Long Term Certainties Slides – O’Brien

This document dives into the complexities of long-term care reforms within the Developmental Disabilities (DD) system, offering insights into the assumptions and certainties held by decision-makers. ​ It challenges the status quo, advocating for a deeper examination of these beliefs to foster meaningful reform. ​ Key topics include the concept of “choice” as a continuum of services, the dynamics of public expenditure, and the role of objective management in addressing biases within the system. ​ It explores the perceived advantages of larger corporate providers, such as economies of scale and simplified contracting, while emphasizing the need for careful control of individualized supports to distinguish between “wants” and “needs.” The document also highlights the importance of compliance with liability-minimizing procedures to protect individuals. ​ Readers will gain a thought-provoking perspective on the challenges and opportunities in creating a more effective and equitable DD system.