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+ long term care policy 4
ADAPT (688)
[This clipping has 2 articles in it. Article 2 starts in the left top column. Article 1 continued from ADAPT 691 and the text of that article in included with ADAPT 691 for easier reading.] ARTICLE 2 Title: Health care activism on the rise Title: Special-interest patient `groups` are multiplying while the amount of money available is decreasing. By Delthia Ricks, of the Sentinel staff The dilemmas of increasing numbers of special-interest patient `groups` and a decreasing supply of health care dollars are spawning a growing militant movement in medical care. The opening of the American Health Care Association’s annual meeting in Orlando has drawn a spotlight to the activism increasingly associated with national health care issues. From AIDS to breast cancer to rare diseases, patients are organizing and resorting to demonstrations and protests — often violent ones — to express their views. Members of ADAPT — American Disabled for Attendant Programs Today — have formed human barricades, chained themselves by the neck to buildings, tacked up posters against the Health and Human Services secretary, and hurled themselves from wheelchairs. The group stages many of these demonstrations at AHCA's meetings, which ADAPT routinely follows around the country. The non-profit AHCA, headquartered in Washington, is a key lobbying organization for nursing homes and other long-term health care facilities, representing about 10,000 of them nationwide. At issue for both `groups` is the way the federal government spends it health care money. Nursing home executives would like to see long-term health care policies reformed. ADAPT members want a share of the federal dollars going to nursing homes now. “They're not looking at the real issue, which is long-term health care financing," Linda Keegan, an AHCA vice president said of ADAPT. “One of the biggest issues we face today is long-term health care financing reform." Among the issues her organization will address throughout the week will be ways in which the government can devise a long-term health care policy and meet the needs of elderly and disabled Americans, she said. But ADAPT's members see billions of dollars currently flowing into long-term health care facilities and would like to have 25 percent. This way, they say, the disabled would be kept out of special care homes and living independently. ADAPT sees using money allocated through the state and federally administered Medicaid program for in-home health care aides. The aides would be paid to cook, drive and do chores for people who are blind, have lost the use of their limbs, or suffer other disabilities. “The issue is the right to independent living," said Ida Unsain, director of home health care at ADAPT‘s Denver headquarters. “People with disabilities are being admitted into care homes. Some of these individuals don't belong there and could be taken care of through home health. The current structure of reimbursement is slated toward care home industries, and what ADAPT is stating is that a percentage of that budget be allocated to states for independent care for the disabled." In 1989, the most recent year federal figures are available, the federal govemment paid $23 billion in nursing home costs through the Medicaid system. Another $23 billion was paid by a combination of family assets, Veterans Administration benefits and private insurance to meet additional nuising home costs. In Florida, nearly $850 million is paid to nursing homes from a Medicaid budget of about $4 billion, By 2020, federal officials estimate Washington's contribution to nursing homes will be $100 billion if the nation maintains the current Medicaid payment system. Lack of a long-term health care policy that will carry the nation into the 21st century has been as big a problem for established `groups`, such the AHCA, as it has been for patients. President Bush repeatedly has said that a long-term health care policy is an administration goal, but a plan that meets the needs of both the elderly and disabled has yet to be approved. ADAPT's Unsain said her group does not want to wait for the administration to produce a new long-term health care policy. Money may not be allocated for them in a new health-care pie, she said, and that's why ADAPT members are seeking money now. “The violence is part of the outcome," Unsain said. “lt's what happens when we try to express our views. It's not what we're all about." She attributes passage of last year's federal Disability Act mandating increased access for the disabled on public transportation systems, and in buildings, to ADAPT's militancy throughout the 1980s. Keegan of the nursing home association said ADAPT members, who stage protests every time the AHCA meets, are not concerned about changing the way the government finances long-term care. “I think the reason they follow us is because they are looking for attention, and the method they've chosen to got mention is confrontation and disruption.“ she said.
ADAPT (684)
The Orlando Sentinel, Thursday October 10, 1991 the best newspaper in Florida PHOTO by Phelan M Ebenhack/Sentinel: Three people (left to right: Frank Lozano, Bunnie Andrews? and Sue Davis) are standing in front of a wall. On the wall a cross with "Nursing Homes Kill" written on it is partially visable, as is the ADAPT flag (an American Flag with the stars arranged to form the wheelchair/access logo). The three are lifting up an old fashioned folding E & J manual wheelchair to hang it on the cross. Frank, who is blind and wears a headband and T-shirt with ADAPT on them, has his hand raised. Caption reads: Frank Lozano and Bunnie Andrews, both of Colorado Springs, and Sue Davis of Louisville, Ky., chain a wheelchair to a cross marked ‘Nursing Homes Kill.‘ Title: Disabled saw their message on many faces by Sharon McBreen of the Sentinel Staff Protesters say they made their message clear this week after 250 activists in wheelchairs converged on Orlando. “It’s almost as though they never felt it before we've gotten in their faces,” Diane Coleman said. “You can feel the impact of that. You can see it in their eyes." The members of ADAPT — Americans Disabled for Attendant Programs Today — carried a message to the American Health Care Association, which attracted 3,500 delegates to a convention this week at the Peabody Hotel. ADAPT membels want an alternative to nursing home care. And they want to live at home. During the convention, which ends today, ADAPT members tried to block the Peabody’s doors with their bodies and wheelchairs. Police arrested 75 protesters on trespassing charges. The group wants a fourth of the $23 billion Medicaid spends on nursing homes and other institutions transferred to at-home care. “We need to reach the `rank`-and-file members of AHCA and the American public," Coleman of Tennessee said at a Wednesday news conference. At least one convention delegate said he wanted to hear more, she said. Nursing home association representatives have asked ADAPT members to meet with them. But what the activists really want is a national policy giving the disabled a choice, said Mark Johnson of Atlanta. Johnson said the nursing home industry doesn't want to allow the disabled to live at home, because it would lose out on the Medicaid money they receive. Wednesday night's news conference had to be moved from the front of the Orange County Convention and Civic Center to a room in the Clarion Plaza Hotel because police threatened to arrest them, one of the organizers said. Orange County sheriff's spokesman Doug Sarubbi denied that. He said an agreement reached with the judge who released the protesters from jail prohibited them from trespassing on Peabody Hotel property. Sarubbi said the Sheriff's Office was tabulating the time and money — estimated at least $100,000 —- it spent on the protest.
ADAPT (674)
New York Times, National, Thursday October 10.1991 Title: Militant Advocates for Disabled Revel in Their Roles as Agitators by Steven A. Holmes, special to the New York Times [compare with ADAPT 673] Boxed text: Forcefully trying to change images of the nation’s disabled. ORLANDO, Fla., Oct. 6 — The melee‘ at a meeting of nursing home representatives here was, in many ways, a typical for the demonstrators: After smashing their wheelchairs into police barricades and blocking a hotel entrance, 73 of them were arrested, creatmg front page headlines and a successful day's work for Adapt, the militant advocacy group for the disabled. The aim of the action today at the Peabody Hotel in this resort city was to focus attention on the organization's call to divert Federal money from nursing homes to a form of in-home care. But the means the group uses, like Sunday's chaotic demonstration, have often exasperated its allies as much as its adversaries. But even those who criticize Adapt acknowledge that the searing images of people with physical limitations engaging in civil disobedience often succeed in shattering stereotypes of how meek and pliant “cripples” are supposed to act, stereotypes often held by many disabled people themselves. “Adapt is about the issue," said Mary Johnson, editor of the Disability Rag, a weekly magazine that is devoted to disability issues. “But it is also about showing you that though you are disabled you have power already. For people who feel they don't have any power, who are often dependent, that is such a liberation." The Denver-based group's style has drawn its share of criticism from other advocates for the disabled. These critics note that the group played little part in the negotiations that led to the passage of the Americans with Disabilities Act and that their methods had often antagonized allies in the stniggle. “I think they do get attention," said a Washington-based disabled advocate who asked not to be identified. “But that's true when they are playing to an audience that is not politically sawy. For people out in Middle America, sitting in front of the TV, seeing people in wheelchairs demonstrating is something new. But to folks in Washington who are used to sit-ins, it's passe." [Subheading] An Effective Weapon But leaders of Adapt, which originally stood for Americans Disabled for Accessible Public Transportation, say it is `groups` like theirs that push others to press forcefully ior expanded rights for the disabled. “l think that even for the people with disabilities who don't participate directly in Adapt, we give them heart," said Diane Coleman, an Adapt organizer from Tennessee. And even those who sometimes criticize Adapt acknowledge that it is an eiiective weapon. lt is a role Adapt readily takes on. "We make all the other `groups` seem real rational," said Mike Auberger, one of Adapt’s founders. The group was begun in I983 in Denver by people who worked to persuade the city to make all local buses accessible to people in wheelchairs. Over the next few years they held protests over the issue of accessible public transportation in Cincinnati, St. Louis, Phoenix; Detroit and Atlanta. In addition to picketing, the protesters often would lock their wheelchairs together in front of city buses or chain themselves to a bus’s bumper. Early on, Adapt made a prime target the American Public Transit Association, a group representing mass transit systems. The protesters disrupted meetings and harassed officials of the group. “You have to have a bad guy in political organizing, somebody you can go after," said Mr. Auberger. These days that role is filled by the nursing home industry and Louis W. Sullivan, Secretary of Health and Human Services. After Congress passed the Americans with Disabilities Act last year, requiring that all new buses be equipped with hydraulic lifts for people in wheelchairs, Adapt began protesting for Federal subsidies for personal attendants, individuals hired by those with physical impairments to help them with basic everyday needs. Adapt wants 25 percent of the more than $20 billion paid to nursing home operators under the Medicaid program to be diverted from nursing homes to help the disabled pay for personal attendants. Though many mainstream proponents of help for the disabled have endorsed the goal of government subsidies for attendants, the diversion of funds sought by Adapt is opposed by the American Health Care Association, the trade group for nursing homes, and by the Bush Administration. As a result, Adapt has spent the last few months harassing the nursing home association and “Mr. Sullivan. This spring they blocked his car during a visit to Chicago and heckled him in a speech in Washington. in August, a handful of Adapt members rolled their wheelchairs along side Mr. Sullivan and harangued him as he took part in a fitness walk on Martha's Vineyard. Whether such methods will achieve Adapt‘s stated goals is uncertain. But leaders of the group say that when they first began to put pressure on the public transportation industry, no one felt their methods would bear fruit. "You have to give complete and utter credit for that to Adapt," said Evan Kemp, Jr., the head of e Equal Employment Opportunity Commission.
ADAPT (673)
Times Herald Record, Friday October 11, 1991 p. 36 Title: Heros for the handicapped? Militant group for disabled revels in its role of agitator The New York Times [compare with ADAPT 674 - the NYT clipping] ORLANDO. Fla. — The melee at a meeting of nursing home representatives here was in many ways a typical demonstration by members of Adapt. After smashing their wheelchairs into police barricades and blocking a hotel entrance, 73 members were arrested, creating front page headlines and a successful day’s work for the militant advocacy group for the disabled. The aim of the action last Sunday at the Peabody Hotel in this resort city was to locus attention on the organization's call to divert federal funds from nursing homes in a form of in-home care. But the means the group uses, like Sunday’s chaotic demonstration, has exasperated its allies often as much its adversaries. But even those who criticize Adapt acknowledge that the searing image of people with physical limitations engaging in civil disobedience often succeed in shattering stereo-types of how meek and pliant "cripples" are supposed to act - stereotypes often held by many disabled people themselves. “Adapt is about the issue," said Mary Johnson, editor of the Disability Rag, a weekly magazine that is devoted to disability issues. "But it is also about showing you that though you are disabled you have power already. For people who feel they don't have any power, who are often dependent, that is such a liberation." [Subheading] Antagonizing allies The Denver-based group’s style has drawn its share of criticism from other advocates for the disabled. These critics note that the group played little part in the negotiations thai led to the passage of the Americans with Disabilities Act and that their methods have often antagonized allies in the struggle. “l think they do get attention," said a Washington-based disabled advocate who asked not to be identified. "But that‘s true when they are playing to an audience that is not politically savy. For people out in Middle America, sitting in front of the TV, seeing people in wheelchairs demonstrating is something new. But to folks in Washington who are used to sit-ins, it's passe." Leaders of Adapt, which originally stood for Americans Disabled for Accessible Public Transportation, say it is `groups` like theirs that push others to press forcefully for expanded rights for the disabled. “I think that even for the people with disabilities who don't participate directly in Adapt, we give them heart," said Diane Coleman, an Adapt organizer from Tennessee. And even those who sometimes criticize Adapt acknowledge that it is an effective weapon. It is a role Adapt readily takes on. “We make all the other `groups` seem real rational," said Mike Auberger, one of Adapt's founders and advocate who helped persuade the city to make all local buses accessible to people in wheelchairs. [Subheading] Drastic means to a questionable end Over the next few years they held protests over the issue of accessible public transportation in Cincinnati, ST Louis, Phoenix, Detroit and Atlanta. In addition to picketing, the protesters often would lock their wheelchairs together in front of city buses or chain themselves to a bus's bumper. Early on, Adapt made a prime target the American Public Transit Association, a group representing mass transit systems. The disabled advocates disrupted meetings and harassed officials of the group. "You have to have a bad guy in political organizing, somebody you can go after," said Auberger. These days that role is filled by the nursing home industry and Louis W. Sullivan, secretary of Health and Human Services. After Congress passed the Americans with Disabilities Act last year, requiring that all new buses be equipped with hydraulic lifts for people in wheelchairs, Adapt began protesting for federal subsidies for personal attendants, individuals hired by those with physical impairments to help them with basic everyday needs. Adapt wants 25 percent of the more than $20 billion paid to nursing home operators under the Medicaid program to he diverted from nursing homes to help the disabled pay for personal attendants. Though many mainstream advocates for the disabled have endorsed the goal of government subsidies for attendants, the diversion of funds sought by Adapt is opposed by the American Health Care Association, the trade group for nursing homes, and by the Bush administration. As a result, Adapt has spent the last few months harassing the nursing home association and Sullivan. This spring they blocked his car during a visit to Chicago and heckled him during a speech in Washington. in August, a handful of Adapt members rolled their wheelchairs along side Sullivan and haranged him as he participated in a fitness walk on Martha's Vineyard. Whether such methods will achieve Adapt’s stated goals is uncertain. But leaders of the group say that when they first began to put pressure on the public transportation industry, no one felt their methods would bear fruit. "You have to give complete and utter credit for that to Adapt," said Evan Kemp. Jr., the head at the Equal Employment Opportunity Commission.