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May 23, 2011

Even with a tax increase, Illinois is broke, owes billions of dollars and needs

to make deep budget cuts. Practically everyone who depends on the state will

take a hit. There will be pain. By making smart cuts, however, the state can

avoid unnecessary pain.

Unfortunately, Gov. Pat Quinn has targeted some of Illinois' most vulnerable

citizens for his least sensible cuts.

Experts in the field calculate that in his proposed budget for 2012, Quinn

whacks $76.3 million from community services for the developmentally disabled:

That includes people with Down syndrome, cerebral palsy, autism and other

challenges. At the same time, Quinn directs $30 million in additional spending

to state institutions that serve far fewer residents at much higher costs. His

budget similarly favors institutional care for mental health over a

community-based approach. Along the way, he would forgo tens of millions in

federal matching dollars.

How wrongheaded can you get? For decades now, other states have moved away from

institutionalizing the developmentally disabled and mentally ill in

government-run facilities — with great success. Care is better, and costs far

lower. Indiana recently went in that direction, and the results have been

positive.

Illinois institutionalizes far more people than most states. While the estimates

vary, government-run facilities for the developmentally disabled cost as much as

$500 a day per resident. A community group home typically runs $135 a day, with

superior outcomes.

State legislators have pushed back on this issue. Sen. Steans,

D-Chicago, is among those who aim to reverse the direction of Quinn's budget by

cutting funding for state-run centers and boosting it for community providers.

" For many, many years, we've been behind on this, " she noted. Budget cuts

present an opportunity to bring Illinois up to 21st century standards.

Last fall, Quinn signed an astonishing agreement with the state's public labor

union that promised no layoffs and no facility shutdowns through mid-2012.

Quinn's reward: an immediate endorsement from the union for his re-election bid.

Governor, you made a bad promise you can't in good conscience keep. If you keep

it, it will be at the expense of Illinois' most vulnerable citizens.

It's appalling to think of the political calculus that went into slashing dental

care and home-based supports for the developmentally disabled while hiring

hundreds of new state employees and handing pay hikes to the rest. Talk about

skewed priorities.

Disability advocates say the state could save roughly $170 million by closing

four of its eight institutions. This needs to happen in a way that's least

disruptive for the patients at these institutions. But it needs to happen.

That agreement by the governor — he signed it alone. The House and Senate

members didn't sign it. They should agree on a budget that requires Illinois to

live within its means and that funds the most cost-effective services in the

state.

And governor, if you're tempted to twirl a veto pen to preserve your labor deal

— remember which citizens you'll harm.

Copyright © 2011, Chicago Tribune

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