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Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

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PubMed2002

Public financial support for disability at the dawn of the 21st century.

This is an empirical study of contemporary public financial support for disability in the United States. Public support for disability programs in the United States totaled dollars 294 billion in 1997 (41.5 million recipients) and was estimated to be dollars 426 billion in 2002. Nationally, 52% of public long-term care financial resources supported persons with disabilities in institutions, although great variation existed among states and across disability groups (i.e., mental retardation, mental illness, physical disability). State financial commitments for community long-term care services for each of the three disability groups was strongly associated with state participation in the Medicaid HCBS Waiver and Personal Assistance programs and for persons with MR/DD, with states' early adoption of civil rights statutes promoting racial equality.

Persons with Disabilities↗

PubMedDate not supplied

Where the action really is: Medicaid and the disabled.

Discussions of Medicaid tend to focus on low-income children and their mothers and the institutionalized elderly as the principal beneficiaries, but Medicaid spends more on the nonelderly disabled than on any other group. In the past two decades Medicaid has helped finance the deinstitutionalization of the mentally retarded and a growing proportion of the mentally ill, but implementation of the Olmstead decision has deflected advocates' attention from the more important issue of how managed care plans treat disabled Medicaid beneficiaries.

Acquired Immunodeficiency Syndrome↗

PubMed1992

The Anne Sexton biography: the limits of confidentiality.

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Confidentiality↗

PubMed1992

Paternalistic interventions with the gravely disabled.

Interfering in the affairs of the gravely disabled has received attention in areas such as philosophy, theology, law, politics, and sociology. For such persons to be declared incompetent and have guardians appointed to care for them, a balancing is required of the right to personal freedom against the right to care. When consideration is given to the underlying principles of autonomy and beneficence, a case can be made for weak paternalistic interventions with persons of diminished capacity who are clearly endangered and in whom the conduct involved is substantially nonvoluntary. Examples are given of beneficial results occurring in persons with alcohol dependence or alcohol-related brain damage on whom a paternalistic intervention involving financial management was imposed with the aim of seeing that basic needs were met and that spending on alcohol was not excessive.

Alcoholism↗

PubMed1999