Comment from Thompson, Carol

Firstly, for such a critical issue utilizing advisors who are in fully-powered power chairs, and on volume ventilators due to NMDs and/or polio should be established. I would like to offer myself as a stakeholder on this topic, as well as the safe, licensed transportation of anyone requiring accessible transportation for hire and/or Medicaid - this is a serious problem and it is getting worse with people starting companies solely for this purpose without any licensure and/or training. Secondly this website was impossible to read easily using adaptive software; however, regarding medical procedures on people with neuromuscular conditions and post-polio who must utilize a Ventilator (usually attached to the powerchair) when sedated, lying down, and/or under any anesthesetic agents, particular support equipment is critical as well as the correct circuits from the ventilator to the patient, more so for any and all face procedures (which only require a 15mm circuit from the "Y" on most vents to the patient). Postitioning after access to examining tables/CT scanners, MRI tables, et al is of utmost importance to those of us who have paralysis, and/or neuromuscular such as symptomatic chronic inspiratory muscle failure that results in ventilatory insufficiency and severe expiratory muscle (cough) insufficiency. Lastly, I am also the committee chair of Education & Outreach for the Consumer Direction Work Group for Texas DHHSC/DADS. Thank you.