Once again, special interests win at the expense of Louisiana taxpayers and its most vulnerable citizens. These greedy hogs yesterday defeated in committee SB 357 by Republican state Sen. Conrad Appel, which today caused Republican state Rep. Tony Bacala to set aside his HB 334. Both bills would put the state on course to creating a long-term managed care system for persons with disabilities. This change in philosophy discomfits nursing home interests, who benefit greatly from current state practice that biases placement of individuals in nursing homes instead of in their own homes or the community. While waiting lists for access to this care, called waiver programs, has steadily risen to 28,000 people, Louisiana nursing homes enjoy a gravy train at their expense.