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“First they came for the Socialists, and I did not speak out—

Because I was not a Socialist.

Then they came for the Trade Unionists, and I did not speak out—
Because I was not a Trade Unionist.

Then they came for the Jews, and I did not speak out—
Because I was not a Jew.

Then they came for me—and there was no one left to speak for me.”- Niemöller

Nothing scares me more than groupthink, “when a group values harmony and coherance over accurate analysis and critical evaluation” (Psychology Today).

This is a time of change – when changes are being proposed to health care, society, and even the very meaning of work.

It is essential that we keep our eyes open and read all of the fine print.  I just read the fine print for the Kentucky HEALTH §1115 demonstration waiver. I think it is a bunch of MALARCHY and hope that you will study it carefully at: http://chfs.ky.gov/kentuckyhealth. Please consider advocating by emailing your comments to kyhealth@ky.gov by Friday, July 22, 2016 at 5:00 p.m.

In case you need inspiration, here are my comments:

Dear Revision Committee for Kentucky HEALTH 1115 demonstration waiver,

I have been an occupational therapist for 4 years at Horn and Associates. I believe firmly in preventative care and nurturing a healthy Kentucky. I also enjoy seeing my clients make progress. I know that we are all on the same team in helping secure the future of Kentuckians.

I believe that the modifications to OT/PT/ST visits discussed in the 1115 waiver are very important and should not occur; if modifications do occur, they need to be carefully considered with the best interests of each client. I see many clients once a week. For some clients, it is essential to have weekly or even twice weekly therapy so that they do not regress on progress towards goals. I believe that the proposed 30 visits per year and the proposed deductibles will make it hard or financially impossible for some of my clients who need therapy to receive the therapy throughout the year that they need. I believe that withholding therapy from these clients will cost the state more in the end as these clients may have other costly medical expenses such as surgeries, equipment, etc. which could have been prevented with regular, more conservative therapy approaches.

Please do not set a 30 visit limit for OT/PT/ST. If a limit is considered, please consider a soft limit in which additional visits may be approved for those cases when therapy is needed weekly and when a therapist requests more consistent therapy. It should be a therapist not the state dictating how much therapy a particular client receives.

Thank you very much for your consideration.

Sincerely,
Kimberly Day, MS, OT R/L
Interdisciplinary Autism Certificate
Horn and Associates in Rehabilitation

I apologize for using my blog as my soap box!  I try to abstain from politics which in general makes me sick.  However, in this case I feel that this bill will seriously affect the world in a negative way if it is not revised ASAP.

Thanks for your consideration of advocating for this cause. If you don’t advocate for this, please advocate for something, whatever you belief in!  Yay critical thinking!  Yay democracy!