Most Americans (nearly 90 percent of people over at 65) want to stay in their homes as long as possible as they get older. For people with disabilities, staying in one’s home represents decades of hard-fought court battles against forced institutionalization. For both seniors and people with disabilities, in-home care is vastly less expensive than a residential nursing facility, and in-home care usually means better health outcomes. In-home care is a win for all, from individuals needing the care to their families, friends, and communities.
Still, many people cannot afford to be cared for inside their homes without help from public services. For Oklahoma’s low-income seniors and people with disabilities, access to those in-home supports may be financed by Medicaid through the state’s Department of Human Services. But with the state now facing another year of flat budgets amid rising costs, those services are at risk. Despite warnings from DHS director Ed Lake that DHS needed $733 million to maintain services, and that their budget cut scenarios range “from the terrible to the unthinkable,” the Legislature gave DHS just shy of $700 million for SFY 2018. This appropriation of about 5 percent less than the agency needs to stay whole is going to mean more cuts — and in-home care services appear to be on the chopping block.
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