Minnesota, like a lot of states, is contemplating significant budget cuts that would affect people with disabilities. But there’s cutting and then there’s obliterating, which is what South Carolina may do to its services for 26,000 residents with disabilities. All home and community-based services would be eliminated, leaving state funding for institutional care (which is required under federal Medicaid law). As a result of these proposed cuts, family members of of people with disabilities would be forced to quit jobs in order to serve as caregivers. Even worse, some individuals may be forced out of their homes and into nursing homes. In comparison, our own proposed cuts seem almost modest.
I’ll say it again: Medicaid needs to be completely federalized to ensure that people with disabilities aren’t punished for living in a poor state that is apathetic or even openly hostile to the notion of community integration. This patchwork system certainly benefits people like me who are lucky enough to live in a generous, prosperous state like Minnesota, but it does a disservice to so many others.