517 parents who have children on the spectrum are not shy – about 75% in our poll say the best place to get their kids services quickly and cost effectively has no doubt been the northeast and mid Atlantic, including Pennsylvania, but by the time their kids roll through their teens and hit adulthood, the geography changes. 81% say there’s limited access to any sort of programs to help their kids, now adults, transition to vocational schools or jobs, but if there’s a region better suited to help foster a good transition, it’s the west. Think Seattle, San Francisco, Portland. Cities with companies focused on populations needing help transitioning into adulthood. These companies should become more necessary and visible over the next 5 years. Question will invariably be funding. Anthem’s moves recently to reduce payment rates are a signal that they anticipate increasing volume for autism treatment.