Sacramento -- There is more pain ahead for elderly, disabled and poor Californians. Schwarzenegger has proposed reducing caregiver pay under the In Home Support Services program -- used by 446,000 Californians with disabilities -- from a maximum of $10.10 per hour (including benefits) to $8.60. That will make it tougher to find help. "I expect suicides, premature deaths, a horrible disruption of the social fabric. . . . We're headed toward market-based social Darwinism where only the fittest will survive."