Life Support Is Failing: The Medicaid Crisis Already Affects Everyone You Know

May 14, 2025By Samantha Harrison

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a neon sign that says houston we have a rocket on it

šŸ†˜ 15,000+ Kentuckians with disabilities are on a waitlist for critical life support services.

The news says Medicaid cuts are about ā€œsaving money.ā€

But here’s what that actually looks like:

A teenager with autism loses their caregiver overnight. Now, mom can’t go to work.

A 74-year-old man with paralysis sits in his apartment for 12 hours with no help to use the bathroom and develops bed sores costing šŸ’µTHOUSANDS šŸ’µin medical bills. 

A young adult with a developmental disability is placed in a nursing home—costing šŸ’°MILLIONSšŸ’° more over their lifetime than if they were supported in their own home.


šŸ’ø THOUSANDS in avoidable ER visits.
šŸ’° MILLIONS wasted on crisis care.

That’s the real cost.


It doesn’t save money. It shifts the financial burden of care services, takes people out of the workforce, and increases the healtcare costs. 

Portrait of father and psychomotor Intellectual disability daughter sitting on the sofa at home


What’s Being Lost Isn’t Luxury. It’s the Basics.


Right now in Kentucky, more than 15,000 people are stuck on waitlists or have recently lost the services they need just to get through the day:

🚪 Getting out of bed

šŸ³ Preparing a meal

šŸ› Bathing or toileting

šŸ’Š Taking medications

🧹 Keeping their home safe and livable

šŸš— Making it to doctor appointments

šŸ›ļø Grocery shopping or managing money

Man and friend with disability around the university


What’s Really Happening Behind the Scenes:


šŸ§“ Nearly 4,000 seniors and adults with physical disabilities are waiting for home and community-based services, many living alone, without reliable care.

šŸ‘¶ Over 10,000 children and adults with intellectual and developmental disabilities (IDD) are on the waitlist, with an average wait time of 10 years.

šŸ  Around 4,000 adults with IDD need residential services, but most won’t qualify until a caregiver dies or there’s an emergency.

āš ļø Thousands of children with autism were placed on a waiver not designed for them and now they’re being cut off without warning, leaving families scrambling.

Female home carer supporting old woman to stand up from the sofa at care home


Think Medicaid Cuts Don’t Affect You? Think Again.

This isn’t just a disability issue. It’s already changing your world:

šŸ’¼ Your coworker quits because their child lost care.
šŸ•’ Your doctor, mechanic, or server is out indefinitely—caring for a parent.
šŸŖ Your favorite local shop reduces hours because they can’t keep staff.
🚫 The workforce shrinks. Businesses lose revenue.
šŸ§“ Your parent needs home care—but the waiver’s been cut.

These aren’t hypotheticals.  It’s happening everywhere.

Gentle touch of married couple hands, man with disability and his wife


What Families Are Facing Isn’t Sustainable

While the system delays, families are forced to carry full-time caregiving without:

🩺 Pay, training, or backup

🧾 Legal or case management support

šŸ” A stable team of caregivers

āŒ Notice when services disappear


The cost?

šŸ’ø Parents leave the workforce

šŸ’ø Siblings drain savings

šŸ’ø Emergency room visits replace early supports

šŸ’ø Families spend more, earn less, and burn out faster

And when families are pushed to the edge, everyone feels the impact—from workforce shortages to lost productivity to increased demand on emergency services.

ā€œSamantha helped me avoid pitfalls and consolidate the various parts of the waiver application into a complete package. She saved me lots of time by being so knowledgeable about the work itself and the process involved. The support we received was worth far more than our investment.ā€
 ā€” A Mother

Patient Knitting Lesson

The Waitlist Is Long—But the Real Wait Is for a Crisis


Most families think, ā€œOnce something serious happens, we’ll get help.ā€
But that’s not how this works.

Crises happen every day:

🚨 A parent has a stroke
🚨 A child is pulled from school
🚨 A caregiver quits with no notice
🚨 A family misses one paycheck—and it all unravels

Even then, they’re told: ā€œYou’re still on the waitlist.ā€

This isn’t a care system. It’s a delay system.
And delay? Costs more.



 The Waitlist Is Long—But the Real Wait Is for a Crisis

People assume that once something serious happens, then help arrives.
 But here’s the truth:

Crises happen every day:

  • A parent has a stroke
  • A caregiver quits with no notice
  • A child ends up in the ER after months without support
  • A young adult is removed from school because of short staffing
  • A family is one missed paycheck from collapse

And still—no help. Most programs don’t have an emergency fast track.

 Even in a crisis, families are told: ā€œYou’re still on the waitlist.ā€

This isn’t a system of care.  It’s a system of delay, crisis, and damage control.

And damage control? Costs more.

šŸ’ø The ambulance ride
šŸ’ø The ER visit
šŸ’ø The lost income
šŸ’ø The caregiver burnout
šŸ’ø The missed early intervention that becomes a lifelong need

Working together with disability.

How YOU can help. In just 30 seconds! 

The House just passed something called the One Big Beautiful Bill Act (H.R. 1). Yes—that’s its actual name. šŸ™„

This bill includes cuts that would gut Medicaid and disability services as we know them.

It’s now headed to the Senate. You can stop it.

šŸ“£ Contact your senator today and tell them: Do not pass H.R. 1.
šŸ‘‰ https://www.ancor.org/actions/preserve-i-dd-services-tell-congress-protect-medicaid/

Your voice matters—and it’s needed right now.

Cheerful young Down Syndrome waiter taking contactless smartphone payment from costumer in take away restaurant.

šŸ› ļø You Deserve a Better Way

If you’re in this—stuck, stretched, scared—you’re not alone.
Real help doesn’t mean more pamphlets. It means hands-on support.

Here’s what real help looks like:

āœ”ļø Know which waivers apply and how to apply
āœ”ļø Find out if your crisis qualifies for a fast track
āœ”ļø Learn how to recruit and keep reliable caregivers
āœ”ļø Get support with housing, benefits, and legal prep
āœ”ļø Create a system that works even if you can’t do it
āœ”ļø Get a partner—not a checklist


Adult Man Portrait with a Down Syndrome Photo Series


Get the Help You Deserve

This isn’t your fault. But it is your move.

If you’re ready for support that’s strategic, personalized, and built around what actually works. 

You don’t have to do it alone.

šŸ‘‰ Click here to take the first step.

Meet Samantha 


Samantha Harrison is a disability consultant with over 13 years of experience helping Kentucky families navigate Medicaid waivers, hire caregivers through Participant-Directed Services (PDS), and build care steams that actually work.

She’s on a mission to help families who are being left to manage complex systems alone—facing long waitlists, confusing rules, and impossible decisions without enough support. And with new Medicaid cuts looming, the stakes have never been higher.

Samantha offers hands-on, personalized support to help families get clear answers, take action, and create sustainable solutions—without getting lost in the red tape. If you’re ready for real help, you’re in the right place.

Connect with Samantha