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    Trump Cuts Threaten Meals and Services for People With Disabilities and the Aging

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    Every Monday, Maurine Gentis, a retired teacher, waits for a delivery from Meals on Wheels South Texas.“The meals help stretch my budget,” Ms. Gentis, 77, said. Living alone and in a wheelchair, she appreciates having someone look in on her regularly. The same group, a nonprofit, delivers books from the library and dry food for her cat.But Ms. Gentis is anxious about what lies ahead. The small government agency responsible for overseeing programs like Meals on Wheels is being dismantled as part of the Trump administration’s overhaul of the U.S. Department of Health and Human Services. Roughly half its staff has been let go in recent layoffs and all of its 10 regional offices are closed, according to several employees who lost their jobs.“I’m just kind of worried that the whole thing might go down the drain, too,” Ms. Gentis said.In President Trump ’s quest to end what he termed “illegal and immoral discrimination programs,” one of his executive orders promoted cracking down on federal efforts to improve accessibility and representation for those with disabilities, with agencies flagging words like “accessible” and “disability” as potentially problematic. Certain research studies are no longer being funded, and many government health employees specializing in disability issues have been fired.The downsizing of the agency, the Administration for Community Living, is part of far-reaching cuts planned at the H.H.S. under the Trump administration’s proposed budget.While some federal funding may continue through September, the end of the government’s fiscal year, and some workers have been called back temporarily, there is significant uncertainty about the future. And some groups are reporting delays in receiving expected federal funds.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Amadou Bagayoko, Half of Malian Duo Who Went Global, Dies at 70

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      As Amadou & Mariam, he and his wife were improbable pop stars on two counts. Their style was venturesome and eclectic, and they were blind virtuosos.Amadou Bagayoko, a Malian guitarist and composer who with his wife, the singer Mariam Doumbia, formed Amadou & Mariam, inventing a broadly accessible sound that made fans of people worldwide who otherwise knew little about music from Africa, died on Friday in Bamako, Mali’s capital. He was 70.His death was announced by the Malian government, which did not provide a cause. He and Ms. Doumbia lived in Bamako.In the late 2000s and early 2010s, Amadou & Mariam was regularly described as the new century’s most successful African musical act.Mr. Bagayoko, who grew up listening to Led Zeppelin and Pink Floyd, called their sound “Afro-rock,” and the group regularly combined his winding guitar solos with, for example, the pounding of a West African djembe drum.Yet the group’s music also consistently evolved. Their breakout hit, the 2005 album “Dimanche à Bamako,” had chatty spoken asides, sirens, the hubbub of crowds — city sounds turned into melodies. Their 2008 album “Welcome to Mali,” conversely, embraced an electronic style of funk, opening with a song, “Sabali,” featuring Damon Albarn of the arty hip-hop group Gorillaz.What was consistent was a sweet, graceful sound that still had the power to build to crescendos, with Ms. Doumbia’s alto achieving clear, pleasant resonance over a rich orchestration.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      UK Aims to Cut Billions in Welfare Amid Budget Crunch

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      Changing disability allowances is a particularly contentious move within Prime Minister Keir Starmer’s center-left Labour Party.Britain’s center-left government outlined plans on Tuesday to curb spiraling welfare costs as it attempts to juggle a difficult set of competing objectives: saving public money, incentivizing work and protecting the most vulnerable.The announcement follows weeks of tense internal debate within the governing Labour Party, led by Prime Minister Keir Starmer, about how to cut Britain’s spending on welfare, which has risen sharply since the Covid-19 pandemic.“The status quo is unacceptable but it is not inevitable,” Liz Kendall, the work and pensions secretary, said in Parliament, promising “decisive action” to get those who can work into employment, protect those who cannot, and save five billion pounds (about $6.5 billion) by 2030.For Labour, a party that sees itself as the creator and guardian of Britain’s post-World War II welfare state, cutting support for some of the most vulnerable in society is especially contentious.But Britain, with a total population of about 68 million, now has more than 9.3 million people of working age across England, Scotland and Wales who are not employed, a rise of 713,000 since 2020. Of those, 2.8 million receive long-term sickness payments or related welfare, according to the government, which expects the number to grow to more than four million if nothing is done. The government spent £65 billion on sickness payments last year.Facing mounting pressure to increase military spending, at a time when public services including the health system are badly underfunded, and economic growth is sluggish, Britain’s Treasury is searching for cuts to public programs.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Trump’s USAID Cuts Halt Agent Orange Victims Program in Vietnam

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      Nearly 40 years after she was born with a malformed spine and misshapen limbs — most likely because her father was exposed to Agent Orange, the toxic chemical that the American military used during the Vietnam War — Nguyen Thi Ngoc Diem finally got some help from the United States.A project funded by U.S.A.I.D. gave her graphic design training in 2022 and helped her land a job. Even when the company closed a few months ago, she stayed hopeful: The same program for Agent Orange victims was due to deliver a new computer, or a small loan.I was the first to tell her that the support may never come; that President Trump had frozen U.S.A.I.D. funding and planned to fire nearly everyone associated with the humanitarian agency.“It makes no sense,” Ms. Diem told me, her tiny body curled into a wheelchair, below a crucifix on the wall. “Agent Orange came from the U.S. — it was used here, and that makes us victims,” she said. “A little support for people like us means a lot, but at the same time, it’s the U.S.’s responsibility.”Ms. Diem had been expecting a small U.S. loan to help her buy a more modern computer for her graphic design work.Linh Pham for The New York TimesMs. Diem uses a computer from 2011. It often freezes and shuts down unexpectedly.Linh Pham for The New York TimesWe are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Special Education Services With a Catch: Parents Are Asked Not to Sue

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      New York City school officials want families seeking such services to waive their right to sue the Education Department in exchange for receiving them. New York City parents who missed a rarely enforced deadline to apply for their children’s special education services can now receive those services, but only if they agree not to sue the Education Department.The requirement affects about 3,500 families whose children attend private or religious schools or are home-schooled and receive resources such as teacher aides who attend class with them, speech therapy and occupational therapy.About 17,000 families successfully filed to participate in the system this year by the June 1 deadline, which had not been enforced in previous years. The families who missed the cutoff were left in limbo.Because they missed the deadline, their children have not gotten the services so far this school year. The waiver, which the Education Department sent to affected parents on Thursday, would provide the families expedited services in about three days, said Nicole Brownstein, a spokeswoman for the city Education Department.But one lawyer who specializes in education issues described the waiver as “highly problematic” because of its vague wording, and another said such a pre-emptive move was extremely unusual. City Council members learned about the new waiver program during a briefing on Thursday.“I think it’s outrageous,” said Councilman Keith Powers, who attended the meeting with the Education Department. He added, “It feels wrong, and the whole process has been a mess from the very beginning.”We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Daniel Romanchuk’s Pre-Marathon Routine Includes Sandpaper

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      Many of the 50,000 entrants in the New York City Marathon have pre-race routines — carbo-loading, plenty of liquids and so on — but only a few of these routines include wrenches, Allen keys and sandpaper.Daniel Romanchuk checks the contents of his utility pouch in Central Park ahead of the NYC Marathon, Manhattan, 2024.Clark Hodgin for The New York TimesThose are just a few of the tools that the 40 or so professional wheelchair racers rely on to prepare for New York’s hilly and rough roads.Before every race, they tighten the various nuts and bolts on their chairs to make sure nothing rattles lose on the city’s streets and bridges. Tires are doubled checked to ensure they are properly inflated. Adhesives are applied to customized racing gloves.Clark Hodgin for The New York Times“I have a nice long list of everything I need,” said Daniel Romanchuk, who became in 2018 the first American and youngest athlete ever to win the men’s wheelchair division in New York. “I travel with every tool that I could possibly need.”Clark Hodgin for The New York TimesClark Hodgin for The New York TimesUnlike at the Olympics, where there are fix-it shops to help Paralympians in a pinch, there is no dedicated wheelchair repair shop at the New York City Marathon. But by necessity, the racers and their coaches have an intimate knowledge of their wheelchairs and come prepared with an array of tools to allow them to make fixes on the fly.Clark Hodgin for The New York TimesIn addition to wrenches and screwdrivers, racers pay close attention to their tires, making sure they are ready for New York’s potholes and bridges. The organizers provide cans of pressurized CO2 because racers cannot bring them on planes when they travel to New York. Mr. Romanchuk recently switched to tubeless tires, but other racers carry sealant to repair any punctures.Clark Hodgin for The New York TimesRacers also apply adhesive to their gloves, but there is a balance between adding too much and too little, especially if it rains and grips become slippery.Clark Hodgin for The New York Times“I did that in one race when I was expecting it to rain a lot and it barely did, and my glove would stick to the wheel,” Mr. Romanchuk said.The night before the race, officials meet in the athletes’ hotel to inspect every chair to ensure it meets race standards for things like wheel size.Clark Hodgin for The New York TimesRomanchuk inspects the bottom of his racing bikeClark Hodgin for The New York TimesClark Hodgin for The New York TimesThe next morning, the chairs are brought to the hotel lobby and loaded onto trucks and taken to start line. The racers then travel by bus to Staten Island, where they do their final preparations, including packing a few essential tools like an Allen key and small CO2 can to carry during the race.Daniel Romanchuk poses for a photo for his mother at the finish line on Friday before the race.Clark Hodgin for The New York Times More

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      Doctors, A.I. and Empathy for Patients

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      More from our inbox:Breast Cancer ScreeningWalz’s MisstepsMental Health Support for SchoolchildrenTo the Editor:Re “ChatGPT’s Bedside Manner Is Better Than Mine,” by Jonathan Reisman (Opinion guest essay, Oct. 9):Dr. Reisman notes that ChatGPT’s answers to patient questions have been rated as more empathetic than those written by actual doctors. This should not be a call for doctors to surrender our human role to A.I. To the contrary, we need to continue to improve our communication skills.For the past 25 years, I have been facilitating seminars in doctor-patient communication. The skills to communicate bad news listed by Dr. Reisman are exactly the techniques that we suggest to our medical students. However, doctors can avoid the temptation to surrender their “humanity to a script” as if it were “just another day at work.”Techniques are a valuable guide, but the real work consists of carefully listening to the responses and their emotional content, and crafting new words and phrases that speak to the unique patient’s confusion, fear and distress.In my experience, patients know when we are reciting a script, and when we are paying attention to their thoughts and feelings. Unlike A.I., and especially when conversations are matters of life and death, we can reach into the depths of our humanity to feel and communicate empathy and compassion toward our patients.Neil S. ProseDurham, N.C.To the Editor:Mention the words “A.I.” and “doctoring” to most physicians in the same sentence, and the immediate reaction is often skepticism or fear.As Dr. Jonathan Reisman noted in his essay, A.I. has shown a remarkable ability to mimic human empathy in encounters with patients. This is one reason many practicing physicians worry that A.I. may replace doctors eventually.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      School Absences Rise as Special Education Fails Students, Suit Says

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      A class-action lawsuit argues that the New York City school system falls short in helping students with emotional disabilities, leaving them to miss too many school days.New York City “regularly fails” to provide special education services to students with disabilities, leading to chronic absences, according to a class-action lawsuit filed Tuesday by the Legal Aid Society.The suit seeks to confront a pervasive problem in the city’s school system, the nation’s largest. Tens of thousands of children may struggle to attend class because of anxiety, clinical depression and other emotional disabilities, the suit says. These students have the right — enshrined in federal law — to have their needs accommodated by their public schools.But the city’s Education Department “has a pattern and practice” of falling short in providing evaluations, support services and robust plans to help these children attend class, according to the complaint. This failure results in a “systematic, wholesale denial of access to education,” the suit argues.H.B., a 16-year-old sophomore who is identified by his initials in the lawsuit to protect his privacy, says his anxiety makes it feel like he is watching his classes on “a really old TV” with the signal going in and out.When he was in sixth grade, his mother sought a special education plan — a legal document that outlines the support services and other accommodations to which a student is entitled. But it took almost the entire school year for him to receive one, the suit says.In the meantime, administrators at his middle school told him that if he needed to leave class to collect himself, he could sit with the guidance counselor. The counselor later reported his mother to child services for neglect, in a case that was eventually dismissed.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Ford and Mellon Foundations Name 2024 Disability Futures Fellows

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      The 20 recipients, including a Broadway composer, a Marvel video game voice actress and a three-time Pushcart Prize-nominated poet, are the initiative’s final cohort.The Ford and Andrew W. Mellon Foundations on Wednesday named the 2024 Disability Futures Fellows — the latest class of disabled writers, filmmakers, musicians and other creative artists who will receive unrestricted $50,000 awards.This year’s recipients include Gaelynn Lea, a folk artist and disability rights activist; Natasha Ofili, an actress and writer who in 2020 became one of the first Black deaf actors to portray a video game character — Hailey Cooper — in Marvel’s Spider-Man: Miles Morales; Warren Snipe, a.k.a. Wawa, a deaf rapper and actor who performed in sign language at the 2022 Super Bowl; and Kay Ulanday Barrett, a three-time Pushcart Prize-nominated poet and essayist whose work focuses on queer, transgender people of color.Lea said she almost missed an email telling her she got the award. “Because the email said, ‘We’re excited to offer you $50,000,’ it went to my spam,” Lea, 40, said in an interview. (She later received a follow-up email.)“It’s very validating that I’m doing this stuff I really care about, and now it’s being recognized,” added Lea, who won NPR Music’s Tiny Desk Contest in 2016, and composed and performed original music for a Broadway production of “Macbeth” starring Daniel Craig and Ruth Negga. Lea plans to use the award to fund the writing of a memoir to be published next year.The initiative, which is administered by United States Artists, named its inaugural class of fellows in 2020, with the goal of increasing the visibility of disabled artists and elevating their voices. (About one in four adults in the United States has a disability, according to the Centers for Disease Control and Prevention.) The second class was announced in 2022, and this is the last cohort in the program. The fellowship supports people at all stages of their careers.Elizabeth Alexander, the president of the Mellon Foundation, said in a statement that the program reflected the foundation’s support of the “work, experiences and visions of disabled artists — both in their individual practices and in the collective power they wield in the arts at large.”We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More