These are our principles. We won’t compromise on any of them. #DSAM4Apic.twitter.com/ehwF0deJT3
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Long-term services and supports (LTSS) is literally not health care, or mostly not health care. It's specifically helping people out of bed, dressing, bathing, cooking, and other ADLs. It needs to be specifically addressed because it's not health care.
How tf is that not considered health care? Excuse my ignorance, this doesn't make sense to me. Seniors who have Medicaid have this type of care covered by Medicaid, I thought it was the same thing.
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The only entitlement under Medicaid is an institution (including nursing homes). Home and community-based services aren't covered under Medicaid unless you have a waiver, which can take over a decade to get (even though HCS/HCBS is cheaper than institutions).
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This is for home health aides, they are paid by agencies and the agencies bill Medicaid. Adult day cares and transportation to/from work the same way. Half the seniors in Brooklyn have this kind of health care, and they don't pay a dime for it. Why don't people w disabilities?!
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Part of why many disabled people react negatively to this is because the current national trend is to outsource LTSS to for-profit companies under a model called "managed care." Kansas was the first state to do this and it's been disastrous.
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For example, say you have a worker come to your home to cook for you 2x a day. Managed care corporations decide you should be trained to do it yourself, authorize 20 visits. But you may never be able to operate a stove safely on your own, so people get injured or neglected.
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