutions. While the institutional bias still exists in Medicaid, thousands of Americans now are able to use Medicaid optional programs in their state to find freedom from those institutions.

You say that you want to make modest “adjustments” to Medicaid which can only mean cuts. We know the programs that always face cuts first are the “optional” programs particularly those that provide services that have free thousands Americans from oppressive and costly institutions.

You can use other words like “administrative changes”, “leveling the F-MAP”, or other terms, but lets not mince words, seniors a and people with disabilities will pay the price. We will pay for such savings with our freedom, and quite possibly our lives.

We cannot support a leader that proposes Medicaid cuts that will cost us our freedom and jobs.

We demand that there be no arbitrary Medicaid cuts. Instead we support REAL Medicaid Reform. There are ways to protect our freedom and save money and more importantly end the institutional bias in Medicaid by:

  • Expanding the use of community based services
  • Demedicalizing services
  • Expanding consumer directed options
  • Reorganize Medicaid services to eliminate wasteful bureaucracy.We urge you to include this approach and these principles in any plan that you develop to address the deficit.The ADAPT Community
  • ADAPT, Around the country, System Change

    Increased Medicaid Reimbursement for Nursing Homes.

    September 9th, 2011

    By Steve Gold

    Steve Gold

    Steve Gold

    The American Health Care Association, the national trade organization for the nursing home industry, and the Alliance for Quality Nursing Home Care have been on You Tube with a “Care Not Cuts” campaign. These two organizations have mounted a sophisticated campaign on behalf of nursing homes and against cut-backs for their clients - the nursing homes. . Their common thread: Medicaid reductions have hurt nursing homes.

    What they do not state is the average Medicaid per diem expenditure continues to increase significantly. What they do not tell you is what your State spends to keep people institutionalized.  They also do not tell you that each State could save a bundle of money by moving people into the community.

    In 2009, Medicaid nationally spent more than $50 billion on nursing home care.

    The state-by-state data below is from an AHCA report.  It provides the average Medicaid expenditure your State spent per person per day for nursing homes in 2010.  (This data may not even include additional Medicaid expenditures other than what was paid to the nursing homes.)

    A number of States did not provide the information and are not included below.

    We also calculated the percentage increase from 2006 to 2010 for the average Medicaid expenditure per diem per person for each State.

    If you multiple the 2010 per diem amount by 365 days, you’ll compute the average annual MA expenditure in your State per person in a nursing home.  Yes, it’s a big business and the elderly and disabled are the cash cows that keep the Medicaid funds flowing.

    Where is the home-care industry’s campaign?  What are the elderly and disabled advocates doing to counter the misinformation that the nursing home industry is putting out?  Who is mounting a campaign “Care In My Home - Not Nursing Homes”?

    Steve Gold, The Disability Odyssey continues

    STATE PER DAY 2010 % INCREASE FROM 2006 COST PER YEAR
    Arizona $   166.99 16.2 $     60,951.35
    California. $   164.65 12.2 $     60,097.25
    Colorado $   188.76 15.6 $     68,897.40
    Connecticut. $   221.38 7.6 $     80,803.70
    Delaware $   206.36 -2.9 $     75,321.40
    Florida. $   202.66 18.2 $     73,970.90
    Georgia. $   139.84 16 $     51,041.60
    Hawaii. $   231.67 15.3 $     84,559.55
    Idaho $   193.56 20.5 $     70,649.40
    Illinois $   117.57 17.5 $     42,913.05
    Indiana $   151.78 12.4 $     55,399.70
    Iowa. $   139.23 20.1 $     50,818.95
    Kansas $   132.41 11.8 $     48,329.65
    Maine. $   178.11 7.5 $     65,010.15
    Maryland $   212.89 12.4 $     77,704.85
    Massachus $   196.09 8 $     71,572.85
    Michigan $   205.54 16.5 $     75,022.10
    Minnesota $   162.91 12 $     59,462.15
    Missouri $   132.69 17.5 $     48,431.85
    Montana. $   167.43 10.2 $     61,111.95
    Nebraska $   143.37 4.9 $     52,330.05
    Nevada. $   183.01 10 $     66,798.65
    New Hampshire $   195.21 9.8 $     71,251.65
    New Jersey. $   204.96 7.6 $     74,810.40
    New York $   216.50 9.6 $     79,022.50
    North Dakota $   194.36 23.5 $     70,941.40
    Ohio $   177.45 8.2 $     64,769.25
    Oklahoma $   128.89 9.1 $     47,044.85
    Oregon $   217.14 17.3 $     79,256.10
    Pennsylvania $   205.96 12.6 $     75,175.40
    South Carolina. $   154.12 11.3 $     56,253.80
    South Dakota. $   128.76 12.2 $     46,997.40
    Tennessee $   144.63 9.4 $     52,789.95
    Texas $   126.29 16.5 $     46,095.85
    Utah $   161.54 11.6 $     58,962.10
    Vermont $   182.56 12 $     66,634.40
    Virginia. $   143.60 7.7 $     52,414.00
    Washington. $   161.03 13.8 $     58,775.95
    Wisconsin $   154.56 15.4 $     56,414.40
    Wyoming $   164.03 14.9 $     59,870.95

    To contact Steve Gold directly, write to stevegoldada1@gmail.com or call 215-627-7100.

    Back issues of other Information Bulletins are available online at http://www.stevegoldada.com with a searchable Archive at this site divided into different subjects.  Information Bulletins are also be posted on my blog located at http://stevegoldada.blogspot.com/

    ADAPT, Around Colorado, Around the country, System Change , ,

    Check Your Voter Information

    September 2nd, 2011

    Boulder County Clerks office demonstrates the Voting Machines.

    Boulder County Clerk's office demonstrates the Voting Machines.

    The Boulder County Clerk’s Office came to CPWD on Thursday, September 1, 2011 to demonstrate the accessible voting equipment used in Boulder County. There is an election coming up November 1, 2011 and just like the national elections you must be registered to vote.

    The best way to make sure this critical local election does not slip by is to check your voter registration. Below is the Colorado Secretary of State website links with election information.

    Check your voter information now and make any changes to be part of this upcoming election. The national election is also just one year off and keeping your voter information updated will also help you to be involved in that big election.

    Colorado Election Information:

    People gets hands-on demonstration of voting equipment.

    People gets hands-on demonstration of voting equipment.

    http://www.sos.state.co.us/pubs/elections/vote/VoterHome.html

    Check your voter registration:

    https://www.sos.state.co.us/Voter/secuVoterSearch.do

    En Español:

    https://www.sos.state.co.us/Voter/secuRegVoterIntro.do

    - Tim Wheat

    Independent Living, System Change ,