CCDC asked both campaigns if they wanted to send a message directly to our members. We got the attached repsonse from Walker Stapleton. “With 57.3% of Coloradoans with Disabilities Out of Work, Polis Discusses Job Prospects”
We thank both campaigns for considering disability issues and urge our members to research positions of both campaigns and vote for the candidate you think will best.
The public charge rule will discriminate against immigrants with disabilities and their families trying to enter the U.S. (get a visa) or get a green card (become a permanent resident). In collaboration with the disability community, Protecting Immigrant Families will focus this week on Health, Aging, and Disability in the broader campaign to unite public opposition and stop this rule. We have a lot of resources to help you learn more about the rule, spread the word, and (most importantly) submit comments:
It is critical that the disability community speaks out against this devastating rule before the public comment period closes on December 10th.
Telling it like it is about living with the disability. Stop thinking there is something wrong with us, and start thinking you are us. So do something about it! Great story in the Huffington Post.
New Shuttle service in Denver. According to reporting in Denverite “Chariot is like a bus but also like a Lyft but also it’s a van. It works like this: Riders reserve a seat on the 14-passenger car through an app (like Lyft), but it will only pick-up and drop-off at predetermined stops (like a bus).” (Emphasis added.) This sounds like another interesting Denver transportation option. See also New ride-share Chariot company launches in Denver, free for first six months.
However, there are several questions raised by CCDC? Will it be accessible to people with disabilities. Photo shows CCDC Transportation Advocate Jamie Lewis boarding one of the vehicles. Are all of the vehicles accessible to individuals who use wheelchairs? Why or why not? If not, does the Chariot Service provide “equivalent facilitation” for individuals who use wheelchairs? How would a person who uses a wheelchair know ahead of time how to go about reserving an accessible vehicle? Does the app inform individuals who use wheelchairs how to go about reserving an accessible vehicle? Interesting questions for a City that is supposed to be “one of the most accessible in the country.” How about we consider accessibility for all when creating new transportation services, buildings, housing, etc.?
Under the ADA,
No individual shall be discriminated against on the basis of disability in the full and equal enjoyment of specified public transportation services provided by a private entity that is primarily engaged in the business of transporting people and whose operations affect commerce.
42 U.S.C. § 12184 (a). And, discrimination includes
the purchase or lease by such entity of a new vehicle (other than an automobile, a van with a seating capacity of less than 8 passengers, including the driver, . . . which is to be used to provide specified public transportation . . . that is not readily accessible to and usable by individuals with disabilities, including individuals who use wheelchairs; except that the new vehicle need not be readily accessible to and usable by such individuals if the new vehicle is to be used solely in a demand responsive system and if the entity can demonstrate that such system, when viewed in its entirety, provides a level of service to such individuals equivalent to the level of service provided to the general public[.]
42 U.S.C. § 12184(b)(3)(emphasis added).
CCDC always looks forward to new, convenient available methods of transportation in Denver that include people with disabilities, including those who use wheelchairs, especially those that are equally accessible with respect to methods of reserving that transportation. Transportation options are really limited for people who use wheelchairs. Uber and Lyft and private taxis are not accessible. Getting an accessible cab is often next to impossible.
Welcome, Chariot! We look forward to the new, temporarily free service available on an equal basis to everyone.
Despite a plethora of resources dedicated to case management, there is no true single case management system for those with high needs. There are fragments in some systems for some issues but they do not address holistic needs. There are case management systems that are really gatekeepers for government programs. Gatekeeping has its place but it is different than case management. Despite the many areas where case management is covered (even just in the Medicaid system) there has never been a process whereby the stakeholders and government get together to at least have dialogue, if not answer the following questions:
1) Who needs what level of care management across systems? What percent are likely permanent needs?
2) What are the specific tasks needed and how much time will this take on average?
3) What are the qualifications to do these tasks?
4) What are the quality measures to assess the performance of these tasks?
5) What is the cost to perform these tasks including maximum caseload size.
6) What are the total resources now dedicated to all case management?
7) What case management are we doing now that is not useful, not necessary, or could be done at a lower level?
8) How do we create a plan to take our current system and transform to a system that provides intensive case management where appropriate and reduces services where there is no benefit?
Case management is needed in the following situations:
*People with a serious but temporary medical condition or new illness, such as cancer for help accessing and coordinating medical and other resources.
*People with long-term disabilities who are unable to do their own case management and who have no family able to assist. This must be comprehensive and include non-medical issues even the mundane daily life activities that can overwhelm some people. Even dealing with a utility company or a landlord can require assistance for people with some disabilities.
Some individuals could learn to do more of their own management with teaching (or have a family member able to take over with some training) and others will need this high level over a lifetime.
This is not a huge number of people, but the lack of case management causes them to spend a lot of time in crisis and use emergency resources from multiple organizations. Case management of this type is labor intensive and requires a very low caseload and high level of training.
The Colorado Cross-Disability Coalition gave The Pueblo Chieftain and reporter Peter Roper its 2018 ADA Access Media award during the organization’s annual award luncheon in Denver on Oct. 3.
The coalition is an advocacy group whose mission is to protect the rights of the disabled and expand their opportunities.
Roper was recognized for the newspaper’s coverage of the contentious debate in 2017 over plans to change the federal Medicaid program into a block grant to the states.
That’s a change that disabled people fear will lead to a loss in the health-care services that let them lead independent lives outside of institutions. While the disabled make up a small portion of Medicaid recipients, they use about 25 percent of its total dollars on health services and equipment.
Kristen Castor, the coalition’s advocate in Southern Colorado, nominated Roper and The Chieftain for the organization’s media award. She credited the newspaper with accurately explaining the concerns of the disabled to the public during a time when disabled advocates were being arrested in lawmakers’ offices and conducting other kinds of protest.
The other 2018 award winners were attorney Allison Neswood, Denver City Auditor Tim O’Brien, and attorney Joe Beaver.
For people like Louis Apodaca, RTD’s Access-A-Ride program has been a lifeline. Apodaca started to use it after her wheelchair got stuck at a bus stop, and the fire department had to rescue her.
“The bus stops, a lot of times, are on gravel or on grass or mud,” Apodaca, a resident of Denver’s Lincoln Park neighborhood. Continue reading “Proposed Fare Increase For RTD’s Access-A-Ride Worries Those Who Use It”
Given that 41 percent of Pueblo County residents get Medicaid health insurance, local hospital officials and health care advocates wanted Gov. John Hickenlooper, Sen. Michael Bennet and local lawmakers to know Friday there is much at stake as Republican senators write a new federal health care policy behind closed doors.
Senate Majority Leader Mitch McConnell is presiding over the group of Republicans writing the bill and said he hopes to get it passed by the GOP-controlled Senate by July 4 — without amendments.
Bennet, a Democrat, said the closed-door secrecy was frustrating some Republican senators too.
“They’re so ashamed of what they’re doing they won’t even let all their Republican colleagues see that they are doing,” he claimed.
It was nearly all Democratic lawmakers that met with the Pueblo health care providers Friday, except for state Sen. Larry Crowder, R-Alamosa. Also in the group were Lt. Gov. Donna Lynne, and state Reps. Daneya Esgar and Dan Valdez.