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James Myall @JamesxMyall
, 20 tweets, 11 min read Read on Twitter
1/ A Mary Mayhew thread
The new deputy administrator at CMS overseeing the Medicaid and CHIP programs leaves behind her a trail of devastation in Maine from her tenure at Maine's Dept of Health and Human Services #mepolitics
Mayhew bitterly opposed Medicaid expansion, in defiance of all the experts and members of the public health community. She even vowed to repeal the voter-approved law if elected governor #mepolitics…
But before that, Mayhew kicked 25,000 poor and near-poor Mainers off the state's existing Medicaid program #mepolitics…
She also cut prescription drug benefits for 8,000 seniors and people with disabilities #mepolitics…
And made sure *legal* immigrants couldn't receive health care or other benefits until they had been in the country for five years #mepolitcs…
In the food stamp program, work requirements and tighter eligibility rules resulted in tens of thousands losing food assistance, while the state saw record levels of hunger. There were no significant improvements in work rates
Even the administration's own report showed that when hundreds of families were denied access to the Temporary Assistance program, one in seven of them fell through the cracks, disappearing entirely from state records #mepolitics…
All these cuts were supposed to be helping the "truly needy," i.e. those with disabilities and seniors. Yet under Mayhew, the wait list for in-home care for those with intellectual disabilities tripled in size #mepolitics…
A more revealing rationale was one she gave in 2017, when Mayhew proposed kicking 20,000 poor adults and 6,000 young people off Medicaid, in order to "support the Governor's tax cuts." Those cuts would have greatly favored the wealthy few #mepolitics…
With fewer people getting assistance, the state built up a $150 m surplus in federal TANF funds. When challenged, Mayhew's DHHS hastily compiled a plan to spend it - a plan deemed illegal under federal law #mepolitics…
This disregard for federal spending rules extended to other areas. The state's psychiatric hospital, Riverview, lost federal certification in 2013, but DHHS kept illegally trying to fund it with federal dollars #Mepolitics…
Riverview lost its federal funding in part because it had terrible under-staffing issues. Rather than hire more nurses and doctors, Mayhew brought in prison guards with pepper spray #mepolitics…
Under-staffing also played a role in the deaths of two young girls as a result of child abuse. Even as complaints to the office of child welfare doubled under Mayhew, new case workers weren't hired #mepolitics…
A federal review found that Mayhew's DHHS also failed to investigate the deaths of 133 adults with intellectual disabilities under state care #mepolitcs…
In defiance of the legislature, and in the face of rising infant mortality, Mayhew's DHHS cut the state's public health nursing program. Advocates had to go to court to get it restored #mepolitcs…
A combination of incompetence and malevolence has resulted in just shy of $2 billion in federal funds being lost by Maine, primarily in health and human services. Grants have been passed up, mismanaged, and returned unspent #mepolitics…
The facts don't look good for Mayhew, so she's done her best to suppress them. In 2017, a public records coordinator was fired for doing her job #mepolitics…
In 2016, Mayhew's department denied access to Opioid prescription data to a qualified researcher looking to find ways to improve access to treatment #mepolitics…
Maybe that has something to do with the fact that while opioid deaths have risen to 1 per day in Maine, Mayhew's Medicaid program reduced spending on treatment drugs by 20% #mepolitics…
I'm sure I missed some - feel free to add extra items to Mayhew's resume below. It's inconceivable that she should be put in charge of the nation's largest health insurance program when she's done so much to trash Maine's health care system #mepolitics
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