SUBSCRIBE to Capitol Fax      Advertise Here      Mobile Version     Exclusive Subscriber Content     Updated Posts    Contact
CapitolFax.com
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        


10 Comments
  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:

    Plutocrat,

    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.


* Oberweis now for gay marriage
* The patented Pat Quinn close has begun
* Question of the day
* McKinney resigns from Sun-Times: "I’m convinced this newspaper no longer has the backs of reporters like me"
* Another one pops
* Reality vs. reporting
* New anti-Rauner theme: "Wolf of Winnetka"
* Redefining Bobby
* Pat and Bruce
* The lindane file
* US judge orders hiring monitor at IDOT
* Underdog endorsements
* Birth control, millionaires and the minimum wage
* Good morning!
* Yesterday's blog posts

Support CapitolFax.com
Visit our advertisers...

...............

...............

...............

...............

...............


Search This Blog...

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

Search the 98th General Assembly By Keyword

          
        * Barnes & Noble and Samsung release new Nook tablet
        * Inbox by Gmail gives you another way to look at email
        * Google Inbox, iOS 8.1 Jailbreak, Android Beam boost & more – Pocketnow Daily
        * Android Lollipop imminent, new Nexuses nearing, no more Nokia | Pocketnow Weekly 119
        * How Mia Mullarky made the world’s most a-mew-sing Lumia cat video
        * The Week in iOS Accessories: New products for new iPads
        * Samsung Galaxy Note 4 scores a Developer Edition for Verizon

        * Wanna See the Secret New Yahoo Home Page, Rolling Out Next Month? Bokay!
        * What Twitter Fabric Means for Developers
        * Broga Mats: Yoga Mat Bags for Bros
        * Camera-Covered Jacket Is the Ultimate in Sartorial Surveillance
        * 27 Autumn Photos That Will Leaf You Wanting More
        * iPad Air 2 Teardown Reveals Smaller Battery Than Its Predecessor
        * Bank Of America Acknowledges Apple Pay Glitch, Promises Fix Today

        * World Series Game 2: Notes and discussion
        * 23 potential MLB free agents as SkyMall items
        * World Series Game 1: Notes and discussion
        * The e-gus off-season plan
        * Reading Room: A wild card of a World Series
        * Following same path as '59 White Sox, KC eyes title
        * larry's Offseason Plan


        Main Menu
        Home
        Illinois
        YouTube
        Pundit rankings
        Obama
        Subscriber Content
        Durbin
        Burris
        Blagojevich Trial
        Advertising
        Updated Posts
        Polls

        Archives
        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

        Syndication

        RSS Feed 2.0
        Comments RSS 2.0
        WordPress

        Loading


        * Bruce Rauner encourages women to get out the vo.....
        * Reeder Interviews Former Indiana Governor Mitch.....
        * IDOT Hiring Will Be Monitored..
        * Big Donors Examined..
        * dave mckinney..
        * Vice President Biden to return to Illinois to s.....
        * What's next as Sun-Times/Rauner story explodes?..


        * Chicago jail escapee sentenced to 36 years
        * Durbin, Oberweis face off in 1st US Senate debate
        * Biden in Illinois: Each vote for Democrats crucial
        * Indiana killings case prompts Illinois searches
        * Reporter resigns following Rauner complaint
        * Illinois adding press-box medical staffer
        * VP says Democrats working to protect middle class
        * Former Illini coaches speak at McClain's funeral
        * Editor defends Sun-Times after reporter quits
        * Court-appointed monitor ordered for IDOT hiring

        * Minimum wage increase supporters urge early voting
        * Sun-Times political reporter resigns following Rauner complaint
        * Minimum wage hike supporters urge early voting
        * Federal judge orders court-appointed monitor for IDOT hiring
        * Rep. Raymond Poe to undergo stem cell transplant
        * Bill Clinton campaigns for Quinn, Durbin
        * Quinn, Rauner spar over jobs, taxes
        * Election 2014: Learn about all the candidates
        * What to watch for in third governor debate tonight
        * U of I sees turning point as election nears

        * Ken Griffin says wife's claims are 'devoid' of merit
        * What's next as Sun-Times/Rauner story explodes?
        * Bob Fioretti, Nicki Pecori are engaged
        * Ebola? Biz travelers say 'meh'
        * New city Treasurer Summers learning the political ropes fast


        * Scandal or not, Bring on that  federal monitor
        * Father Bob Botthof, teacher who became priest after losing wife, dies at 85
        * Father Bob Botthof, teacher who became priest after losing wife, dies at 85
        * Sparse crowd at CPS HQ before Board of Ed vote on Hancock school
        * Indiana officials identify fourth body found after arrest of suspected serial killer
        * Jail guard smuggled weed in sandwiches, feds say


        * Durbin, Oberweis clash on immigration, health care in debate
        * 1 dead, 1 wounded in Richton Park shooting
        * Aldermen question speed cameras
        * Man charged with arson in Logan Square fire
        * 17-year-old charged in West Side man's slaying
        * Sun-Times reporter Dave McKinney resigns, calls time off 'house arrest'
        * Suspect in serial killings charged in 2nd death
        * CPS sells first shut-down school
        * CPS asks feds for delay on new standardized test
        * Man dies in Long Grove crash


        * Real estate and religion: The tale of Seventeenth Church of Christ, Scientist
        * Suspicion lingers over Ebola treatment
        * Judge Orders Court Appointed Monitor For IDOT Hiring
        * 13th Dist. Candidates Talk NAFTA, Ebola During Springfield Debate
        * Attorneys Due In Court For Quinn Hiring Lawsuit
        * Small Campaign Contributions Amount To Chump Change
        * Civic Fed: Lawmakers Once Again Taking Illinois Down Bad Budget Path
        * Cheddar's Leaves Springfield WUIS-SJR Business Report
        * Area Cub Scouts Burned In Explosion
        * Notes On The Final Governor Debate


        * Our Opinion: Frerichs has the expertise to be Illinois treasurer
        * Robert Kaestner: Good education policy is good health policy
        * Eugene Robinson: Warren makes the case for a presidential run
        * Bernard Schoenburg: Local Rauner ad leaves out ‘everything Springfield isn’t’ line
        * Minimum wage increase supporters urge early voting
        * George Will: In Kentucky, a constitutional moment
        * Sun-Times political reporter resigns following Rauner complaint
        * Federal judge orders court-appointed monitor for IDOT hiring
        * Our Opinion: Choice for Illinois comptroller comes down to experience
        * Rep. Raymond Poe to undergo stem cell transplant


        * Election officials warn of possible slow results on election night
        * SIU physics department to host eclipse viewing event
        * City cracks down on panhandling
        * Popeyes is coming to Carbondale
        * Police arrest three men after chase
        * Prep football statistics after Week 8
        * Kroner's Week 9 storylines: Playoffs start early for Central
        * Asmussen: Is K-State for real?
        * Fisher signs on for academy
        * PBL tax rate hike projected


        * Girls tennis: State tournament scouting, Northwest
        * Wednesday's results
        * Tri-Cities police reports
        * Gloves come off in 55th District debate
        * 11th hopefuls discuss foreign policy, environment

        * Patrick Cannon defense strategy rare but n...
        * Feds fine Jesse Jackson Jr.'s campaign com...
        * Ex-Congressman Jesse Jackson Jr. faces sen...
        * Representative Jan Schakowsky Sends Letter...
        * Rep. candidate pushes to uphold marriage b...
        * Reps. Schakowsky and Waxman Introduce Bill...
        * Statement by Representative Jan Schakowsky...
        * U.S. House Passes Resolution Condemning An...
        * FAA Rejects Call For New O'Hare Noise Stud...
        * Representatives Quigley, Duckworth, Schako...

        * Endorsement for U.S. Senate: Dick Durbin...
        * Vice President Biden to return to Illinois......
        * Endorsement for U.S. Senate: Dick Durbin...
        * Vice President Biden to return to Illinois......
        * Endorsement for U.S. Senate: Dick Durbin...

        * Officials continue push for funds to clean......
        * Online Marketplace for Sex Led Indiana Ser......

        * Dozen more days of anti-Quinn rhetoric
        * The True North Strong and Free...
        * The College Football Report: Jameis State
        * Chicagoetry: Sixteen Movies Ago
        * More Details About Decatur Classical School's Possible Move To Uptown
        * New poll numbers for Illinois congressional races
        * McKinney’s “Why I quit” gone from Facebook. But here it is.
        * Electing school boards.
        * Waukegan update. End the curfew.
        * Stand for Children PAC supports SB16, donates to both Dems and Republicans


        * TV Breaking News: Ethics blow for Pat Quinn
        * Federal judge deals Quinn ethics blow on IDOT patronage hiring
        * Rauner Statement on Federal Hiring Monitor at IDOT
        * Governor Quinn Announces Ebola Task Force - Group of Healthcare Experts to Advise State on Ebola Response Efforts
        * New TV Ad: Endorsed




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