Jwheel86

It isn't the only system. With a few exceptions, home and community based settings provide better quality care at a lower cost. There is this misconception that a single caregiver caring for multiple residents is cheaper than 1-1, but when you factor in the wild over head cost of facility based care, the economy of scale get lost. $5k/mo x 12mo = $60k a year. That's enough to hire multiple caregivers at a decent wage for home care. The issue with Medicaid is that HCBS is funded through a waiver system which requires the States to fund each individual waiver slot, the result being massive waiting lists for Medicaid HCBS funding (5-20 years), that system doesn't apply for facility based care (the Medicaid Institutional Bias). Even when you move up the care intensity need, HCBS is still generally cheaper (even when not, it actually is cheaper since the per resident cost for Medicaid spikes with fewer residents at that care facility/level). The problem is Medicaid can't get out of its own way to enable a fully comprehensive HCBS system. Here's an example in my state. If you've got the Intellectual Developmental Disability Medicaid waiver, it'll fund home care or Group Homes (which have very strict rules on size and community involvement), but if any part of your care requires Skilled Nursing, you have to go into an Intermediate Care Facility (a non waiver service) which has costs that are insanity. This despite the fact that Private Duty Nursing is a Medicaid non waiver service, but because stupidity (and great ICF lobbying), waiver and non waiver services can't overlap.

Pretty sure I still haven't gotten it despite my dad getting it in the middle of our move. White House launches $5B program to speed covid vaccine development - The Washington Post WWW.WASHINGTONPOST.COM "Project Next Gen" would succeed "Operation Warp Speed" with a mission to develop next-generation vaccines and therapies. Immunocompromised part of the disability community has been lobbying hard for this.

Dude's a no shit fascist, but, his podcast on the origins of the Israeli Palestinian conflict is really good. Wade recommended it years ago and I finally got to it few weeks ago.

The Lawless Ruling Against the Abortion Pill Has Already Prompted a Constitutional Crisis SLATE.COM This unprecedented abuse of judicial power with no basis in law or fact will soon force the Supreme Court’s hand. This is a hell of a read.

Seniors on Medicaid are getting evicted from assisted-living homes - The Washington Post WWW.WASHINGTONPOST.COM Residents who drained their nest eggs to cover private-pay rates have been evicted after turning to Medicaid to pay their bills. Abolish nursing homes. Abolish Medicaid Managed Care Organizations. Abolish Medicaid waivers.

Okay, now I REALLY need to watch Rebels

Odds Hezbollah responses anyway?

IDF launches airstrikes in Lebanon, Gaza after rocket barrages WWW.TIMESOFISRAEL.COM Military targets tunnels, weapons sites in Strip after rockets hit northern, southern Israel; Lebanese PM condemns use of country's soil for 'escalation' after 34 projectiles fired Looks like Bibi trying to bait a Third Intifada may have drawn in Hezbollah, this'll end well.

NC Republican Leadership is already hinting they'll try to gerrymander her district to help her.

Sir, this is North Carolina. Legislature stripped the Governor of a ton of power when a Democrat got elected. I talked to a State Senator few weeks ago who said "if you didn't need a therapist when you got to this building, you will soon". What's crazy is she's not new to General Assembly, she was there prior for over a decade. I don't know how local parties are supposed to vet candidates better than her.

The only people who've ever been convicted by the Senate after impeachment have been Judges who refused to resign in prison. I think those Judges were isolated so didn't have any power. SCOTUS though, no idea.

She was on Fox News last night, of course.

Tricia Cotham Switches Parties, Giving Republicans Veto-Proof Majority - The New York Times WWW.NYTIMES.COM The change in allegiances by a Democratic state representative gave Republicans narrow veto-proof majorities in both chambers of the legislature, allowing them to bypass Gov. Roy Cooper, a Democrat.

Don Jr. just posted a picture of the Judge's daughter.

Running is the default option so therefore the easier option. That said I really don't like talk of there being no obvious successor, that's what a well ran primary is meant to generate.

Or its a pump and dump.

TIL

The party will pressure him to do it.

You guys all realize Kemp is going to pardon Trump in Georgia, right?

Real "state of the economy is strong" vibes

You may all continue to use disabled memes. I pardon thee. That said I think it is important to ask does this author speak for the group? Few years ago a group tried to push non disabled people to say "differently abled" or "extra abled", and the disabled community was furious that this group was trying to speak for all of us and pushing something we did not want.

Israeli Parliament is a cluster fuck of different parties, unless someone can assemble a 61 seat coalition, elections again.

What's wild is IDF reservists are also threatening to not show up if activated.

One of the bigger disability advocates is filing a complaint against Carefirst for denying his life saving drug after taking 13 days to review his prior auth, and only giving him 1hr 38min to send lab results which Carefirst had for years.