The reckless out of control Repubs in the state house here have privatized Medicaid, and what it meant was cuts to services, especially respite for care givers of the sick and disabled, total lack of access to certain cares you want, or need, and the closing of many sheltered workshops across the state, leaving the MR population without a job to go to. The system has got so convoluted that even basic care givers don't know if it's coming from Medicare, or Medicaid, and where the two remain separate is beyond me. The disabled are fighting for their lives under Repubs, and you may see, very soon, a total revamp of the Americans with Disabilities Act, as so many threats come down the pike.