tag:blogger.com,1999:blog-24483709948363617852024-03-12T18:28:27.840-07:00MEPIAbout 我:http://www.blogger.com/profile/05463552630306062089noreply@blogger.comBlogger1125tag:blogger.com,1999:blog-2448370994836361785.post-7814265515397606552009-12-28T15:00:00.000-08:002010-01-18T10:12:09.589-08:00Disability and Poverty: It's Time to Connect the Dots<span style="font-family: Georgia, "Times New Roman", serif;">Much of the research on poverty in this country does not focus on the connection between poverty and disability. Researchers who do, have some startling statistics to contribute. A recent webcast by Mathematica Policy Research and the Center for Studying Disability Policy highlighted the impact of disability on poverty.</span><span style="font-family: Georgia, "Times New Roman", serif;"><br />
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<div><span style="font-family: Georgia, "Times New Roman", serif;">The poverty threshold based on the 2008 Census was $11,201 for someone under the age of 65 and $22,025 for a family of four. Using those definitions of poverty, </span><br />
</div><ul><li><span style="font-family: Georgia, "Times New Roman", serif;">25% of individuals with disabilities are poor compared to only 10% of the general population.</span></li>
<li><span style="font-family: Georgia, "Times New Roman", serif;">Of all working-age adults living in poverty, 47% have a disability. That’s almost half.</span></li>
</ul><span style="font-family: Georgia, "Times New Roman", serif;">Poverty is usually a short-term phenomenon in the general public, but people who remain in poverty long-term frequently have disabilities.</span><span style="font-family: Georgia, "Times New Roman", serif;"><br />
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<ul><li><span style="font-family: Georgia, "Times New Roman", serif;">For individuals reporting long term poverty, 65% have a disability.</span></li>
</ul><span style="font-family: Georgia, "Times New Roman", serif;">In point of fact, the poverty threshold is not a very reliable indicator of the number of people who are poor. The poverty threshold, which is based on indicators from the 1960s, is increasingly under attack as being out-of-date and significantly underestimating poverty. Using “hardship indicators” instead of the poverty threshold, many others would be considered poor. Some of these hardship indicators are the inability to: </span><span style="font-family: Georgia, "Times New Roman", serif;"><br />
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<ul><li><span style="font-family: Georgia, "Times New Roman", serif;">meet expenses</span></li>
<li><span style="font-family: Georgia, "Times New Roman", serif;">pay rent or mortgage</span></li>
<li><span style="font-family: Georgia, "Times New Roman", serif;">pay utility bills</span></li>
<li><span style="font-family: Georgia, "Times New Roman", serif;">get needed medical health care</span></li>
<li><span style="font-family: Georgia, "Times New Roman", serif;">get needed dental care</span></li>
<li><span style="font-family: Georgia, "Times New Roman", serif;">afford enough food</span></li>
</ul><span style="font-family: Georgia, "Times New Roman", serif;">Just one of these indicators can severely affect an individual’s quality of life. Many people who experience multiple hardships such as these are not counted in the ranks of the poor. In addition, having a disability often means having significant disability-related expenses; thus, people with disabilities often need a higher income to avoid hardship indicators than the general public. </span><span style="font-family: Georgia, "Times New Roman", serif;"><br />
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<span style="font-family: Georgia, "Times New Roman", serif;">In summarizing the data presented on the webcast, the following conclusions were drawn:</span><span style="font-family: Georgia, "Times New Roman", serif;"><br />
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<ul><li><span style="font-family: Georgia, "Times New Roman", serif;">The poverty rate for people with disabilities is very high, especially among those with long term disabilities.</span></li>
<li><span style="font-family: Georgia, "Times New Roman", serif;">A very large share of those living in poverty in any year have disabilities and that share is even larger when long term disability is considered.</span></li>
<li><span style="font-family: Georgia, "Times New Roman", serif;">People with disabilities living in poverty are much more likely than others in poverty to experience material hardship.</span></li>
<li><span style="font-family: Georgia, "Times New Roman", serif;">If the official poverty standard reflected the effect of disability on the likelihood of material hardship, people with disabilities would constitute an even larger share of those living in poverty.<br />
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</ul><strong><span style="font-family: Georgia, "Times New Roman", serif;">Work as Anti-Poverty Policy</span></strong><span style="font-family: Georgia, "Times New Roman", serif;"><br />
</span><span style="font-family: Georgia, "Times New Roman", serif;">Increasingly, work is being identified the best anti-poverty program. Many people with disabilities do not work due to fears about retaining their SSI or SSDI and Medicaid/Medicare health coverage. However, almost all of these individuals live in poverty and/or experience material hardships. The good news is that work incentives to promote integrating people with disabilities into the workforce are available to help people with disabilities increase their income and retain disability-related benefits. The bad news is that they are an under-utilized resource and can be complex to understand. Medical Assistance for Employed Persons with Disabilities (MA-EPD) is one work incentive that helps people to retain their health care benefits even when they work. </span><br />
<span style="font-family: Georgia;"></span><span style="font-family: Georgia, "Times New Roman", serif;"><br />
</span><span style="font-family: Georgia, "Times New Roman", serif;"><strong>Medical Assistance for Employed Persons with Disabilities (MA-EPD</strong>) allows people with disabilities who work to receive Medical Assistance at a lower cost. Minnesotans with disabilities are eligible for MA-EPD if they:</span><span style="font-family: Georgia, "Times New Roman", serif;"><br />
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<ul><li><span style="font-family: Georgia, "Times New Roman", serif;">are employed with earnings from a job of over $65 per month; and</span></li>
<li><span style="font-family: Georgia, "Times New Roman", serif;">have been determined to have a disability by either the Social Security Administration or the State Medical Review Team; and</span></li>
<li><span style="font-family: Georgia, "Times New Roman", serif;">are ages 16 through 64; and</span></li>
<li><span style="font-family: Georgia, "Times New Roman", serif;">have no more than $20,000 in assets, not counting retirement accounts, medical expense accounts, a spouse’s assets, or other assets excluded by MA (such as a home, a vehicle and household goods); and</span></li>
<li><span style="font-family: Georgia, "Times New Roman", serif;">pay a monthly premium and other cost sharing, if required.</span></li>
</ul><span style="font-family: Georgia;">This information comes from a fact sheet on MA-EPD by the Minnesota Work Incentives Connection which also provides more detail on the program. A link to the fact sheet is provided in the references below. While many people with disabilities believe that working will cause them to lose key benefits that is not always the case. There are certain programs that allow them keep benefits while still working and increasing their income. The Minnesota Work Incentives Connection can assist individuals and organizations in analyzing the impact of employment on benefits.</span><span style="font-family: Georgia, "Times New Roman", serif;"><br />
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<span style="font-family: Georgia, "Times New Roman", serif;">The Disability Linkage Line (DLL) is an additional resource that provides information about work incentives and a variety of support, options, and resources regarding disabilities. The free service is available during regular business hours. To contact the DLL see the references below.</span><span style="font-family: Georgia, "Times New Roman", serif;"><br />
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<span style="font-family: Georgia, "Times New Roman", serif;">If we want to address poverty in this country, we will have to start addressing the connection between disability and poverty and between disability and employment. To take a significant bite out of the number of Americans who are poor, we will need to move people with disabilities out of poverty and into employment with livable wages.</span><br />
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<span style="font-family: Verdana, sans-serif;"><span style="font-size: x-small;"><strong>References</strong>:</span><br />
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<span style="font-family: Verdana, sans-serif; font-size: x-small;">Fremstad, S., Livermore, G., & Loprest, P. Disability and Poverty: What Is the Connection and What </span><span style="font-family: Verdana, sans-serif; font-size: x-small;">Should We Do About It? [PowerPoint slides]. Retrieved from </span><a href="http://www.disabilitypolicyresearch.org/forums/"><span style="font-family: Verdana, sans-serif; font-size: x-small;">http://www.disabilitypolicyresearch.org/forums/</span></a><br />
<span style="font-size: x-small;"></span><br />
<span style="font-family: Verdana, sans-serif; font-size: x-small;">Fact Sheet on MA-EPD from the MN Work Incentives Connection </span><a href="http://www.mnworkincentives.com/site/files/MA-EPD%20Flyer.pdf"><span style="font-family: Verdana, sans-serif; font-size: x-small;">http://www.mnworkincentives.com/site/files/MA-EPD%20Flyer.pdf</span></a><br />
<span style="font-size: x-small;"></span><br />
<span style="font-family: Verdana, sans-serif; font-size: x-small;">To contact the Disability Linkage Line, call 1-866-333-2466 or go to </span><a href="http://www.semcil.org/dll.html"><span style="font-family: Verdana, sans-serif; font-size: x-small;">http://www.semcil.org/dll.html</span></a><br />
<span style="font-size: x-small;"></span><br />
<span style="font-family: Verdana, sans-serif; font-size: x-small;">Minnesota Department of Human Services. Medical Assistance for Employed Persons with Disabilities Program Evaluation [PDF document]. Retrieved from </span><a href="http://cwd.aphsa.org/statetostate/docs/2005_Program_Evaluation_MN.pdf"><span style="font-family: Verdana, sans-serif; font-size: x-small;">http://cwd.aphsa.org/statetostate/docs/2005_Program_Evaluation_MN.pdf</span></a>About 我:http://www.blogger.com/profile/05463552630306062089noreply@blogger.com2