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===Economic impact=== It is difficult to directly compare the cost and cost-effectiveness of interventions to prevent cerebral palsy or the cost of interventions to manage CP.<ref name="pmid29319155" /> Access Economics has released a report on the economic impact of cerebral palsy in Australia. The report found that, in 2007, the financial cost of cerebral palsy (CP) in Australia was A$1.47 billion or 0.14% of GDP.<ref name="spasticcentre" /> Of this: * A$1.03 billion (69.9%) was productivity lost due to lower employment, absenteeism, and premature death of Australians with CP * A$141 million (9.6%) was the DWL from transfers including welfare payments and taxation forgone * A$131 million (9.0%) was other indirect costs such as direct program services, aides and home modifications, and the bringing-forward of funeral costs * A$129 million (8.8%) was the value of the informal care for people with CP * A$40 million (2.8%) was direct health system expenditure The value of lost well-being (disability and premature death) was a further A$2.4 billion.<ref name="spasticcentre" /> In per capita terms, this amounts to a financial cost of A$43,431 per person with CP per annum. Including the value of lost well-being, the cost is over $115,000 per person per annum.<ref name="spasticcentre" /> Individuals with CP bear 37% of the financial costs, and their families and friends bear a further 6%. The federal government bears around one-third (33%) of the financial costs (mainly through taxation revenues forgone and welfare payments). State governments bear under 1% of the costs, while employers bear 5% and the rest of society bears the remaining 19%. If the burden of disease (lost well-being) is included, individuals bear 76% of the costs.<ref name="spasticcentre" /> The average lifetime cost for people with CP in the US is US$921,000 per individual, including lost income.<ref name="pmid14749614" /> In the United States, many states allow [[Medicaid]] beneficiaries to use their Medicaid funds to hire their own PCAs, instead of forcing them to use institutional or managed care.<ref name="medicaid" /> In India, the government-sponsored program called "NIRAMAYA" for the medical care of children with neurological and muscular deformities has proved to be an ameliorating economic measure for persons with such disabilities.<ref>{{cite web |title=NIRAMAYA Ministry of Social Justice and Empowerment (MSJE) |url=http://thenationaltrust.gov.in/content/scheme/niramaya.php |website=thenationaltrust.gov.in |access-date=27 February 2017 |archive-url=https://web.archive.org/web/20170227150225/http://thenationaltrust.gov.in/content/scheme/niramaya.php |archive-date=27 February 2017 |url-status=dead}}</ref> It has shown that persons with mental or physically debilitating congenital disabilities can lead better lives if they have financial independence.<ref>{{cite news |vauthors=Siva M, Nalinakanthi V |title=The Big Story. Financially able |url=http://www.thehindubusinessline.com/portfolio/financially-able/article7930167.ece |work=The Hindu Business Line |date=29 November 2015}}</ref>
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