We have the most beautiful little girl in the world. She is smart, funny, confident, talented and wonderful. She is a blogger, a clothing designer, and a prolific artist. And she is all of these things in spite of impossible beginnings that should have ruined all chances of reaching her potential.
Our Genevieve was born at 25 weeks gestation in November, 2oo2. For those who are counting, that is about 15 weeks - or more than 3 months - to soon. She spent 3 months and 1 week in the NICU, relying on oxygen and a feeding tube for most of that time. She had a severe brain bleed, multiple deadly infections, and other problems that are described in thousands of pages of medical records.
We met Genevieve on February 12, 2003, just 2 days before she was released from the hospital. Before we could even hold her, we had to sit with an adoption lawyer, review the damning medical files, and sign a paper saying that we would be her parents forever. The first moment I laid eyes on her, I was terrified because she couldn't even take a bottle without forgetting to breathe. Her arms were slack at her sides, and no amount of stimulation could keep her awake for more than a few minutes. She was 3 months and 1 week old.
And she was so beautiful. She had these big blue eyes that filled her little face. Her skin was smooth and perfect. She looked like a porcelain doll. We fell in love with her from the first moment we held her.
We brought our Genevieve home. We signed her up for home-based therapy, found a pediatrician, and checked in with a pediatric opthalmologist. Time passed, and we enjoyed every second of parenthood.
Then, when Genevieve was about 15 months old, an Early Intervention evaluation showed that we she was about 50 percent delayed. That meant that she was functioning like a 7 or 8 month old. She wasn't walking. She wasn't babbling. She couldn't sit up or crawl very well, and she couldn't feed herself. It broke our hearts.
At the time, I was working full time as the Director of Development for our local Arc chapter. (The Arc used to be called the Association for Retarded Citizens, but had long since dropped that name in favor of the less descriptive and less insulting "The Arc.") My Mom was babysitting Genevieve, because her immune system was too fragile for group child care. Mom was running her to monthly pediatrician appointments, inviting therapists into her home for regular early intervention services, and learning what she could about preemies. Meanwhile, I was working 60 hours a week and, with my husband, making just enough money to pay the bills.
But Genevieve's evaluation scared the hell out of me. Clearly, she needed more than we were giving her. A 50 percent delay is huge. It could mean Cerebral Palsy, mental retardation and a host of other problems, each with their own acronyms and scary prognoses. We knew that she was at a high risk for all kinds of problems, so this wasn't a surprise. We couldn't change what had happened before. But we had to do something to change Genevieve's future.
So I quit my job. Our income went from $75,000 per year to $35,000 per year in a day. Suddenly, we were a lower income family, making less than we needed to survive. I knew that we needed more money, and more services, to get by. I called the Social Security Administration.
They gave me an appointment one month in the future. I needed that time to compile dozens of reports and hundreds of pages of medical records to prove that Genevieve needed help. We were lucky, because somehow Genevieve was approved for SSI (Supplemental Security Income) on the first try. Most people are rejected over and over, needing attorneys and appeals to get the help they need.
But there was one little problem. Before we could access the benefits, we had to spend our entire savings account and cash in life insurance policies to make ourselves poor. You see, a family can only have about $3,000 in total resources and still qualify for SSI for their dependent child. We had $8,000 in the bank - money from our last income tax refund. They told us to spend it. So we did. We spent our safety net.
Finally, after about 5 months, Genevieve qualified for about $400 a month in SSI, plus the magical Medical Assistance card.
Now, the cash was helpful, because it replaced some of my income and helped us make ends meet. But the MA card was like gold. At the time, Genevieve was receiving 2 hours per week of Speech Therapy, 2 hours per week of Occupational Therapy, 1 hour per week of Physical Therapy and other services that everyone agreed would be her best shot at catching up. Without MA, these services, not covered by our private insurance, would have cost us about $4,200 per month.
"What?" I can hear you asking the question. "Surely you must be joking." I am not. This wasn't funny at all. Had I continued working, we would not have been able to afford even half of the services our daughter needed to catch up. I had to quit, and we had to become poor.
SSI has monthly income limits, and if you exceed them, your check and Medical Assistance benefits dry up. But if we stayed below the threshold, Genevieve could have uninterrupted assistance for 3 years. We figured that was just enough time to get her on track.
Oh, and did I mention that, from the age of 15 months to 4 1/2 years, she awakened screaming dozens of times each night? That was fun.
So we got our income down to about $33,ooo per year. I started using WIC checks to pay for Genevieve's expensive, high-calorie formula. (We could no longer afford the $80 per week to pay for it ourselves.) I had to flash a bright yellow Access card to cover medical services. And I suffered through excruciating calls to the local Social Security office. (Luckily, these calls were infrequent because our lazy, incompetent clerk rarely returned my calls.) Twice I was accused of fraud and ordered to repay every penny of SSI that Genevieve had received, and I spent dozens of hours filing appeals and explaining how we could not repay the money because we had been ordered to spend all of our savings. At one point, I had to justify our cars, which were needed to take Genevieve to appointments and get my husband to work. (One SSA clerk told us to sell our car to repay an "overpayment." The car was 12 years old, and I had to justify our right to keep it.)
I really began to understand how people receiving Public Assistance are wrongly stigmatized. People looked at me with such contempt when I presented my WIC checks, rolling their eyes because they knew I would hold up the line. Parents at the doctor's office would shoot me weird looks when I explained Genevieve's insurance coverage to the clerk at the window. I had to beg, borrow and steal to get the expensive leg braces replaced every three months instead of the allowable two times a year, because Genevieve was finally growing. (At the age of 1, she weighed 12 pounds and the doctor was going to classify her as "failure to thrive.") And I had to jump through hoops to prove that I was my daughter's Rep Payee when I tried to deposit her SSI checks into our account to pay the bills.
There were hundreds of times when I was humiliated, questioned and judged by providers, government workers and people on the street. A "friend" even commented that the government spends too much money to save babies who are a drain on the system. (I extracted an apology and made him feel like a real shit, I can assure you.)
Finally, when Genevieve was 4 1/2 years old, she started to catch up. The services were discontinued because she didn't need them anymore. We gradually gave up OT, PT, and Speech in favor of home-based counseling and Therapeutic Staff Support to help her cope at home and in preschool. She began to show us her extraordinary gifts, and we saw that she finally seemed to enjoy living in her own skin. Things had turned around, and we were so grateful.
Then I was offered a great part-time job at a local non profit agency. We weren't out of the woods, but we could see the path that would lead us home. I took the job and increased Genevieve's home-based counseling to address her anxiety about being left with a babysitter. I did as I was told and called the Social Security office to let them know that I would be returning to work in June. Everything was looking great.
And then, at 5pm on a Friday, my second day of work, I got a call informing me that all of Genevieve's benefits had just been cancelled, effective immediately. Her services would end that day, because I would eventually get a paycheck. They took away her benefits before I saw a penny from my new job, and did so in a manner that almost lost me my job. You see, Genevieve also has a serious anxiety disorder that made it nearly impossible for her to separate from us, her parents. For her, seeing me leave for work was terrifying. We relied on the counselors and therapists to help us get her through the transition. Without their help, I had to consider quitting my job after only two days. It was all terribly ironic, because I did not see a paycheck until almost a month later. Technically, we were still qualified for benefits until we exceeded the income guidelines. But that didn't matter to the computer.
Well, I yelled and screamed and wrote letters and got the benefits restored under a different funding stream. The services continued, and I kept my job. We made it through, and we managed to save money again, without the Social Security Administration breathing down our necks.
But I learned a lesson, and it helped me understand how people can be beaten down by a broken, unforgiving system. When you need help, you are treated like a criminal, with so many traps to catch you when you aren't doing anything wrong. One misstep, and you lose everything. And when you finally try to better yourself (by getting a job, for example), they yank the safety net right out from under you before you can find your footing.
So, we made ourselves poor in order to give our daughter the future she deserves. Given the chance, we wouldn't change a thing. Now we have this exceptionally talented, loving, articulate little girl who can do anything. She is so smart that we can't keep up with her, and she is a blessing to everyone who meets her. And you know what? She not only caught up - she left her peers in the dust.
So sure, we used public assistance to help our daughter. We took taxpayer money to access services and supports that we could not otherwise afford. And we are glad we did it. The government money spent was really an investment in our child's future. Now she really will reach her full potential. And when she does, you watch out. She is going to be fantastic!


Salon.com
Comments
I know that the government has to put controls in place to ensure that the people who get help are the ones who truly need it. But there must be a way to do that without demeaning and breaking the people who ask for the help.
this is something we all need to know and recognize. everyone needs help in some way, at some point, and it is criminal to make it so difficult and awful that many people don;t even try to get assistance. good for you for doing what was best for your daughter and fighting for her every step of the way.
brilliant post
rated
You are right - we paid taxes for years - and we still do - and it is not wrong to ask that some of that money be invested in helping our children. After all, doing so will make them productive, tax-paying citizens in their own right someday. And who can even guess at what wonderful things they will contribute to society when they reach their full potential?
As a side note, ARC was named when "Mentally Retarded" was the non-insulting medical term for what is now called developmentally delayed. But then "retard" entered the lexicon as an insult and the word is now insulting. I presume some variation of developmentally delayed will one day become an insult and we will have to coin a new term.
your daughter is lucky to have you!
trish
I remember when my mom was struggling to raise 2 kids on social assistance, she received a modest inheritance from her father's estate (he had his own mental health problems and had lost contact with his family). Immediately, public assistance was suspended until this money was gone. Instead of serving as a modest capital for a business venture, or payment towards adequate housing, etc. the gov. basically advocated squandering the money so we could be back at square one again. And it was a ridiculously small sum, maybe a few thousand dollars. Not enough to change our life necessarily, but a nice hedge. (If I could go back,I'd tell my mother to withdraw it all and deposit into the Bank of Mattress).
I understand that people shouldn't be allowed to let a fortune sit in the bank while they tap into public funds, but a modest "safety net" for extras and the inevitable costs that assistance could not cover would have gone a long way in helping us get our own footing. It's like they want to break you down in every way possible, make you into a beggar -- diminishment is exactly the right word -- waste your time and create an endless saga of bureaucracy. Is that really the best way to run this system? I am sure the waste of money on the bureaucracy's end must be incredible!
Your story is very humbling. It sounds like you made the most reasonable move you could, and for the sake of your daughter. Never feel down about doing what you have to do!
I know all too well what your brother experienced. We were so close to the income threshold that, during months when my husband received three paychecks instead of two, my daughter's check was cut off. Of course, we didn't really have a pay increase, but that didn't matter to the system.
deloresflores, I appreciate your comments, but I have to contradict you. My daughter is not lucky to have me. I am lucky to have her. She is the greatest blessing of my life, and I am just doing what Moms do for their kids.
On this comment, Now if only the government would see it that way, that is, see that needy people can be helped without being demeaned, I think that both our government and our society are dysfunctional in this regard. "We" seem to be more concerned about preventing a single undeserving person from receiving anything from our tax money than ensuring that a hundred deserving people do get what they need. Ronald Reagan should be remembered with scorn for introducing the term "welfare queen" to our vocabulary.
It is the knowledge of how hard this life can be for other families that really gets to me. I wonder how they even manage, and it makes me so damn angry that they have such struggles ahead.
Since leaving my job in IT to care for my elderly Mom I, too, have become well acquainted with the feelings of humiliation you have described. I cashed out my 401k and retirement savings because my state offers no assistance to family caregivers. Fortunately, my mother does have Medicare and a supplemental insurance plan. But virtually every week brings a new struggle because they are rejecting this claim or don't want to cover this medicine.
Society would rather we turn our loved ones over to institutions which they will paid to give indifferent or inadequate, than give caregivers the support they need to help their loved ones live with love and dignity.
Again, thank you for sharing. I wish you and your family nothing but happiness in the future.
I also worked in the office of an SSI/SSRI benefits attorney for a time, and if anyone doubts your story, Kristi, they should spend one day in any office like it as a fly on the wall. The process usually takes years with endless appeals. One of the cases that hit the top of my disgust-o-meter was the Korean War vet rejected for disability benefits, someone the Social Security administration thought was capable of work despite being wheelchair bound and having one foot amputated due to diabetes. My only thought, aside from being heartbroken for this kindly gentleman, was "I pay into the system for this?? This is what I'll have to go through if it's me on the other side of this desk someday?"
Rated.
I was once allowed to inspect state mental retardation centers under a contract with a nonprofit advocacy agency, and the things I saw gave me nightmares. To think that our children and parents could end up in places like that instead of at home with us...well, I lose sleep over this.
You write with clarity and poise.
Thanks for documenting this all-too-common story.
My ex and I are both educators and even though I have nearly 30 years in the system I'll never be able to afford to retire (I'm 57). But my daughter is alive and that's what counts.
Thanks for an important and well written piece.
This whole thing goes back to the terribly ineffective and highly profitable healthcare system in this country. Most of that government help you were getting was going from the tax payers and directly into the healthcare industry's coffers.
As long as there are others less fortunate, you're going to take criticism for receiving aid--even if it is not justified. I'm glad to hear that things are going well for Genevieve and your family.
One detail stood out to me in your story: you wrote that when you quit your job, your household income went from $75,000 (wealthy, at least down here in the south) to $35,000 (more like lower middle class, but far above the poverty line). Obviously you needed help with your special needs child that was far and above what a $35k salary could cover, but why did you quit your higher paying job? You made it sound like you earned $5,000 more than your husband annually, but you quit and he stayed on. I'm not criticizing your decision, but I can see where such a move might have raised some eyebrows.
Kristi, speaking as a taxpayer I just want to say that I consider the cruelties inflicted upon you by SSI unacceptable. I am so happy that you stood your ground and fought through the spiteful treatment to see that your daughter received the therapy she needed. The world is a better place because you stood up when you needed to. We need more Americans like you.
There were a few reasons why I quit my job even though I had a slightly higher salary. The main reason: my husband had expensive, but VERY good health insurance. My employer, a great non profit agency, did the best it could, but couldn't come close to matching my husband's benefits. The coverage I could get for our family would have cost us in excess of $1,200 per month, compared to $7oo at my husband's job. Second, and also very important for us, was the fact that I was relatively new to my then-current job. I had transferred from one Arc chapter to another so, although I had about 5 years within The Arc movement, I had less than 1 year at my current employer. My husband, on the other hand, had about 8 or 9 years at his job, and felt very confident in his own continued employment.
Finally, and perhaps most significantly, we knew that the parent who became Genevieve's full time caregiver would have to spend a lot of time advocating for, researching, and securing her services. We also knew that this parent would have to take what we learned in therapy sessions and use it throughout the day. These activities included muscle-strengthening exercises, feeding support, massage, speech therapy and even simple play therapy. Finally, we knew that there would be meetings, conversations with providers and insurance companies, and even fights about legal rights. For four years before Genevieve became our daughter, I had worked for a statewide advocacy organization, providing individual advocacy, "lobbying" and education to state legislators about disability issues, and public education efforts regarding disability rights. I had the experience necessary to help other families, so we figured I was ready to do the same for our own family. Also, I already knew how to navigate the social services system, so I knew whom to call and what to say. It was hard, but I was blessed with a great knowledge base and wonderful support system through The Arc movement. We couldn't have asked for more or better preparation.
And then there was this: I was a Mommy who was not only fiercely protective of her little girl, but also in love with the idea of spending every moment with her. I was grateful to be the one to spend my days with her.
My husband is wonderfully supportive, and he takes every hour of overtime he can get to make this work. We are a good team.
On your other comment, about how low $35k really is, is well taken. We weren't completely poor, but we owed more each month than we made. The tricky thing was this: the debt we had - credit cards, mortgage, car loans, and the like - we all committed to when we weren't parents and had plenty of money to cover them. Leaving my job made it very hard to keep up with these commitments, so that was a struggle. We weren't living an extravagant lifestyle, but keep in mind that we were paying $700 per month in health insurance. It was tight, and we were considered to be SSI-eligible, which put us at about 150%-200% of poverty. And that really isn't much to live on.
The upside is that we managed to pay down our debts and get our expenses down to a minimum that works for us. It is amazing what you can give up when you set your mind to it!
Thanks for your thoughtful comments.
Your eloquent article reminds me of how I can never forget that the clients at my place of employment are so much more than the facet I may see on any given day. I work in a setting where most of the clients are either Medicaid recipients or uninsured. I have heard, from these clients, about the runaround, the rudeness, and the disrespect that they may experience at any given time from the very agencies who are there to help them. I hope they do not find that to be the case where I work. I am amazed, some days, that some of the clients I work with can find the strength to get up every morning to face their circumstances. Most of them lack education and many have literacy issues, so navigating the system can be even more challenging.
I also understand that I am one lost job, one health crisis, one serious accident away from having to access the same services you find yourself needing for your daughter. I am sorry you have such negative experiences. Your daughter is lucky to have such a loving and persistent advocate as a Mom.
Beautiful story! Thank god, your little sweetie had a mom and dad who were fighters.
Your daughter is worth every penny, not just to you but to the US and the world. Much better to invest in our children rather than bombs and bailouts to greedheads.
Bless your little family.
Ivan's much better now, but I worry about even telling anyone at SSI, because what if he needs some extra care (he still goes to a therapist now, but probably won't soon), or something and we lose the SSI and medical coverage, and then can't afford to get him what he needs? It's a nightmare system. And the fact that you're made to feel like a drain on the system, like some kind of economic pariah is beyond the pale.
And this is from the father of an autistic child who is currently struggling to care for an invalid mother.
IF we lived in a civilized country (but we don't, we live in the USA) you would not have had to struggle with a Kafkaesque and demeaning system to have provided for your daughter. Or my son. Or my mother.
But oh boy, don't those stealth F-22's look pretty? $137.5 million each. But they exist to protect us from all the world's bogeymen (most of which we created) to keep us 'free.'
But this is also an incredibly touching and inspiring story. Thank you for sharing with us both your trials and eventual triumph!
As the parent of a kid with relatively a mild disability, we qualify for nada. I'm not complaining, since we are relatively well-off, nevertheless, we are slowly going into debt to get him the therapy he needs to have the best chance at a full, "normal" life. It is astounding how many people here, and among my RL acquaintances, are walking the same path.
Best wishes.
Two years ago the federal govt created the Family Opportunity Act (FOA) (Thanks to Senators Kennedy and Grassley.) The FOA allows families to make up to 300% of the federal poverty level and stay on Medicaid for kids who get SSI or have serious health care needs. Here's the issue - most states have NOT implemented the FOA, like, less than five. It's doable though, - we just got it in Iowa after about two years of heavy lobbying (my job) for it.
If anyone wants info on it, please email me. Maybe I can share something that may be helpful.
It's such a bind for families who have children with special health care needs - forcing them to limit their incomes just to get the medical care their kids need.
all the best -
How many times does this happen that a person entitled to benefits is wrongly denied benefits because they do not know the rules? Kristi knew the rules because of her Arc background, but she is the exception, not the rule. The problem, as I see it, is that the administrators who make the decisions believe their task is to find ways to deny benefits, when their real job should be to find ways to provide needed benefits. Where would education be if a teacher deemed it his or her responsibility to determine which students were entitled to be in the classroom? Where would our legal system be if the police decided who was entitled to a defense in court? Where would our country be if an administrator decided who was entitled to the rights dictated in our Bill of Rights? Should there be rules? Most definitely, yes. However, the application of those rules must ensure that those needing and entitled benefits receive them. The present system seems to follow the ‘guilty unless proven innocent’ principle.
For every person Kristi has helped, a hundred or a thousand others are either denied needed benefits or do not even know the benefits exist. The inner city children, the children of single parents, the children of middle income families with both parents working, and any other children of parents who do not know the ropes, or have a friend who knows the ropes, are routinely denied the care they are entitled to. Krid, I am proud to have you as a daughter and Genevieve as my grand daughter.
Dad
Yes, I am a little biased toward Kristi.
Just a great post, with much learned.
I wish that my child had never needed this help. But I refuse to apologize, or feel guilty for, using the supports to which she was entitled under FEDERAL LAW. And the cost to society? Far less than we spend each month going to war in other countries where we can't win.
And Dad - thanks for what you said. I only did what I thought was right for G, and I would do the same for any child who needed services and was being denied that to which they were entitled. Your words mean a lot, and I love you.
It amazes me the stigma associated with people who utilize public assistance. The world is still so appallingly black and white for some people.
I have even run into this with my own family's intolerance toward an aunt diagnosed as bipolar and schizophrenic. She's a sweet, loving person who didn't asked to be afflicted with these challenges.
Thank you so much for your post. I'm sending it to my wife right away.
I have really appreciated all of the well thought-out comments on my blog today. I am grateful that my family, and my little girl in particular, are doing so well. We really had it easy, as evidenced by the comments on this blog today. This really makes me want to knock some heads together.
Your story has made me proud and privileged to have you as a friend and moved me to become a better parent. Thank you.
And amen about the confusing, inhuman, counter-productive system. During my husband's illness, we didn't know from month to month if we would be able to afford his medications. From our perspective, it seemed to depend entirely on the whims of a fickle social service program that took every opportunity to, as you put it, sweep the rug out from under us each time he began to get well.
Can't help but wonder what the replies would be like if you posted on a right wing blog site.Perhaps being white would make it ok.
My ex is disabled by chronic illness and receives SSDI. I had financial resources and experience navigating bureaucracies that allowed us (with the help of an attorney) to secure her benefits with relatively little hassle. In the course of my research, however, I corresponded with so many people who sufferred terribly at the hands of petty bureaucrats working in a system that I'm convinced is consciously designed to just make people give up.
You write very well and both your passion for your daughter and ability to move mountains make you a wonderful messenger. I hope you can get this story more widely read.
I wanted to clarify one point. When we decided that I would quit my job, it wasn't just a ploy to decrease our income and become eligible for benefits. We were also considering that we needed someone to drive Genevieve to all of the therapy appointments, apply what we learned, and give G the attention and stimulation she needed to catch up. At one point, we utilized 20-30 hours per week of services from various providers and traveled to appointments 5 days a week. It would have been hard to hold on to a job while taking that much time away from the office. We knew that my "job," at least for the immediate future, would be to take care of our daughter. So many factors to contributed to our decision, but the glaringly obvious fact was that more benefits would be available, and for a longer period of time, if we made less money.
I have no doubt that this piece would get a less-than-lukewarm reception on a more right wing website. But then again, consider the source. I argue regularly with self-identified conservatives who say that I should have kept our problems at home and handled them privately. But they've never been in our shoes. Let them go through this, and then they will be qualified to judge us.
After all of this, I got to return to my other world, free, for the most part, from the explanations and judgments and humiliations. I know so many families who will live this indefinitely, and these are the people who deserve our compassion and praise.
Thanks for the support and feedback. I guess I should get to work on my next blog entry. There is still much to be said about these issues.
Congratulations; what a F-A-N-T-A-S-T-I-C win for you, your husband and for your little girl!
WONDERFUL!!
I am in awe of what you've overcome to GET THERE!
(((huge grin)))) xx
You are an incredible woman. I can not tell you or your husband how much your sacrifice is needed for children. I thought i might have had a child with someone that chose to terminate instead of adoption. She always told me that the child wasn't mine so I had nothing I could do. I could not imagine what you and your husband have gone through. I think the two of you are saints. If i had to choose my parents i can't think of two people that are better suited than you. My wife and I are recently married, we are not sure if we want children at this point, but if we decide to have children; i just hope that we are as good as parents as you are. Good luck, and our prayers be with you. Take care of your angel. She is a miracle.
I think you did the right thing for your daughter as well as your community by doing what it took to make her whole and productive.
There are some unfortunately who do abuse the system and that makes honest people suffer.