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An Activist’s Life, by Thomas Leavitt » Blog Archive » Protest Hits Schwarzenegger’s Proposed Cuts In Services to the Elderly and Disabled

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January 8th, 2004

Protest Hits Schwarzenegger’s Proposed Cuts In Services to the Elderly and Disabled

Protest Hits Schwarzenegger’s Proposed Cuts In Services to the
Elderly and Disabled

By STEVE ARGUE

SACRAMENTO CA. Colleen Fernandez was amongst the 1,000 people who
came to the capitol on January 6th to protest Arnold
Schwartzinegger’s proposed cuts in services to the elderly, poor, and
disabled. “I am a mother of six kids, two have severe autism that
requires 24-hour care. To take away from IHSS [In Home Support
Services] I don’t think is the way to take care of the budget
deficit, especially for people who are in need of these services for
their very survival. There are a lot of moms out here.”

Chanting: “No more cuts!” “Tax the rich, don’t touch the
poor!” “Hasta LaVista Baby!” and “Si se puede!” the protesters had
come to the capitol to make their demands outside of Governor
Schwarzenegger’s State of the State address. Those present to make
the demands included the elderly, the disabled, their relatives, and
union home care workers from the SEIU and AFCME.

The protest was organized by the California Disability Community
Action Network (CDCAN) in response to the Schwarzenegger
Administration’s release on November 24th of a plan to slash 2
billion dollars from the state budget, with a big chunk coming from
health and other services to the disabled and poor.

Speaking for the CDCAN was protest organizer Marty Omoto. “The
State of the State is not just dollars, it is also the health of the
children and elderly.” He went on to explain that his sister, named
Hope, died due to earlier state cuts in services. Speaking against
further deaths that would be caused by the cuts proposed by
Schwarzenegger he initiated the chilling yet optimistic chant, “Hope
died last!”

Schwarzenegger’s November 24th plan states, “In order to achieve
savings in these programs, legislation must be enacted in the current
year to include suspending the Lanterman Act, which provides an
entitlement to services for the developmentally disabled.” Legal
protections would be removed from young children and others with
mental retardation and other conditions to make way for the proposed
cuts.

A cap would be put on many essential services “at the January 2004
estimated level of caseload. Waiting lists would be established, and
as attrition occurs, new enrollments would be permitted up to the
capped level.” A broad list of programs would be hit including:
rehabilitation, health insurance for low-income families, help
provided to cover the cost of AIDs medications, and many services
provided for children and adults with disabilities.

Long term care facilities that increased the salaries and benefits
of caregivers would also have their state payments cut.

Schwarzenegger’s plan would also gut Medi-Cal. It would tack
another 10% cut on the provider rate. This would be on top of last
years 5% cut. This 15% cut from the provider rate would effectively
cut off Medi-Cal patients from many essential services that include
physician care, medical transportation, and home health care.

California Medical Association (CMA) President Ronald Bangasser,
M.D. has pointed out that these Medi-Cal cuts are not only dangerous,
but actually cost more money in the long run by forcing patients into
the more expensive care of the emergency rooms. “Patients who cannot
find care will increasingly turn to emergency rooms for basic care or
ignore problems and see their health conditions turn into
emergencies. This is an inefficient and expensive way to provide
health care.” Additional federal matching funds would also be lost
from these cuts.

In addition Schwarzenegger’s plan would also prohibit payment to
relatives for the In Home Support Services (IHSS) that they give.
All IHSS recipients are low income and are not allowed to have assets
over $2,000.

In response to this proposed elimination of the family IHSS
program the California Autism Coalition have stated their opposition
pointing out, “Many parents, grandparents and relatives of people
with disabilities have given up their livelihood to care for a child
with a disability. It is difficult to hire a non-relative to care
for a person with a disability on IHSS wages.” They go on to
state, “If family caregivers no longer receive IHSS they will be
forced to place their child or family member with a disability in a
group home or an institution. This will result in families breaking
apart and will be a much more costly alternative to retaining IHSS.”

This family care is one of what are called the “residual programs”
(IHSS programs not covered by federal money). All of the residual
programs would be chopped under Schwartzenegger’s plan, disrupting or
eliminating the care of 75,000 people in California.

Speaking against the cuts to IHSS, Sal Rosselli, President of SEIU
250, (a union representing 90,000 care-givers in northern California)
pledged resistance to Schwarzenegger’s proposed cuts saying, “We are
not going to let him cut the care of 75,000 seniors, poor, and
disabled people in the state!”

Yet every indication from Schwartzenegger’s State of the State
speech is that he plans to charge ahead with a budget that he hopes
will be balanced on the backs of the disabled, elderly, sick, and
poorest of the poor without raising any new taxes for the rich. His
speech was one meant to prepare working people for more hardships and
attacks through austerity, the gutting of worker’s compensation, and
the privatization of bussing and maintenance services at schools.

Stating, “We do not have a budget crisis, we have a spending
crisis.” Schwarzenegger went on to state, “We have no choice but to
cut spending, if not we will be bankrupt.” Nothing was said about the
details of the cuts he has already proposed, but he will be forced to
talk more about that when unveils his budget plan on Friday Janiuary,
9th.

While many would pin our hopes on stopping Schwarzenegger’s plans
through the Democrat majority that sits in the California Assembly,
we should all be reminded of their 5% cut to Medi-Cal last year.
That cut was not only passed by the Democrat majority, it was also
signed into law by Governor Davis as a budget compromise after he had
originally proposed a 15% cut. This is a clear indication that it
will take a strong response from labor, the disabled, elderly, poor,
and all other concerned people to defeat these cuts by educating the
public, exposing the politicians, marching, and taking direct
action.

Due to earlier action in response to the proposed cuts
Schwarzenegger has backed off of his plan to cut recreational therapy
to disabled children.

Protest organizer Marty Omoto responded to this change saying, “The
fact that he rescinded that was very, very critical and very
important, but there are so many cuts that are being contemplated or
are on the table now that that’s what really concerns us.”

In addition to Schwarzenegger backing down from part of his plan,
a lawsuit by the California Medical Association has forced a partial
temporary injunction against Davis’s 5% cut to Medi-Cal, calling into
question the ability of Schwarzenegger to implement his proposed
aditional10% cut to Medi-Cal.

The temporary court order by Judge David Levi states, “Medi-Cal
recipients who must wait until after trial to receive appropriate
services may well sustain irreparable injury, whether in pain
suffered or irremediable worsening of a condition.” Yet Levi’s
temporary injunction applies only to fee- for-services patients, and
does not apply to those who have managed care plans.

This is an emergency temporary order pending a decision on CMA
charges that the Davis’s 5% cut denies patients equal access to care.
In making his injunction Levi cited federal appellate precedent
saying that federal statute guarantees beneficiaries “a rate-setting
decision by the state that is not arbitrary and that takes into
account provider costs, quality service, and equal access to medical
services.”

The order has helped to preserve health care for 6 million Medi-
Cal patients. Democrat Assemblyman Darrell Steinberg expressed his
concern that the ruling will place additional strains on legislators
who are already facing tough budget decisions, but what about the
strains on Medi-Cal patients?

While some Assemblymen have spoken out strongly against
Schwarzenegger’s State of the State address, past cuts and voting
records make clear that continued pressure will necessary to save the
lives and quality of life of those threatened by the Terminator’s
budget axe.

Steve Argue sits on the Executive Committee of SEIU, Local 415

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