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Private equity turned vulnerable elderly people into human ATMs

theguardian.com

11–20 of 143 posts

Re: Private equity turned vulnerable elderly people into human ATMs

#11
post #7
post #3

Earlier quoted context omitted.

The intentions may be good but that's unlikely to happen in our lifetime. What might be a more feasible solution?

Don’t require states to uniformly respect limited liability granted in other states. Allow them to add limits, requirements, etc. let the different states explore the trade off.

Oof, talk about making compliance difficult and expensive if a company has 50 different sets of regulations to comply with to do business in the US.

Re: Private equity turned vulnerable elderly people into human ATMs

#13

Private equity didn't. People did. We really need to get rid of limited liability and corporate fictions.

People created limited liability and private equity. Fiction is not something you get rid off. Its something you live with. It is a permanent side effect of how the over rated Humam Brain works. The brain makes predictions over multiple time horizons. When there are contradictions between these predictions how is the 3 inch chimp brain supposed to handle it while not splitting? Make up a story for the sake of coherence. Everyone is doing it everyday. They are all making up fictions to handle unpredictability.

Re: Private equity turned vulnerable elderly people into human ATMs

#14
post #3

Earlier quoted context omitted.

The intentions may be good but that's unlikely to happen in our lifetime. What might be a more feasible solution?

multi-generational households

I would rather have access to a suicide pod.

Re: Private equity turned vulnerable elderly people into human ATMs

#15
The market is perfectly efficient, value is well attributed, lobbying is a social good, being rich means you’re smart and should have special privileges, optimizing for returns on investment is equivalent to optimizing for a better society

Obviously I’m kidding, and something is rotten

Re: Private equity turned vulnerable elderly people into human ATMs

#16
post #3

Private equity didn't. People did. We really need to get rid of limited liability and corporate fictions.

The intentions may be good but that's unlikely to happen in our lifetime. What might be a more feasible solution?

Revoke corporate charters. Prevent and break up consolidation.

All corporate entities require a registration to operate in a state if they have a physical presence.

In this instance, you can also pass a law along the lines of "After setup, all care homes are required to spend 90/95/99% of their income on direct care of the residents or your charter gets revoked." This would prevent the incentives to buy them in the first place.

Re: Private equity turned vulnerable elderly people into human ATMs

#17
My parents ended up being forced by circumstances to move into a retirement home about five years ago. Fortunately, the place turned out to be run by people who mostly cared about their clients and so my parents' lives were basically OK, except that the food sucked (which AFAICT is par for the course at retirement homes). But a few months ago the place was acquired by a different company, which is trying to squeeze out higher profits. Staffing and services are being cut, and prices are going up. Even the food got worse, which I didn't think was even possible. The response when someone complains is, "If you don't like it you are free to leave."

Yeah, right. My barely mobile 90-year-old parents, one of whom has Parkinson's, are just going to pack up and go. They know perfectly well that they have a captive audience.

Thankfully, my mother died before the acquisition, and my father died last week, only a few months after the acquisition, so I don't have to deal with this any more. But caveat emptor: if you ever go into a retirement home, think about what will happen if they change ownership. Even if it looks great, or even acceptable, now, there is no guarantee that it will still be great, or even acceptable, tomorrow, unless you somehow manage to negotiate such a guarantee. I have no idea what a contract provision like that would even look like. But I am going to be facing this problem myself some day, so I'd love to hear ideas.

Re: Private equity turned vulnerable elderly people into human ATMs

#19
post #17

My parents ended up being forced by circumstances to move into a retirement home about five years ago. Fortunately, the place turned out to be run by people who mostly cared about their clients and so my parents' lives were basically OK, except that the food sucked (which AFAICT is par for the course at retirement homes). But a few months ago the place was acquired by a different company, which is trying to squeeze o…

Where I live Medicare and Medicaid want people to live (and die) in their own homes. They send out nurses and nurse practitioners to you. That is what I want. After some research I realized the provider that I want which is UTSW in Dallas has a geographical radius that they serve. I am planning to eventually move to be within that radius.

https://utswmed.org/medblog/geriatrics-cove-team-makes-house...

Re: Private equity turned vulnerable elderly people into human ATMs

#20
post #13

Private equity didn't. People did. We really need to get rid of limited liability and corporate fictions.

People created limited liability and private equity. Fiction is not something you get rid off. Its something you live with. It is a permanent side effect of how the over rated Humam Brain works. The brain makes predictions over multiple time horizons. When there are contradictions between these predictions how is the 3 inch chimp brain supposed to handle it while not splitting? Make up a story for the sake of coheren…

There are a finite number of legislative girders underpinning the judicial capacity to support these fictions. When they're removed, it will not be legally possible to maintain them. They are not a product of nature, they are a product of real humans, and as such are subject to human change and intervention. They are among the least durable constructs we interact with.
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