On Tuesday the Jamestown Sun featured an article on my concerns over the proposed Medicaid cuts. It was a great opportunity to inform my community about the severe impact these cuts could have on folks like me and countless people with disabilities across this Nation. The complete text of the article is below.
Peace,
Mark
Boatman Concerned About Cuts
By David Maack
The Jamestown Sun
11/8/05
For Mark Boatman, the issue of Medicaid funding cuts raises life and death concerns. He has been on a ventilator since February 2003 because he has Duchenne muscular dystrophy. The Bush administration is proposing significant cuts in the Medicaid budget, a proposition that concerns Boatman over the potential effect of those cuts on people with disabilities.
The latest figures from Sen. Byron Dorgan’s office are proposed cuts of $4.285 billion from Medicaid between 2006 and 2010 and $14.184 billion over 10 years. The reconciliation bill is being considered in the Senate.
‘If Medicaid is cut at all, it will be difficult to get the things I need to live and have quality of life. Medicaid cuts would also jeopardize advancing the growth of community-based care options,” Boatman said.
“It's difficult now to get things covered under Medicaid. Some examples of this is getting needed medical equipment and repairs done to wheelchairs and other vital items. The money in Medicaid is stretched thin now. I fear what will happen if that situation gets more critical,” he added.
Boatman serves on the consumer advisory committee for International Ventilator Users Network. The group recently posted a resolution, which may be located at www.post-polio.org. The resolution calls on government officials, policy makers and advocacy groups to ensure the basic rights of ventilator users to “live, to be healthy and to remain free in the community as contributing members of society.” It also requests support for Medicaid entitlements for those with disabilities, participation by those with disabilities in developing Medicaid and other health-related policies and more effort into eliminating bureaucratic waste and provider abuse.
“We have to have the money to protect our equipment and services,” Boatman said. “We need to keep living.” He said a number of states are either not funding ventilators, or are requiring those on ventilators to live in nursing homes in order to have the life-preserving machinery provided. The Supreme Court ruled in the 1999 Olmstead case that people with disabilities must be provided for in the least restrictive manner. Forcing people on ventilators to live in nursing homes is a violation of that ruling. It isn’t that difficult to train someone on the care of a ventilator and the person using it, he said.
“The saddest thing about using a ventilator is people have over-complicated it. It’s just a piece of equipment,” Boatman said.
But community care, or caring for someone in his or her home, also costs money.
“Our states need to put more money into these programs. It’s much less expensive to do community care than nursing home care. North Dakota spends 95 percent of its (Medicaid) funds in nursing home care, 5 percent care in communities,” Boatman said.
Boatman was diagnosed with Duchenne muscular dystrophy when he was a young child. At that time a person with that diagnosis was unlike to live past his teenage years. Boatman turned 30 in August. With a ventilator, he expects to live for several more years and would prefer to be someplace other than a nursing home. He has petitioned the state Human Services Department for home care.
Boatman recently opened his own Web site, http://nodakwheeler.blogspot.com/. He discusses a number of issues of interest to those with disabilities, or those interested in learning more.
If cuts to Medicaid are to be eliminated and reversed, it will be up to Congress to recognize the need. Sen. Byron Dorgan, D-N.D., is aware of the proposed cuts. “They’re cutting from the level of need,” Dorgan said in a recent telephone interview from Washington, D.C. “If you cut from that, you’re cutting from poor people.” Dorgan said that if the tax cuts President Bush asked for and got from Congress for people making more than $1 million a year was eliminated, that money would be more than enough to eliminate the cuts in Medicaid. Whether those cuts in Medicaid can be reversed or not is uncertain at the present time, he said. The president and many members of Congress favor the cuts.
