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Úvodní stránka / Alba / Seattle, July 2004 31
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This page continues the article from Image 1552. Full text is available on 1552 for easier reading.
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[logo for Commonwealth of Pennsylvania] Office of the Governor Harrisburg The Governor August 5, 2004 ADAPT c/o Linda Anthony 1339 Lamar Square Dr. #101 Austin, TX 78704 Dear Members of the ADAPT Community: This letter confirms the commitment I made during the recent National Governor's Association summer meeting in Seattle, Washington to: * advocate for and introduce the ADAPT resolution to the appropriate National Governor's Association committee for action at the NGA winter 2005 meeting in February in Washington, D.C. * advocate for both the MiCASSA and Money Follows the Person legislation among the nation's governors between now and the February 2005 meeting. As you know, regrettably, parliamentary procedure prohibited me form introducing the ADAPT resolution at the NGA meeting on Monday, July 19, 2004. However, my statement of support is now part of the official record of the NGA proceedings. Sincerely, [signed] Edward G. Rendell [typed] Edward G. Rendell Governor cc Rosemarie Greco Estelle Richman
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[Headline] Advocates for disabled find ally in governor BY MATTHEW RODRIGUEZ Seattle Times staff reporter The advocacy group American Disabled For Attendant Programs Today (ADAPT) claimed victory at the National Governors Association (NGA) meeting when Pennsylvania Gov. Edward Rendell as-sured its members he would push for a resolution they authored, ADAPT organizers said. The resolution favors home and community care over nursing homes. Rendell, a Democrat, told organizers he would introduce it at the NGA meeting. Bob Kafka, a national organizer with ADAPT, said the resolution is nonbinding, but it would put the governors on record in support of one of ADAPT's goals. "It's a major victory," Kafka said. "Now, NGA can't ignore it." Kafka said the resolution would probably be tabled and brought up again when the governors meet in Washington, D.C., in February 2005. "We will be there for the pas-sage of it," Kafka said. ADAPT said Rendell planned to introduce the resolution yesterday, but it was not immediately clear if he had. A Rendell spokes-woman did not return calls seeking comment. ADAPT yesterday released a "top 10" list of the worst states for home and community care. Mississippi was ranked No. 1; Washington was not listed. Matthew Rodriguez: 206-464-3192
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SEATTLE POST-INTELLIGENCER MONDAY, JULY 19, 2004 [2 images] [caption] Tetona Dunlap/ AP Photos. Toni Martin of Emporia, Kan., above, protests outside the National Governors' Association meeting yesterday in Seattle. She and her colleagues want the governors to work to provide home and community services to the disabled. At left is the chairman of the governors' association, Idaho's Dirk Kempthorne. The meeting ends today.
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[Headline] A GOVERNOR STEPS OUT OF THE CROWD Nicole Brodeur Seattle Times staff columnist [Subheading] In the end, it took just one governor to accomplish what a day of talking and protests could not. But I guess that's America. That's politics. That's the squeaky wheel and sneaky strategy and a traffic snarl tossed in. Pennsylvania Gov. Ed Rendell agreed to introduce at the National Governors' Association (NGA) a resolution pushed by American Disabled for Attendant Programs Today (ADAPT). A great accomplishment for ADAPT, but it was a sorry road to get there. ADAPT has been trying for almost a decade, it says, to meet with the NGA. The advocacy group wants the governors to sign its resolution, which would pledge them to favor care for the dis-abled and elderly in their homes — rather than forced institutionalization. Last week, ADAPT got one of its wishes when Matt Salo, the director of the NGA's Health and Human Services Committee, agreed to meet during the annual convention here in Seattle. But when Salo said he wouldn't take the resolution to the governors, the ADAPT folks shouted him out of the room and took to the streets. To someone who didn't know the back story, the pro-test probably looked like disabled people were being shoved aside, and that the governors were too busy stirring the olives in their hosted martinis and tossing Pike Place Market fish to consider people who must stir and toss every night over their fates. That's partially true. The governors had plenty of time to mix and mingle with the Amgen swells and take a ride to Bill Gates' lakeside home (a nearly required stop for those who come to town with power and influence). But it's also true that ADAPT had an agenda of its own. Salo arrived at the meeting to find a large crowd that included the news media. Salo "wasn't prepared," said an NGA spokeswoman. ADAPT was going to take to the streets no matter how things went with Salo. And that's fine, that's the American way. But cooler heads on both sides could have bought ADAPT and Salo another 20 minutes in the room, and a reason to take to the downtown intersection to celebrate, rather than seethe. There was a lot to celebrate about the NGA's mission in Seattle: To make states "elder ready" for the 77 million aging baby boomers. But it would have been nice if the association had sent more than a staff member to meet with the disabled. So shame on Salo for shut-ting ADAPT down. Shame on ADAPT for responding with jeers. And shame on them all for their inability to make the most of this chance. But kudos to Rendell for his action yesterday. For one governor to step out of the crowd goes a long way to boosting our trust and faith in government. Especially at a time when faith is all we have.
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The Seattle Times I MONDAY, JULY 19, 2004 [Headline] Protesters for disabled block streets BY JOANNA HOROWITZ Seattle Times staff reporter About 500 protesters from a group for the disabled barricaded streets yesterday around downtown Seattle's Westin Ho-tel where the National Governors' Association (NGA) is meeting. Additional protests are expect-ed this morning, and the Seattle Police Department advised commuters to expect traffic delays and possible street closures around the hotel between Fourth and Seventh avenues and Union and Stewart streets. American Disabled for Attendant Programs Today (ADAPT) said last night that members would be in front of the Westin at 11:15 a.m. today to announce a list of the "10 Worst States for Community Services." The group said the information was based on data states report yearly to Medicare and Medicaid. ADAPT decided to take to the streets yesterday in an impromptu demonstration after a meeting with Matt Salo, director of the NGA's Health and Human Services Committee, didn't go the way the group had hoped. ADAPT is lobbying for the governors to sign a resolution pledging to favor care for the disabled and elderly in their homes rather than forced institutionalization. Mike Oxford, one of ADAPT's national organizers from Kansas, said that ADAPT asked Salo at the morning meeting yesterday to take the resolution to the governors but that he refused. "Really he wasn't prepared to do anything," Oxford said. "People kind of shouted him out of the room." Christine LaPaille, the NGA's director of communications, said Salo has met with the group a number of times in the past. He was surprised when he arrived at the Red Lion Hotel on Fifth Avenue and found a large crowd, including news media. "It was a news conference, and he wasn't prepared," she said. LaPaille said Salo told the crowd that long-term care was one of the issues on the agenda for the governors' discussion. That answer didn't sit well with ADAPT members. "There was only one thing that came out of that and that was nothing," said John Loyd, one of the core members of Missouri's ADAPT group. "They don't want to open a can of worms," he said. 'Well, this isn't a can of worms. This is a can of people, and we're being kept in a can." The group blocked intersections between Olive and Stewart on Sixth, at Stewart and West-lake and at Fifth and Stewart. They chanted "NGA, pass the resolution," lying in crosswalks to write messages in chalk and carrying signs with slogans such as "Get government off my back, let me live at home." "It's time for Washington and our legislators to see there is a powerful group nationally," said Katrinka Gentile, chairwoman of the Washington State Independent Living Council. Protesters said they planned to stay until someone would speak with them. "I'd rather go to jail than go to a nursing home," said Rich Landers of Salt Lake City. But LaPaille said the NGA is not the forum for that. "We do not set up meetings with them with the governors," LaPaille said. She said that in the past there had been an agreement that pro-tests would stop after meetings were held, but ADAPT continued to protest. The ADAPT demonstration ended later in the afternoon. Seattle police had not been told about yesterday's protest, said department spokeswoman Deanna Nollette. However, the department has been planning for the NGA meeting for more than a year and had officers ready to deploy, she said. Joanna Horowitz: 206-464-3312 or jhorowitz@seattletimes.com
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ADAPT TEN WORST RANKING JULY, 2004 [logo of ADAPT Free Our People] [Heading] Ten Worst Ranking 1. Mississippi 2. Nevada 3. Louisiana 4. Tennessee 5. Illinois 6. Georgia 7. Alabama 8. New Jersey 9. Florida 10. District of Columbia [Heading] The next ten worst states: Pennsylavnia Indiana Texas Ohio Iowa Kentucky Virginia Nebraska Arkansas Missouri. [Heading] ADAPT used three public sources of information to rank the states: * Medstat-CMS 64 data on Medicaid Long Term Care Expenditures in FY 2003 (Oct 2002 through Sept. 2003) Released May 25, 2004 * National Study of Disability Finance, Preliminary data (2004) *University of Colorado, Dept of Psychiatry. Advocate's Survey Assessment of their states services. (ADAPT, June 2004) ADAPT's analysis weighed various long term care facilities based on published data and the evaluation of people with disabilities (old and young) of their state's provision of long term services and supports. Some of the factors looked at in the ranking were: *Institutional spending versus community spending ratio; (national ratio is 67% institutional-33% community) *Nursing Home spending per capita; *Community spending per capita; *ICF-MR spending per capita; *Ranking of State spending on Community Long Term Care.
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[state flag] MISSISSIPPI: Approximately 87% of long term care spending goes for nursing homes and other institutions. 51st in community fiscal effort for persons with developmental disabilities. 47th in overall spending on community services for people with disabilities. 17th in per capita spending on nursing homes. 46th in spending for Medicaid waivers. Currently has an Olmstead lawsuit filed against the State for not complying with the Supreme Ct decision. [state flag] NEVADA: Approximately 67% of long term care spending goes for nursing homes and other institutions. Lowest spending per capita on all community services. 32nd in community spending for persons with developmental disabilities. 49th in spending on Medicaid waivers. [state flag] LOUISIANA: Approximately 81% of long term care spending goes for nursing homes and other institutions. Ranked 51st in the country in Medicaid community spending. 39th in Medicaid waiver spending. 4th highest spending per capita for ICF-MR facilities for people with developmental disabilities. [state flag] TENNESSEE: Ranked 48th on Home Cave per capita spending. 39th in Medicaid community spending. 39th in spending for persons with developmental disabilities. 46th in spending for people with physical disabilities. 45th in spending on Medicaid waivers. Since Tennessee provides some long term care services under a man-aged care model it is not possible to get a true ratio of institutional versus community spending. [state flag] ILLINOIS: Approximately 80% of long term care spending goes for nursing homes and other institutions. 46th per capita spending in community spending. 46th in community spending for people with developmental disabilities. 47th in overall community spending. 41st in spending on Medicaid waivers. [state flag] GEORGIA: Approximately 79% of long term care spending goes for nursing homes and other institutions. 48th in fiscal effort for all community services. 36th in spending for people with developmental disabilities. 47th in spending on Medicaid waivers. [state flag] ALABAMA: Approximately 77% of long term care spending goes for nursing homes and other institutions. 46th in fiscal effort for all community services. 42nd in spending for people with developmental disabilities. 37th in spending for Medicaid waivers. [state flag] NEW JERSEY: Approximately 76% of long term care spending goes for nursing homes and other institutions. 7th highest spending per capita on nursing homes. 46th in spending on community services. 50th in community fiscal effort for persons with developmental disabilities. 33rd in spending on Medicaid waivers. [state flag] FLORIDA: Approximately 74% of long term care spending goes for nursing homes and other institutions. 43rd in per capita spending for community services. 31st in spending for persons with developmental dis-abilities. 40th in spending for Medicaid waivers. [state flag] WASHINGTON DC: Approximate 90% of long term care spending goes for nursing homes and other institutions. 2nd highest spending per capita on nursing homes. The highest per capita spending on ICF-MR facilities. 4th in per capita spending on Home Health. 11th in total capita spending on community services.
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[Headline] ADAPT Announces Worst States at Governors Meeting Mississippi topped the ADAPT 2004 list of the top ten worst states for community services, it was announced recently at a press conference in Seattle, Wash., where the National Governors Association (NGA) held its summer meeting. Mississippi's dubious honor was the result of 87 percent of its long term care funding being spent on nursing homes and other institutions, while only 13 percent goes for community services. Ranking number two through 10 respectively are Nevada, Louisiana, Tennessee, Illinois, Georgia, Alabama, New Jersey, Florida and the District of Columbia. ADAPT's 10 worst list is based on a combination of statistics the states report to the federal centers for Medicare and Medicaid and an informal survey of people with disabilities, advocates and state person-nel. The rankings weighed the ratio of institutional spending to community spending, the per capita spending on nursing homes and community and the overall spending on community long term care. Members of Mississippi's ADAPT chapter met with Gov. Haley Barbour (R - Miss.),.offer-ing to work with him to create a real home and community based service system in Mississippi so [image] [image caption] ADAPT members demonstrates in Seattle. [text continues] that their state wouldn't always be in the top ten worst Barbour was presented with the "first worst" wreath of lemons and dinosaurs when he returned to Mississippi. ADAPT then marched to the regional Housing and Urban Development (HUD) office with four demands which HUD Regional Director John Myers agreed to fax to HUD Secretary Alphonzo Jackson. The demands were aimed at preventing any reduction in funding or the number of Section 8 vouchers available, keeping the Section 8 program in its current form with adequate funding, requiring impact studies for any proposed changes and assuring input from the grassroots on any pro-posed changes. "Our main objective here in Seattle was convincing the NGA to pass our resolution calling for long term care reform that al-lows people to choose to receive long term care services in their own home," said Beto Barrera of Chicago ADAPT and the Disability Rights Action Coalition for Housing (DRACH). "However, as we begin to free more people from institutional settings, they are going to need affordable accessible housing, and that's where HUD comes in." ADAPT blocked intersections around the headquarters of the meeting for five hours before Gov. Edward Rendell (D - Penn.) agreed to introduce ADAPT's long term care resolution to the NGA membership. According to ADAPT, Rendell's commitment to read the resolution to the NGA membership and begin a formal process to move it forward, not only pre-vented the imminent arrest of up to 200 ADAPT activists, but -it set the stage for a vote on the resolution by the NGA member-ship at their February meeting.
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[Headline] Group Protests Over Housing [image] [image caption] Nearly 250 disabled protesters, including Barbara Moore of Baltimore, center in red, travel to the Federal Building on First Avenue from the Westin Hotel, where the annual National Governors' Association conference was being held. The group went to the Federal Building yesterday to ask regional HUD Director John Meyers to send their complaints about the current housing voucher system to Washington, D.C. Disability rights organization ADAPT, which sponsored the protest, was trying to reach governors of states that ranked poorly on providing options to the disabled to live and receive support services from the community. Washington was not listed among the 20 worst states, and many of the protesters were from elsewhere.