The Number That Explains Everything: Half the Workforce Caring for Our Kids Is on Public AssistanceForty nine percent of direct care workers rely on public assistance. The median wage is...
9.7 Million Direct Care Job Openings by 2034. The Government Still Has No Code for the Job.The Bureau of Labor Statistics has no occupational classification for direct support professionals. They...
96% of the Money That Keeps People Home Is Optional. Most of the Money That Institutionalizes Them Is Not.Federal Medicaid law makes nursing facility care mandatory and home and community...
63 Months: The Average Wait for Autism Services Through Medicaid WaiversMore than five years. That is the national average wait for an autism-specific Medicaid waiver, against 37 months for intellectual...
52% of Providers Are Considering More Cuts: Inside the Provider CollapseANCOR surveyed 469 provider organizations across 48 states in 2025. More than half are considering further program cuts, up from...
Profound autism: why 1 in 4 autistic people need a different policy conversation The Lancet Commission drew a line: eight or older, needing 24-hour access to an adult caregiver, with...
Customized employment: is it a real option for your high-support-needs adult? It is promoted specifically for people most affected by disability. A 2023 review found eighteen studies and zero randomized...
Employment First is failing Level 3 adults, and nobody’s tracking the outcomes Thirty-one states passed Employment First legislation. The national competitive integrated employment rate for people served by state disability...
The Drexel study: 99% of autistic adults are not receiving public employment services Researchers matched nine years of Medicaid and Vocational Rehabilitation records against the population that needed help working....








