NY State Dept. of Health’s manipulation and deceit

Manipulative and deceitful behavior by New York State Department of Health officials Mark Kissinger and David Hoffman will help you understand why the Center for Public Integrity recently gave New York a D-minus in a recent ranking of states and corruption.

I’ll get to the above referenced behavior in just a second. First, some background.

Governor Cuomo’s DOH seems determined to destroy the lives of thousands by ending the state’s Traumatic Brain Injury Waiver – established by the governor’s father, Mario Cuomo – and the Nursing Home Transition and Diversion Waiver by forcing waiver recipients into managed care.

Waivers provide services that both allow residents to remain in or return to the community as well as grow their independence as much as they can.

Now, Hoffman and Kissinger have been hosting a series of workshops they say are designed to make the transition run smoothly.  With only a few exceptions, the DOH workshop membership largely made of those who, whether they’ll admit it on the record or not,  are all for the DOH’s brutal transition plan.

That waiver recipients and their families and along with honest waiver providers have made it clear the waivers need to be protected has, so far, had little effect. That nearly all the witnesses at a an October 8 public hearing hosted by the Assembly Health Committee, Mental Health & Developmental Disability Committee, and Task Force on People with Disabilities warned the state’s plan would have catastrophic results, has not dissuaded the governor, or the DOH, or the many pawns in the DOH work group in the least.

Manipulation and deceit

I recently attended one of the DOH work group meetings. They are public meetings and members of the public, like me, can attend. When the public was asked to comment, some of us did.  A couple of weeks ago I sent Kissinger an email asking him to please send me a listing of who was on the DOH Workgroup. He forwarded the request to Hoffman, and then, Hoffman emailed me the list.

To my surprise, I and other members of the public were listed as members of the work group! Wrong. I emailed Hoffman and asked him of the mistake, pointing out that you can’t list members of the public as being members of the work group because it’s not true. And, they did it without asking permission.

I figured Hoffman (the DOH) would recognize the mistake and correct it. Wrong again.

When Hoffman responded he wrote. “Everyone in attendance is welcome to participate in comments and questions (as you saw) and so are included in the listing.” In other words, if you are a member of the public, and during the public comment portion of the agenda, say something, we’re going to list you as a member of the work group and we are going to do it without your permission.

Subsequent emails to Hoffman and Kissinger asking them to stop this deceit have resulted in a response the DOH has honed to perfection. Silence.

Now that I think of it, the Center for Public Integrity was generous when it gave New York a D-minus. Hell, I think giving  New York an F would be generous.

 

 

 

 

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If you’re going to lie to me….

I don’t ask for much in life other than respect, so, if you are going to disrespect me by lying  to me, the least you can do is make an effort to make it a good, show a little creativity for God’s sake.

I’ve decided to rummage around in my mind and, perhaps the minds of others, to develop some fun, at least for me, responses to people who lie to me so brazenly and obviously I don’t know whether to burst out laughing and ask them if they’re joking or simply stupid enough to think I believe them, or smack them upside their “head” with a verbal dagger that says, we both know you’re lying and you’re such a self-absorbed little twit you’re going to stand by your stench-rubbish anyway.

Anyone who knows me knows I have no ability to be silent when someone’s rights are being denied. I don’t care of it’s people with disabilities, people who are Jewish, African American, Latino, Muslim, veterans, members of the LGBT community, women, etc., etc., I’m not about to stay silent. People who know me also know it is very likely, particularly of you are a public official or someone in a position of authority, that I am going to expose your bigotry for all to see. 

All that aside, let me say there is a special place in hell for people whose claim to care about the rights of others is nothing more than lip-service smoke screens. A form of dishonesty so glaringly obvious I want to grab them by the throat and say, “Why not grow some backbone and say out loud that you don’t give a rat’s ass about these people and you just care about money and power?” 

What’s somewhat amusing is the feigned indignity performances I get to see when I call someone out for lying, for being a hypocrite. They put so much effort into their performance (without exception they’re lousy actors) I’m surprised they don’t snort and dribble out of the corner of their mouths, go into convulsions, and start speaking in tongues. Some feign astonishment to such I degree I expect them to allow their simian roots to take over and start pounding their chest.

Many of the lies I see these days  come from those who claim they are committed to protecting the rights of New York residents who live with brain injury disabilities. Since their commitment is limited to the effort it takes to say they are committed, the least they could do is make a commitment to develop their lying skills. I’ll probably catch them anyway, but at least catching them might pose a sliver of a challenge. However, exposing them will not.

So, here’s the thing, if you’re going to lie to me, make an effort, or give us both a break and shut up.

A coward named Cuomo

Whether you liked him as the governor of New York or not, only a fool would doubt the courage of Mario Cuomo. He stood fast in his opposition to the death penalty (I oppose it too) even when he knew many disagreed.  He was courageous man. Not so his son, the current governor of New York, Andrew Cuomo. All I know makes it clear to me he is a coward and, if you permit me a redundancy, a wimp.

Numerous sources tell me about the bullying he likes to do behind the scenes. Bullies are cowards. Able to act all tough and strong when there is no one to challenge them. Leave it to Cuomo  to run around New York playing like he’s John Wayne when inmates David Sweat and Richard Matt escaped. Notice Cuomo was always surrounded by state police. Easy to play tough guy when you have some real-life armed toughs as your escort.

And now, Cuomo has his Department of Health on the brink of pulverizing the lives of New Yorkers with brain injuries and the business stability of those who provide services to them under the state’s Traumatic Brain Injury Waiver Program. A waiver is a Medicaid reimbursement program that provide services so a vulnerable part of the population can live in the community or return to community life. It’s been in this state for 21 years now.  And under whose watch did it come to be?  Mario Cuomo’s, the Cuomo with the courage and integrity and compassion for others. Andrew’s DOH wants to shove the waiver into a form of managed care that will destroy the lives of New Yorkers with brain injuries, remove their housing subsidies, and get rid of their case managers. 

In other words, the son wants to destroy something great built by his father.

The reason? Well, one of Cuomo’s flunkies, DOH Official Mark Kissinger says, managed care is the way of the future.  Well, if the goal is to destroy lives and rob people of their independence, I suppose he’s right. Kissinger admits he has no formal training in the brain and the DOH admits no one on its staff addressing the needs of New Yorkers with brain injuries have any formal training in the brain either.

Another of Cuomo’s flunkies is yet another coward, a DOH official named Maribeth “Knuckles” Gnozzio.   Knuckles only escaped federal prosecution thanks to a plea deal her husband, New Jersey’s former Hudson  County executive and now convicted felon, Robert Janiszewski, cut with the feds. Media reports say the aforementioned Knuckles Gnozzio was spared charges as a result of Janiszewski’s agreement with the FBI. Too bad.  According to the Hudson Reporter, “Election records from 2001 show that the entire time that former Hudson County Executive Robert Janiszewski was working for the federal government, he was apparently directing campaign funds to a private campaign account” kept in the Knuckles’ name.

When this writer brought these details to the attention of Cuomo’s DOH, Knuckles was a contract employee. And how did Cuomo respond? As soon as Knuckles’ contract ran her made her a DOH staff member.  You have to have others do your dirty work when you’re a coward, and cowards like Knuckles fit the bill.

Several sources who were present say that during an October 6 DOH meeting about the state’s plan to knowingly destroy the lives of brain injury survivors,Knuckles said if people with brain injuries who were on the waiver were put on psychotropics they wouldn’t need waiver services.  At least the DOH’s support of chemical restraints is out in the open.

I’ve sent several emails asking the DOH to answer some questions, including an email to Knuckles asking her to explain her comments about drugging up waiver participants. And guess what? They refuse to respond. Why? Because they are cowards.

If any of you are wondering if this missive is meant, in part, to get a coward named Cuomo to step into the open with me, you bet. Do I think he will? No. He’s a coward. However, I’d be only too delighted to find out he found some unused courage sitting around one of his dresser drawers, under his socks maybe. Then we would meet in a public forum. Just the two of us, Andrew, no armed escorts, no Knuckles.

With their hearts on my mind

I will be testifying today at a public hearing being held by members of the New York State Assembly about Governor Andrew Cuomo’s plan to demolish the lives of New Yorkers with brain injuries by moving them into managed care and annihilating the services they need and deserve to protect their independence – and keep their homes.

I’ve got plenty of motivation. In addition to my own brain injury, I live with a bullet lodged in my brain as a result of being held up and shot in the head, I know hundreds of New Yorkers with brain injuries. Incredible individuals who only ask for respect, and respect includes access to the care they deserve and the independence they have a right to keep.

  • I know a young man who suffered his brain injury in a car accident; he witnessed the decapitation of two of his friends during the accident.
  • I know a woman who one winter day was walking through a park with her husband pulling her two toddlers on a sled. A drunk snowmobile driver crashed into them. When this woman came out of a coma she learned she would never again move from the neck down, and she learned that both her children had died in the accident.
  • I know a brave woman who is a wheelchair user as a result of her brain injury, an injury caused by meningitis caused by a mosquito bite.
  • I know five good men who, like me, suffered their brain injuries from being shot in the head.

That’s just a sampling of the many survivors of brain injuries I know. I can barely see through the tears now as I think about them all, and contemplate the suffering  the Cuomo administration wants to inflict on them. I will testify today with the hearts of thousands on my mind. Not at all incidentally, the very people in Cuomo’s Department of Health who devised this plan openly acknowledge they know nothing about the brain or brain injury.

Now, there are some truly good people in the New York State legislature.  I’ve met them. I even believe in them.  I know too that to do the right thing for New Yorkers with brain injuries they will have to stand up to some intense opposition from a governor who many say is something of a bully.

I do not fear bullies. Not even a little.

I believe members of the state’s legislature have it in them to stand up and do the right thing. Consider the document below. It is the triage assessment of me the morning I got shot. The circled area says, in part, Patient walked into the ER accompanied by the police. Profuse bleeding from head wound. It was five in the morning when I got shot. When I regained consciousness, there was no one around. I got back to me feet and got myself help. So, if I can stand up and get myself help after being shot in the head at point blank range, I have no doubt members of the NY State Legislature have the capacity to stand up and do the right thing for New Yorkers with brain injuries. The question is, will they?

KAHRMANN 3

Exposing the salaries of NY State Dept. of Health officials

In a recent advocacy-email to  individuals involved with New Yorkers with brain injuries, I revealed the annual salary of a New York State Deputy Dept. of Health Commissioner Mark Kissinger.  A few people whose opinions I deeply respect and value called into question my decision to reveal Kissinger’s salary. As a result, I’ve given the matter a great deal of thought.

After doing so I arrived again at the belief that exposing his salary and the salary of others is not only the right thing to do, it is the just thing to do.

It would be a mistake to conclude my decision to reveal Kissinger’s salary was a kneejerk impulse on my part. It wasn’t. The genesis of the decision, and the continued foundation of the decision can be found by looking at one simple fact. The salaries of state employees are available to the public because they are being paid to serve the public. A visit to the website for the New York State Committee on Open Government reveals that nearly all records are available to the the public – including salaries. Therefore, the following line of reasoning holds no water for me. Salaries are available to the public but one is being unfair or unjust if they actually inform the public. 

I think New Yorkers have a right to know what their  state employees being paid. I think their right to know, and the importance of them knowing, goes up notch when, as in this case, th state employees are preparing – with what a reasonable person would believe is Governor Andrew Cuomo’s blessing – to demolish the lives of thousand of New Yorkers on the state’s Traumatic Brain Injury Waiver, and  put some of those trying to provide needed services to these men and women out of business for good measure.

The  NYSDOH has drafted a plan (without the input of stakeholders, including neurologists and neuropsychologists and without referencing a single study regarding traumatic brain injury, to transfer thousands of New Yorkers with brain injuries into managed care) that will not include the very services these individuals need and quire frankly deserve to remain in the community.

As a native New Yorker, I want to know how much money you’re getting paid to wreck the lives of thousand of my New Yorkers.

I do very much understand the concern of a few close to me over my decision to reveal Kissinger’s salary. They’re not comfortable with it, in many respects because each of them is a decent, caring, sensitive-to-others person.  I am very fortunate to have people like this in my life.

There is yet another reason for my decision. I know many, many New Yorkers with brain injuries. Many of them and a large number of their family members are my friends. People I  love and care about. So, if our friends are the family we pick, then the NYSDOH is looking to destroy the lives of some of my family members. And, yes, that makes me mad.

So, here’s some information for you; the rounded off salaries in 2014 for the following DOH staff:

Valerie Deetz, $120,000;  Jason Helgerson, $163,000;  Maribeth Gnozzio, $86,000,: Sue Kelly, $162,000; Mark Kissinger, $163,000.   This comes to a total of $694,000. In other words, more than a half million New York dollars are being paid to the very people pushing a plan that will destroy the lives of thousands of New Yorkers and put a fair number of New York companies out of business.

I think that should make any New Yorker mad. Hell, I think it should make any decent human being mad.