Tradeoffs

One Doctor’s Quest to Improve Health Care for People with Disabilities

5 snips
Mar 6, 2025
Clarissa Kripke, a Clinical Professor and advocate for healthcare improvements for individuals with disabilities, joins Senior Producer Leslie Walker to discuss critical healthcare reform. They delve into the systemic challenges faced by adults with intellectual disabilities, emphasizing the need for personalized care and innovative solutions. The conversation highlights the inspiring CART model, which integrates clinical services and advocacy, fostering independence for individuals like Kevin Carlson. Together, they address disparities in service access and the urgent call for change in the healthcare landscape.
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ANECDOTE

Paula's Story

  • Clarissa Kripke shares the story of Paula, a patient with diabetes and an intellectual disability.
  • Paula's behavioral issues led to institutionalization and a decline in health, highlighting systemic healthcare failures.
INSIGHT

Healthcare System Struggles

  • Despite Olmstead ruling's progress, healthcare still struggles to meet the needs of adults with intellectual and developmental disabilities.
  • Many experience disrespect, overmedication, misdiagnosis, and lack of preventative care, despite significant Medicaid spending.
ADVICE

Transforming Healthcare Practices

  • Ditch short appointments and cramped exam rooms.
  • Conduct home visits to better understand patients' needs and ask relevant questions.
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