Which would you consider worse?

I have worked for seven years as a Case Manager for persons with Developmental Disabilities. I began in this field with a caseload of 21 clients. I do stuff like help them with connecting with ADVP (Adult Developmental Vocational Program) services, which help them get jobs in the community and Developmental Therapy services, which ist them with participating in social activities in the community. I also develop plans of care for them to work on to help them increase their independence in other areas. In the past seven years, my caseload has grown from 21 people to close to 40. Due to Medicaid cutbacks enacted by the Bush administration, I have to serve this many people to keep our company afloat. Several companies have gone under, resulting in people receiving no services. The huge caseload means that I have less time to work with each person, meaning their progress is slower. Their ADVP services have been cut from 5 days a week to 3. Their Developmental Therapy services have become basically non-existent, with every company in the area having a twelve month or more wait list for services. I am not defending Obama's statement. It was dumb. But, just thought that republicans might want to know that your party is systematically detroying the lives of people with Developmental Disabilities.