Lisa Archibald has been caring for her non-verbal and profoundly disabled brother John David in her home for more than 20 years. With multiple physical and developmental disabilities, he requires 24-7 care. Proposed cuts in Georgia’s Medicaid disability budgets may force relocation to a group or nursing home, a move Archibald considers a ‘death sentence’ because of his extensive care requirements, high turnover and inadequate staff training. “We tried a group home years ago, and he nearly died,” she said. “I won’t do that to him again, though that is what the state is advocating.” John David requires 24/7 care with 2:1 staffing, including one LPN or RN, she said. The cuts would require Archibald to increase the time she cares for him to 20 hours daily, leaving little time to sleep or work, she said.  Georgia currently has 187  medically fragile residents who would be impacted by the state’s proposed budget cuts.

Lisa Archibald has been caring for her non-verbal and profoundly disabled brother John David in her home for more than 20 years. With multiple physical and developmental disabilities, he requires 24-7 care. Proposed cuts in Georgia’s Medicaid disability budgets may force relocation to a group or nursing home, a move Archibald considers a ‘death sentence’ because of his extensive care requirements, high turnover and inadequate staff training. “We tried a group home years ago, and he nearly died,” she said. “I won’t do that to him again, though that is what the state is advocating.” John David requires 24/7 care with 2:1 staffing, including one LPN or RN, she said. The cuts would require Archibald to increase the time she cares for him to 20 hours daily, leaving little time to sleep or work, she said. Georgia currently has 187 medically fragile residents who would be impacted by the state’s proposed budget cuts.

Robin Rayne, documentary photojournalist

About Robin

Robin Rayne, Atlanta photojournalist for ZUMA Press

Robin Rayne, Atlanta photojournalist for ZUMA Press

Robin Rayne is an internationally-published magazine and newspaper photojournalist and documentary film producer, specializing in developmental disability issues, human rights and social justice concerns, and based in Canton, Georgia, north of Atlanta

Spanning a 35-year national magazine career, his work has appeared in Newsweek, Time, Business Week, Forbes, New York Times, Wall Street Journal, Los Angeles Times, NBC News, Paris Match and Der Spiegel, among dozens more. Robin’s stories and projects are syndicated globally by ZUMA Press photo agency. 

"I produce stories and films with a goal of reshaping the way society views those who are different -- and 'different' covers a wide spectrum of the human condition, including disability issues and the wide spectrum of gender. They are my 'why.' I focus on struggles and victories of those who are often shunned, misunderstood, ignored, rejected and devalued.