legal

State Policies May Send People with Disabilities to the Back of the Line for Ventilators

Vestavia Hills, Alabama, resident Matthew Foster, who has Down syndrome, holds a sign reading: "I am ventilator worthy! I want the right to live"
Vestavia Hills, Alabama, resident Matthew Foster, who has Down syndrome, worries he could be in the back of the line for a ventilator if he contracts severe COVID-19. Half of states have policies with the type of provisions that advocates say discriminate against people with disabilities. (Photo Courtesy of Susan Ellis)

By Liz Essley Whyte, Center for Public Integrity/The Daily Beast

An analysis by the Center for Public Integrity reveals that policies in at least 25 U.S. states have provisions that could de-prioritize health care for people with disabilities if cases of COVID-19 continue to ravage hospitals’ supplies.

Disability advocates have filed formal complaints in several states for their policies on who should get ventilators if hospitals run out. These policies take into account patients’ expected lifespan; need for resources, such as home oxygen; or specific diagnoses, such as dementia. Some policies even permit hospitals to take ventilators away from patients who use them as breathing aids in everyday life, and give the ventilators to other patients.

Twenty-five states have similar provisions in their rationing policies — and many other states either don’t have policies, or aren’t releasing them.

“There is a long history of people with disabilities being devalued by the medical system. That’s why we have civil rights laws,” said disability-rights activist Ari Ne’eman. “We don’t have an exception in our country’s civil rights laws for clinical judgment. We don’t take it on trust.”

Read the full article here: https://publicintegrity.org/health/coronavirus-and-inequality/state-policies-may-send-people-with-disabilities-to-the-back-of-the-line-for-ventilators/

From NCDJ Board Member Amy Silverman: People With Intellectual Disabilities May Be Denied Lifesaving Care Under These Plans as Coronavirus Spreads

A medical assistant and nurse check paperwork during a drive-up COVID-19 screening in Seattle on March 17. (Karen Ducey/Getty Images)
A medical assistant and nurse check paperwork during a drive-up COVID-19 screening in Seattle on March 17. (Karen Ducey/Getty Images)

By NCDJ board member Amy Silverman, for ProPublica/Arizona Daily Star

Advocates for people with intellectual disabilities are concerned that people with Down syndrome, cerebral palsy, autism and other such conditions will be denied access to lifesaving medical treatment as the COVID-19 outbreak spreads across the country.

As Silverman reports, several disability advocacy organizations filed complaints this week with the civil rights division of the U.S. Department of Health and Human Services, asking the federal government to clarify provisions of the disaster preparedness plans for the states of Washington and Alabama.

Some state plans — including Alabama’s — make clear that people with cognitive issues are a lower priority for lifesaving treatment. Alabama’s plan reads that “persons with severe mental retardation, advanced dementia or severe traumatic brain injury may be poor candidates for ventilator support.”

Read the full article here: https://www.propublica.org/article/people-with-intellectual-disabilities-may-be-denied-lifesaving-care-under-these-plans-as-coronavirus-spreads?fbclid=IwAR3p48098GDg_d5LwkvCEblZoPBfrFMcScTYVceoqRDy_Zh_RxnqA27gLg8

At Banks and Fund Firms, Access Is Too Often Denied, Blind and Deaf Investors Tell NYT

Despite the passage of the ADA and accessibility lawsuits filed against Wells Fargo, Morgan Stanley, and other prominent investment management services, people with disabilities encounter frustrating obstacles in the banking world. Inaccessible websites and other digital barriers impede the efforts of those with disabilities to do even the most mundane tasks, such as check an account balance or read credit statements at the end of the month.

Despite the passage of the ADA and accessibility lawsuits, people with disabilities encounter obstacles in the banking world. Inaccessible websites and other digital barriers impede the efforts of those with disabilities to manage even the most mundane tasks, like checking an account balance or reading a bank statement at the end of the month.
Inaccessible websites and other digital barriers impede the efforts of those with disabilities to manage even the most mundane banking tasks, like checking an account balance or reading a statement at the end of the month. [Image: a screenshot of the NYT article headline, portraying Michelle Gustafson photograph of Neil McDevitt, the executive director of the Deaf-Hearing Communication Center, at his desk.]
Albert Rizzi gave up on trying to manage his nest egg because as a blind person, he encountered digital barriers constantly. Many of the websites, mobile apps, PDFs and software programs he needed were not accessible. Sometimes, they just didn’t work.

So Mr. Rizzi, 55, the founder of My Blind Spot, an accessibility advocacy group in New York, filed a federal lawsuit in April 2018 against Morgan Stanley, the firm he uses to manage his personal retirement accounts.

Mr. Rizzi’s suit accused the bank of violating the Americans With Disabilities Act by “denying access to its websites to individuals with disabilities who are visually impaired” and who require screen-reader software to access digital content. Mr. Rizzi also cited the bank for not having an accessibility website or hotline. The case, which sought about $9 million in damages, was settled last summer, his lawyer, Lambros Lambrou, said.

In a separate case, Wells Fargo in 2011 settled an investigation by the Justice Department alleging ADA violations because the bank failed to accept what is known as video relay services, or video phone calls, from deaf customers. The settlement required the bank to pay $16 million to some account holders and remedy a variety of accessibility problems.

Click here to read Joshua Brockman’s article in the July 5, 2019 edition of the New York Times.

 

Olmstead decision turns 20

[Video courtesy of EquipforEquality / YouTube]

Twenty years have passed since the Olmstead decision by the Supreme Court, which found that people with disabilities have a right to receive services outside of institutions, and to be fully integrated in their communities.

Background

The 1999 Olmstead v. L.C. decision fundamentally changed the lives of Lois Curtis and Elaine Wilson, who had both been institutionalized and living in isolation for an extended period of time after they had been voluntarily admitted into a state-run psychiatric unit for treatment. Even after mental healthcare providers approved their release, Curtis and Wilson were, essentially, stuck in the institution.

The Case

In a first-of-its-kind use of the ADA–which was less than a decade old–Curtis and Wilson filed a lawsuit. The result was a landmark decision by the Supreme Court, which found that confining individuals “greatly diminishes the everyday life activities of individuals, including family relations, social contacts, work options, economic independence, educational advancement, and cultural enrichment.”

Olmstead Impact

Since the Olmstead decision in 1999, many people have been freed from institutions and have a legal right to live where they want to live.

Listen to Ruth Bader Ginsburg deliver the majority opinion for the court:

College admissions scandal hurts students with disabilities

A stock photo of SAT test scores. A score of 1600 is circled in red colored pencil.
A stock photo of SAT test scores. A score of 1600 is circled in red colored pencil.

Celebrities and wealthy parents involved in the college admissions bribery scheme which recently made headlines took advantage of testing accommodations meant for students with disabilities, federal authorities say. According to court documents, the parents were instructed to lie in order to secure extra time and a private room for their kids to take the SAT or ACT. The parents were told to falsely claim that their children had learning disabilities–and to obtain the necessary medical documentation for proof.

For students with learning disabilities, there is often a discrepancy between academic performance and their intelligence. Advocates for students with learning disabilities believe the scandal could make it harder for students with actual learning disabilities to get the test-taking accommodations they need.

You can read the NPR story about the scandal here.

Arizona Gov. Doug Ducey issues executive order to improve protections for people with disabilities

Page two of Gov. Ducey's Executive Order 2019-03, showing his signature and the Arizona state seal
Page two of Gov. Ducey’s Executive Order 2019-03, showing his signature and the Arizona state seal. (Image: azgovernor.gov)

Arizona Gov. Doug Ducey is ordering three state agencies to do a better job protecting Arizona’s most vulnerable residents. The executive order he issued on Wednesday comes one week after the Arizona Developmental Disabilities Planning Council issued a report calling for the state to implement stronger protections for its residents with disabilities.

Some say the governor’s executive order is a good “first step,” but more work is needed to create policies that adequately protect Arizonans with disabilities who reside in long-term care facilities.

Read more on azcentral.com, or click here to access a PDF of the news story.

Domino’s Website Required to Comply With ADA Accessibility Rules

A close up photo of the Domino's Pizza app interface.
A photo of the Domino’s app interface on a smartphone. There’s a lack of clarity about how the ADA applies to the modern internet.

On January 15, 2019, the U.S. Court of Appeals for the Ninth Circuit ruled that the Domino’s Pizza website and mobile app must comply with the Americans with Disabilities Act (ADA) and be made fully accessible to people with visual impairments. The court reasoned that the ADA applies to Domino’s digital properties because their inaccessibility “impedes access to goods and services of its physical pizza franchises—which are places of public accommodation.”

A blind customer first sued the pizza chain in 2016, saying he couldn’t order a pizza through its website or app, since neither were compatible with standard screen reading software. And while the legal landscape regarding online accessibility is still uncertain, the Domino’s case may set an important legal precedent regarding the scope of the ADA.

Read more about the case here, or click here to download a PDF of the ruling.

New law requires airlines to disclose how many wheelchairs they break

wheelchair at airport

Beginning in January 2019, airline passengers can search the U.S. Department of Transportation website to determine an airlines’ track record of handling wheelchairs and other mobility devices. A new law sponsored by U.S. Sen. Tammy Duckworth, D-Ill., requires air carriers to be more transparent, obliging them to provide monthly reports that are publicly accessible and which detail the number of wheelchairs, checked bags, and motorized scooters lost, broke, or mishandled during flights.

The law was actually passed two years ago, but the Department of Transportation delayed its implementation until Duckworth–a veteran and wheelchair user herself–urged U.S. Secretary of Transportation Elaine Chao to force airlines to make the data — which they already collect each month — available to the public.

Click here to access the article on the Chicago Tribune’s website.

Class-Action Lawsuit Claims Stanford University Forces Suicidal Students to Leave School

According to an article published in the New York Times on August 28, the lawsuit accuses Stanford of “discriminating against students with mental health issues by coercing them into taking leaves of absences.” The lawsuit is the latest in a series of legal cases challenging mental health leave policies at schools like Princeton, George Washington University, Quinnipiac, and Hunter College. Read the New York Times story by Anemona Hartocollis here.

College Mental Health
By Colby Mariam – Own work, CC BY-SA 4.0, Wikimedia Commons