Nine institutions for New York's developmentally disabled get nearly $5,000 per person per day in Medicaid reimbursements. This is ten times what they received in 1991 when the state vowed that they would shut the sprawling, inefficient centers by 2000. According to a report by Mary Beth Pfeiffer, of the Poughkeepsie (N.Y.) Journal, the state has not closed the institutions because it would lose a billion dollars a year in federal money.
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