podesta-emails
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Although the ADAPT Community had hoped the Federal Commission on Long Term
Care would produce important recommendations improving the lives of
people
with disabilities who use long term services and supports, we are deeply
disappointed with the recommendations the Commission has released which fail
to address critical issues.
The report:
- fails to address Medicaid's institutional bias in any substantive and
actionable way, instead talking vaguely about promoting "options for people
who would prefer to live in the community";
- demonstrates a complete lack of awareness about the Olmstead rights of
people with disabilities to live in "the most integrated setting" by using
language from IDEA;
- fails to address the need for affordable, accessible integrated housing
which forces people to remain in institutions;
- promotes unwanted medicalization and over-regulation of home and
community-based services which undercuts the availability and intent of
consumer-directed services;
- assumes people with disabilities are passive, establishing the
expectation that family members and attendants should be part of the person- and
family-centered planning approach and included on "treatment teams," but
never acknowledging the role that people with disabilities should have in
developing
their own person-DIRECTED plan; and
- fails to provide any specific, actionable recommendation for moving
forward to develop a system that meets the needs of people with disabilities
who want to manage their own services and live independently in the
community, but
including a specific recommendation to increase available funding to
nursing facilities.
It is notable that Henry Claypool and Lynnae Ruttledge - the two
representative who come from the Disability Community - voted "no" on this plan.
From what we have read, it seems clear why they did. If it doesn't do
anything else, this report reaffirms the need for fundamental change in the
systems that provide Long Term Services and Support and demonstrates that
people with disabilities cannot rely on others to advocate for such
change.
ADAPT calls on the Disability Community to work together so we finally
establish federal policies which will FREE OUR PEOPLE!
The ADAPT Community
ℹ️ Document Details
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Dataset
podesta-emails
Document Type
email
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