When waiting lists act like policy tools A waiting list is not a queue that eventually empties. On an HCBS waiver, it is a rationing mechanism, sized by legislative appropriation,...
The Transition Crisis in Numbers: What the Data Actually Shows Roughly fifty thousand autistic young people turn 18 every year in the United States. The research tracking what happens to...
What Maine’s billion dollar hole teaches Michigan Community based support costs roughly a third of institutional care, generates more economic activity per dollar than most state spending, and is the...
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....
The trillion dollar workforce nobody pays Fifty nine million Americans provide 49.5 billion hours of unpaid care each year. AARP values it at $1.01 trillion. That is more than every...
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...
Evaluating Providers and Avoiding Snake Oil: A Skeptic’s Guide for Autism Families An entire industry of questionable providers targets families precisely because the legitimate service system is so inadequate. Knowing...
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...
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...
Dental Care for Autistic Adults: The Crisis Nobody Talks About A toothache doesn’t announce itself politely in an adult who can’t easily say where it hurts. It shows up as...
