Navigating Disability Law: A Deep Dive with Advocate Turned Attorney Bryce Rafferty

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Navigating Disability Law: A Deep Dive with Advocate Turned Attorney Bryce Rafferty
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How does disability law truly protect those with invisible conditions like endometriosis? In this episode, we delve into the world of disability rights with Bryce Rafferty, a passionate attorney from the Colorado Cross Disability Coalition (CCDC). With his unique perspective as both an advocate and legal expert, Bryce reveals the challenges and triumphs of navigating the legal system for people with disabilities. From his journey as a volunteer to a lawyer, he shares how the CCDC fights for essential protections, Medicaid eligibility, and resources for those who need them most.

We explore the often-overlooked complexities of defining disabilities under the ADA and the systemic obstacles faced by individuals with chronic, invisible conditions. Learn how attending medical board meetings can drive healthcare reform and the growing impact of algorithms on Medicaid decisions. Bryce provides a powerful call to action on the importance of legal professionals, community support, and the collective fight for disability rights. Tune in for an eye-opening conversation that blends compassion with critical insights—and don’t miss our next episode as we continue this journey toward inclusivity and justice.
 

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Disability Advocacy and Legal Rights

Speaker 1
0:02

Welcome

to

EndoBattery
,

where

I

share

my

journey

with

endometriosis

and

chronic

illness
,

while

learning

and

growing

along

the

way
.

This

podcast

is

not

a

substitute

for

medical

advice
,

but

a

supportive

space

to

provide

community

and

valuable

information

so

you

never

have

to

face

this

journey

alone
.

We

embrace

a

range

of

perspectives

that

may

not

always

align

with

our

own
.

Believing

that

open

dialogue

helps

us

grow

and

gain

new

tools

always

align

with

our

own
.

Believing

that

open

dialogue

helps

us

grow

and

gain

new

tools
.

Join

me

as

I

share

stories

of

strength
,

resilience

and

hope
,

from

personal

experiences

to

expert

insights
.

I'm

your

host
,

alana
,

and

this

is

EndoBattery

charging

our

lives

when

endometriosis

drains

us
.

Welcome

back

to

EndoBattery
.

Grab

your

cup

of

coffee

or

your

cup

of

tea

and

join

me

at

the

table
.

Speaker 1
0:46

Today

I'm

honored

to

introduce

a

guest

who

brings

not

only

deep

expertise

but

a

unique

lived

experience

that

shapes

his

work

and

advocacy

every

day
.

Joining

me

at

the

table

is

Bryce

Rafferty
,

a

staff

attorney

with

the

Colorado

Cross

Disability

Coalition
.

Bryce

is

not

just

an

advocate
.

He's

also

someone

who

knows

firsthand

the

challenges

of

living

with

a

disability
.

His

journey

has

given

him

a

perspective

that

many

in

the

legal

field

don't

have
,

and

it

fuels

his

commitment

to

supporting

those

with

invisible

and

visible

disabilities

alike
,

allowing

him

to

connect

with

and

truly

understand

the

people

that

he

advocates

for
.

He's

someone

who

not

only

speaks

up

for

others
,

but

has

fought

his

own

battles

for

access

and

understanding
.

Today
,

he

brings

both

heart

and

expertise

to

the

table
,

working

tirelessly

to

ensure

that

everyone

has

a

fair

chance

at

a

fulfilling

life
,

regardless

of

the

challenges

they

face
.

Speaker 1
1:41

Please

help

me

in

welcoming

Bryce

Rafferty

to

the

table
.

Thank

you
,

bryce
,

so

much

for

joining

me

today
,

and

I

appreciate

you

taking

the

time

out

of

your

busy

schedule

to

sit

down

with

us

and

talk

about

your

passion
,

which

is

disability

and

law
.

So

thank

you

so

much

for

joining

me

at

the

table
.

I

appreciate

it
.

Speaker 2
1:56

Of

course
.

Speaker 1
1:57

Can

you

tell

us

what

it

is

you

do

with

the

Colorado

Cross

Disability

Coalition
?

What's

your

role

and

what

is

the

Colorado

Cross

Disability

Coalition
?

What's

your

role

and

what

is

the

Colorado

Cross

Disability

Coalition
?

Speaker 2
2:06

The

Colorado

Cross

Disability

Coalition

is

a

statewide

nonprofit

that

is

a

collective

group

effort

at

what

is

called

integrated

advocacy
,

and

by

that

term

I

mean

that

there

are

various

all

disabilities

really
.

That's

the

cross-disability

component

of

it
,

and

integrated

advocacy

is

both

geographical

and

issue-related
.

So

we

have
,

for

instance
,

I'm

involved

with

a

Medicaid

eligibility

and

appeals

team
.

They

meet

every

morning

to

discuss

the

cases

that

they're

working

on

with

people

all

around

the

state

who

are

being

denied

everything

from

effective

services

by

Medicaid

to

durable

medical

equipment

to

Medicaid

coverage

and

eligibility
.

In

the

first

place
,

complex
,

it's

mostly

administrative

law

in

terms

of

how

disability

law

and

the

laws

that

control

disability

are

enforced

and

administered
.

And

what

I

do

is

they

threw

me

kind

of

all

over

the

board
.

So

I

actually

volunteered

with

CCDC

initially

back

10

years

ago

and

that

was

really

what

got

me

started

on

my

legal

journey
,

because

I

was

doing

this

volunteer

advocacy

and

said
,

hey
,

it's

great

to

be

able

to

go

down

to

the

Capitol

and

testify

for

a

bill

or

go

to

a

hearing

and

give

my

input
,

but

I

could

really

make

some

moves

and

some

changes

and

have

a

more

profound

effect

on

other

people's

lives

in

my

own

life

by

going

into

law
.

So

it

really

wasn't

something

that

I

had

planned

on

doing
.

You

know
,

as

a

kid
,

when

I

was

having

arguments

with

my

parents

and

winning

them
,

they

told

me

that

I

should

be

a

lawyer

and

I

said
,

not

a

chance
,

it's

in

hell
.

But

here

we

are
,

and

so

it's

actually
.

But

here

we

are
,

and

so

it's

actually
.

It's

interesting
.

Speaker 2
4:10

You

know
,

the

disability

got

me

into

the

world

of

advocacy
,

which

got

me

into

law
,

which

then

returned

me

to

the

very

advocacy

nonprofit

that

started

it

all
.

So
,

yeah
,

the

Colorado

Cross

Disability

Coalition

does

the

integrated

advocacy

and

it

does

Medicaid
,

it

does

litigation

and

cease

and

desist

and

demand

letters

to

basically

try

to

enforce

the

Americans

with

Disabilities

Act

and

there's

various

titles

of

that
.

We

can

go

through

that

and

there's

other

laws

as

well
.

But

in

a

nutshell
,

ccdc

is

really

an

all-encompassing

organization

that

advocates

for

people

who

need

help

navigating

a

very

complex

system

to

get

the

benefits

and

services

that

they

need

to

be

as

integrated

themselves

as

much

as

possible

within

society

but

also

get

the

needed

services

and

supports

to

do

so
.

So

we

kind

of

step

in

to

help

people

navigate

a

very

complex

system

and

that

takes

on

a

variety

of

different

shapes

and

forms

and

formats
.

Speaker 1
5:14

I

can

only

imagine

how

challenging

that

can

be
.

I

think

for

a

lot

of

us

within

the

endometriosis

community
,

this

is

something

that

we

struggle

with
,

because

this

is

not

often

seen

as

a

disability

for

many
.

But

when

you

are

crippled

in

pain

for

days
,

if

not

all

the

time
,

due

to

this

disease
,

it

is

a

disability
,

but

it's

just

not

recognized

as

that
,

and

so

I

think

the

challenge

therein

lies

that

what

qualifies

something

as

a

disability
?

When

you

are

talking

about

the

ADA

or

anything

like

that
,

what

do

they

quantify

as

a

disability
?

Speaker 2
5:50

Oh
,

you

want

some

legal

jargon
.

The

ADA

defines

disability

as

any

kind

of

condition
,

physical

or

mental

impairment

that

substantially

affects

or

limits

a

major

life

activity
,

and

so

you're

going

to

have

a

lot

of

argument

over

what

does

substantially

limits

mean
?

What's

the

major

life

activity
?

Speaker 1
6:16

Right
.

Speaker 2
6:17

And

there

has

been
,

and

there

will

continue

to

be
,

a

lot

of

litigation

and

argument

about

that
.

There

have

been

actually

recently
.

This

is

one

thing

I'm

working

on
.

I

am

putting

into

plain

English
,

as

best

as

I

possibly

can
,

a

bunch

of

new

rules

and

regulations

that

are

correlated

to

the

Rehabilitation

Act
,

which

is

kind

of

a

sister

act

of

the

Americans

with

Disabilities

Act
,

and

how

these

laws

work
,

at

least

federally
,

and

I

mean

it's

similar

with

states
.

But

I

mean

you

take

Congress

right
,

and

so

Congress

identifies

a

problem

and

in

the

case

of

disability

it's

okay
.

We

have

a

very

large

subset

of

our

population

that

is

not

integrated

into

society
.

They're

not

in

the

workforce
,

they're

not

able

to

have

independent

lives
.

These

are

people

who

are

capable

of

and

want

to

be

in

society
,

but

they're

in

assisted

living

facilities

under

very

difficult

conditions
,

often

having

to

deal

with

neglect
,

abuse
.

So

the

whole

idea

really

and

this

came

out

of

the

culture

revolution

in

the

60s

and

70s

Initially

the

Rehabilitation

Act

was

passed

in

1973
.

Americans

with

Disabilities

Act
,

the

ADA
,

was

1990
.

Speaker 2
7:40

And

then

there's

a

bunch

of

case

law

and

courts

were

passed

that

go

into

great

depth

and

help

in

defying

disability
.

Speaker 2
7:52

They

take

that

definition

that's

in

the

ADA
,

you

know
,

substantially

limiting

major

life

activities

and

what

an

impairment

is
,

and

people

might

have

heard

about

the

Supreme

Court

decision

that

overturned

Chevron
,

and

I

mean

you

might

like

hear

that

phrase

and

have

no

idea

what

it

means
.

Speaker 2
8:10

But

basically

what

it

means

in

practice

is

that

Congress

and

other

administrative

agencies
,

like

the

Department

of

Health

and

Human

Services
,

for

instance
,

in

this

case

have

to

be

extremely

specific

when

they

are

defining

both

who

benefits

from

certain

rules
,

how

they're

supposed

to

work
,

what

context

they

apply

in
,

where

they

don't
.

And

so

these

rules

that

were

just

promulgated

and

went

into

effect

in

July
,

I

believe
,

go

into

great

detail

and

they

add

chronic

fatigue

syndrome
,

they

add

COVID
,

they

add

a

lot

of

invisible

disabilities
,

which

is

great

to

see

because

that

is

a

very

underserved

population
,

to

your

point
.

So
,

generally

speaking
,

the

law

really

defines

disability

in

that

kind

of

big

umbrella

term

of

an

impairment

that

substantially

limits

a

major

life

activity
,

and

we're

getting

a

lot

more

help

from

the

Department

of

Health

and

Human

Services

in

defining

what

all

those

elements

are

and

providing

like

a

ton

of

examples
,

which

is

great
.

Speaker 2
9:13

Yeah
,

because

then

you

can't

argue

that

in

court
,

or

you

can

point

to

an

actual

regulation

and

get

an

answer
.

Speaker 1
9:20

How

does

that

translate
,

though
?

I

mean
,

the

law

goes

into

place
,

but

how

does

that

translate

in

real

life
?

Because

I

feel

like

a

lot

of

us
,

especially

with

the

invisible

chronic

illnesses

that

people

don't

see

on

the

outside

that

are

limiting

our

ability

to

work
,

our

ability

to

do

basic

life

functions

sometimes
,

which

is

grocery

shop
,

clean

your

house
,

sometimes

go

to

the

bathroom
,

all

of

these

things
.

It's

limiting
.

But

because

it

isn't

a

visible

physical

disability
,

we

come

up

against

employers

who

are

saying

you

can't

work

here

or

you

get

you

know

they

fire

you

after

a

certain

amount

of

time

because

you

can't

work
.

But

then

we

also

don't

get

benefits
,

oftentimes

because

it

doesn't

qualify

to

some

people
.

Or

how

do

we

fight

that
?

How

do

we

put

this

into

play
?

I

guess

is

what

I'm

trying

to

say
.

Speaker 2
10:07

Yeah
,

so

complex

question
,

simple

answer
.

If

we

as

a

society

want

to

be

inclusive
,

actually

providing

equal

opportunity

to

people
,

everyone
,

every

group
,

then

we

have

to

provide

the

means

through

which

those

people

can

achieve

those

ends
.

And

you

do

that

by

meeting

them

where

they

are
.

And

you

can't

do

that

unless

you're

willing

to

listen
,

acknowledge

problems

and

petition

your

elected

representatives

to

do

something

about

it
.

Because

I

mean
,

in

the

court

system
,

most

of

the

time

you're

arguing

about

the

words

put

onto

paper

by

people

that

you

elect

to

make

laws

right
.

So

when

it

comes
,

I

mean
,

for

instance
,

for

me
,

I

got

my

law

school

paid

by

a

state

entity

called

the

Division

of

Vocational

Rehabilitation
.

I

applied
,

I

gave

my

counselor

who
,

julie

Ambrosio

shout

out
,

absolute

hero

gave

her

80

pages

of

an

application

of

why

I

should

be

granted

the

money

to

go

to

law

school
,

what

I

plan

to

do

with

it
.

Speaker 2
11:22

you

know

what

the

employment

situation

was

looking

like

in

terms

of

the

field
,

its

growth

the

opportunities

that

would

be

awaiting

me

when

I

graduated

and

that

was

granted

to

me
,

and

they

paid

for

everything

from

the

tuition

to

my

books
,

to

parking
,

to

bar

prep

courses
,

and

I

mean

there's

a

lot

of

supportive

services

that

I

think

are

needed
,

but

there's

also

a

lot

of

understanding

that

needs

to

occur

and

learning

from

employers
,

because

the

positions

themselves

are

not

built

to

be

able

to

be

performed

by

many

people

with

disabilities
,

capabilities

people

don't

understand
.

Like

for

me

as

a

quadriplegic
,

it

takes

me

three
,

three

and

a

half

hours

after

I

wake

up

to

be

ready

for

the

day
.

So

I

need

home

health

care
.

I

need

to

get

all

these

things

done
.

Speaker 2
12:13

I

get

up
,

I

need

to

go

to

the

bath
,

take

a

shower
,

get

dressed
,

get

in

my

chair
,

get

positioned
.

I

mean
.

Then

I

have

an

adaptive

van

that

I

drive

from
.

I

have

to

be

in

a

power

chair

to

be

in

that
.

I

have

to

pack

all

my

things

that

I

need

for

the

whole

day
,

and

then

I

also

have

the

need

of

a

home

health

aid

at

night
.

So

I

have

a

bedtime
.

I'm

35

years

old
,

got

a

bedtime

9

o'clock
,

knock
,

knock
,

okay
,

my

day's

over
,

so

it's

truncated
.

Speaker 1
12:41

Right
.

Speaker 2
12:41

So

if

I'm

going

to

do

40

hours

a

week

plus
,

get

everything

I

need

you

know
,

errands

done
,

doctor's

appointments

done
,

get

into

the

gym

to

make

sure

I'm

like
,

I'm

actually

healthy
,

I'm

having

time

to

eat
.

All

of

that

I

mean

like

realistically
,

no
,

I

may

not

be

able

to

do

40

hours

a

week
.

Right

and

that

immediately

is

going

to

eliminate

me

from

the

pool

of

candidates

for

95%

of

jobs
.

It's

not

that

I

can't

do

the

work
,

it's

just

that

I

need

accommodations
.

Speaker 1
13:16

Right
.

Speaker 2
13:17

Maybe

I

need

to

work

36

hours
,

maybe

20
,

maybe

38
.

Speaker 2
13:21

I

mean
,

you

know
,

and

oh

yeah
,

I'll

need

some

dictation

software
,

but

with

the

right

equipment
,

with

the

right

understanding
,

I

mean
,

can

I

perform

the

job

duties

of

you

know

a

given

legal

position

as

well
,

or

potentially

better
,

than

another

candidate
?

Speaker 2
13:38

Yeah
,

but

instead

of

embracing

the

unknown

and

working

with

people

with

disabilities

and

working

to

understand

the

need

to

actually

put

people

with

disabilities

in

positions

to

succeed
,

I

think

employers

are

just

looking

at

bottom

line

and

they

see

a

person

who

wheels

into

an

interview

or

who

mentions

that

they

have

a

disability

in

the

interview

if

it's

invisible
.

Speaker 2
14:02

I'm

very

passionate

about

this

point

because

if

we

as

a

society

really

want

to

be

inclusive
,

then

we

really

need

to

understand

that

we

need

to

have

people

in

the

workforce
.

We

need

to

provide

them

with

the

means

to

get

educated
,

means

to

get

jobs
,

means

to

have

independent

lifestyles
,

families
,

and

if

we

don't
,

then

we're

going

to

have

a

society

where

people

with

disabilities

they

have

no

incentive

to

be

able

to

get

off

of

Medicaid

or

Medicare

be

able

to

take

the

leap

out

of

their

parents'

homes

if

they're

disabled

when

they're

born

or

before

they're

adults
,

and

or

to

continue

living

if

they're

disabled

once

they're

an

adult
.

I

mean

I

can

stop

and

unpack

a

lot

of

these

different

areas
,

but

really

what

we

need

to

do

is

we

need

to

provide

the

same

opportunities

of

education

and

employment

to

people
,

and

people

with

disabilities

need

to

be

seen

in

society
,

and

to

be

seen
,

you

have

to

be

independent
.

Speaker 2
15:08

And

that

means

you

have

to

have

an

education

and

you

have

to

have

work
,

but

if

we

do

that
,

it's

going

to

have

significantly

less

burden

on

the

budget

as

well
.

Speaker 1
15:17

Yeah
,

absolutely
.

Speaker 2
15:18

So

I

mean
,

it's

really

a

win-win

when

you

think

about

it
,

because

you're

going

to

also

bring

in

all

these

different

perspectives

to

different

lines

of

work
,

everything

from

art

to

law

to

finance
,

and

so

really

it

boils

down

to

if

we're

going

to

have

people

with

disabilities

in

our

society
,

then

we

should

treat

them

the

same

way

that

we

treat

everybody

else
,

and

that

means

taking

some

extra

steps

and

being

willing

to

learn

about

what

those

steps

are
.

Speaker 1
15:47

We

all
.

I

think

there's

that

desire

too

to

be

productive

members

of

society

and

I

think

the

more

that

we

can

accommodate

disability
,

invisible

chronic

illnesses
,

the

more

productive

society

is

as

a

whole
,

because

then

if

you're

not

accommodating

that
,

you're

excluding

some

pretty

potentially

powerful

people

from

accomplishing

great

things

within

society
.

I

know

there

are

some

protections

in

place

for

those

who

have

a

disability

and

who

are

in

need

of

aids

and

stuff

like

that
,

but

invisible

illnesses

often

I

feel

like

we

don't

feel

protected

by

any

of

those

things
.

Speaker 2
16:23

Yeah
,

I

mean

there

are

protections

on

paper

broad

ones

but

what

happens
?

Systemic Barriers in Healthcare Advocacy

Speaker 2
16:29

Take

Colorado

State

Medicaid
.

I

was

just

looking

at

a

whole

400

pages

worth

of

rules

for

case

management
.

There

was

a

glaring

absence

of

specificity
,

definitions
,

even

people

like

supportive

decision

makers

from

these

rules

and

as

an

advocacy

nonprofit

CCDC

myself

and

a

bunch

of

other

people

in

the

advocacy

space

you

can

go

to

these

monthly

medical

service

board

meetings
.

They're

once

a

week
.

You

can

give

public

testimony

to

anybody
.

Medical

service

board

meetings

they're

once

a

week
.

You

can

give

public

testimony

to

anybody
.

Now

is

that

going

to

affect

the

rule

and

the

language

in

there

and

how

it

manifests

in

practice
?

Well
,

it

depends

on

how

many

people

testify
,

I

suppose

I

mean

if

there

is

enough

demand

for

things

to

change

in

our

system
.

Speaker 2
17:20

I

mean
,

change

happens

slowly
,

but

I

mean
,

you

know
,

100

years

ago

women

couldn't

vote
,

I

wouldn't

be

alive
,

you

know
.

Speaker 2
17:29

And

here

we

are
.

So

change

is

possible
,

but

you

really

have

to

advocate

for

it

and

you

have

to

know

where

and

how

to

do

that
.

And

I

think

the

problem

is

that

a

lot

of

these

protections
,

especially

for

people

with

invisible

disabilities
,

are

just

not

well

informed
.

It's

not

the

people

writing

the

rules

have

no

idea

what

they're

doing
,

right
,

they

probably

are
,

you

know
,

influenced

a

lot

by

Wall

Street
.

People

don't

know

this
,

but

Deloitte
,

a

Wall

Street

entity
,

you

know
,

financial

institution

is

about

to

run

Medicaid

for

like

26

states

through

algorithms
,

and

those

algorithms

will

determine

eligibility
,

whether

or

not

you

get

approved

for

a

surgery
,

and

the

test

run

has

been

catastrophic

in

states

like

Tennessee
.

But

these

big

changes

are

happening
.

And

so
,

going

back

to

your

question
,

the

protections

for

people

with

invisible

disabilities

exist

broadly

with

these

big

statutes

and

laws
,

but

they

go

into

play

administratively

and

Congress

and

the

Supreme

Court

really

give

states

a

lot

of

deference

and

you

know

states

are

constitutionally

speaking

in

charge

of

and

they

have

primary

concern

and

responsibility

for

public

health

and

safety

of

their

citizens
.

Speaker 2
18:56

So

that

gets

translated

into

each

state's

unique

Medicaid

and

Medicare
.

Medicare

is

more

uniform
,

but

I

mean

Medicaid

is

different

in

every

state
.

Like

Colorado

is

totally

different

from
,

say
,

like

Iowa

or

North

Dakota

or

Alabama
.

So

that

means

it's

tricky
,

but

it

also

means

that

the

people

in

each

state

have

an

opportunity

through

rulemaking

processes
,

because

there's

notice

of

proposed

rules
,

there's

opportunities

to

give

public

testimony
,

but

there's

also

if

you

are

able

to

get

into

a

group

of

people

and

advocate
,

whether

that

be

through

a

lawsuit

or

just

through

educating

yourself

with

what

the

laws

are

and

what

the

rules

are

and

what

needs

to

be

done

to

improve

the

situation
.

I

think

people

realize

they

have

a

lot

more

power

than

it

may

seem

Interesting
.

Speaker 1
19:55

But

that's

a

big

overview

of

it
.

Maybe

progress

doesn't

happen

as

fast

is

because

it

is

so

convoluted
.

And

when

you're

dealing

with

a

population

who

typically

has

chronic

fatigue
,

chronic

pain

and

brain

fog
,

it

becomes

very

unattainable

to

a

lot

of

people

because

it's

not

accessible

to

them

in

their

ability

to

take

the

time

to

learn

it
.

A

lot

of

times
,

if

they're

not
,

if

it's

not

their

job
,

if

it's
,

you

know
,

it's

very
,

very

hard

to

pick

up

all

of

the

nuances

of

these

laws

and

regulations
.

So

we

just

don't
,

and

it's

because

we're

tired
.

We're

a

tired

population
,

you

know
.

Speaker 1
20:35

And

it's

not

user-friendly

for

those

of

us

in

this

population

who

struggle

to

just

maintain

everyday

life
.

Speaker 2
20:42

to

pick

up

one

more

thing
,

that's

very

convoluted
,

oh

yeah
,

and

that's

the

trick

too
,

because
,

for

instance
,

I

remember

I

was

I've

done

a

couple

of

appeals

for

myself

and

I

mean

I

know

how

to

advocate

for

myself

and

I

don't

have

chronic

fatigue

syndrome
,

although

I

do

have

chronic

pain
.

I

do

have

a

lot

of

other

things

that

get

in

the

way
.

Right
,

but

through

the

appeals

process
,

through

Medicaid

as

an

administration
,

they

do

have

what

they

call

the

Office

of

Administrative

Courts
,

so

I

mean

you

can

write

these

appeals

and

submit

them
,

but

what

I

learned

is

that

after

I

did

one

before

law

school

and

then

in

my

final

year

of

law

school

and

I

got

denied

a

piece

of

durable

medical

equipment

that

I

really

should

have

gotten

us

to
,

court

I

said

well
,

that's

amazing
.

Speaker 2
21:51

You're

telling

me

that

I

am

in

a

population

of

people

who

are

disabled

and

or

without

sufficient

income

so

as

to

qualify

for

Medicaid
.

But

to

advocate

for

myself

and

to

point

out

that

you're

breaking

federal

law
,

I

have

to

somehow

find

money

or

somebody

to

represent

me

in

court
.

How

does

that

make

it
?

It

doesn't

make

any

sense
.

Speaker 1
22:17

No
.

Speaker 2
22:19

And

the

people

who

are

in

the

advocacy

world

are

phenomenal
.

And

there's

this

big

misconception
,

I

think
,

about

lawyers
.

I

just

have

to

give

a

shout

out

to

the

profession
.

There's

a

lot

of

people

out

there
.

Legal

profession

has

gotten

a

lot

of

heat

because

of

politics
,

because

of

some

bad

actors

out

there

who

are

high

profile
,

because

of

some

bad

actors

out

there

who

are

high

profile
.

There's

so

many

people

who

really

care
,

who

really

work

hard

in

government
,

in

nonprofits
,

in

private

practices
,

and

they're

really

working

hard

because

they

give

a

damn

Right

and

we

need

more

people

like

that
.

Speaker 2
22:56

But

people

are

people

Right
,

Whether

they're

disabled
,

whether

they're

white
,

whether

they're

brown
,

whether

they're

living

here

in

Colorado

or

in

Bangladesh

society
.

And

we're

going

to

put

a

little

extra

effort

into

this

cause

and

demand

that

to

be

a

reality

for

the

people

who

can't

do

it

because

they

have

disabilities

that

prevent

them

from

doing

so

themselves
.

So

if

you

really

want

equality

and

you

want

diversity
,

equity
,

inclusion

and

all

that

good

stuff
,

you

can't

just

like

pick

one

subcategory

of

that
.

I

mean
,

you

really

have

to

demand

the

grand

scale

of

it
.

I

mean

it

should

be

a

goal

and

a

process

that

never

really

gets

achieved

because

it's

continually

getting

better
.

Speaker 1
23:56

Right
,

it's

an

effective

ecosystem
.

That's

what

we

want
,

right
?

Yeah
,

it's

the

only

way

to

do

it
.

Speaker 2
24:00

It's

the

only

way

to

do

it
.

You

can't

just

say
,

okay
,

well
,

all

you

people

in

wheelchairs

get

together

and

make

change
.

I

mean

it's

not

realistic
,

right
.

It

ain't

going

to

work
,

right
.

Speaker 1
24:11

Well
,

and

that's

like

putting

all

the

chronic

illness

people

who

do

have

chronic

fatigue

or

chronic

pain

and

saying

you

do

all

the

work
,

Well
,

we

go

and

play
.

It

doesn't

work

that

way
.

Speaker 2
24:21

It's

while

we

go

play

golf

and

have

a

club

sandwich
,

I

mean

it

doesn't

work

that

way
,

no

it

doesn't
,

and

it's

like
,

it's

blunt
,

but

like

I

say

this

to

myself

a

lot

If

you're

going

to

keep

me

alive
,

save

my

life

and

you

know
,

put

some

metal

on

my

neck

and

give

me

a

nice

wheelchair

and

all

that

jazz

and
,

you

know
,

some
,

some

health

insurance
.

Shouldn't

it

be

a

little

more

than

that
?

Or

are

we

as

a

society

okay

with

people

making

money

off

of

my

condition

for

the

rest

of

my

days
,

and

that

being

my

contribution

to

society
,

absent

me

taking

extraordinary

efforts

to

get

really

a

suboptimal

ultimate

reality
?

I

mean
,

like

Medicaid

is

the

only

insurance

that

will

pay

for

home

health

care

that

I

need

every

day

of

the

year
.

Speaker 1
25:13

Interesting
.

Speaker 2
25:14

The

only

one
,

wow
,

and

Colorado

for

only

maybe

10

to

15

years

now

has

had

a

waiver

of

Medicaid

where

I

can

actually

work

and

make

a

decent

amount

of

money
.

But

there's

still

a

ceiling
.

Speaker 1
25:28

Right
.

Speaker 2
25:29

So

because

I'm

more
,

I

get

punished

for

trying

to

be

independent
,

interesting

In

the

sense

that

I'm

only

allowed

to

make

a

certain

amount

of

money
.

Otherwise
,

you

know
,

if

I

make

more

than

X

dollars

a

year
,

then

I

have

to

pay

for

all

of

my

home

health

care

or

get

like

120

days
,

I

think
,

of

coverage
,

and

I'm

pretty

sure

the

insurance
,

would

you

know
,

mandate

that

I

go

with

a

certain

home

health

agency

and

right

now

I'm

on

a

waiver

where

I'm

able

to

hire

and

pick

and

choose

my

own

home

health

aides

and

have

a

phenomenal

team

right

now
.

But

I

mean
,

that's

a

huge

problem

too
.

It's

a

whole

nother

conversation
,

that's

interesting
.

Speaker 1
26:11

We

see

this

even
,

I

think
,

in

the

Indo

community

of

like
.

The

role

that

money

plays

and

the

ability

to

like

get

proper

care

is

so

limited
.

So
,

for

endometriosis
,

because

the

laws

in

place

are

based

off

of

an

outdated

theory
,

many

of

us

will

go

through

surgery

after

surgery
,

after

surgery

after

surgery
,

instead

of

getting

the

proper

surgery

the

first

time
,

and

so

it's

really

frustrating
,

because

we

could

ultimately

save

not

only

the

system

but

many

other

things
,

including

ourselves
,

and

have

a

better

quality

of

life
.

We

could

save

so

much

more

money

overall
.

But

because

money

is

at

play

and

you

talk

about
,

you

know
,

wall

Street

owning

the

Medicare

system

For

us
,

it's

big

pharma

for

a

lot

of

people

because

they

want

to

do

medical

management

as

opposed

to

actually

getting

to

the

root

of

the

issue
,

and

that

poses

a

lot

of

issues

when

it

comes

to

trying

to

access

proper

care

and

treatment
,

because

of

this

outdated

theory

and

because

big

pharma

is

dictating

what

is

proper

care

and

treatment

as

opposed

to

what

is

proven

to

be

proper

care

and

treatment
,

and

so

it

just

is

like

this

mangled

mess

that

is

costing

us
,

the

ones

suffering

the

most
,

money
,

time
,

energy

and

effort
,

and

it

gets

overlooked

by

those

who

are

unaffected

by

this

disease
,

and

so

I

think

that

becomes

more

of

an

issue

because

we

as

a

community

struggle

trying

to

get

accessible

care

without

the

ability

to

work

for

it
,

because

we're

tired
,

we're

really

honestly
,

it

is

such

a

there's

so

much

nerve

involvement
,

there's

so

many

muscular

things

involved

and

breathing

and

whether

you

have

thoracic

endometriosis

or

not

depends

on

whether

you

can

work
.

Speaker 1
27:58

So

we

can't

work

to

get

the

proper

care

and

treatment
,

to

pay

out

of

pocket

for

the

correct

providers
,

but

additionally
,

we

can't

even

attain

it

through

the

insurance

companies

because

they

don't

see

it

as

the

proper

care

and

treatment
.

So

it's

kind

of

a

very

that's

a

very

convoluted

way

of

saying

we're

very

much

in

this

damned

if

we

do
,

damned

if

we

don't

situation

for

a

lot

of

us

and

that's

where

I

think

a

lot

of

us

are

like

what

are

our

rights

as

people

with

invisible

illness
?

You

know
,

what

do

we

need

to

do

to

attain

certain

disability

rights
?

Because

we

feel

like

we

don't

qualify

for

either

or
,

and

I

don't

know

the

answer

to

that
.

Speaker 2
28:36

Well
,

that's

an

existential

question
.

I

got

injured

in

a

country

called

Switzerland
.

In

Switzerland
,

healthcare

is

a

right
,

not

a

for-profit

industry
.

In

America
,

when

you

talk

about

big

pharma
,

you

talk

about

the

health

industry

generally
.

It's

a

bottom

line

for-profit

industry
.

If

you

have

a

for-profit

anything
,

the

incentives

are

going

to

be

to

profit
.

Speaker 1
29:00

Right
.

Speaker 2
29:00

And

the

healthcare

context

to

profit

continuously
.

You're

going

to

need

sick

people

Right
,

and

a

disabled

person

is

a

dream

for

a

for-profit

system

because

you

need

continual

care

for

the

rest

of

your

life
.

Cures

are

the

antithesis
.

Right

Preventative

treatments
,

medications

every

day
.

Why

are

Americans

on

medications

every

day
?

Speaker 2
29:22

And

you

go

abroad

and

people

are

like

drinking

tea
,

eating

In

Switzerland
.

It

was

crazy

because

I

mean
,

they're

not

part

of

the

EU

so

they

don't

have

all

the

processed

food
.

But

to

take

it

back

to

disability

and

health
,

so

I

get

injured

in

a

shallow

water

diving

accident

with

someone
.

I'm

20

years

old

and

I

am

five

days

into

a

study

abroad

semester

in

college

and

the

Swiss

gave

me

the

green

light

to

go

to

their

premier

spinal

cord

injury

facility
,

to

SPC

in

Lucerne
.

Now

I

also

went

to

Craig

Hospital

here

in

the

States

and

this

is

not

a

slight

at

all
.

On

Craig

Hospital
,

I

love

Craig

Hospital

and

it's

one

of

the

best

institutions

for

spinal

cord

injuries

and

brain

injuries

in

the

country
.

The

difference

is

at

SPC

in

Switzerland
.

First

of

all
,

the

facility
.

Everything

was

integrated
.

They

had

their

own

ICU
,

their

own

surgical

unit
,

they

had

170

beds
.

They

had

a

ton

of

outpatient

services

as

well

as

inpatient

services
.

Speaker 2
30:23

It

was

also

the

headquarters

for

all

the

Swiss

Paralympians

and

Paralympic

teams
.

It

had

sports

facilities
,

basketball

courts
,

pools

that

were

also

used

by

the

community
.

But

the

plan

of

action

for

a

new

injury

like

myself

was

as

a

quadriplegic
,

you're

there

for

nine

months
.

If

you're

a

paraplegic
,

which

for

the

audience

means

you

know

you

have

generally

full

use

of

your

arms

and

full

dexterity
,

so

I

mean

you

can

kind

of

transfer

yourself
.

You're

in

a

manual

wheelchair
.

I

mean

you

can

kind

of

transfer

yourself
,

you're

in

a

manual

wheelchair
,

your

upper

body

looks

totally

normal
,

but

still

like

six

months
,

nine

months

for

a

quadriplegic
.

I

mean

at

Craig

Hospital

you're

lucky

to

get

three
.

Speaker 2
31:05

Wow
.

Now

here's

the

difference

Nine

months

inpatient

at

that

hospital
,

spz

and

Switzerland

not

only

gives

your

body

enough

time

to

physically

recover

but

it

also

gives

you

enough

time

to

learn

how

to

be

functional

Comprehensive Rehabilitation and Advocacy

Speaker 2
31:20

.

You

know
,

for

instance
,

you

learn

how

to

do

all

the

transfers

that

you're

going

to

need

to

be

able

to

do
,

how

to

take

care

of

yourself
.

They

work

with

you

to

modify

your

home
,

get

that

done

while

you're

in

the

hospital
.

They

work

with

your

employer

to

get

you

the

reasonable

modifications

or

accommodations

that

you

might

need

If

you

have

the

function

to

be

able

to

drive
.

Speaker 2
31:42

They

teach

you

how

to

drive

and

either

put

adaptive

equipment

in

your

existing

vehicle

or

help

you

get

a

vehicle

that

you

can

drive

by

the

time

you

leave

SPZ
,

you

have

done

the

amount

of

work

and

growth
,

or

at

least

planted

the

seeds

for

growth
,

that

you

would

be

lucky

to

achieve

in

five

to

10

years

at

Gregg

Hospital

as

an

outpatient

coming

back

for

yearly

re-evaluations
.

Speaker 1
32:08

Thank

you

for

joining

us

at

the

table

this

week
.

If

you

found

this

episode

inspiring

and

thought-provoking
,

join

us

again

next

week

as

Bryce

continues

to

enlighten

us

on

different

aspects

that

he's

learned

about
,

not

only

law

but

personal

experiences

with

disability
.

Until

next

time
,

continue

advocating

for

you

and

for

those

that

you

love
.

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