Reject Trump’s “Ending Crime and Disorder on American Streets” executive order
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Reject Trump’s “Ending Crime and Disorder on American Streets” executive order requiring the federal government and states to expand large-scale institutional commitments in lieu of proven community-based services for individuals experiencing homelessness, serious mental illness, or substance use disorders. The Executive Order creates an image of a dystopian society, but there are no streets in our country that are overrun with lawlessness as he describes.
Community-based approaches deliver more humane care, uphold civil rights, and cost a fraction of the proposed institutional model. Trump’s proposal for institutional civil-commitment programs encompassing secure facilities, 24-hour staffing, and high-intensity supervision would be two to ten times more expensive per person each year than Medicaid-funded home and community-based services.
In practical terms, every dollar invested in community services leverages two to ten dollars saved on institutional care.
• Community-based average annual cost: $6,522–$29,949
• Institutional commitment average annual cost: $50,000–$175,000
Beyond cost, community-based care is far more humane. It:
• Preserves personal autonomy by allowing individuals to live in familiar settings
• Fosters social inclusion through supported housing, peer networks, and employment services
• Reduces trauma, isolation, and the dehumanizing effects of detention-style facilities
• Aligns with the Olmstead decision and the spirit of the Americans with Disabilities Act by ensuring services are provided in the least restrictive environment
Evidence shows that community-based models improve health outcomes, lower hospitalization rates, and increase long-term stability. Jurisdictions that expanded supportive housing and mobile treatment teams have seen declines in emergency room visits, fewer arrests, and faster recovery trajectories — all while spending significantly less than institutional backlogs.
To achieve both fiscal responsibility and compassionate care, I recommend that you:
1. Prioritize funding for home and community-based services under Medicaid and SAMHSA grants.
2. Redirect existing resources from civil-commitment beds to supported housing and mobile outreach teams.
3. Direct HUD & HHS to jointly create outcome metrics focused on housing stability, health improvements, and system cost-savings.
4. Enact legislation to uphold Olmsted and reinforce the right to community integration and due process for service eligibility decisions.
By embracing community-based services, we can ensure taxpayers’ dollars are invested wisely and that vulnerable individuals receive dignified, evidence-based support. Thank you for your leadership and commitment to both fiscal prudence and the humane treatment of our fellow citizens.