These trends worry disability advocates as they look ahead to 2025

2025 is shaping up to be a pivotal year for people with disabilities, with significant changes on the horizon. The second term of Donald Trump’s presidency is set to bring about major shifts in healthcare policy, with vaccine critic Robert F. Kennedy Jr. potentially leading the U.S. Department of Health and Human Services. There are concerns about potential cuts to Medicaid, the primary source of long-term care for people with disabilities, which could have far-reaching implications for healthcare access.

At the same time, the integration of artificial intelligence (AI) into healthcare systems is rapidly advancing, raising questions about how these technologies will impact individuals with disabilities. While AI has the potential to streamline processes and improve efficiency, there are worries about how it may exacerbate existing disparities and challenges for people with disabilities.

The combination of potential Medicaid cuts and the increasing use of AI in healthcare has experts concerned about the future. Jennifer Lav, a senior attorney at the National Health Law Program, warns of the existential threat these changes pose to the progress made by people with disabilities in recent decades.

States are also looking to automate health benefits to cope with potential cuts to Medicaid, but this shift is not without risks. Reports have highlighted errors in algorithmic systems used for Medicaid enrollment, leading to individuals being mistakenly disenrolled from essential services. The introduction of generative AI further complicates these issues, as federal oversight remains limited.

Community care is crucial for many Medicaid enrollees, but this too is at risk of cuts. The home care industry has long been under strain, with direct care workers often receiving low wages. Efforts to bolster the industry have fallen short, leaving many vulnerable individuals without adequate support.

The politicization of masks has added another layer of complexity for people with disabilities. As mask-wearing becomes increasingly contentious, individuals who rely on masks for protection are facing challenges. The potential for a state-wide ban on masks in some regions could further endanger the health and safety of vulnerable populations.

As 2025 unfolds, the future of healthcare for people with disabilities remains uncertain. The decisions made by policymakers and the impact of emerging technologies will play a significant role in shaping the landscape for individuals with disabilities. It is essential to prioritize the needs and rights of this community to ensure equitable access to healthcare and support services.