

associated press photographs
Above: Carolina Fuentes, 22, doesn’t know how she will afford health coverage for daughter Katherine, 5, if state funding is eliminated. Below: Melody Nolan, 39, who suffers from systemic lupus, wouldn’t be able to afford in-home care should Gov. Arnold Schwarzenegger’s cost-cutting proposals pass.SACRAMENTO, Calif.
With empty pockets and maxed-out credit, California is debating whether it can continue honoring all parts of its social contract with the state’s most vulnerable residents.
The state faces an unprecedented drop in tax revenue and a widening budget deficit amid the deepest recession in decades, prompting Gov. Arnold Schwarzenegger to propose cost-cutting steps that once seemed unthinkable.
At stake are programs for the poor, elderly and frail, placing millions of people in the nation’s most populous state at risk of falling through a decades-old social safety net.
Ending the welfare-to-work program for mothers and their children would affect about 546,000 families, and health insurance could be eliminated for 1 million children from low-income families. Services for Alzheimer’s patients, disabled and other frail recipients of in-home care also would be greatly reduced under the governor’s latest budget proposal, leaving more than 400,000 people without such support.
Mr. Schwarzenegger acknowledged that his proposals will be painful.
“I know the consequences of those cuts are not just dollars. I see the faces behind those dollars. … I see the Alzheimer’s patients losing some of their in-home support services,” he told lawmakers last week. “It’s an awful feeling, but we have no choice.”
California stands apart from other states, at least for now, in considering solving its budget deficit with such deep cuts to core social services.
The state’s projected $24.3 billion deficit for the fiscal year that begins in July amounts to a quarter of its general fund. Mr. Schwarzenegger and Republicans in the Legislature say they will not raise taxes again, after agreeing to $12.8 billion in sales, personal income and vehicle tax increases earlier this year.
That leaves lawmakers with few alternatives to severe spending cuts because, although Republicans are the minority party, they hold virtual veto power over the state budget by virtue of California’s two-thirds vote requirement.
Melody Nolan is worried that the state will cut her in-home care. That would mean she could not see one of her many doctors for systemic lupus, an autoimmune illness that saps her of strength. Even though the 39-year-old Sacramento woman still would receive disability benefits and subsidized housing, she said she would lose her sense of independence and worries about ending up in a nursing home.
“Not being able to work is very hard on me. I’m a very goal-oriented person,” Ms. Nolan said. “Not being able to take care of myself would just be devastating.”
California spent 5.4 percent of all its state and federal funding on public assistance in 2007, compared to a national average of 1.7 percent. That doesn’t include Medicaid and other social service spending.
Ironically, while many of the programs to assist the frail and needy have their roots in the Great Depression, they may be undone by another great economic downturn.
The elimination or significant reduction of social service programs also cuts against President Obama’s economic recovery efforts and attempts to overhaul the nation’s health care market.
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