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Нүүр хуудас / Цомог / Baltimore - Washington DC, Spring 1995 34
Харах:
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Нийтэлсэн огноо
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DISCLOSURE 7 JULY-AUGUST 1995 [Image] Man in ADAPT T-shirt [Jim Glozier] walks in line of protesters mostly in wheelchairs. With his left hand he is driving a little boy's [Kyle Glozier] motorized wheelchair. Kyle is wearing a bandana headband and in front of him is a small briefcase sized box [a communication device] attached to his wheelchair. Jim and Kyle are looking ahead with determined expressions. Several others are visible behind them. [Image caption] Kyle Glozier, right, and his father Jim were part of the ADAPT, Americans Disabled for Attendant Programs Today, march through Washington, D C. as part of the group's national action In May. [Headline] Health-care industry, Newt, Shalala forced to ADAPT or perish The national action of the Americans Disabled for Attendant Programs Today can easily be summarized. As they have for several years, the hundreds-strong national organization of the disabled went to Washington to pursue their goal of more federal support for home care and other programs instead of massive subsidy of the nursing home business. Here's how ADAPT leaders summarized it: Newt saw. Newt ran. Newt slept in a hotel. Donna Shalala, secretary of Health and Human Services, saw (Monday). Donna Shalala came (Wednesday). Donna Shalala was impressed. Donna Shalala wrote a letter supporting ADAPT's Community Attendant Services Act. The Health Care Finance Administration Director saw. HCFA met with more than 30 local ADAPT groups and plans to learn more. HCFA came. HCFA is beginning to understand. Manor Care corporation saw. Manor Care heard the issues and the demands. Manor Care locked their doors. Manor Care learned what nursing home life is like--Welcome to the nursing home, you can't get out! ADAPT's lawyer is working on the tickets given to 110 arrestees. The 700 leaders at the ADAPT conference made progress on their goal of a new law to provide a community-based alternative-to nursing homes and institutions for people with developmental dis-abilities. Called CASA, the Community Attendant Services Act, the law they propose would redirect the huge federal subsidies to the nursing home industry toward community-based alternatives that treat people with dignity. Newt Gingrich's landlords at 110 Maryland Ave., N.E. must be getting tired of seeing activists of every stripe trample their lawn. Just weeks after NPA visited the building on the last Sunday in April, ADAPT showed up twice in two days , barring entrance to the building for most of one day. Although they won't meet with Newt until September, Shalala did come to the conference, where she read a statement of support for the organization's goals. "I want to take this opportunity to reaffirm our support for the principles of emphasizing home- and community-based services and offering consumers the maximum amount of choice, control, and flexibility in how those services are organized and delivered," Shalala told the four hundred people gathered at the conference. Maybe the best summary came from Norbert Holmblad, who wrote in the group's magazine, Incitement: "This is the first time I completely crossed the line on something this large and important....I'm sure they won't forget or easily forget the messages that our pathetic, ragtag, but very powerful group made."
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PHOTO by Tom Olin?: Side of building with big white bricks, two windows one with a window Unit AC. A man [Mark Pasquesi] is climbing up to the window. The windows and side of the building have about 10 yellow and green poster/signs taped on. Messages are "piss on pity", Mi casa su casa my home not yours", "Newt enjoys wasting time", "Nursing homes = no freedom", "Hey Newt We'll be back love ADAPT", "Eliminate nursing home waste", "Give a hoot" and "People before profits." At the bottom of the photo you can see the tops of a couple of people's heads and video camera held by someone [Gordie Haug?}].
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STATEMENT BY HIS SECRETARY DONNA E. SHALALA SUPPORTING THE PRINCIPLES OF HOME AND COMMUNITY CARE AND CONSUMER CHOICE AND SELF-DETERMINATION I want to take this opportunity to reaffirm our support for the principles of emphasizing home and community based services and offering consumers the maximum amount of choice, control, and flexibility in how those services are organized and delivered. Specifically, we support the principles of: • promoting greater control for consumers to select, manage, and direct their own personal attendant services; • expanding community-based, non-institutional supports; • promoting the use of functional assessments to determine eligibility for home and community based services; • offering opportunities for states to: (a) provide services in both in-home and out-of-home locations; (b) provide services at any time during the day or night; and (c) offer back-up and emergency services; • experimenting with alternative ways to finance services (such as vouchers and direct cash payments) in addition to the traditional agency-based model; • encouraging the use of alternative providers, including informal providers such as friends and relatives; • developing new ways to help consumers train and manage their attendants; • demonstrating a commitment to the quality of life of the people who provide attendant care; and • encouraging the use of agreed-upon individualized plans for attendant care. The Administration has been steadfast in its support for community care for people of all ages who have disabilities. We know that most people prefer home and community supports and we are pleased that many states are moving aggressively to use their own funds and federal support to improve the quality of life of people who use these supports and those who provide them. We also recognize that the vast majority of home and community care today is provided by family members and friends. They are there because they choose to be there to support their loved ones. But they need some support and reinforcement. One of the key ways government can help families is to offer some relief, in the form of home and community based services.
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I want to take this opportunity to reaffirm our support for the principles of emphasizing home and community based services and offering consumers the maximum amount of choice, control, and flexibility in how those services are organized and delivered. Specifically, we support the principles of promoting greater control for consumers to select, manage, and direct their own personal attendant services. -Donna Shalala
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PHOTO by Tom Olin?: A man [Dorian Siegel] is climbing on the side of a building with large whitish bricks at the edge of a window with a window unit AC. He is taping a poster to the window ; the poster reads "Down with Newt." By Dorians foot you can see the top of another man's [Frank Krall] head.
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PHOTO: A group of ADAPT folks are hanging out in front of some bushes. A woman in a manual wheelchair [Julie Farrar] is smiling and has her arm around the shoulder of a smiling man [Randy] who is kneeling beside her. On Julie's left side, in a white beanie hat and sun glasses, sits Dennis Smith. Behind him in a blue ADAPT shirt is Dorian Seigle. On the right side of the photo a small man in a green cap looks at the camera with a kind of a smile. In front of him, facing Julie and Randy is a woman in a wheelchair.
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[This page continues the article from image 934. Please see full text on 934]
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PHOTO: A group of about 20 ADAPTers hanging out on a lawn in a park. At the center Jennifer McPhail in a red cap, back to the camera, talks with Gwen Jackson.
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PHOTO: On a rainy day on a four lane highway a line of ADAPT folks in wheelchairs spans the road. They are fading away from the camera and toward four lanes of traffic stopped but building up on the highway. From left to right the ADAPTers are Danny Saenz?, unknown person in a blue coat, unknown person in a power chair, Crosby King, Frank Lozano with his service dog, and Spitfire with her pink pants and I Am A Survivor sweatshirt. Between the cars and the protesters are a few police officers, walking back and forth.
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PHOTO: In a long rather dim hallway of a Congressional Office Building the mostly shadowy figures of ADAPT members recede into the gloom. There are many standing people in this area, attendants and other ADAPT members. A woman in a wheelchair with an ADAPT fanny pack sits in the center of the photo and two others in chairs are on the right side.
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Telegraph & Gazette Tuesday, May 16, 1995 Nation/World [Image] Inside a large room with multiple columns a crowd of ADAPT folks fills the space. In the center front is Danny Saenz with his bandana. In front and beside him is George Florum in a cap and glasses. Over Danny's shoulder with a camera straps on his chest is Terrance Turner and beside him in a striped shirt is Chris Hronis. Behind Chris with long hair and a mustache is Wayne Becker. Over his head at the back of the room with dark hair is Chris from Boulder. Leaning against a pillar to their left is Tom Olin with a pony tail. Behind and between Terrance and Chris is Berhard Baker. Behind Danny and kind of over his head is Frank McNeal with a hand by his cheek. There are dozens and dozens of others packed in the room as well. [Image caption] Disabled activists and other demonstrators jam the U.S. Capitol pushing for community-based alternatives to nursing homes. Police later removed the demonstrators.
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PHOTO: A crowd of ADAPT folks are gathered in a greenery filled parking area. In front of them, blocking them in, is a line of police cars. Mike Oxford is visible behind the police cars looking toward the group. Sever other people are standing around in the parking area, It looks like another angle of the picture ADAPT 909.
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[The top left corner features the seal of the Department of Health and Human Services, USA] [Header] The Secretary of Health and Human Services Washington, D.C. 20201 May 17, 1995 Note to: Participants, May 17 Meeting on Home and Community Based Services From: Donna E. Shalala (typed and signed) Secretary Thank you for joining me this morning to discuss home and community based supports. I found our discussion helpful and believe we clarified the many areas in which we are in agreement and issues on which we need to work more closely. Per our discussion, I have issued a statement supporting the principles of home and community care and consumer choice and self-determination. A copy of that statement is attached. I look forward to our continuing dialogue.
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American Hospital Association Vol. 31 No. 21 May 22, 1995 [Heading] AHA blasts proposed federal budget cuts [Subheading] Association leaders favor less drastic measure by Farah Kostreski The GOP-controlled House last week passed a budget resolution that health care groups and many seniors believe moves too far too fast to curb Medicare and Medicaid spending. The Senate this week continues debating a similar plan, which if passed, will set Congress on a course tar making the largest reductions in the federal health pro-grams' history. After spurning alternatives offered by the Congressional Black Caucus. and conservative Democrats and Republicans who wanted deeper spending cuts. the House voted. 238-193. to approve a plan by House Budget Committee Chairman John R. Kasich (R-OH). Kasich's S1.4 trillion deficit-reduction proposal would slow Medicare spending by 5283 billion. and Medicaid spending by S184 billion. over the next seven years. House Speaker Newt Gingrich ( R-GA ) called Republican unity behind the plan "pretty amazing." But House Minority Leader Richard A. Gephardt ( D-M0) maintained that Americans "are not balancing [the budget] on the backs of senior citizens and middle-income people." President Clinton issued a May 18 statement noting that the House budget "fail to meet the test" of reducing the deficit and reflecting Americans' values. Earlier in the week, the president buoyed by a May 16 Washington Post/ABC News poll that found that most Americans oppose the GOP budget plans. urged congressional Democrats to reject Republican plans to reduce Medicare and Medicaid spending absent comprehensive health-system reform. "We're extremely disappointed in what the House did."' said Tom Nickels. AHA vice president and deputy director of federal relations. The numbers are clearly too high to sustain." In a May 17 letter. officials from the AHA and the Federation of American Health Systems offered support for the alternative crafted by Rep. Charles W. Stenholm ( D-TX ) and two dozen conservative Democrats. That plan would have trimmed Medicare spending by S174 billion by 2002—S109 billion less than Kasich's Medicare proposed cuts. The same day, the AHA and the federation joined a coalition of 20 other hospital and health care provider groups in a letter to House members. "We know that savings in the system can be achieved, and we are willing to accept sonic: reductions through restructuring," the groups stated. "The proposals put forward by the House Budget Committee, however, go too far, too fast." The AHA and the federation ran a series of newspaper ads asking lawmakers to work with them to "reform, restructure and save money in Medicare—not gut it." Six teaching-hospital officials converged on Capitol Hill May 16 to plead for parity. The group, convened by the Washington-based Association of American Medical Colleges, said GOP plans to cut Medicare's hospital payment updates and graduate medical education add-ons amount to a double-whammy for them. "We're willing to take our fair share, but not some sort of a KO punch." William Rice, chancellor and vice president for health affairs at the University of Tennessee in Memphis, told reporters. Teaching hospitals may have allies in Senate Finance Committee members Alf once M. D'Amato R-NY) and Daniel Patrick Moynihan (D-NY ). who represent the state with nearly 15 percent of the nation's teaching institutions. The Senate debate continues this week, with members expected to cast final votes on May 25. The Senate Budget Committee's plan would curb Medicare spending by $256 billion and Medicaid spending by $175 billion by 2002. [Image] A dozen or more ADAPT people in wheelchairs sit in front of a door. There is a railing in the middle of the group and up against the door are two police officers. Kevin Ervin of West Virginia ADAPT is sitting on the left side of the photo behind the railing wearing dark sunglasses next to the standing person with the wild hair. Someone [maybe Mary Johnson of the Disability Rag] is on a phone next to the door. Above that persons's head is a poster taped to the wall that reads "Shame on Newt." [Image caption] On Newt's doorstep. Capitol police guard the front door as disabled activists and other demonstrators portest proposed Medicare and Medicaid budget cuts outside House Speaker Newt Gingrich's (R-GA) apartment building.
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Along the side of a wet street in front of a hedge and at least 20 foot tall stone wall is a line of ADAPT protesters most in rain ponchos. At the top of the wall is a row of cars parked nose in to a fence at the top of the wall. Behind them is a large government type building. A few people are on the upper level looking down at the ADAPT crowd below.