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The Corporatization of Nursing Homes

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Re: The Corporatization of Nursing Homes

#51

I'm probably in the minority here but I often think about preventative care like exercise and eating healthy now as insurance against a future where I'd be stuck in a nursing home in my final years.

Smoking and drinking a lot are probably the best ways to avoid nursing homes. Living a long time isn't all it's cracked up to be.

Personally, dying at 70 seems about ideal to me. Of course maybe I'll change my mind if/once I reach 70.

Re: The Corporatization of Nursing Homes

#52
post #50

Earlier quoted context omitted.

Women gained freedom, aka ability to earn income.

The freedom to work for a boss that sees her as just another disposable "human resource" instead of working for a family that sees her as it's essential heart.

The financial freedom to leave an abusive spouse or family, as well.

Re: The Corporatization of Nursing Homes

#53
post #40

Earlier quoted context omitted.

In the golden olden days in which you allude, no one was paid to take care of children and parents. It's an argument to say we should subsidize those that care for their own parents and children (and there are numerous government programs and tax breaks that already do), but you are undercutting your thesis with this bizarre assertion. Many old people never had kids, and don't have any family. They need paid workers…

And why are we now comfortable with not having kids? Because of atomism. The "golden age" argument is flawed. No one seriously argues that literally everything was better in the past. Rather, the criticism is that it's absurd to have gotten rid of something positive we already had, only to replace it with something worse and gain no net benefit as a result. It's all a matter of interconnected systems, including syste…

> If it's unacceptable socially to not have a family, you'll have one. If it's unacceptable for women to work and compete with men for wealth and power, men will make enough to support their entire families, allowing at least one parent to always be there to raise children properly, instead of outsourcing that to strangers -- same for elderly care.

Is it not socially unacceptable for men to abuse their wives? Yet it still happens. So I don’t know what you’re going on about atomism and whatnot, but I’m happy my sisters and my daughters will have the ability to stand on their own.

And if women’s freedom causes the problem of parents not having enough time to spend with children, then that has something to do with minimum wage and overtime/maximum hours at work laws than it does women’s freedom.

Re: The Corporatization of Nursing Homes

#54
post #50

Earlier quoted context omitted.

Women gained freedom, aka ability to earn income.

The freedom to work for a boss that sees her as just another disposable "human resource" instead of working for a family that sees her as it's essential heart.

I’ve seen plenty of families where the woman / daughter in law is seen as the essential maid rather than essential heart, whatever that means.

Re: The Corporatization of Nursing Homes

#55
post #45

Earlier quoted context omitted.

Medicaid pays for it if you can't afford it. You must spend down your assets first, before medicaid will pay.

You are confusing Medicare with Medicaid.

you have to spend down for Medicaid/Medical -- but Medicare does not look at your assets. Medicare will only cover short term skilled nursing after a hospitalization. Medicaid beds exist for long term skilled nursing.

Re: The Corporatization of Nursing Homes

#56
post #35
post #27

I remember watching a 20/20 Barbara Walters special years ago on the poor conditions of nursing homes.. fast forward to 2020... My former colleague and I built a QR app-based check-in system for nursing & assisted living - home caregivers to ensure they physically check on each resident as required. I was disheartened & dismayed most facilities just want to turn a blind-eye on the under-staffing issues of their facil…

I don't work in a long-term care facility (I do acute geriatric psychiatric care), but I do work next door to one. We're non-profit so we don't exactly fit the mold, but understaffing isn't something that we are aiming for. We're offering incredible hiring bonuses, reaching out on every single avenue. Our problem is retention - we can get a few people hired, but maybe 1/5 CNAs stay, and 1/4 of the nurses. The long te…

Have you tried paying higher than the market rate ( like what you would pay a travelling nurse/CNA) instead of signing bonuses? CNAs make less than amazon warehouse workers in my area. If I'm a nurse, it's only natural I'm going to seek a less demanding patient population asap unless there is a significant incentive not to do that, especially given that every hospital in the country is hiring nurses at all times.

Re: The Corporatization of Nursing Homes

#59
post #35

Earlier quoted context omitted.

I don't work in a long-term care facility (I do acute geriatric psychiatric care), but I do work next door to one. We're non-profit so we don't exactly fit the mold, but understaffing isn't something that we are aiming for. We're offering incredible hiring bonuses, reaching out on every single avenue. Our problem is retention - we can get a few people hired, but maybe 1/5 CNAs stay, and 1/4 of the nurses. The long te…

Have you tried paying higher than the market rate ( like what you would pay a travelling nurse/CNA) instead of signing bonuses? CNAs make less than amazon warehouse workers in my area. If I'm a nurse, it's only natural I'm going to seek a less demanding patient population asap unless there is a significant incentive not to do that, especially given that every hospital in the country is hiring nurses at all times.

And then you get the $10k/month/person nursing home cost.

Re: The Corporatization of Nursing Homes

#60
post #51

I'm probably in the minority here but I often think about preventative care like exercise and eating healthy now as insurance against a future where I'd be stuck in a nursing home in my final years.

Smoking and drinking a lot are probably the best ways to avoid nursing homes. Living a long time isn't all it's cracked up to be. Personally, dying at 70 seems about ideal to me. Of course maybe I'll change my mind if/once I reach 70.

There is a concept of healthspan, and elderly in their 70s who just have weak muscles & less energy with no mental or other physical health conditions or medication requirements.
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