SUBSCRIBE to Capitol Fax      Advertise Here      Mobile Version     Exclusive Subscriber Content     Updated Posts    Contact
To subscribe to Capitol Fax, click here.
There are no easy fixes

Monday, Apr 30, 2012

* The trouble with cutting programs like Medicaid is that those cuts can cause other, even costlier problems. For instance

The governor has called for the closure of Tinley Park Mental Health Center, which currently is budgeted to hold 75 residents. It currently employs 195 workers and has an annual budget of $19.8 million.

He also wants to close Singer Mental Health Center in Rockford, putting 145 people out of work and shuttering bed space for 76 residents. It costs about $14 million to operate the facility.

His budget also calls for cutting community mental health programs by $58.4 million.

Quinn’s Medicaid overhaul, designed to save a total of $2.7 billion, would place a moratorium on admissions to intermediate care facilities. The proposal, which would affect people with mental illnesses, would impact about 14,900 admissions in order to save $114 million.

The Medicaid cuts also would place a moratorium on admissions to a mental disease program impacting about 1,800 people. It would save about $36 million.

All that amounts to nearly a quarter of a billion dollars being diverted away from mental health programs and infrastructure. Lawmakers are trying to wrap up their action on the budget by May 31.

Christopher Larrison, a professor of social work at the University of Illinois, said the proposed reductions will likely result in more people seeking treatment in emergency rooms and more mentally ill people being arrested and jailed. Neither place, he said, is an appropriate setting — medically or financially — for someone needing treatment for a mental illness.

Like I told subscribers this morning, anybody who tells you that fixing things is easy has probably never fixed anything.

* Related…

* Questions face Quinn on cigarette tax hike

* Nursing home residents rally against Medicaid cuts

* Illinois Lawmakers On Taxes: Reality Is Catching Up

* Tom Loewy: ‘Entitlement mentality’ runs counter to the facts: But residents of Knox County shouldn’t tolerate a politician who walks into our midst and spouts off about an “entitlement mentality” when our friends and neighbors are struggling to find affordable medical care for their children. We should never tolerate a politician who tries to pit “us” against “them” when we are all citizens of the same state, faced with the same crushing economic uncertainties as those who live in other ZIP codes. Sorry, but that kind of attitude never made our country great.

- Posted by Rich Miller        

  1. - wordslinger - Monday, Apr 30, 12 @ 11:01 am:

    The dismal tide rolls on.

  2. - Blago's Hare - Monday, Apr 30, 12 @ 11:09 am:

    I agree that Loewy should not pit one group against another. I also find it deplorable when the O’s do it too. Obama and Occupy.

  3. - cermak_rd - Monday, Apr 30, 12 @ 12:05 pm:

    On the other hand, people with mental illness should not necessarily be locked up in these state treatment centers, either. Certainly not with a 3 to 1 employee to resident overhead. I don’t know what the optimal solution for the mentally ill, one that both keeps them safe and that is least restrictive, looks like, but this problem has been existent since the 1970s when we decided that just locking mentally ill folks away was not the answer.

  4. - Freeman - Monday, Apr 30, 12 @ 12:25 pm:

    Illinoisans realize it is time to take some bitter medicine.

    The Governor, however, insults public intelligence by claiming his proposal protects the weak and vulnerable among us. We’re on the 4th or 5th version of a patient transition “plan” in some cases, and that’s only because COGFA is forcing him to come up with something more humane than “close it down and damn the torpedoes”.

    Close these facilities? Okay. Slash funding (over 40% in some instances) for these community support programs? Okay.

    Close facilities while slashing funding to the very community programs you’re relying on to pick up the slack? Problem.

    Erickson does a good job of pointing out some of the many legitimate concerns regarding the Governor’s apparent lack of a long-term plan.

  5. - Plutocrat03 - Monday, Apr 30, 12 @ 12:49 pm:

    ” budgeted to hold 75 residents” 195 workers?

    That’s one heck of a staff to patient ratio

  6. - Budget Watcher - Monday, Apr 30, 12 @ 1:04 pm:


    You realize these workers are employed for 8 hr shifts while the residents are there for 24 hrs.

  7. - Plutocrat03 - Monday, Apr 30, 12 @ 2:15 pm:

    That works out not far from a 1:1 ratio. Don’t think private facilities staff so high.

  8. - Yellow Dog Democrat - Monday, Apr 30, 12 @ 4:36 pm:

    Cutting community mental health programs is…mindless budget-slashing.

    We should be preventing mental illness and providing appropriate treatment options, not shepharding them into emergency rooms and jails, which are much, much more expensive.

    This falls solidly into the definition of “penny wise, pound foolish.”

    As for the state facility closures, advocates are correct to argue that cost-benefit analysis ought to include and produce funding for more cost-effective services. I’m a big fan of community-based treatment alternatives, but we were snookered in the 80’s when the big state mental hospitals were closed and we were told the savings would be used to fund public mental health services.

  9. - cermak_rd - Monday, Apr 30, 12 @ 5:14 pm:

    Short of preventing folks from using mind altering substances (already illegal) and making sure toxins in the environment are managed (already under the EPA) how exactly does one prevent mental illness? I was under the impression it was mostly (with the exceptions of environmental toxins/drugs) genetic.

  10. - Give Me A Break - Monday, Apr 30, 12 @ 8:10 pm:

    Cermak: You are correct. MI is no different than any other biological illness.

Sorry, comments for this post are now closed.

* Happy Thanksgiving!
* *** UPDATED x1 *** Five unanswered questions
* *** UPDATED x1 *** Question of the day
* Caption contest!
* Crossing the line
* Moody's warns Illinois
* The Credit Union Difference
* *** UPDATED x1 - Franks responds *** Uh-oh
* Then and now
* SUBSCRIBERS ONLY - Today's edition of Capitol Fax (use all CAPS in password)
* Yesterday's blog posts

Visit our advertisers...







Search This Blog...

Search the 98th General Assembly By Bill Number
(example: HB0001)

Search the 98th General Assembly By Keyword

* Leaked renders show a rotating camera on the upcoming ZUK Z2
* Look for clues and discover the mysterious history of Facility 47
* Football Manager Touch 2016 now out on Android devices
* Thanksgiving/Black Friday Online Sales Hit $4.5B, 34% Of Purchases Made On Mobile
* Amazon Prime Video Coming to New Apple TV Possibly Within a 'Few Weeks'
* Sonos Trueplay makes Bluetooth speaker EQ smart
* Getting an iPad Air 2 for Thanksgiving on your iPhone? Same as a lot of other people

* South Side Sox' SB Nation MLB Awards voting results
* Starting Pitcher Rankings: Chris Sale and Jose Quintana maintain st...
* Scouting profile: Adam Engel
* Alex Avila will try to shed limitations with White Sox
* White Sox program provides kids real chance
* Johnson solid candidate for White Sox rotation
* White Sox sign catcher Avila to one-year deal


Main Menu
Pundit rankings
Subscriber Content
Blagojevich Trial
Updated Posts

November 2015
October 2015
September 2015
August 2015
July 2015
June 2015
May 2015
April 2015
March 2015
February 2015
January 2015
December 2014
November 2014
October 2014
September 2014
August 2014
July 2014
June 2014
May 2014
April 2014
March 2014
February 2014
January 2014
December 2013
November 2013
October 2013
September 2013
August 2013
July 2013
June 2013
May 2013
April 2013
March 2013
February 2013
January 2013
December 2012
November 2012
October 2012
September 2012
August 2012
July 2012
June 2012
May 2012
April 2012
March 2012
February 2012
January 2012
December 2011
November 2011
October 2011
September 2011
August 2011
July 2011
June 2011
May 2011
April 2011
March 2011
February 2011
January 2011
December 2010
November 2010
October 2010
September 2010
August 2010
July 2010
June 2010
May 2010
April 2010
March 2010
February 2010
January 2010
December 2009
November 2009
October 2009
September 2009
August 2009
July 2009
June 2009
May 2009
April 2009
March 2009
February 2009
January 2009
December 2008
November 2008
October 2008
September 2008
August 2008
July 2008
June 2008
May 2008
April 2008
March 2008
February 2008
January 2008
December 2007
November 2007
October 2007
September 2007
August 2007
July 2007
June 2007
May 2007
April 2007
March 2007
February 2007
January 2007
December 2006
November 2006
October 2006
September 2006
August 2006
July 2006
June 2006
May 2006
April 2006
March 2006
February 2006
January 2006
December 2005
April 2005
March 2005
February 2005
January 2005
December 2004
November 2004
October 2004

Blog*Spot Archives
November 2005
October 2005
September 2005
August 2005
July 2005
June 2005
May 2005


RSS Feed 2.0
Comments RSS 2.0


* Illinois has taken few Syrians in last 5 years .....
* Will Lincolnshire take on labor unions by estab.....
* Rauner faces challenges to block Syrian refugee.....

* Illinois community college plans to boost foreign recruiting
* Historic re-enactors gather at former French fort
* Foul play not suspected in death of southern Illinois woman
* Lawyers for Schock say documents handed over to prosecutors
* EXCHANGE: Highland art teachers exhibit works on campus
* Police make arrest in killing of Chicago 9-year-old boy
* Mascoutah burglary victim shot in 1st night at new home
* Closing of 2 Illinois harness racing tracks opposed
* Landfill cleanup to idle Rockford area sledding hill
* Hunters find body of missing southern Illinois woman

* Local free community college plans may be template for U.S.
* Rauner faces challenges in move to block refugees
* Vendor Payment Program suspended due to budget impasse
* Rauner pardons man found innocent of 1999 attack
* Springfield jobless rate falls again, to 5.1 percent
* Springfield police chief sees problems with body cam law
* Lawsuit challenges Illinois ban on marijuana campaign money
* Number of Illinois inmates released on parole climbing
* Bryce Benton circulating petitions to challenge Sen. Sam McCann in GOP primary
* Executive Mansion roof repairs nearing completion

* Retailers ready for shooting protests
* Mag Mile tied up by protest over Chicago teen's shooting
* Review: Sociale in the South Loop
* Her Barbie was a lawyer. Now she defends victims' rights
* Meet the guy making money off your food scraps

* BGA Public Eye: Dolton voters may get shot to recall trustees
* Blackhawks rally for stunning victory with two late goals
* Aaron Schock’s lawyers voluntarily providing records sought by feds
* In wake of dashcam video, Emanuel must navigate political minefield
* White House under holiday lockdown after man jumps fence
* Trevor Daley turning the corner at both ends of the ice
* Rauner faces challenges in move to block Syrian refugees
* Brown: Simeon basketball players bring their A-game to court
* 16 reasons every Blackhawks fan should be thankful on Thanksgiving
* Blackhawks cool off Sharks; Kane extends point streak to 17

* Woman dead after Dan Ryan crash
* Teen fatally shot in Gary
* Illinois schools' strengths, weaknesses exposed in statewide survey
* Man, woman get themselves to safety after falling into Lake Michigan
* 1 killed, 2 wounded in city shootings
* Police warn of burglaries on West Side
* Fiery crash in McHenry County kills 3 18-year-olds; bystanders try to free passengers
* Tyshawn on swing when gangbangers out for revenge targeted him: prosecutors
* Blog: Mag Mile marchers protest Laquan McDonald shooting
* Some Black Friday shoppers balk at Laquan McDonald protests on Mag Mile

* Charles Krauthammer: The Syrian immigration cul-de-sac
* Rob Elliott: EPA ethanol ruling affects more than energy policy
* Local free community college plans may be template for U.S.
* Rauner faces challenges in move to block refugees
* Vendor Payment Program suspended due to budget impasse
* Eugene Robinson: The GOP's political correctness dodge
* Douglas Holt: Woman's protest of Trump was misguided, inappropriate
* George Will: Muzzling pet advice another case of free speech erosion
* Bernard Schoenburg: Josh Langfelder took father's advice on election petition signatures
* Rauner pardons man found innocent of 1999 attack

* The story behind the Gordyville antique show
* Who lives here? Nov. 28, 2015
* Sandra Mason: A grateful gardener
* Athletic success takes more than a coach
* Marching Illini: Next stop, Soldier Field
* Area update: Students largely favor building new high school
* Weekend planner: Snow Globe
* Event aims to find blood marrow donor for woman with rare leukemia
* Area history, Nov. 28, 2015
* Nye not qualified to talk about climate change

* Mortar attack on UN base in north Mali kills 3, injures 20
* Prominent human rights activist killed in attack in Turkey
* Suspect in custody after shooting at Planned Parenthood
* Pope honors Ugandan Christian martyrs as example of faith
* Elgin woman dies at 100, said secret to longevity was eating at Portillo's

* House lawmakers overcome hurdle on key tra...
* Rodney Davis talks funding with Bloomingto...
* The agency that fought Illiana gets a new ...
* Rep. Dold takes educational cruise down Ch...
* Lawmakers decry high turnover rate of VA h...
* CBD Oil, and politics
* Simon considering state Senate bid
* Killer Congressman Tom MacArthur trying to...
* Shutdown? State may not notice
* Rep. Bob Dold

* Durbin Calls on Gov. Rauner to Meet With S......
* Durbin Statement on Pfizer-Allergan Invers......

* Opinion: Sen. Kirk must stand with crimina......

* The cover-up of the killing of Laquan McDonald.
* Keeping retirement weird. Justice is the public face of love.
* RLC Roundup: Drivers Aim Lawsuit At Tinley Park Red Light Cameras
* Dueling pair of children being used to fight for attention of Chicago, world
* No Positive Loitering Tonight
* Fairness.
* It brings out the rats.
* If we are to get Goldman Sachs out of ESEA, we will have to be the ones to do it.
* Black Friday on North Michigan Avenue.
* Does America need a "council of elders"?

* Emergency Management Officials, National Weather Service Encourage Winter Preparedness - November is Winter Weather Preparedness Month in Illinois
* Keep Your Family Safe This Winter - November through February are leading months for carbon monoxide related incidents
* Governor Takes Bill Action
* Illinois Department of Labor Director Hugo Chaviano Awards Governor’s Award for Contributions in Health and Safety to the Illinois Refining Division of Marathon Petroleum Company LP
* State Regulator Elected Treasurer of Interstate Medical Licensure Compact

    Hosted by MCS SUBSCRIBE to Capitol Fax Advertise Here Mobile Version Contact Rich Miller