Have Working-Age People with Disabilities Shared in the Gains of Massachusetts Health Reform?

Author(s):  
John Gettens ◽  
Monika Mitra ◽  
Alexis D. Henry ◽  
Jay Himmelstein
2020 ◽  
Vol 12 (5) ◽  
pp. 2066 ◽  
Author(s):  
Lena Morgon Banks ◽  
Shaffa Hameed ◽  
Sofoora Kawsar Usman ◽  
Hannah Kuper

The 2030 Sustainable Development Goals call for the disaggregation of all indicators by disability and other characteristics so as to “leave no one behind” from development progress. Data on disability, however, is acknowledged to be lacking, which is essential for informing policy and planning. Consequently, this study estimates the prevalence of disability in the Maldives and compares indicators of poverty and living conditions between people with and without disabilities, using nationally-representative, population-based data (n = 5363). The prevalence of disability was estimated at 6.8%. Overall, this research finds that people with disabilities are at risk of being left behind from progress across multiple Sustainable Development Goal domains, including in combatting income poverty, food insecurity and exclusion from health, education, work and social participation, and vulnerability to violence. Further, amongst people with disabilities, people with cognitive and mental health impairments, people living outside the capital, Male’, and children and working-age adults tend to face the highest levels of deprivation.


2016 ◽  
Vol 49 (4) ◽  
pp. 367-386 ◽  
Author(s):  
Richard V. Burkhauser ◽  
Mary C. Daly ◽  
Nicolas R. Ziebarth

Author(s):  
Michael J. Prince

Background: While governments draw on survey data to inform policy choices, the design, application, and interpretation of surveys can generate certain images of disability and ignore many others.Aims and objectives: This article draws attention to social circumstances of people with disabilities often unacknowledged in research evidence: hidden figures of disability.Methods: Selected results from the Canadian Survey on Disability are examined with a focus on working-age youth and adults (aged 15 to 64) with a range of disabilities.Findings: Five figures of disability and corresponding conceptual models are identified. These hidden figures of disability are the uncounted, those with needs unsupported, youth in multiple transitions, potential workers, and what may be called ‘the fearful’. Several models of disability are identified intersecting with the evidence. These are the absent citizen, biomedical model and charitable model, social and economic integration model, human rights and full citizenship, and psycho-emotional model of affective disablism and ableism.Discussion: Hidden figures of disability are more than statistical tests and texts; more than calculations derived from quantitative research where people become a data point. The function of drawing hidden figures is to disclose and describe the bodily experiences of people with disabilities in their social positions and structural contexts.Conclusion: We need to see the production of evidence for policy not as painting a portrait but as portraits in the plural, and appreciate not only what is in the frame but also what faces and forms of knowledge get glossed over or brushed aside.<br />Key messages<br /><ul><li>Public survey evidence produces official portraits of disability and also hidden figures of disabled people.</li><br /><li>No one model of disability offers a complete depiction of the diverse lived realities for disabled people. Each model casts some light and shadows on the multiplicity of experiences of disabled people.</li><br /><li>During the COVID-19 global pandemic we can observe a damning revelation of the dire conditions of the uncounted disabled and poorly supported disabled, particularly the homeless and seniors in long-term care facilities and nursing homes.</li></ul>


2019 ◽  
Vol 30 (2) ◽  
pp. 111-117 ◽  
Author(s):  
Gina Livermore ◽  
Marisa Shenk ◽  
David Stapleton

Working-age people with disabilities are a large and growing segment of the U.S. population. Expenditures for a variety of federal and state safety-net programs to support these individuals—such as Social Security Disability Insurance, Supplemental Security Income, Medicare, Medicaid, and numerous others—are also growing. However, because expenditures are fragmented across so many programs, the full size and the extent of their growth have been obscured. For this study, we estimated how much the federal government spent on programs in 2014 to support working-age people with disabilities, and we assessed how the size and composition of those expenditures changed during the two 6-year periods preceding 2014. We found that in 2014, the federal government spent US$498 billion on programs to support the working-age population with disabilities, which represents 14% of all federal outlays. States contributed another US$94 billion under federal–state programs. From 2008 to 2014, inflation-adjusted federal expenditures for this population grew by 30%, nearly the same as observed from 2002 to 2008. Expenditures for health care accounted for half of all expenditures in 2014, up from 47% in 2008 and 46% in 2002, and replacing income assistance as the largest expenditure category.


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