Steve Gold, a disability rights attorney, and advisor to the Center for Personal Assistance Services, published an informational bulletin earlier this month showing the comparison of institutional and community expenditures by state for long-term care. He notes that mental retardation/developmental disabilities (MR/DD) expenditures in the community are much higher than for physically disabled/aged disabled (PD/AD). He also notes that "only seven states spend more than 50% of their TOTAL LTC (i.e., both MR/DD and PD/AD) on community-based services as
opposed to institutional services."