This is what he said in response to my  message... see below.
Either contact him yourself or and tell me what to say.
I want to cry
----- Original Message ----- 
From: Ryan Silvey 
To: Anne Murphy 
Sent: Wednesday, March 21, 2012 10:56 AM
Subject: Re: cuts for the Blind/Medicaid


Dear Ms. Murphy,


Thank you for taking the time to contact me regarding this issue. Please know 
that this decision is not made lightly, nor is it meant to be in any way 
"mean-spirited."  I certainly don't hold any hostility toward anyone with a 
disability, blind or otherwise, and do not in any way minimize the struggles 
they deal with on a daily basis. 


I believe there are many misconceptions around this issue due to the 
oversimplified reporting of it and now the politicizing of this issue by the 
Governor and certain special interest groups.  According members of the 
Missouri Federation for the Blind that I have spoken with, approximately 1% of 
the population is totally blind. Missouri has over 6 million people, therefore 
there are approximately 60,000 totally blind individuals in the state of 
Missouri.  The program under discussion deals with approximately 2,800 of these 
individuals, or less than 5%, that have an income and whose income is too high 
for them to qualify for Medicaid. These 2,800 individuals are costing the 
taxpayers of the state of Missouri almost $30 Million per year.  


According to the statistics, over 57,000 blind individuals will not be affected 
at all by the elimination of this program and those that would be affected are, 
financially speaking, not the most vulnerable. In fact, according to federal 
guidelines, they don't even qualify as disabled for Social Security Disability 
Insurance, or SSDI.


We "means test" Medicaid programs for a reason. "Means testing" is placing 
income guidelines on a program to ensure that we are truly taking care of those 
individuals that have no other option. If someone is paraplegic and makes too 
much money to qualify for Medicaid, the state does not pay for their medical 
bills. Similarly, if someone is deaf, or autistic, or quadriplegic and their 
income exceeds the Medicaid requirements, the state does not pay for their 
medical bills. In fact, the only disability that receives this subsidy, 
regardless of their income, is blindness.


In addition to making an income and having the state pay for all of their 
medical bills, these individuals also receive a payment from the state of over 
$700 per month known as the Blind Pension. This is also unique in the 
disability community and will still continue if the proposed elimination of 
medical coverage goes forward. In other words, these individuals would make an 
income in excess of Medicaid requirements and have a $700 per month stipend 
from the state that could be used to help secure medical coverage from another 
source. 


Believe me, nobody likes to be the one recommending a decrease in services for 
anyone with a disability. However, given the current fiscal situation of the 
state facing a $500 Million deficit, and the Governor's continued 
recommendations for cuts in education, I am absolutely confident that if this 
program did not currently exist and someone proposed creating it, there is no 
way it would be created at this time. Due to the inequity of providing so much 
assistance for such a small percentage of one particular disability, to the 
exclusion of all other disabilities, and the enormous cost of about $30 Million 
annually, it is difficult to justify continuing this subsidy.  


Emotionally, we would all like to be able to provide more for those who are 
disabled. Realistically, I believe it is unsustainable to continue doing so for 
a population whose income exceeds the Medicaid eligibility for anyone else who 
is disabled.


While you may still continue to disagree with me, I hope you will at least be 
able to see that there are logical reasons behind the decision and not just 
"mean-spirited" efforts at cost cutting. 


Thanks again for contacting me with your views.


Ryan Silvey
State Representative
District 38
Chairman, House Budget Committee






On Mar 21, 2012, at 10:04 AM, Anne Murphy wrote:


  I am now 48 years old and began losing my vision at age 35 slowly. 
  I attended Rockhurst University as a sighted student and have many family and 
friends in the KC area.  I call KC my second home
  Your attempts to cut aid to the Blind/Medicaid is not thought of highly by my 
family and you will lose votes for this. 
  They know my struggles as a blind person and my expenses and health care 
expenses.
  I urge you to reconsider your opinion on this matter. 
  My KC family and friends will not vote for you again if you do not.
  Anne Murphy
  St. Louis, MO
_______________________________________________
ATI (Adaptive Technology Inc.)
A special interest affiliate of the Missouri Council of the Blind
http://moblind.org/membership/affiliates/adaptive_technology

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