Project Proposal JL

Part One:

  • What societal problem or problems have you identified while researching your topic?

Disabled people need society to accept them and make the services they offer accessible for disabled persons. The government seems to believe that people with disabilities belong in institutions. It would actually be cheaper for long term care to be done at home, than long term care facility stays. You need to find a home care person from an agencies or knowing someone, a friend to help or maybe a relative. Staying at home is where most disabled persons prefer to stay, in their own home. Keeping an open dialogue with your doctor is a very helpful and can be a very helpful source. Many people with disabilities need assistance due to an acquired aging related conditions and/or illness. With thoughtful planning services, and support, most disabled persons can live in their own home and contribute to and stay connected to their community.

  • What are the causes of this problem?
  • Was it intentional?
  • Are there extenuating circumstances?

Government policy has been keeping disabled Americans in need of long term assistance in institutions. The government is spending billions a year to house millions of Americans in long term care facilities many of them could receive services in their own homes. In years to come the percentage of Americans that will need help will increase greatly. The federal and state bias toward institutional services dates to the 1960’s when Medicaid and Medicare programs we created. Today has become clear most people prefer the freedom and control of living at home and hiring a personal assistance if necessary. Government policies are slow to offer people greater choices for obtaining services because of fear that costs will escalate if people were given a choice. If federal and state governments freed more money for in home services more people would demand the service. The government thinks they would raise costs to untold billions. The demand for greater choice in personal assistance services is growing every year and people get older every year people with disabilities need these services in their own homes.

  • What can we do about it?
  • Is there any action that can be taken to change this?
  • What action has been already attempted to address this problem?
  • Why wasn't it successful?

We can be aware of needs of disabled people and be aware that they also need to have the same rights and physical needs that we all do. Independent Living Centers one non-residential community-based organizations providing services and advocacy by and for persons with all types of disabilities. They receive all or a part of their funding from the Rehabilitation Services Administration. Many independent learning centers serve as a strong voice on a wide range of national state and local issues. They work to assure physical programmatic access to housing employment transportation community’s recreational facilities and health and social services.

Part Two:

  • In what ways is this thesis and topic challenging?
    • I would say that tis thesis has its challenges.
    • There is not much out there to find the help disability people need.
    • My challenge I have is finding tables or records that show disabled people living in long term care facilities than letting them be able to stay home.
  • How is this thesis and topic compelling?
    • This thesis is geared toward disabled people and elderly people that want to stay home.
    • Medicare takes a big part in the government choosing where people with disabilities or elderly can live.
  • In what ways is this thesis and topic debatable or controversial?
    • Topic is controversial because of the ignorance of people who are not dealing with this in a personal manner.
    • Topic is also debatable as some people think that care at home can never equal skilled nursing care
    • Also debatable because the cost of keeping people home seems higher because homecare is not 100% covered by Medicare or any governmental programs.


Medicare which was created in 1965, is the federal government’s answer to assisting the elderly and temporarily disabled persons with medical needs. Although nearly every tax-paying wage earner pays for this program with mandatory payroll deductions, seldom understand their benefits until they are needed. If you are disabled, Medicare is available to you along with Social Service Disability. This availability comes with a price – the disabled person’s independence. Politically, there is no money or power in changing outdated and finance-driven programs like Medicare. No one steps up to the political podium determined to demand that disabled recipients be allowed to choose what is best for them. Instead the program pays almost exclusively for “in-house” treatment such as assisted living, rehabilitation centers and group homes. Personal care assistance are not covered by insurance or Medicare and have to be paid for by the disabled person or the family members involved.

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