Wednesday, July 5, 2017

Abandoning 'political' activism at systemic levels absorbing inclusion costs individually after 'center' moves to the right





  Why do people with invisible, not physically manifested, disabilities have to 'pass' or 'fake it until they make it' with soft skill self-help plugged on social media and email lists from sources like govexec.com and theladders.com


and others,







among other 'free advice' ('that's worth the price') 'pop/positive psychology' or 'professional/personal development journalism' sources?  People with physically manifested, visible or 'intense needs' disabilities retain access to IL (independent living) services paid for in part by someone else.  The oppression olympics/severity contest/respectability politics games started, as cost-shifting backlash to disability civil rights law ADA and 2008 ADAA, in part, with Walter Olson's 1997 book.  





  The book "The Excuse Factory" by Walter Olson distorted individual circumstances where civil rights law was applied into allegations of manipulating law to excuse incompetence that developed into stigma and stereotypes of people with disabilities attempting to obtain reasonable accommodation to perform essential job functions in their workplaces.  Anyone who supervised anyone else in their workplace became unnecessarily wary.  People with disabilities started learning how to pass as not disabled to avoid the stigma and stereotypes out of fear that attempting to 'come out' or 'disclose their disabilities' would cost them their jobs or job opportunities.    
Chapter 7 "Accommodating Demons" was particularly problematic in this regard.  The first page of the printed chapter is inserted above.  



   Walter Olson returned to dividing people with disabilities by severity to shift costs of inclusion from the corporate class that did harm to the (oppressed) class with disabilities, in 2010, 20 years after the ADA was signed.


   The division was echoed in 2015 by Senator Rand Paul R-KY to push Republicans farther right and Democratic legislators farther right in 'centrist bipartisan consensus' that is a revision of the social contract  after gas lighting a similar policy argument tactic to black knighting .   A third 'label' for the same problem in public discourse is


centrist-extremist politics described in a 1998 political research associates paper.



  People drop out of civic involvement or 'politics,' because it's "gloomy" as Tyler Cowen describes it in "Create Your Own Economy/Age of the Infovore,"  and Cowen credits autistics for understanding politics as "gloomy," for their focus only on helping themselves and others they self-select as equal members of an 'identity politics' or 'autistic community' to solve individual problems without the use of publicly-funded resources. 
 

 















  The alternative, viewing many similar individual problems as a sign of a systemic problem, is not a focus of 'identity politics" activism unless it involves immediate threats to the life or freedom of movement of a person in the 'identity politics' community.  Solving individual problems without systemic solutions allows cost-shifting that enables the income and wealth inequality that's a hallmark of neoliberalism/neoconservatism/market anarchism/pre-Keynes Austrian school economics of Friedrich Hayek.  Hayek's neurology and psychology writings are also cited by Tyler Cowen perhaps as a basis for experimental or behavioral economics two more new names for the same old neoliberalism/neoconservatism/market anarchism/pre-Keynes neoclassical economics.  By failing to blame Republicans for making 'politics' "gloomy" in the first place Tyler Cowen shows the Republican/corporatist/libertarian/pre-Keynes Austrian school economic biases of the donors to George Mason University and its Mercatus Center (Charles and David Koch and their fellow donors organized through Freedom Partners) who might pay part of Cowen's salary and support his "marginal revolution" blog marketed with the slogan 'world's most popular economist.'  George Mason University had a 2002 Nobel Prize winning (economics same field as Cowen) faculty member named Vernon L. Smith who disclosed his disability/'came out autistic.'

 


  The advantages of 'mild autism' may likely include ability to shift public costs to individual costs in money, or time, to restrain the growth of federal spending to allow balanced budgets at the federal level overturning the Keynesian concept that deficit spending can overturn bad business cycles by keeping demand drops from worsening bad business cycles.











  Vernon L. Smith actually disclosed his disability/'came out' as living with Asperger's Syndrome before erasure of the diagnosis and Hans Asperger was 'exposed' as a nazi sympathizer personally, as well as erasing his contribution to spreading knowledge of the diversity of independent living skills, in people on the later-recognized autism spectrum.  Smith was allowed to leave for a job at Chapman University in Orange, CA.  Maybe Vernon Smith's scholarship didn't legitimize neoliberals (where neoclassical, neoconservative, market anarchist, Austrian school economics are new names for the same political/economic view) as much as Tyler Cowen's publication record has, at a lower pay level that George Mason University's state-funded budget could 'afford,' since a 2000 paper.










  More people could be helped more quickly if the many selves in self advocacy communities would change and repair the existing systems.  The struggle for Medicaid as is, rather than expanding it as well as ending its 'institutional bias' toward paying for nursing homes not HCBS providing LTSS delivered in communities chosen by the beneficiary with a disability in compliance with Olmstead vs. LC and EW, and the broader struggle to save the ACA in 2017 is an example.

  I rustedaspie (humble author of this post), and about 3 other people I was hired with, lost Medicaid benefits in 2003 for supported employment services that helped us find jobs




  The Md. Medicaid cut in 2003, and 2009 demands to restore the cut, (2 images below) that restricted eligibility criteria to incomes above 116% of poverty after it had been at 300% of poverty, proposed by then-Republican Governor Robert Ehrlich devastated, to the point of closure and leaving people with disabilities unserved including the author of this blog post, by 2017 is shown in the images below.




for the same employer in 2000.  Fewer people organized or fought, to a comparable extent, because the independent living issues lost a severity contest/oppression olympics/we weren't 'graded' as suffering from intense 'enough' needs.  The only direct risk was unemployment not being forced to live in a nursing home



Around that time, disability justice activists, including Carl Peterson of the Autistic Self-Advocacy Network (ASAN), had what Peterson describes as a "really, really disconcerting call" with Gregoire's people. "They basically said, 'This is her budget, she's not going to make any changes to it.' It was horrible," he remembers. "It was her budget, and she felt very entitled that she had that power." The district attorney's office made the situation worse, according to Ganapathiraju, by trying "to convince the governor that if you back down on this issue, you'll never be able to make any cuts on any of your programs ever again. Which is not true, but that's the kind of message the governor was getting," he says.


On paper, the Americans with Disabilities Act (ADA) provides that disabled people are entitled to the "most integrated" setting and the Supreme Court's 1999 decision in Olmstead v. L.C. (known in disabled activist circles as disability's Brown v. Board of Education) found that people with mental disabilities should be allowed to live in the community, not institutions, on the condition that states have the resources to provide community care. In 2011, Governor Gregoire's cuts led to another case that was based around Olmstead, a case called M.R. v. Dreyfus. In Dreyfus, 12 disabled plaintiffs successfully argued that Washington's budget cuts would mean they wouldn't be able to get the hours with a care assistant they needed for basics like bathing, eating and going to the doctor. Their health would deteriorate, and they'd inevitably be sent to nursing homes. The plaintiffs won, but the fight wasn't over. Gregoire filed to extend the deadline for appealing the decision. Disability justice activists went into overdrive, calling in organizers from as far away as DC, New York and Texas.


In the case of Washington State, the pushback worked. After several protests, press conferences and petitions, Gregoire re-checked her pocketbook. In October 2012, Gregoire released an official statement: she would not challenge M.R. v. Dreyfus. It was a big win for disability rights advocates. ASAN's Peterson believes the national organizing made a "huge" difference. Without it, "honestly, we wouldn't have been able to pull this off," he says. "If we didn't organize, if that protest didn't happen" at the state capitol, "if those op-eds didn't get written, and what have you, I think she probably would have sent [the original budget] out."


….
Petty, whose business caters mostly to seniors, believes the socialization offered by his "continuing care retirement communities" (CCRCs) helps combat depression. And even Ganapathiraju, who now sits on the Governor's Committee on Disability Issues and Employment, admits that often nursing homes are "Sometimes the only option, or the best option, especially for folks, say, with special needs, that need an extra kind of guide throughout the day." Still, the majority of disabled people (and seniors) would rather live outside of such facilities - even a place like Wesley, with its game rooms outfitted with Nintendo Wii systems, shuttles to the mall and concierge services. In fact, when asked whether or not he sees himself ever living in a CCRC, Petty laughs: "That's a great question. Everybody in the field, when they're my age, go, 'No.' As does everybody else. I have no idea, to be honest with you." So it shouldn't come as a surprise that in 2011, there were 511,000 people in the United States on waiting lists for waivers for home care services. Likewise, an AARP study from 2012 found that 64 percent of Medicaid long-term service dollars for older people and adults with physical disabilities went to nursing facilities, the study's authors noted, "even though most people prefer to live at home." (Meanwhile, the most recent Congressional report on the subject found that 9 out of 10 nursing homes were understaffed over a two-year period from 1999-2001.)
  











  or having our communication needs misunderstood and criminalized (Zakh Price and Kayleb Moon-Robinson).  





  Passing, by consciously changing how one presents oneself to the world, to be accepted as a 'member' of a privileged (or socially and economically dominant) class has been written about mostly in a context of racial discrimination. 






Call number for the book below, with a summary and a review, (Dewey Decimal System) is 305.8 HOB.

Title:
A chosen exile : a history of racial passing in American life / Allyson Hobbs.
Author:
Hobbs, Allyson Vanessa.
ISBN:
9780674368101
Personal Author:
Hobbs, Allyson Vanessa.
Publication Information:
Harvard Univ Pr 2014




Between the eighteenth and mid-twentieth centuries, countless African Americans passed as white, leaving behind families and friends, roots and community. It was, as Allyson Hobbs writes, a chosen exile, a separation from one racial identity and the leap into another. This revelatory history of passing explores the possibilities and challenges that racial indeterminacy presented to men and women living in a country obsessed with racial distinctions. It also tells a tale of loss.
As racial relations in America have evolved so has the significance of passing. To pass as white in the antebellum South was to escape the shackles of slavery. After emancipation, many African Americans came to regard passing as a form of betrayal, a selling of one's birthright. When the initially hopeful period of Reconstruction proved short-lived, passing became an opportunity to defy Jim Crow and strike out on one's own.
Although black Americans who adopted white identities reaped benefits of expanded opportunity and mobility, Hobbs helps us to recognize and understand the grief, loneliness, and isolation that accompanied-and often outweighed-these rewards. By the dawning of the civil rights era, more and more racially mixed Americans felt the loss of kin and community was too much to bear, that it was time to "pass out" and embrace a black identity. Although recent decades have witnessed an increasingly multiracial society and a growing acceptance of hybridity, the problem of race and identity remains at the center of public debate and emotionally fraught personal decisions.



Choice Review
In contrast to most scholarship on racial passing, Hobbs (Stanford) focuses on the losses rather than the rewards that racially ambiguous individuals experienced as a result of their decision to assume a white identity. In addition to literary texts, Hobbs draws on a wide range of historical sources, including runaway slave advertisements, censuses, diaries, letters, and newspapers to demonstrate that from the late 18th through the early 20th centuries, racial passing was neither a hidden enterprise nor an individualistic endeavor. The decision of racially indeterminate men and women to reject their black racial identity deeply affected the larger communities they left behind. Hobbs, whose own family history is marked by the phenomenon of passing, contends that the losses-personal, familial, and psychological-outweighed the advantages that racially ambiguous persons accrued from passing, encouraging many of these individuals to "come home," as she calls it, by the 1940s and 1950s. Hobbs's cultural history of passing provides greater insight into the simultaneous malleability and salience of race in US life, and helps readers understand the continued tensions surrounding racial hybridity in the 21st century. Summing Up: Highly recommended. All levels/libraries. --Meredith L. Roman, SUNY Brockport

 


  This older book, with a Dewey Decimal call number of 302.1 KRO,


Title:
Passing : when people can't be who they are / Brooke Kroeger.
Author:
Kroeger, Brooke, 1949-
ISBN:
9781891620997
Personal Author:
Kroeger, Brooke, 1949-
Edition:
1st ed.
Publication Information:
New York : Public Affairs, c2003.



 broadens the concept of passing from avoiding racial discrimination to avoiding any form of discrimination that civil rights law 'protected class' framework, enforced by 'test case' litigation one person at a time, attempts to remedy.   The costs of 'following the law' by the dominant sociopolitical class are shifted to the dominated sociopolitical class instead of being borne by the dominant class that originally caused the social and economic individual and class harm.  The dominated sociopolitical class has less ability to pay those costs in money and in time, to learn skills to 'save money' by making whatever could not be purchased at an individual, and collective, level.  Inequalities in paying the shifted costs lead to arguments within the dominated class that slow class-wide progress by keeping the dominated class divided against itself 'looking down the privilege class ladder' instead of unified to 'look up' the 'privilege class ladder.'






  The Booklist review nails the economic intersectionality of why people try to 'pass' or 'fake it until they make it' with help of other selves (people) in self-advocacy/identity politics communities.  "Politics' is too "gloomy," as Tyler Cowen wrote in Create Your Own Economy/Age of the Infovore," to wait for progress to 'trickle down' to all individuals.  


 Booklist Review
The term passing is most often thought of as racial minorities passing for white to receive the privileges denied them due to race. But [K]roeger plumbs the varieties and complexities of passing across racial, sexual, and economic lines. She offers profiles of a black man who passed for a white [J]ew; a working-class Puerto Rican woman who became an Orthodox [J]ew and passed for privileged; a gay man at a conservative [J]ewish seminary passing for straight; a lesbian naval officer who passed for straight; and a respected poet who, on a lark, adopts a difference persona and ends up writing pseudonymously about the rock-and-roll music scene. [K]roeger intersperses these profiles with references in history, literature, psychology, and contemporary culture that explore the dynamics of passing--the lies and deception involved as well as the separation from community and family. She also explores the parallels between civil disobedience and passing, which, although it is a self-centered act, allows the passer to secure opportunities in the present rather than waiting for social change. An engaging look at how certain people choose to deal with social inequities. --Vanessa Bush Copyright 2003 Booklist


 

Saturday, June 24, 2017

Theory of Mind, Prosopagnosia, and Misophonia with self-help vs. publicly-funded help




  Theory of Mind was supported as a weakness among autistics in 2016.


 In the video Things not to say to an autistic person posted by BBC Three (which I have recently re-shared on social media), the panel of autistic people give their thoughts on this statement (ellipses denote going to another panel member’s thoughts/opinion):
“So we’re taught in school we’ve got five senses. Wrong – we’ve got six. The sixth one being our Theory of Mind, the ability to understand everybody else’s thought processes… You don’t have that instinctive understanding… and we rely on people’s body language and they lie with their body language, and that just makes me angry… So if you have the ability to do that, please don’t ever say you could be a little bit autistic, because it really is… Yeah, just don’t, just stop.”
I have managed to mask my lack of Theory of Mind quite well.  With hindsight, I think I ended up studying Psychology and Social Work because I wanted to understand how people thought and why people behaved the way they do.  Because I had the personality traits of a typical first-born in being a “people-pleaser” and learning from observing and trial-and-error, I learned a set of social skills to be able to appear to anticipate the needs of others based on what I thought I would need in the same situation.  In my email correspondence with Katherine Green after my first two appointments, she read the longest version of my questionnaire responses (because I sent the very long version, an abridged version and a mid-sized one restoring some of the more significant details I had taken out because I felt the abridged one was then too short) and noted that I wrote in everything that I thought was relevant, not really having awareness of what details were more important and which ones were not.  Even with this pointed out to me, looking back through what I sent, I still couldn’t unpick how I could have made it more relevant… This probably extends to my difficulties with job interviews because I know what I think is important, but I don’t know and can’t easily anticipate what it is that the interviewer is looking for in my responses.



   The blog post was also shared here.  Not to go off on too much of a tangent, but the writer of this post has had similar problems on job interviews and not being able to distinguish between important and unimportant details in social interactions (writing or speaking to people autistic or NT).


   The same Theory of Mind was hotly disputed in 2012 here and here.


 His most famous is the "Theory of Mind," based on the results from the now-famous "Sally-Anne" test. The Sally-Anne test, where 61 children (20 autistic, 14 Down's Syndrome and 27 neuro-typical) were shown two dolls, is an example of bad "science." Sally has a basket in front of her, while Anne has a box. The Sally doll, presumably made to move by an adult, which further complicates the test, puts a marble into her basket and leaves the room. While she is gone, Anne takes the marble from Sally's basket and places it in the box. When Sally returns, the child is asked, "Where will Sally look for the marble?" Only 20 percent of the autistic children were able to correctly answer the question -- Sally will look in her basket.

  From the test results Simon Baron-Cohen concluded "that the core problem in autism is the inability to think about other people or one's own thoughts" according to the blog, holah.co.uk

 Except that his test did not take into consideration the challenges many autistic children have in sequencing, language problems, misunderstandings of prepositions, the level of anxiety or stress levels of the autistic participants at the time of testing. Nor did it take into account literal thinking, something many autists have, all of which made the test and the questions asked that much more challenging.

My 10-year-old autistic daughter, Emma, when asked what her doll's name is, will reply, "Doll" or "Girl." This is just one example of Emma's literal mind at work. She is not wrong -- her doll is a doll and yes, the doll is a representation of a girl. If I say to Emma while she is in the shower, "Em, wash the soap off," she will take the bar of soap and hold it under the water, even though what I meant was she should wash the soap off her body -- she understood my request literally. Was she wrong? No. To draw some other conclusion from her answers would be. When the child, during the Sally-Anne test, was asked, "Where will Sally look for her marble?" a literal-minded thinker, who also has trouble with prepositions would have difficulty arriving at the "correct" answer.

Simon Baron-Cohen based his theory, which is taken by many as proven fact, on the assumption that the autistic participants understood the question. He then set about publicizing his theory, which inadvertently or not is used by many in the neuromajority to justify the abuse and mistreatment of the very people whom he categorizes as lacking empathy. Does anyone else see a problem here?

When Emma was diagnosed I came upon the "Theory of Mind"
[link dead by 2017]
http://www.icn.ucl.ac.uk/dev_group/ufrith/documents/Baron-Cohen,%20Leslie%20and%20Frith,%20Does%20the%20autistic%20child%20have%20a%20'Theory%20of%20Mind'%20copy.pdf


paper early in my research. At the time I thought this explained why, when any of us were upset, Emma seemed oblivious. But as I continued along the road of educating myself, coupled with observing my daughter, I began to question his theory. I read about autistics who avoided looking in people's eyes because it was too intense. One autist described it as akin to seeing into a person's soul. Others talked about how they could sense immediately upon entering a room the various occupants' emotional state and became so overwhelmed they would seek refuge in a corner, try to leave or would stim as a way to counter the intensity of what they were experiencing.

There are times when Emma will, with outstretched arm, put her hand out in front of her face like a shield. Often it is done when she's very happy and having a good time. I believe it is in response to the intensity of feelings, either hers or others or both. Or as Jessy Park,


Clara Claiborne Park's autistic daughter, was quoted as saying, "It's too good."

 


  The objection in 2012 was more of a process complaint involving small sample size that didn't represent the lived experience of the daughter of the author of the post.  The emma's hope book blogger (Ariane Zurcher) engaged in a dispute based on the comparative validity of knowledge of her lived experience and others who mutually validate (agree with) her and a controlled, albeit small sample size, Baron-Cohen study.  The dispute was rooted in a fear that Simon Baron-Cohen findings can be misunderstood and misunderstanding spread on viral social media to the detriment of more autistics than are helped.  Zurcher's dislike is perhaps more of the Sally-Anne test methodology to draw conclusions and unclear not concise writing style enabling misunderstandings.  The article ignores considerations NT people do unconsciously of how any action or statement can be misinterpreted by recipient and attempts to make communication ever clearer.  Zurcher is disagreeing with a particular concept in universal terms or 'go big or go home' type rhetoric.  
  
 Tragically, nuanced rhetoric is too hard to communicate in the short time people give to reading about a subject in a 'search term self-curated validate later' mostly individually-mediated online learning world with a constant need for 'rethinking what one thinks they know.'

  What doesn't apply to the lived experiences of Zurcher and her daughter as well as mutual validators (autistics who agree), starting with blog comments, may apply to others.  It's not a healthy autistic community if each person must seek mutual validation individually for how each person individually manifests autistic symptoms/traits.  If a symptom/trait doesn't apply to 1 autistic a person is free to simply say "not my issue could be for other autistics remember the saying 'when one meets 1 autistic one has met 1 autistic."  

  The diversity of how each person manifests common symptoms/traits complicates helping autistics improve their self-defined quality of life with public services funded by 'big guvmint' with 'evil/coercive' taxes or the (left) libertarian, fiscal conservative, market anarchist ideal: voluntary charity or, free, except in time spent building online relationships to find peer support/mutual validation from internet communities.


  Long term disputes of the validity of Theory of Mind impairments/issues harming inclusion of autistics in NT society between 2012 and 2016 both missed the point that some were able to learn, or were born with better Theory of Mind skills, and those for whom Theory of Mind problems were not an issue who only wanted to define their individual manifestation of autism by strengths not symptoms/traits perceived by NTs as weaknesses. 
  

  Theory of Mind issues are one of 3 crowd-sourced diagnostic categories of autistic skill deficits with misophonia and prosopagnosia being the other 2.  Online sharing of similar symptoms/traits/issues was done to create a private 'safety net' rather than strengthening the publicly-funded safety net, delegitimized with the slur 'welfare state,' that was based on a lie to start with.   From 5 minutes 8 seconds to 5 minutes 22 seconds of the linked video the 'welfare queen' mythology of ex-President Reagan, and subsequent Republican attempts, and successes, to cut the social safety net were based on, is specifically debunked.

  An example of an autistic woman with unusual sound sensitivity (misophonia) was reported here.  Copy and paste because original link died.   



http://www.yorkdispatch.com/breaking/ci_28875320/york-city-noise-elevates-womans-autism

This link may work as well for readers of this post as well as it did for the author (rustedaspie).




Regi Wise was too disempowered by noise sensitivity (misophonia) (and disconnected from 'autistic community' 'self-advocacy' that serves to replace the publicly-funded social safety net with peer to peer self-help rather than referrals)  to know about over the ear noise canceling (or not) headphones.  All that's needed is sound-deadening coating over the ears not necessarily headphones making another sound to drown out (cancel) background noise.  Some organizations run by and for autistics have borrowed 'flapping' of hands in the air from the deaf community (who cannot hear applause in the first place) to accommodate autistics with misophonia. 

http://www.yorkdispatch.com/story/news/2015/09/25/york-city-noise-elevates-womans-autism/73505280/

Friday, Sept. 25, 2015 - 9:09 a.m.

When York City resident Regi Wise hears a loud noise, she said at a city council meeting on Sept. 15, it hits her like a blow from a crowbar.

Noise has physical consequences for Wise: She said she has been hospitalized for what she calls "noise-induced trauma," which can cause her heart rate to rise to dangerous levels.

Wise, who declined to say what area of the city she lives in, has a form of autism that causes her to have a stronger response to sensory stimulation than neurotypical people as well as misophonia, a condition that makes her hypersensitive to sound.

She often has negative physical and emotional reactions to noise.

Her misophonia, which she said often exists in individuals with autism, has caused her to lead a circumscribed life.

 

"I can't hold a job because of sensory overload," she said.

Noise doesn't have to be loud to bother her, she said.

She can't find quiet in her home, in stores or in public parks.

She is affected by noise dozens of times each day and often has "meltdowns" while driving because of loud music from people's car stereos and other street noise, she said.

"I have been sitting at a stoplight and blacked out in my car because of loud music," she said.

"Sometimes all I can do is scream and scream and scream."

Wise is often forced to confront people who blast loud music from their homes or cars. But when she asks her neighbors and others to turn down their music, they lack empathy, often arguing with her, she said.

The stress of these confrontations adds to the exhaustion she feels as a result of her hypersensitivity to her surroundings, she said.

That overstimulation and exhaustion can lead to burnout, she said. "I'm at the tail-end of (a burnout) now," she said.

When burnout happens, Wise said, she has to teach herself how to do basic things, even how to eat.

A plea: Wise recently attended a city council meeting to ask the council to do something about noise pollution in the city.

She spoke on behalf of city residents with autism and sensory issues, citing the high rate of suicide for people with autism.

"What I would love," Wise said after the meeting, "is that if your music can be heard outside your vehicle or outside your house, you get a ticket."

There should be public spaces where people with sensory issues can go and know they can find quiet, she said.

No new laws would be necessary, city council president Carol Hill-Evans said after a meeting. The city could enforce noise ordinances already on the books.

The noise-control ordinance, Article 714 of the city's codified ordinances, forbids many kinds of noise disturbances, including blowing a car's horn or allowing tires to squeal unnecessarily, having excessively or continuously loud pets, using power tools at night, and yelling or playing music so as to cause a noise disturbance across property lines.

A first violation of the noise ordinance is punishable by a fine of $150-$1,000, a second violation by $300-$1,000 and a third by $500-$1,000.

Enforcement:Sgt. William Wentz, who has served as a nuisance abatement officer since 2005, said Wednesday that noise is one of the most common complaints among the 50,000 to 60,000 calls the department fields every year.

And officers do cite people for noise disturbances: at least one person gets a ticket each week, he said.

Wentz said he wished the department had the manpower to better enforce the noise ordinances, calling noise a "major problem" in the city. He said the department must prioritize calls, and safety takes precedence over issues like noise.

Enforcement of the noise-control ordinance is mostly complaint-driven, he said, but officers cite people for causing noise disturbances when they can — such as when a loud car drives by and nothing higher-priority, like a car crash or a shooting, is occurring.

In the 1990s, when Wentz was working the night shift, the city had a problem with young people cruising downtown listening to loud music, he said. Police dealt with it by creating a dedicated "cruising squad" of three officers who patrolled the circuit, along Market and Philadelphia Streets, where cruising took place.

In addition, a cruising ordinance was created to discourage the practice.

Most people who make noise complaints don't want charges filed, he said. They just want police to resolve the situation as quickly as possible.

If police issue a citation, the person who made the complaint, along with the officer who responded and the person who caused the disturbance, must appear before a judge.

"People don't want to have their neighbor arrested or cited," he said. "They just want us to go talk to them and tell them to turn it down."

What about Regi Wise, for whom noise is a safety issue?

"Her best course of action would be to contact community services," Wentz said.

Community services, he explained, is a department within the York City Police Department that helps people solve neighborhood problems before they result in tickets or arrests. Community services could mediate in a conversation between Wise and her neighbors, he said.

— Reach Julia Scheib at jscheib@yorkdispatch.com.


  Prosopagnosia (face-blindness or not recognizing peoples' faces) was described and awareness was spread at these links.  

 

  Prosopagnosia doesn't apply to my manifestation of autistic symptoms/traits while theory of mind issues do.  People who don't live with an issue or autistic symptom/trait should be more willing to want to tell others they communicate with about autism the saying 'other's issue not mine' if they can't pass for NT and need to disclose/'come out autistic.' 





Monday, April 10, 2017

2018 MoCo Executive Candidate and 2 Council Candidates are 2006 'density rage' 2.0





"Steady state' neoliberal budget, affordable housing, transportation and land use policies of Marc Elrich and his 'slate' including Chris Wilhelm and Ukiah Busch will continue the inequities forcing people to move to other counties, like Prince George's County, with greater but dwindling by similar gentrification, supplies of affordable housing units.  Being 'priced out' of one jurisdiction one can no longer afford can overlap/intersect with disability that limits employability and income potential.  Not retaining residents with disabilities (some of whom may be working with and without LTSS in HCBS settings) belies candidate and elected official claims of being committed to maintaining a diverse community. 

Several of the services mentioned are in Washington DC [in the 2007 report with screen captures in a previous post] and may deny MoCo residents access based on non-residency.  If a person feels that they are a 'good match' for the services they can move to Washington DC from MoCo, Md and relieve the county government of one resident who may have received more money in services than they paid in local taxes (gentrification at a 'one person at a time' level).

Units weren't produced or retained quickly enough for the needs of the occupying tenant population to wait, at whatever low, but rising 'market rate' they could find. 



Two letters from 'back in the day' in 2006 reflect opposition to new housing construction particularly if the units are targeted to 'below median income' earners.  Mansionization has continued with little opposition while gentrification of already expensive neighborhoods has worsened.  



The Gazette editorial rated the current County Council’s performance as ‘‘disappointing, unfocused, contentious and unsettling,” and said ‘‘the time for a shake-up has arrived.” But then the editors went on to endorse six of the seven current members who are seeking reelection.
Three of the incumbents — Marilyn Praisner, Phil Andrews and Howard Denis — have worked to control taxes, rein in the budget and protect neighborhoods from the negative effects of mansionization and overdevelopment. They deserve to be re-elected.
But we need to elect four new at-large members if residents are to take back control of our county — Hugh Bailey, Marc Elrich, Cary Lamari and Duchy Trachtenberg. Just remember the acronym BELT. We need a new BELT to help restrict the increase in spending and control rapidly rising taxes. We need a new BELT to slow down growth, so that infrastructure can catch up.
Jim Humphrey, Bethesda
The writer is a member of the Executive Committee of Neighbors for a Better Montgomery.


  Link below has died
http://www.gazette.net/stories/10162008/prinlet161112_32481.shtml


  Below is another copy and paste of content that loaded when I first retrieved it.

The infatuation by Prince George's County government with population growth contributed greatly to the county's budget problems. Sub-prime mortgages were sold to home buyers, mortgage lenders and derivative holders with the promise of exponentially increasing home prices. And the guarantee of always-increasing home prices was based on the expectation of increasing demand for housing which, in turn, is driven by government-assistance population growth.
Maryland and Prince George's County in particular have been especially hard hit by mortgage foreclosures resulting from our county's irresponsible subsidization of population growth. The county is left with the costs of public infrastructure and services associated with this growth but does not have the revenue to support it.
And the current crisis is just the beginning. Prince George's County citizens will be hammered by other costs stemming from continued population growth and overpopulation — fuel shortages, increasing food prices, increasing unemployment, crime and taxes. If Prince George's County wants to fall into complete social bankruptcy, then all it needs to do is continue the insane policies that encourage unending population growth.
Alternatively, if our county is to provide a sustainable, high quality-of-life future for all its citizens, a necessary first step is to immediately end policies that encourage population growth.
Robert Fireovid, Greenbelt, Citizens for a Steady State Economy




  It 'takes a while' to notice but long-term (2006-18) MoCo (Montgomery County in 'social media' shorthand) residents paying close attention would notice the gentrification as well as the resident turnover, noted in links below back to 2000, in existing affordable housing.  Washington DC, site of some recommended health care providers for low income people by the MoCo Primary Health Coalition, has gentrified too.   

  And this link goes back to the rent increases, known only to current tenants who pay more or move out leaving their replacement tenant to pay a likely larger rent increase, during the 1995-2001 'dot-com' boom before the 2001-4 recession/depression depending on how much individual wealth one had to replace lost income as a privatization of costs of individual adaptation to changing local, national and global economic interdependence.


  Those new residents are paying higher rents than the tenants they replaced with no transparency in rent change at tenant turnover.  Owners/landlord management companies save their own costs by rolling most of their maintenance costs into the rent increase at tenant turnover instead of to keep existing tenants at lower, or no, rent increases. 


  New development and gentrification (supporting retention of affordable housing 'stock' or 'inventory' while ignoring retaining the population living in the existing housing at rising 'price points') are issues beyond Montgomery County, Md and Washington D.C. and Northern Virginia.  A look at rising rents in PNW (Pacific Northwest) cities of Seattle and Portland that had been cheaper than large cities in California reflect the same class segregation on the west coast of the USA as the east coast.







  Forgetting the retention of the people (population) as Marc Elrich did in his 2006 County Council candidate statement printed in the now-defunct Gazette (copy and paste added in case the link dies),




*Affordable housing. We are in a crisis. We are losing housing faster than we can produce it. Despite the much publicized work-force housing program and the mpdu’s, our rate of production is a fraction of the number of units that are being lost to affordability every year. For example, last September there were about 8000 apartment units on the block for condo conversion, mostly middle-class⁄working class housing, in other words, work-force housing. Those units lost in a single year would take 10 to 20 years to replace under the County’s affordable housing iniatives. The Council boasts that they increased the affordable housing fund by a third, going from $15 to $20 million dollars, but the problem is that apartment buildings that could be purchased for $25,000 a unit a few years ago, now are costing the County $75-125,000 per unit. So the increased funding is not enough to keep pace with increased costs. Add to that sky-rocketing rents — annual increases of from 10 to 28% — and you can see that we are no where near having an affordable housing policy that is up to meeting this crisis.
I will support a greater focus on housing preservation because units can be preserved more cheaply than they can be built, plus the additional price of accepting additional new ‘‘affordable” units has been to grant builders large density bonuses that aggravates our existing transportation and service shortfalls. We need to find ways to build what need without building what we don’t need. I have looked into the use of land-trusts to help address the problem and the judicious use of County-owned land (when it’s in the right place and doesn’t exacerbate other problems) and agree with Cary Lamari, Mike Subin and others who want to explore this. But the way to test an affordable housing policy is not to measure the number of new units built, but to assess the combination of units built to units lost and ask yourself what is the net gain, or loss, at the end of the year. If preservation results in a better number, then our efforts should be focused in that direction.


What’s your plan to provide more affordable housing in Montgomery County?
I tried to outline some of it above. I’d focus on retention on the existing stock as long as preservation is cheaper than production and as long as we’re in a period where the existing supply is rapidly eroding. As I said, it’s not about the number you build, it’s about how many units you have in total at the end of the day. I would look to partner with non-profits as we’ve been successfully doing in Takoma Park.
I favor programs that would help tenants become owners of their units, as long as the County puts resale caps, similar to the MPDU program, so that long-term affordable is maintained while allowing the tenant⁄owners to build equity.
I would favor the County targeting construction of affordable and workforce units and contracting for their design and construction, rather than selling lots to developers at market, giving density bonuses and trying to eek out a few affordable units. If you consider the fact, and it is a fact, that development is costing more than the revenues it generates, all of the housing over and above the affordable units just adds to the strain on the County services budget, the load on the roads and the spaces in our classrooms. It makes long-term sustainability more difficult.
I support partnering with non-profits to help create land-trusts in which ownership of the land is retained by the County or non-profit so that long-term affordable uses of the units can be guaranteed.
I’d support down-payment assistance programs for County employees and look at programs that tie repayment of the that assistance to length of service in the County. It could be a good recruitment tool in an expensive market and could help with long-term retention of our employees. 



to focus on the 'housing stock or supply' in the local 'housing market,' rather than the people living in the existing affordable housing that, one turnover or lease term (rent raise) at a time, becomes less affordable has led to gentrification (displacement of poorer people with richer people).  Displacement partly shows in continuing jurisdictional median income growth and turnover, in rental and ownership occupancy. 


 
  If a candidate wants to be regarded by voters as a progressive, with a D after their name on the ballot, consider three 'modest' proposals.

1. extend county-paid (contractor labor) trash and recycling collection to apartments and condominiums (multifamily housing or common ownership communities) from single-family detached house neighborhoods/sector plan areas instead of passing those costs on to management companies/landlords and common ownership boards.  The shifting of those costs will, or should, keep rent and condo fee increases lower. 

2.  Require apartment buildings built before the mpdu law was passed to offer the same percentage of their units as moderately priced dwelling (MPD) units, whose rents were lower at the time, but have risen by a lower proportion that has become high enough of a net increase over time (40 years since MPDU law passed), as to render older apartment buildings as unaffordable as the Class A 'luxury' apartment buildings built since 2012 after zoning changes, with planning board and council permissions, despite whines of 'developers buying candidates and paving over MoCo.'  2018 and beyond MoCo local and Md General Assembly candidates could be even more progressive and expand the percentages beyond 15% as well as addressing a gap between income eligibility for MPDU programs and 'market rate' affordability that leads to working class population displacement by upper middle class populations.  Raise the maximum incomes for eligibility a larger amount or reinstate the 'workforce housing' program cancelled by 2008, with a phase in period like minimum wage increases, to 'catch up' and reduce the eligibility-market rate affordability gap.    









 Back to the original 2006 council candidate statement by newly term-limited (as of Nov 2016 ballot initiative rooted in property tax whining by people who could afford, unless they were long-term owners who still have equity to borrow prudently against, the hyper-gentrified housing costs to buy their homes in the first place) 3 term council member and 2018 MoCo executive candidate Marc Elrich for 'modest' proposal number 3 to stop the re-branding of opposition to specific housing and infrastructure projects into 'good government' advocacy by collectively accepting a vision of a community that extends beyond the built and natural environments one sees every day (neighborhood/sector plan area) to the wider community (county, state and country) one 'calls home.'



Democrat
Candidate name: Marc Elrich
Place of residence: Takoma Park
Community associations, involvement: Founder and former president, Between the Creeks Neighborhood Association.; former regional vice president, Maryland Low-Income Housing Coalition; past vice president, Silver Spring-Takoma Park Traffic Coalition; past member, CURB (group to repeal Pay and Go); Silver Spring Sector Plan Citizens Advisory Committee; Silver Spring Redevelopment Citizens Advisory Committee; Transportation Policy Review Task Force; member of NARAL, NOW, NAACP, Sierra Club, Progressive Maryland



3.  The past repeal of 'Pay and Go' won by civic/community organizations like CURB that Marc Elrich cited his involvement in made the choice to demand scrapping the assessment of additional fees paid by the demonized 'developers' (new housing builders) to support infrastructure construction to support the 'growth' (new housing and residents).  The choice of those involved in CURB, including Marc Elrich, to demand raising the fees was a 'road not taken.' 

    Perhaps CURB, including Marc Elrich, wanted to both stop new housing construction 'development' and stop new infrastructure capacity improvements, for anyone but current county residents and a marginal few always richer new residents as housing tenancy and ownership 'turns over,' as a two-track advocacy strategy.  To avoid and deny being called out as 'nimbys' CURB and other civic activist groups engaged on civic process issues like campaign donor influence, capping the rate of property tax increases and term limits to falsely equate not getting what they wanted (new housing and 'excessive' capacity infrastructure being stopped) with not being 'heard' in a 'fair' land use process.  

   Other 'civic' groups have switched issues from stopping a 'development' (housing construction) project to 'civic process issues' of campaign donor influence to falsely equate 'not getting the outcome wanted' with 'not being heard fairly.'  Montgomerycivic.org (2004 support of no at-large council seats whose rationale was undermined by 2016 when Prince George's County created two at large seats), neighbors for a better montgomery, neighborhood montgomery, Save 10 Mile Creek (from a Premium Outlets outlet mall), MoCo Voters and Save Westbard, Save 7 Locks School (from a larger school and reuse of an old site for moderately priced housing), Chevy Chase Town and Wayne avenue residents opposition to the Purple Line, supporters of 'bus rapid transit' over light rail for the Corridor Cities Transitway and Save Nick's (Maravell) Organic Farm (from reuse as a sports field after the Germantown Soccerplex raised its league fees too high for parents to afford the per-child registration costs) are examples of how specific 'development' opponents re-brand themselves as advocates of 'open and accountable government.' 


   All movements listed in the above paragraph falsely equate not getting what they want in advocacy with not 'being heard' or 'listened to' and impugn motives of council members and 'unresponsive' staff based on who electeds take money from to pay to get their election campaign speech distributed.  'Civic' or 'community-based, people-powered' groups in the examples listed above are almost as bad as the much-maligned 'developers' because their 'special interest' is preserving big resale or rental (and now airbNb vacation house rentals) profits perpetuating segregation by economic, and civil rights law protected, classes that overlap/are intersectional with economic (wealth and income) class.  



  If fees had been raised, as they were after the 'pay and go' program was repealed in the changes made after the 2006 Clarksburg oversight 'fall-out' maybe some new 'development' (housing) may not have been built in MoCo and the county could have gotten a 'bad' reputation for a 'bad business climate.'  The ranking of local jurisdictions and states for good and bad business climates is a Republican and neoliberal, corporate Democratic, 'meme.'  

  Tax Foundation data gathering that 'business climate' ratings are based on should be questioned based on who praises them on their online fundraising page:






   The 'blurb' about 'Tax Freedom Day' (a per diem calculation of how much income pays income taxes before an individual has 'discretionary' control of the remainder) is from former Rep Dick Armey (R-TX), who under far-right Speaker Newt Gingrich (R-GA) was a predecessor of 2017 Majority Leader Kevin McCarthy under a similarly far-right Speaker Paul Ryan (R-WI).


  Corporations, which love to brag with PR and advertising about how ethical they are, would have shown by their actions a willingness to accept lower profits by paying the higher developer impact fees, and wait for construction to start per new 'staging' regulations and not pass them on as higher sale prices and rents.

Saturday, April 8, 2017

2003 Md. Medicaid Cut to "Grey Zone" Inadequately Replaced with Underpaid 'Recovery Coach' Labor



   Popularly elected, to self-govern, federal, state and local governments ('big guvmint' to social liberal & fiscal conservative neoliberals R, D and 'Independent,' to reduce email and phone clutter of money ask contact, voters) combine to define a 'system' or 'civil society.'  Posts on this blog have stated support for 'rebuilding the system' is better than a 'one person at a time' individual change approach that leaves hidden savage inequalities in life outcomes for people with disabilities.


  Cuts to the PMHS (public mental health system) in Maryland since 2003, as a representative case for what happened in other states as well, were laundered with rhetoric about 'systems transformation' to 'consumer-led and-directed services,' 'respect for individuals' and 'individual empowerment' have led to the outcome, by 2017, of long-term budget cuts for public mental health services.









  


   One question of participants in the recovery coach training (second image above) asks if one has license in counseling, social work or psychology who are usually paid more for their work than 'recovery coaches."  People with intellectual disabilities would never be trained as inclusion coaches or aides to help their peers with intellectual disabilities even under the 'meme' of 'presumed competence' demanding equal treatment in policy development as 'self-advocates.'  


   The Keep the Door Open Acts in the 2016 and 2017 (keepthedooropenmd.org) Md General Assembly sessions were both attempts to raise Medicaid reimbursement rates to community based IL (Independent Living) services providers to prevent more providers from being lost as many have been since 2003.  Individual confidentiality prevents long term outcome studies of what happened to Chestnut Lodge consumers/patients when CPC health closed it by 2002.  The same confidentiality prevents long-term outcome studies of consumers/patients who 'fell through the cracks' when Saint Luke's House and Threshold Services merged into Cornerstone Montgomery and the contraction of Sante Group/Rock Creek Foundation after they sold their 700 Roeder Rd Silver Spring building to the local Catholic diocese and downsized their day program into the SSWRC (Silver Spring Wellness and Recovery Center).   


  Section H of a 2007 report (first 3 screen grabs below) from the Primary Care Coalition lists language capabilities at various private nonprofit IL (independent living) services providers.  Several of the services mentioned are in Washington DC and may deny MoCo residents access based on non-residency.  If a person feels that they are a 'good match' for the services they can move to Washington DC from MoCo, Md and relieve the county government of one resident who may have received more money in services than they paid in local taxes (gentrification at a 'one person at a time' level).  


  
  Section G Consumer Services (fourth screen shot or screen grab down) of the 2 listed consumer services as of 2007.  The one listed at 700 Roeder Rd Silver Spring has moved twice and changed management once and mission to focus mostly on mental health and substance addiction recovery services.   













  The exceptional few people living with mental illness and/or substance addiction who had attained better recovery outcomes 'pushed back' by the end of 2015 in the survey (2 images below) for a livable level of pay and input into the mission of their employers or grant-funders for 'self-employment.'  Needing to advocate for better pay and working conditions exemplifies the long-term budget cuts to the Maryland PMHS on the labor cost portion of the community services budget of the MHA (Mental Hygiene Administration), now called the BHA (Behavioral Health Administration), of the DHMH.  The cuts were achieved by shifting the work from licensed counselors, psychologists and social workers to people with lived experience of mental illness whose lack of academic and licensure credentials was exploited to cut pay. 






   Services for people with physical and intellectual-developmental disabilities have not been cut by the same amount long-term.  If they have been cut by the same amount long-term the cuts haven't affected the delivery in community-based settings as much as public mental health services have been affected.


  Funding for Independent Living (IL) services for people with physical and intellectual-developmental disabilities (as well as people with other types of disabilities) even increased by 2011 with the enactment of the Lorraine Sheehan
'dime a drink' alcohol tax increase earmarked for funding independent living (IL) services.

(dead link copy and paste of Lorraine Sheehan's obituary that no longer loads content follows to help readers learn what Lorraine Sheehan's role in disability rights advocacy was that deserved naming of legislation for her)

 http://www.thearc.org/NetCommunity/Page.aspx?pid=1910

 The Arc Mourns the Loss of Lorraine Sheehan
12/23/2009

The Arc Mourns the Loss of Lorraine Sheehan

It is with great sadness that The Arc of the United States announces the passing of Lorraine Sheehan. Lorraine died on Saturday, December 19 [2009] after a long struggle against pneumonia, compromised by cystic fibrosis. Lorraine was an indefatigable disability rights advocate and a treasured member of The Arc family. She has been an active member of The Arc for many years—serving as a member of The Arc of Prince George's County, and as Past President of The Arc of the United States. As President of The Arc at the time the Disability Policy Collaboration was established, she personally signed the agreement with UCP.

In her leadership role as President and previously as the Chair of The Arc’s Governmental Affairs Committee, she provided the strongest pro collaboration push from The Arc’s volunteer leadership. In addition, Lorraine was President of The Arc of Anne Arundel County, and Government Affairs Chair and President for The Arc of Maryland.  She had been currently serving as the Co-Chair of the DPC Steering Committee.

Lorraine Sheehan grew up in New Hampshire and moved to Maryland with her husband and family in 1965.  She has four children and six grandchildren.  At an early age, her third child, John, was diagnosed as deaf and “mentally retarded.”  Later, he was diagnosed with autism and determined not to be deaf.  John has significant disabilities and lived at home with Lorraine in Edgewater, MD.

Because of John and his special needs – especially related to his schooling – Lorraine became involved in the disability movement.  She focused her attention on independent living opportunities for individuals with disabilities and later on advocacy on behalf of individuals with disabilities and their families.  It was her passion for advocacy that led to her emerging as one of Maryland’s leading advocates for individuals with disabilities.

Indeed, she became one of the nation’s most powerful voices for our constituency, due in no small part to her profound commitment, keen intelligence and charismatic presence.

In 1974, Lorraine was elected to the MD House of Delegates, where she served for nine years. In the General Assembly, she introduced bills on transportation for students with disabilities and the first bill ever addressing the Developmental Disabilities Administration's waiting list.  In 1983, Governor Harry Hughes appointed her Secretary of State of Maryland for one four-year term.

Because of her expertise in the area of disabilities, Lorraine was appointed a Commissioner to the Anne Arundel County Housing Authority.  She continued to focus much of her work on independent housing for people with disabilities, ensuring that even individuals with the most significant disabilities have an opportunity to choose where they live.

As a public official, she educated other policymakers and the public at large while helping to transform communities into places of inclusion. As a parent, she waged a tireless fight for the rights of people with disabilities and their families. Lorraine mentored many family members and professionals.

Professionally, Lorraine went on to be named the Public Policy Director for the Maryland Disability Law Center; she also worked with the Public Sector Consulting Group. She continued to volunteer her time and expertise, by serving on boards and committees charged with improving the lives of individuals with disabilities. Lorraine will be greatly missed – she was a true force in advancing the rights of people with intellectual and developmental disabilities.

Peter V. Berns
Chief Executive Officer




  



  HB1283 of the 2017 General Assembly Session, which passed the House unanimously by 'crossover day,' was opposed by State Comptroller Peter Franchot.  In his arguments Franchot leaves out that more craft (small batch) beer breweries distributing more beer to taprooms for 'on premises' consumption, without a requirement for buyback of beer produced over the increased annual production cap,  will generate more tax revenue under the Lorraine Sheehan Health and Community Services Act of 2011 'dime a drink' alcohol tax increase.  


“What’s more, these strong partnerships between our brewers directly help our retailers and wholesalers, by increasing variety and interest in Maryland beer. A beer enthusiast from Western Maryland who visits a Baltimore-based tasting room and becomes a fan of their products will most likely purchase those products at a local independent retailer. Simply put, a rising tide lifts all boats – and we need to continue to support, not hinder, the relationships that have been built and fortified by our brewers.


   Among the 'boats' lifted by a 'rising tide' of a good craft beer industry are the 'boats' (actually lives lived in communities of ones' own choosing) of people with all types of disabilities (physical, intellectual-developmental, and behavioral/mental health/psychiatric/substance addiction) whose independent living services will have a more sustainable funding basis. A more sustainable funding basis will prevent crises of 2001-2003 and 2009-2011 where service providers close or tighten eligibility criteria (cut population served) after national and global 'recessions' that have worse 'economic depression-like' impacts on working poor and people with disabilities.  In the image below listing the PRP programs and Supported Employment Programs, functioning in 2007 while defunct by 2017, exemplify the severe economic harm done to people with disabilities by the long-term Maryland state budget cuts to programs designed to help people with disabilities find and keep jobs.  



  
[Update April 9 2017 to correct sentence fragment and hold past and current Republican state administrations accountable for the harm of their fiscal policy decisions.]

  The Md. Medicaid cut in 2003, and 2009 demands to restore the cut, (2 images below) that restricted eligibility criteria to incomes above 116% of poverty after it had been at 300% of poverty, proposed by then-Republican Governor Robert Ehrlich devastated, to the point of closure and leaving people with disabilities unserved including the author of this blog post, by 2017 is shown in the images below.     

  2017 incumbent Governor Larry Hogan worked as appointments secretary in the Robert Ehrlich administration.  The job of appointments secretary is vet executive appointees to prevent politically embarrassing and electorally-losing 'scandals' and to avoid the appearance of political corruption. 2017 incumbent Governor Larry Hogan may have vetted the DHMH Secretary (Nelson Sabatini) or MHA Secretary (Brian Hepburn) or MDOD Secretary (Kristen Cox) or Insurance Commissioner (Alfred Redmer) who recommended the 2003 Medicaid cut, making 2017 Governor Larry Hogan complicit in the economic harm to people with disabilities who lost eligibility for services and could not pay the costs of replacing the services in money or time.  


   The cut disrupted, to the point of closure leaving the people with disabilities unserved,  many of the Independent Living (IL) services providers listed in the 2007 report images above.  Rebuilding a personal support system after a crisis is difficult enough for people without disabilities it's even harder for people with disabilities dealing with  poverty and rising costs of living.  Shifting the role of providers to the exceptional few peers working as recovery coaches is grossly inadequate.  The cuts should be fully reversed with 2003-17 inflation adjustments or the recovery coaches should be paid commensurately with the work they are asked to do as the 2015 survey suggested a need for.