Wednesday, November 16, 2022

2022 Tennessee Disability Scorecard

 From the Tennessee Disability Coalition


Three symbols in a half circle, the logo of the Tennessee Disability Coalition

Yesterday, with the expertise of our members and Policy Team, the Tennessee Disability Coalition released our inaugural Tennessee Disability Scorecard.

 

Inspired by the tremendous amount of phone calls we receive from current and future Tennesseans, as well as policy priorities voiced by our membership; the 2022 Scorecard outlines eight policy priority areas for working Tennesseans with disabilities.

 

Across these priorities, letter grades were given to the State of Tennessee based on primary and secondary research compiled by the TDC, and will be reviewed and released annually to ensure the lived experiences of our community are at the forefront of all policy decisions made by state leaders including lawmakers, appointed commissioners, and municipalities.


 

Overall, the State of Tennessee received a grade of D+ for working adults with disabilities, and was comprised from the following:

 

Priority: Housing

Grade: F

80 of Tennessee’s 95 counties do not have affordable housing for working people with disabilities.

 

Priority: Employment

Grade: D+

33% of Tennessee workers with disabilities are employed, compared to 78% of workers without disabilities. This ranks Tennessee 44th out of all 50 states.

 

Priority: Transportation

Grade: C-

Tennessee ranks 39th in the US for quality of public transportation.

 

Priority: Medical Debt

Grade: F

Tennessee has the 5th highest percentage of adults with medical debt in the country.

 

Priority: Home Healthcare Worker Crisis

Grade: F

Tennessee ranks 43rd in the US for the availability of home healthcare workers, with only 13 workers for every 100 Tennesseans needing care.

 

Priority: Sales Tax Burden

Grade: A
Like nearly all states, Tennessee does not tax the sale of durable medical equipment, prescriptions, and mobility devices.

 

Priority: Affordability of Care

Grade C+

The AARP ranked Tennessee 35th in the affordability of care for people with disabilities based on relatively low home health care costs, but 49th in consumers’ ability to access these home healthcare services.

 

Priority: Support for Family Caregivers

Grade: F

Given the critical shortage of home healthcare workers across the country, AARP ranked Tennessee 49th in supporting family members caring for loved ones with disabilities based on state policies.


 

We hope you will share this report with your communities, stakeholders, and people of influence. In a spirit of coalition, we look forward to working together to improve these outcomes on behalf of all Tennesseans both present, and future.

 

More information can be found in the full Scorecard including citations and graphics, and is available on the TDC’s website using the following link: https://www.tndisability.org/tennessee-disability-scorecard.

 

-TDC Policy Team

Thursday, October 27, 2022

Voting Rights

Your Civil Rights and the Election

From the Department t of Justice:

The Civil Rights Division’s Disability Rights Section enforces the Americans with Disabilities Act (ADA), which prohibits discrimination in voting based on disability. The ADA applies to all aspects of voting, including voter registration, selection and accessibility of voting facilities, and the casting of ballots on Election Day or during early voting, whether in-person or absentee.

The Civil Rights Division’s Criminal Section enforces federal criminal statutes that prohibit voter intimidation and voter suppression based on race, color, national origin, or religion.

On Election Day, the Civil Rights Division will implement a comprehensive program to help ensure the right to vote that will include the following:

  • The Civil Rights Division will conduct monitoring in the field to observe compliance with the federal voting rights statutes.
  • Civil Rights Division attorneys in the Voting, Disability Rights, and Criminal Sections in Washington, D.C., will be ready to receive complaints of potential violations of any of the statutes the Civil Rights Division enforces. Attorneys in the division will coordinate within the department and will take appropriate action concerning these complaints before, during, and after Election Day.
  • Individuals with complaints related to possible violations of the federal voting rights laws can call the Justice Department’s toll-free telephone line at: 800-253-3931, and also can submit complaints through a link on the department’s website at: https://civilrights.justice.gov/.
  • Individuals with questions or complaints related to the ADA may call the Justice Department’s toll-free ADA information line at 800-514-0301 or 833-610-1264 (TTY), or submit a complaint through a link on the department’s ADA website at ada.gov.


Tuesday, October 18, 2022

ADAPT's Consistency in Advocacy

ADAPT’s success in the case MR v Dreyfus was spectacular; but did you notice some similarities with an earlier ADAPT campaign?

Editor's Note: This is a look back Ten Years Ago Today at the issues of the disability community. Ten years ago the state of Washington ended its appeal of MR v Dreyfus; More than ten years before that, ADAPT was successful in getting the state of Washington to remove their support for Olmstead. 

By Tim Wheat

Justin Dart's cowboy hat
ADAPT and our allies' success in making Washington Governor Christine Gregoire end the appeal of MR v Dreyfus was a terrific grass-roots success. Some long-time ADAPT activists however may be reminded of a similar campaign in late 1998 and early 1999 to convince US states to remove their names from an amicus brief in support of the state of Georgia that was going to the US Supreme Court.


Back in 1998, Tommy Olmstead, Commissioner, Georgia Department of Human Resources, struggled to keep two women locked away in institutions even though the state’s professionals had found them more suited for the community. Georgia lost in the 11th US Circuit Court and was appealing the case to the US Supreme Court. Commissioner Olmstead argued that forcing citizens to live in institutions does not constitute discrimination because non-disabled people do not receive such services. No "discrimination" in service delivery can take place if no comparable services exist. The ADA gives no protection to individuals with disabilities, Georgia argued, who receive services designed only for people with disabilities.


Georgia was successful in getting over half the US States to support their appeal to the US Supreme Court by signing on to a friend-of-the-court brief that argued home and community services would become a “new entitlement." The amicus brief of the states also perversely contended that even though home and community services were less costly than expensive institutionalization, the ADA’s requirement for integration would be a financial burden to states and would be an “unfunded mandate” from the federal government impeding state sovereignty.


But ADAPT was clear. This was an issue of Civil Rights and ADAPT led the grassroots campaign to ensure the US Supreme Court did not overturn our right to live in the community. Twenty-six states signed onto the amicus brief supporting Georgia. ADAPT could have little direct impact on how each of the nine justices would rule, but the grass-roots group could change the minds of the states that supported Georgia.


One by one ADAPT struck in the US states that had signed on in solidarity with Georgia’s appeal. By April, when the Supreme Court heard the oral arguments in the case, the number of supporting states was down to 11.  Although judges say they make decisions based on facts and issues of law, ADAPT and our allies had reduced the support for Georgia from over half of US states, to just a handful. The ADAPT campaign was truly a tremendous grass-roots success.


On March 9, 1999 Governor Gary Locke and the Attorney General of Washington wrote a letter to explain why they had removed their state from the Georgia amicus brief:


"The Governor and I have each affirmed our strong support for better services and choices for persons with disabilities.  We do not want our signature on this amicus brief to call that commitment into doubt and create unnecessary fear and anxiety."


On June 22, 1999 the court released its decision in Olmstead. The ruling upheld the ADA “integration mandate” and called inappropriate institutionalization discrimination. ADAPT has called it our community’s “Brown v Board,” because it requires integration.


"Today's decision is a critical step in changing how and where people with disabilities receive services necessary for everyday life," said Mike Auberger, a national organizer with ADAPT, back on the day the Olmstead decision was announced.  "It tells states that segregated services will no longer be tolerated.  But our fight for REAL choice continues."


The fight for REAL choice has continued. The Attorney General who signed the letter removing the state of Washington from the Georgia amicus brief was Christine Gregoire. Now, thirteen years later: Governor Gregoire; the Governor who was the target of a grassroots campaign to protect the gains of Olmstead by not appealing MR v Dreyfus.


One very powerful aspect of ADAPT that is often hard to see is our consistency. People looking for immediate results and instant gratification may not understand the importance of the ADAPT action opposing Tommy Olmstead’s case against two women in Georgia. But the consistency of ADAPT’s fight for almost 30 years has amplified the power of our community. FREE OUR PEOPLE!


ADAPT Activist at the White House


Friday, September 23, 2022

A New Direction for Independent Living

Looking back 20 years on thoughts about the Independent Living movement. 


Editor’s Note: This is an unpublished and unfinished article from twenty years ago. Tim Wheat had just completed a cross-country bicycle trip visiting Centers for Independent Living and disability rights demonstrations. Tim Wheat has highlighted his current thinking in italics while the original text is not italicized. 


September 23, 2002

September 23, 2022

By Tim Wheat


Twenty years ago I believe I had a lot to say about the direction of Independent Living, but I never finished or explained what I had found on my cross-country visit to other Centers for Independent Living. I re-examine some of my thoughts in the paragraphs below.


Man smiles in front of a sign that reads: CHOICES Center for Independent Living
The Independent Living (IL) movement does not lack direction because it has been unsuccessful, on the contrary, the IL movement seems to make good sense in a wide variety of disability related areas. It is because of this wide-spread appeal of IL rhetoric that the “direction” of the movement is hard to gauge. 


PHOTO: Tom Kirby at the Roswell Center for Independent Living in New Mexico. One of the Centers I visited on my six month bicycle adventure across the country.


Twenty years ago, I visited several Centers for Independent Living on a special assignment from MCIL’s Executive Director Deborah Cunningham. What I was attempting to point out in this opening paragraph was that I was able to see the Independent Living movement reflected in all parts of the disability community, and not unique to CILs.


Social workers spoke of client choice, person centered planning and independent living. Apartments, especially for older Americans, were adopting the moniker: Independent Living. Larger, older and better funded agencies switched from “case managers,” who may be involved in every aspect of a “case,” to only being the gatekeeper for a particular funding stream or program. 


Twenty years ago I thought I was viewing the great success of the IL movement, but now, twenty years later and more than forty years since the beginning of federally funded CILs, I do not see the same success. In 2002 I saw Centers that were diligently working to include people with disabilities in a variety of ways, but what they did not do was to make themselves the center of Independent Living and faithfully promote and defend the Independent Living movement. 


The historical components of the IL Center have become unnecessary because of the ADA and a change in social attitudes. Many CILs talk about the “four core services,” yet these services no longer are effective at meeting the needs of people with disabilities attempting to live independently. Please examine these core services when Title VII was written as compared to today. 


Twenty years ago there were four core services: Information and referral, Independent Living skills training, peer counseling and advocacy. Now CILs have a fifth core service that can be described as transition. Transition from a nursing home or institution into the community and transition from school-age youth to an independent adulthood. 


If you are not familiar with Independent Living, the idea of core services sounds pretty basic. The movement was progressive at the time and was similar to the Vocational Rehabilitation system that had developed. “Cases” moved, progressed and were tracked in a system that was centered on a file and a counselor, case worker or social worker. 


The federal regulations that make up CILs and the reporting were before the 1990 Americans with Disabilities Act and lacked a lot of clarity. The “services” that IL Centers offer are broadly defined. There are a list of 17 services and yet the four core services are not the backbone of that list. 


One problem with the long list is that it is never clear what a CILs is to do. Everything will fit under advocacy. I cannot see how each thing that we do is either systems advocacy, self advocacy or individual advocacy. The CIL working with people with disabilities to improve the system, build on disability rights and promote community inclusion all are system advocacy. Teaching an individual with a disability to navigate barriers because of their disability is self-advocacy and advocating for someone with a disability issue is individual advocacy. I believe CILs could do their work with advocacy as the only service category. 


Teaching someone to ride the bus can be IL Skills Training, while providing transportation can be a service that directly interferes with a person’s independence. If someone learns to depend on the CIL for transportation, they are less independent. I believe Centers for Independent Living were originally designed to advocate and help sustain reliable accessible transportation for people with disabilities. 


Many CILs got funding to provide transportation and the IL focus of the Centers changed to providers who talked about inclusion, yet profited from a segregated system. 


Thirty-two years ago when the ADA was signed, public transportation was to become accessible and include people with disabilities. Paratransit systems were to provide transportation for people with disabilities who could not access the main-line public transportation system because of their disability. 


The concept was that as fixed-route public transportation became accessible, paratransit would become unnecessary or less necessary. Now in 2022, paratransit in Memphis is as large as it was in 2002. MCIL has not only experienced push-back from local people with disabilities who do not wish to have an integrated public transit system, but we have dual advocacy of supporting accessibility of the fixed-route, while we promote the use of the segregated paratransit system. 



Man standing at the peak of Loveland Pass
PHOTO: Crossing the Continental Divide on my way to visit two CILs in Utah and the ADAPT National Meeting in Salt Lake City. Notice the ADAPT t-shirt hand painted by Sher Stewart.