You might think that we learned the lesson of discredited managed care in the 1990s. The term "managed care" is confusing to many, but really amounts to managed reimbursement rather than managed care, whereby a set prospective annual payment is made by federal/state governments, as in the case of Medicaid managed care (MMC), to cover whatever services patients will receive over the coming year.
People with disabilities can use more programs like PATF's that prepare them for life and the workforce Passage of the ABLE Act is a movement in the right direction, as could be adjustments to IDAs and other anti-poverty programs that permit people with disabilities to participate in them on their way to greater independence.
This is America today. We have no running water; we use a hose to fill jugs. At night, in my bed, when it's cold out, my blanket can freeze to the wall of the RV. I have a Master's degree and have been in the workforce for over 30 years. By the end of this month, we will be without anywhere to turn.