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Kicking out old people <i>because</i> they're on Medicaid?

port townsend elderly protest There oughta be a law.... Act Against Eviction:

Eleven residents of Victoria House in Port Townsend, Washington State, (some in their 90s) are being evicted from the assisted living facility with 90 days notice. Why? Because the Victoria House management company, has decided to stop accepting Medicaid, and there is no law in Washington that makes them have to stick with their agreements with tenants.

Yup. They can just kick 'em out.

The same company kicked out all the Medicaid patients from their Oregon facilities last year. Community action got together, and now Oregon has a law, like the one in Illinois, that prohibits such practices.

The company has the Orwellian name of "Assisted Living Concepts" and their motto is "Life Just Got Easier". No, really. And this is a deliberate business decision on the part of a company that says they are committed to eldercare. Elder Law Answers says, "Over the next five years, company officials say they plan on having their 1,800 remaining Medicaid recipients move out, either voluntarily as they choose to move into other assisted living facilities or nursing homes, or involuntarily through evictions."

Assisted Living Concepts' chief executive officer Laurie Bebo said the company filed for bankruptcy twice in the 1990s and is now moving toward serving only private-pay residents in part because it does not want to undergo a third bankruptcy....Even with Medicaid residents in its facilities, Assisted Living Concepts made about 24 percent more in fourth-quarter earnings in 2007 than it did in 2006.

About Bluegal aka Fran
Bluegal aka Fran's picture
Executive Producer of The Professional Left Podcast. On staff at Crooks and Liars since 2007. Master's degree from Harvard. Happy wife of Driftglass. Mother of three geniuses. Obsessive knitter. Blogs at http://bgalrstate.blogspot.com. .
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Undercover Brother's picture

in our most recent elections (I'm a Seattle area rez) we had a vote on forcing the companies to accept all insurance....this will be an ugly fight.

next year our Gov is up and the race will be a rematch...on the left the incumbant and on the right the former CEO of Safco insurance...think it matters who wins???

even this non-Donkey progressive will vote for Chrissy this time

Sue's picture

Have a new owner of an assisted living in our town...(near Indianapolis) doing the same thing.
Tried to evict. At least these folks are standing up for their elderly. Not one person in this town, leaders so to speak, have done so. These little retired folks hired a lawyer. Sad Sad sad....

This was originally a "church owned" facility that got in trouble with the SEC. Nope the church did not stand up to this new owner either.

I applaud these people. They have their priorities straight! We all have to remember it could be us some day and treat all elderly as if they were our own parents.

Blue Lensman's picture

It's happening here too. There is a contingent that wants to move the old folks out of their nice home and into a second rate facility outside of town so they can redevelop the primo spot.

Just sad..

Bitter Scribe's picture

This is not meant as a defense of this Assisted Living Concepts---I hope those people are "assisted" into another line of work. But you might like to know that the reason Illinois passed the law referenced in your post was that the state is chronically late and short with Medicaid payments, to the point where it became almost an act of charity for a doctor or nursing home to accept Medicaid patients.

This is because, when it comes to putting together a state budget, the governor and legislature do their yearly impression of a bunch of 4-year-olds in a sandbox fighting over the pail and shovel. Medicaid recipients, who are almost universally poor and without clout, routinely go to the back of the line.

Greg's picture

American health care, you gotta love it. A friend at work...yes she has a job but but cannot afford health insurance for her kids...Just received a letter today telling her because of her minimal wage increase her kids no longer qualify for PA's S-Chips. She's never voted in her life and she's 50. I explained to her that the conservatives hate our children. She asked me where to sign up to vote. That's one more on our side. That's all we have to do is explain the truth to people and get them to vote.

JasonS's picture

Well, it's about time. Our nation's elderly have had it far too easy for far too long.

Let's let the invisible hand of the free market solve this problem the way it magically solves every other problem.

These people need homes? Well, I seem to remember something about a slump in the housing market! Sounds like a great opportunity to me. And if they don't have the income right now, we'll hook them up with some nice sub-prime introductory mortgages. They can refinance when they pull themselves up by their bootstraps.

Government handouts create dependency. How will these people ever learn the value of the dollar and a hard day's work if we just keep giving them everything?

Besides, I'll bet they're mostly illegal aliens anyway.

hit_escape's picture

Port Townsend is a beautiful old town on a point of land in Puget Sound. If the old folks have any kind of grand view like most of the town does, I'll bet it'll plowed into condos sometime soon.

Mike's picture

In defense of the nursing home, the way many elderly people end up staying in these homes is by signing a contract that states that they will pay for their care out of their own pockets and when their personal funds run out they demand that the home beging to accept Medicare or Medicaid payments in lieu of the amount they contracted to pay the home. The home is put in the very awkward position of either deciding to kick the resident out for a violation of the residency agreement, or allowing them to stay in the home and accept the Medicare/Medicaid payment that is offered to them. If they kick them out that will create ill will for the home and would not exactly foster an environment that people will see desireable when searching for a nursing home. If they do not sue they are in a position of losing money as Medicare and Medicaid simply do not pay the market rate for these services.

Terrible's picture

There really is no limit to bushista greed is there?

Doggiebobo's picture

Bitter Scribe @ 4:

This is not meant as a defense of this Assisted Living Concepts---I hope those people are "assisted" into another line of work. But you might like to know that the reason Illinois passed the law referenced in your post was that the state is chronically late and short with Medicaid payments, to the point where it became almost an act of charity for a doctor or nursing home to accept Medicaid patients.

This is because, when it comes to putting together a state budget, the governor and legislature do their yearly impression of a bunch of 4-year-olds in a sandbox fighting over the pail and shovel. Medicaid recipients, who are almost universally poor and without clout, routinely go to the back of the line.

Understand, and situation in Illinois is not that different than other parts of the country.
Before everyone gets their hackles up, I suggest you click on the "Act Against Eviction"
lead-in and then click on the rather explanatory article under the "Peninsula Daily News"
as provided in the article. Tho circumstance is saddening, it seems as if the facility
is within the law had given the residences notice beforehand and is in fact giving residences
notice that effective February l, 2008. all Medicare receiptants will have to likewise move.

Marc's picture

Where is the respect for our elders? It is sorely lacking in our culture.

CD's picture

The Victoria House management company is about to experience a pr nightmare.

Dena Shunra's picture

Doggieboo@10 - the facility may be acting within the law - but it is way out of bounds in terms of fairness. People went to that facility after making sure that when their own funds were exhausted, they could remain as Medicaid patients. That agreement has basically been ignored.

Laws are negotiations between various interest groups. The Victoria House folks may be confined to wheelchairs and have a hard time standing up for themselves - but who wants to live in a society where only being young and healthy guarantees you dignity?

wobbly's picture

The villain here is NOT the nursing home. It's the chaos that is our "health care" system.

Doggiebobo's picture

CD @ 12:

The Victoria House management company is about to experience a pr nightmare.

Yes, even tho their actions are within the law.

carol's picture

This seems to be the last step before just lining them all up and shooting them. Got gun?

Doggiebobo's picture

Dena Shunra @ 13:

Doggieboo@10 - the facility may be acting within the law - but it is way out of bounds in terms of fairness. People went to that facility after making sure that when their own funds were exhausted, they could remain as Medicaid patients. That agreement has basically been ignored.

Laws are negotiations between various interest groups. The Victoria House folks may be confined to wheelchairs and have a hard time standing up for themselves - but who wants to live in a society where only being young and healthy guarantees you dignity?

I understand, and do not disagree since I went thru this same type of tramaic experience w/my 95 year old Mom in an assisted living facility here in Texas.

Da Spyda's picture

The measurement of greatness in a country, culture or society is how humanely it treats its elderly citizens, especially those who are poor.

It has become sadly obvious that we in this country have failed so miserably when it comes to caring for those who are most vulnerable.

We have billions upon billions of dollars for bullets & bombs to kill people, but no funds available for the old folk.

Its FUBAR.

Yellow Elephant Safari's picture

FYI y'all:

Assisted Living Concepts, Inc.
W140 N8981 Lilly Road
Menomonee Falls, WI 53051
262-257-8888
Toll Free 888-252-5001

CEO - Laurie Bebo

Haven't found an email address other than the one for general information - info@alcco.com

I guess you could try lbebo@alcco.com or l.bebo@alcco.com but that's just shooting in the dark.

Doggiebobo's picture

carol @ 16:

This seems to be the last step before just lining them all up and shooting them. Got gun?

Or, if there were still islands of ice in Alaska or the Artic, they could be sent up yonder
to live out their remaining years(days/hours)

Marc's picture

Da Spyda @ 18:

The measurement of greatness in a country, culture or society is how humanely it treats its elderly citizens, especially those who are poor.

It has become sadly obvious that we in this country have failed so miserably when it comes to caring for those who are most vulnerable.

We have billions upon billions of dollars for bullets & bombs to kill people, but no funds available for the old folk.

Its FUBAR.

Well stated!

Linda's picture

You DO realize that this isn't the fault of Victoria House, don't you? It CAN'T keep the Medicare patients. It can't afford to. Victoria House is just another one of the victims of our health care system.

Unless of course it CAN keep its doors open and its operations running with the reimbursements it gets from its Medicare patients.

It would be really helpful to learn which of these scenarios we have here.

Yellow Elephant Safari's picture

carol @ 16:

This seems to be the last step before just lining them all up and shooting them. Got gun?

Can you say Soylent Green?

JasonS's picture

Mike Says:
If they do not sue they are in a position of losing money as Medicare and Medicaid simply do not pay the market rate for these services.

It's even worse than that. By demanding that the government welfare state pay for their stay, they take assisted living units off the market that could actually be put to better use by young, able-bodied workers.

I, for example, have a high stress job that involves long hours. How much would I be willing to pay to come home to a made bed, prepared food and medications on tap? A lot more than Medicare, that's for sure.

But I'm cut out of the market because of all these "regulations" that say I have to have a "manifest medical need." This is pure government-supported discrimination. It's ageism and it unfairly excludes people just because they're healthy.

But instead, what happens? I work hard all day and when I come home, I have to make my own meals, clean my own house and, just to add insult to injury, I actually have to pay taxes so these leaches can live high on the hog.

I ask you, is that fair?

Dena Shunra's picture

I'm just in the process of putting together a new post about just how the Victoria House got built. The story involves an $8.5 bond, in return for which the V.H. was supposed to allow a certain percentage of its rooms to go to low income patients.

Imagine... ...they didn't risk their own capital, they risked mine, as a local taxpayer.

And Da Spyda, you rock.

Dena Shunra's picture

Make that $8.5 million bond...

Cheese and rice, we're heading back to the days prior to Medicare, not only do we have an increase in the number of homeless from returning Iraq-nam Vets, we now will have the elderly joining the number of homeless people.

Greedy Republicans... they just love torture, death, deficits and profits above all else.

99's picture

Reminds me of good ol' Governor Reagan....

pegrod99's picture

Just watched "Sicko" last night. What a great flick, should be mandatory viewing.

Marvin El Canucki's picture

Just in time for Xmas too! Charles Dickens would have been inspired I'm sure.

Capitalism at its' worst -- God Bless Walmart for showing The Way.

Undercover Brother @ 1:

in our most recent elections (I'm a Seattle area rez) we had a vote on forcing the companies to accept all insurance....this will be an ugly fight.

next year our Gov is up and the race will be a rematch...on the left the incumbant and on the right the former CEO of Safco insurance...think it matters who wins???

even this non-Donkey progressive will vote for Chrissy this time

Hey - vote for the Insurance Executive. That should make a difference. Not sure it will help the situation for these elderly, but it should make a difference.

Doggiebobo's picture

Linda @ 22:

You DO realize that this isn't the fault of Victoria House, don't you? It CAN'T keep the Medicare patients. It can't afford to. Victoria House is just another one of the victims of our health care system.

Unless of course it CAN keep its doors open and its operations running with the reimbursements it gets from its Medicare patients.

It would be really helpful to learn which of these scenarios we have here.

It's the former....and elderly, in many instances, are needing more than "assisted living"
since medical conditions/age require NURSING care and the care takers at the Victoria
House are NOT trained or qualified or certified as nurses..and the reimbursement by
Medicare/Medicaid is not sufficient to cover the cost of care needed.

Edwin's picture

I plan to have my own "stash", for my own "final solution" when the time comes. Old people are going to become a scourge on society, as so many will need benefits. Wait and see!!! Wait and see.

Bitter Scribe @ 4:

This is not meant as a defense of this Assisted Living Concepts---I hope those people are "assisted" into another line of work. But you might like to know that the reason Illinois passed the law referenced in your post was that the state is chronically late and short with Medicaid payments, to the point where it became almost an act of charity for a doctor or nursing home to accept Medicaid patients.

This is because, when it comes to putting together a state budget, the governor and legislature do their yearly impression of a bunch of 4-year-olds in a sandbox fighting over the pail and shovel. Medicaid recipients, who are almost universally poor and without clout, routinely go to the back of the line.

Medicaid is supplemented by the Federal Government and just like all of the promises made by the coward Bush, payment of Medicaid is pushed to the back burner because coward Dick Cheney and coward George Bush need their "war money" and this is their priority, not Medicaid supplemental payments.

JasonS's picture

What about all the diseases these old people will spread into the general population if we release them? Has no one thought of that?

Put them on a boat, at least.

Marc @ 11:

Where is the respect for our elders? It is sorely lacking in our culture.

Marc - you are so right about this. Other cultures respect their elders and care for their elders. We have a throw away culture and our elderly are not much more than another throw away. It's all about youth and beauty.

Doggiebobo's picture

Coffins draped in flags @ 34:

Bitter Scribe @ 4:

This is not meant as a defense of this Assisted Living Concepts---I hope those people are "assisted" into another line of work. But you might like to know that the reason Illinois passed the law referenced in your post was that the state is chronically late and short with Medicaid payments, to the point where it became almost an act of charity for a doctor or nursing home to accept Medicaid patients.

This is because, when it comes to putting together a state budget, the governor and legislature do their yearly impression of a bunch of 4-year-olds in a sandbox fighting over the pail and shovel. Medicaid recipients, who are almost universally poor and without clout, routinely go to the back of the line.

Medicaid is supplemented by the Federal Government and just like all of the promises made by the coward Bush, payment of Medicaid is pushed to the back burner because coward Dick Cheney and coward George Bush need their "war money" and this is their priority, not Medicaid supplemental payments.

I agree as to the lack of sufficient funding by bush-lite and his cronies for Medicaid
because "his war comes first" and HE and this Congress have made things worse, however, this has been a problem going back at least 10 plus years...and I speak from experience.

Doggiebobo's picture

JasonS @ 35:

What about all the diseases these old people will spread into the general population if we release them? Has no one thought of that?

Put them on a boat, at least.

Surely you jest...."They" are not going to be released into the general population...The
State Dept. of Health is securing other elder care facilities for them when moved.

JasonS @ 24:

Mike Says:
If they do not sue they are in a position of losing money as Medicare and Medicaid simply do not pay the market rate for these services.

It's even worse than that. By demanding that the government welfare state pay for their stay, they take assisted living units off the market that could actually be put to better use by young, able-bodied workers.

I, for example, have a high stress job that involves long hours. How much would I be willing to pay to come home to a made bed, prepared food and medications on tap? A lot more than Medicare, that's for sure.

But I'm cut out of the market because of all these "regulations" that say I have to have a "manifest medical need." This is pure government-supported discrimination. It's ageism and it unfairly excludes people just because they're healthy.

But instead, what happens? I work hard all day and when I come home, I have to make my own meals, clean my own house and, just to add insult to injury, I actually have to pay taxes so these leaches can live high on the hog.

I ask you, is that fair?

well, Jason, you poor shit, you. Life sucks and then you die.

JasonS's picture

Coffins draped in flags Says:
Life sucks and then you die.

Don't tell me, let me guess. Democrat?

Doggiebobo's picture

JasonS @ 40:

Coffins draped in flags Says:
Life sucks and then you die.

Don't tell me, let me guess. Democrat?

Not speaking for "Coffins draped in flags"...but makes no difference as to ones political
preference. This is a sad situation...and let me guess...YOU are an asshole or a troll?

JasonS - don't tell me, let me guess... torture, death, deficit and profit loving Republican? Right?

JasonS's picture

Doggiebobo Says:
The State Dept. of Health is securing other elder care facilities for them when moved.

Securing? Or nationalizing? Will we be getting a list of these facilities? Those of us who have worked hard to warehouse our parents in respectable facilities deserve some warning if the riffraff are going to be spreading their filth around.

I pay good money and the last thing I need to hear is my mom whining about her living situation. That poor woman has suffered enough...or so I'm told.

mudshark's picture

JasonS @ 40:

Coffins draped in flags Says:
Life sucks and then you die.

Don't tell me, let me guess. Democrat?

Let ME guess.....so now that they're old and have stopped contributing to society....you think they're leaches?....so don't tell me...let me guess.......Facist?

JasonS - guess you are probably hoping that you don't live long enough to get old. As I said, life sucks and then you die. And as long as you continue to whine about money, life will continue to suck for you.

CD's picture

Doggiebobo @ 15:

CD @ 12:

The Victoria House management company is about to experience a pr nightmare.

Yes, even tho their actions are within the law.

I agree.

Just because what they did is technically legal doesn't mean people will ever again allow their loved ones to move into VHM's crap shacks.

mudshark's picture

it always comes down to repugs and their money.....

Doggiebobo's picture

JasonS @ 43:

Doggiebobo Says:
The State Dept. of Health is securing other elder care facilities for them when moved.

Securing? Or nationalizing? Will we be getting a list of these facilities? Those of us who have worked hard to warehouse our parents in respectable facilities deserve some warning if the riffraff are going to be spreading their filth around.

I pay good money and the last thing I need to hear is my mom whining about her living situation. That poor woman has suffered enough...or so I'm told.

Actually, if one was to read the news reports contained in the Article quote above, one
would learn that the State Health and Human Resources Dept's. have already contacted
and made arrangements for those being displaced to moving into other certified elder care
facilities. I appreciate and laughed out loud at your humor as to your poor Mom having
had suffered enough already...which I'm sure was a direct reference to you...

JudyLou's picture

Don't you know it's just lip service when the USA says we love our kids and we love and respect our elders. NOT!

mudshark's picture

I'll bet Jason resents paying any taxes for the Veterans Administration too...hell...they're old,and have stopped contributing as well...it's a waste of money..right Jason.

JasonS's picture

Coffins draped in flags @ 45:

JasonS - guess you are probably hoping that you don't live long enough to get old. As I said, life sucks and then you die. And as long as you continue to whine about money, life will continue to suck for you.

Yeah, me and Pete Townsend. Seems to me, though, that these old folks are the ones who should be worried about whining about money.

I'm still young and have plenty of time to whine about all kinds of things. But the clock is ticking for these folks.

If you can't afford your home, move. This is America. In God we trust, all others pay cash.

Eisanna Eiger's picture

Coffins draped in flags @ 39:

JasonS @ 24:

Mike Says:
If they do not sue they are in a position of losing money as Medicare and Medicaid simply do not pay the market rate for these services.

It's even worse than that. By demanding that the government welfare state pay for their stay, they take assisted living units off the market that could actually be put to better use by young, able-bodied workers.

I, for example, have a high stress job that involves long hours. How much would I be willing to pay to come home to a made bed, prepared food and medications on tap? A lot more than Medicare, that's for sure.

But I'm cut out of the market because of all these "regulations" that say I have to have a "manifest medical need." This is pure government-supported discrimination. It's ageism and it unfairly excludes people just because they're healthy.

But instead, what happens? I work hard all day and when I come home, I have to make my own meals, clean my own house and, just to add insult to injury, I actually have to pay taxes so these leaches can live high on the hog.

I ask you, is that fair?

well, Jason, you poor shit, you. Life sucks and then you die.

ROTFLMAO..can't you people READ more carefully???... JasonS is going all Colbert on this.. he is NOT a facist at all. He probally writes for the Daily Show or Colbert Report.

jr's picture

caste system alive and well in 'merica

JasonS's picture

mudshark @ 50:

I'll bet Jason resents paying any taxes for the Veterans Administration too...hell...they're old,and have stopped contributing as well...it's a waste of money..right Jason.

Hey, I didn't start any of these so-called "wars" they fought it. Why should I pay for them AFTER they're over?

I support private savings accounts that soldiers can manage for themselves. I don't think big government is the answer.

Another Smokescreen's picture

It is not unusual for those in the "service industry" to target the clients. It's easy to scapegoat. When money runs out, repairs aren't done. Housing authority will threaten to shut off funds unless repairs are made. Who gets hurt? The residents.

With subsidies, tenant payments are lower; the landlord gets the full market value with a government payment. However, once those funds are cut, the landlord expects the tenant to make up the lost subsidies; but tenants can't cover all the rents. When Housing authority is directed to ensure safe housing, the tenants often end up in the street.

A solution would be for the court to take over the properly; and put some timelines/deadlines on the property owner to bring the properly up to code. If the property does not meet the standard, the munipality would take over the properly, and then sell the properly on the open market to the highest bidder. The stipulation would be that the tenants would continue to stay in their properly, and that the new owners would be property managers.

As far as this situation goes with the medical costs, what's needed is a market solution: If doctors, in exchange for a set client pool, were to be given a financial interest in future insurance payments, then they might be willing to work probono.

What if medicare were something that could be willed as a financial interest to pay full costs after someone has died?

What if there were a way to have a "present value" system of future payments; then provide that lump sum to a doctor, in exchange for that doctor agreeing to provide life-time medical services for the patient?

What if Medical students working on the medical degree were allowed to perform -- under supervison by a trained/licensed doctor on the university medical staff -- hours for their residency in providing medical assistance to the poor?

mudshark's picture

#53....still think he's "going all Colbert on us"?

Eisanna Eiger's picture

Here is my question to those who find it an outrage that our elders are not getting quality care. Where are the old people in your family or tribe? Do you have them living with you? Do you do more than visit on holidays? I am all for Medicare but it does shock me how few Americans will put their money were their mouth is when it comes to family values and provide the original "assisted living" arrangements... IN THEIR OWN HOMES. Our elders are our family and should be with us not shelved away. Public funded assisted living is the last resort...NOT the first and only option. But this would mean less TV watching and pot smoking and more making dinners and feeding people who might not always smell good. It would also mean we would be training the next generation to take better care of us when we age… should we all be so lucky to live long.

I see the protestors on this and I am reminded of those at abortion clinics raging against women who have abortions but voting against funding those babies should they live or be willing to adopt them or stop making fun of single women with children. There is no difference...these same people protesting the eviction of these elders most likely have no elderly living with them or near them that they take care of. Us progressives can be just as hypocritical as the extreme right.

Eisanna Eiger's picture

mudshark @ 57:

#53....still think he's "going all Colbert on us"?

Absolutely... read more carefully at the style and content...wonderfully Colbertesque. I am enjoying watching you all fall for it too... beats cleaning to get ready for T-day;)

Sue's picture

JasonS @ 6:

Well, it's about time. Our nation's elderly have had it far too easy for far too long.

Let's let the invisible hand of the free market solve this problem the way it magically solves every other problem.

These people need homes? Well, I seem to remember something about a slump in the housing market! Sounds like a great opportunity to me. And if they don't have the income right now, we'll hook them up with some nice sub-prime introductory mortgages. They can refinance when they pull themselves up by their bootstraps.

Government handouts create dependency. How will these people ever learn the value of the dollar and a hard day's work if we just keep giving them everything?

Besides, I'll bet they're mostly illegal aliens anyway.

JasonS @ 6:

Well, it's about time. Our nation's elderly have had it far too easy for far too long.

Let's let the invisible hand of the free market solve this problem the way it magically solves every other problem.

These people need homes? Well, I seem to remember something about a slump in the housing market! Sounds like a great opportunity to me. And if they don't have the income right now, we'll hook them up with some nice sub-prime introductory mortgages.

They can refinance when they pull themselves up by their bootstraps.

Jason Jason....These people did and do have homes. In the case of here in Indiana they paid thousands for their homes. The new owner is simply trying to scare them and take advantage of them, get them out and resell at a profit.

ernment handouts create dependency. How will these people ever learn the value of the dollar and a hard day's work if we just keep giving them everything?

Besides, I'll bet they're mostly illegal aliens anyway.

Greg's picture

Marc @ 21:

Da Spyda @ 18:

The measurement of greatness in a country, culture or society is how humanely it treats its elderly citizens, especially those who are poor.

It has become sadly obvious that we in this country have failed so miserably when it comes to caring for those who are most vulnerable.

We have billions upon billions of dollars for bullets & bombs to kill people, but no funds available for the old folk.

Its FUBAR.

Well stated!

I second that Marc...great post Spyda.

Doggiebobo's picture

Another Smokescreen @ 56:

It is not unusual for those in the "service industry" to target the clients. It's easy to scapegoat. When money runs out, repairs aren't done. Housing authority will threaten to shut off funds unless repairs are made. Who gets hurt? The residents.

With subsidies, tenant payments are lower; the landlord gets the full market value with a government payment. However, once those funds are cut, the landlord expects the tenant to make up the lost subsidies; but tenants can't cover all the rents. When Housing authority is directed to ensure safe housing, the tenants often end up in the street.(IN THIS SITUATION, IT NOT 'SAFE HOUSING" THAT IS INVOLVED...IT IS THE NEEDED/REQUIRED
CARE(CERTIFIED/REGISTERED NURSES) WHO ARE NOT AVAILABLE AT "ASSISTED LIVING"
FACILITIES. AS THE ELDERLY AGE, THEIR NEEDS INCREASE(MEDICAL ATTENTION DAILY)
AND WHEN LIVING AS AN "INDEPENDENT" OR "ASSISTED LIVING" RESIDENT, THOSE KINDS
OF SERVICES ARE NOT NEEDED UNTIL ONE BECOMES IN NEED OF SKILLED NURSING CARE.)

A solution would be for the court to take over the properly; and put some timelines/deadlines on the property owner to bring the properly up to code. If the property does not meet the standard, the munipality would take over the properly, and then sell the properly on the open market to the highest bidder. The stipulation would be that the tenants would continue to stay in their properly, and that the new owners would be property managers.( AGAIN, THE OWNERSHIP OF A FACILITY IS NOT THE ISSUE; BUT IT
IS THE "SKILLED CARE" NEEDED FOR THE ELDERLY..JUST PERMITTING A PERSON TO "STAY"
IN A FACILITY IS NOT THE ISSUE).

As far as this situation goes with the medical costs, what's needed is a market solution: If doctors, in exchange for a set client pool, were to be given a financial interest in future insurance payments, then they might be willing to work probono.(THIS IS ALREADY BEING
DONE; AT LEAST, TO MY KNOWLEDGE, HERE IN A NUMBER OF RETIREMENT CENTERS IN
AUSTIN, TEXAS..WITH DOCTORS GOING TO FACILITIES TWO OR THREE TIMES WEEKLY
AND PROBONO, CHECKING THE RESIDENTS)

What if medicare were something that could be willed as a financial interest to pay full costs after someone has died?(ONCE A PERSON, WHO IS UNDER EITHER MEDICARE OR MEDICAID
DIES, ALL BENEFITS CEASE IMMEDIATELY ON DATE OF DEATH, SO THERE IS NOTHING TO
"WILL" FOR THE FUTURE.)

What if there were a way to have a "present value" system of future payments; then provide that lump sum to a doctor, in exchange for that doctor agreeing to provide life-time medical services for the patient?(SOUNDS LIKE AN ACTUARY TALKING...SOUNDS GOOD, BUT
NOT SOMETHING THAT CAN BE DONE SINCE THEIR IS NO WAY THAT GOV. WILL ADVANCE
OR MAKE LUMP SUM PAYMENTS FOR FUTURE, UNKNOWN, CONTINGENCIES.)

What if Medical students working on the medical degree were allowed to perform -- under supervison by a trained/licensed doctor on the university medical staff -- hours for their residency in providing medical assistance to the poor?

(THIS TOO, ON A SOLELY VOLUNTARY BASIS, IS BEING DONE AT SOME RETIREMENT CENTERS.)

MY COMMENTS IF CAPS ABOVE...

EP3's picture

I hypothesize their revenue situation is two-fold. First, Assisted living wants to charge outrageous prices for rent yet, I am just guessing, Medicaid is allowed to negotiate the prices they charge and won't let them raise prices 25% a year. On the other side, Medicaid is being financially broken by the Bush Regime so that they are forcing neutral rents or cuts in rents paid with the difference made up by the people living in the apartments. That would explain the rise in earnings by the property company.
We are being bankrupted people by these fascists. Instead of taking care of our citizenry, we are taking care of corporations. Wake up!

JasonS's picture

Sue says:
Jason Jason….These people did and do have homes. In the case of here in Indiana they paid thousands for their homes. The new owner is simply trying to scare them and take advantage of them, get them out and resell at a profit.

Sounds to me like the residents are trying to take advantage of the owner by paying less than what his property is worth. Why isn't THAT considered greed?

Eisanna_Eiger says:

I see the protestors on this and I am reminded of those at abortion clinics raging against women who have abortions but voting against funding those babies should they live or be willing to adopt them or stop making fun of single women with children.

The difference is that fetuses are INNOCENT. A fetus can't just move out of a woman's womb on his own.

Once a baby is old enough to reach for a tit, he's hold enough to take care of himself. Or, at least, old enough not to expect me to take care of him.

But this would mean less TV watching and pot smoking and more making dinners and feeding people who might not always smell good.

Hey, if I'm gonna be feeding people who don't smell good, I'm going to need something a lot stronger than pot.

Eisanna Eiger's picture

JasonS @ 64:

Sue says:
Jason Jason….These people did and do have homes. In the case of here in Indiana they paid thousands for their homes. The new owner is simply trying to scare them and take advantage of them, get them out and resell at a profit.

Sounds to me like the residents are trying to take advantage of the owner by paying less than what his property is worth. Why isn't THAT considered greed?

Eisanna_Eiger says:

I see the protestors on this and I am reminded of those at abortion clinics raging against women who have abortions but voting against funding those babies should they live or be willing to adopt them or stop making fun of single women with children.

The difference is that fetuses are INNOCENT. A fetus can't just move out of a woman's womb on his own.

Once a baby is old enough to reach for a tit, he's hold enough to take care of himself. Or, at least, old enough not to expect me to take care of him.

But this would mean less TV watching and pot smoking and more making dinners and feeding people who might not always smell good.

Hey, if I'm gonna be feeding people who don't smell good, I'm going to need something a lot stronger than pot.

Oh Jebus on a Corndog Stck... you are one funny guy... I too hope the Writers Strike is over soon so you can get back to making me laugh on the Colbert Report. Well at least I got the humor and this banter of yours has kept what I think is a important topic alive on this site. Now I look forward to people doing more than blogging their various outrages... and loving IN PERSON and in a practicle way all the people in their lives.

Greg's picture

Eisanna Eiger @ 58:

Here is my question to those who find it an outrage that our elders are not getting quality care. Where are the old people in your family or tribe? Do you have them living with you? Do you do more than visit on holidays? I am all for Medicare but it does shock me how few Americans will put their money were their mouth is when it comes to family values and provide the original "assisted living" arrangements... IN THEIR OWN HOMES. Our elders are our family and should be with us not shelved away. Public funded assisted living is the last resort...NOT the first and only option. But this would mean less TV watching and pot smoking and more making dinners and feeding people who might not always smell good. It would also mean we would be training the next generation to take better care of us when we age… should we all be so lucky to live long.

I see the protestors on this and I am reminded of those at abortion clinics raging against women who have abortions but voting against funding those babies should they live or be willing to adopt them or stop making fun of single women with children. There is no difference...these same people protesting the eviction of these elders most likely have no elderly living with them or near them that they take care of. Us progressives can be just as hypocritical as the extreme right.

This post is absolute bullshit. You don't know unless you live it. I want to just say fuck you you piece of scum rot in hell but that would be baiting (which you are doing). Try taking care of a parent with something like...ummm...let's say Alzheimer's. Which chances are most of these people in this home are suffering from. Any doctor will and do tell you that their best place is in a home regardless of how you can pay for it. The Average person is not trained to take care of a family member in such a condition. I took care of my mother for 4 years and it turned out that I may have done more harm by trying to prevent her from going into a nursing him. I promised her while she was still lucid that it would never happen. Regardless of your politics (I have a hard time believing your claim of being a progressive after that post) but you are clueless. A nursing home is not a place where we throw away people because we just don't have the time for them. It is a place where people are cared for because others just don't have the means, the knowledge or education to do it. You're post suggest that all old folks in a home are there because people like myself just don't care. Nothing can be further from the truth. I did what I could for a parent until I was told I can't do enough that would help her. Sean Hannity and the other "socialized" scammers are missing you, go back to their blogs you heartless piece of..........................................................

Dahgrostab&#039;ph-r-i's picture

it's what America stands for now. When people try to tell me this is still the best country in the world all I can say in response is it sure doesn't look like it anymore.

JasonS's picture

mudshark @ 57:

#53....still think he's "going all Colbert on us"?

Look, all I'm saying is that we're at war and in a time of war we have to make sacrifices.

Who better to make sacrifices than the elderly? They've already lived most of their lives. Why should it fall disproportionately on the young?

Besides, plenty of elderly people, even elderly and infirm, make very, very positive contributions to our country. Donald Rumsfeld, for example. Dick Cheney is another. Why can't our nation's elderly follow their shining example?

I also think we're being naive about the security risk these people represent. Aside from the aforementioned mysterious diseases they all seem to have, ask yourself, who would make the best suicide bomber? A young person with everything to live for? Or an old, twisted, embittered woman whose only pleasure in life seems to be draining her son's bank account?

indrasnet's picture

Edwin @ 33:

I plan to have my own "stash", for my own "final solution" when the time comes. Old people are going to become a scourge on society, as so many will need benefits. Wait and see!!! Wait and see.

So...lemme see if I understand this generalization correctly: As a rule, an older person has no redeeming qualities, automatically becoming a "scourge on society" at a certain point in her life (no other designation possible) and would wisely accumulate some sort of "stash" to remove herself from said life when she begins to realize that younger folks (who, by the way, will never grow old and become vulnerable) deem her useless. Sad, sad commentary, indeed.

Sorry to upset your apple cart, but I intend to do no such thing. I have worked hard all my life (still am working), have paid my taxes, have earned a bit of leisure time before I die, and intend to continue my development into a wise old woman who will offer my wisdom and comfort to any younger soul who is also wise enough to appreciate the fact that "productivity and worth" do not refer merely to economics.

JasonS's picture

Greg Says:
Try taking care of a parent with something like…ummm…let’s say Alzheimer’s.

To be fair, Greg, I don't think EE was talking about Alzheimer's. Obviously, there's no point in wasting resources taking care of people who don't even remember what freedom and democracy are when other people are fighting and dying for those principles.

It's insulting to the troops to suggest otherwise.

JasonS's picture

indrasnet Says:
Sorry to up
set your apple cart, but I intend to do no such thing. I have worked hard all my life (still am working), have paid my taxes, have earned a bit of leisure time before I die

And who will be paying for this leisure time?

LibertyLover's picture

It's just Sicko.

unfrozencaveman's picture

Greg @ 66:

Eisanna Eiger @ 58:

Here is my question to those who find it an outrage that our elders are not getting quality care. Where are the old people in your family or tribe? Do you have them living with you? Do you do more than visit on holidays? I am all for Medicare but it does shock me how few Americans will put their money were their mouth is when it comes to family values and provide the original "assisted living" arrangements... IN THEIR OWN HOMES. Our elders are our family and should be with us not shelved away. Public funded assisted living is the last resort...NOT the first and only option. But this would mean less TV watching and pot smoking and more making dinners and feeding people who might not always smell good. It would also mean we would be training the next generation to take better care of us when we age… should we all be so lucky to live long.

I see the protestors on this and I am reminded of those at abortion clinics raging against women who have abortions but voting against funding those babies should they live or be willing to adopt them or stop making fun of single women with children. There is no difference...these same people protesting the eviction of these elders most likely have no elderly living with them or near them that they take care of. Us progressives can be just as hypocritical as the extreme right.

This post is absolute bullshit. You don't know unless you live it. I want to just say fuck you you piece of scum rot in hell but that would be baiting (which you are doing). Try taking care of a parent with something like...ummm...let's say Alzheimer's. Which chances are most of these people in this home are suffering from. Any doctor will and do tell you that their best place is in a home regardless of how you can pay for it. The Average person is not trained to take care of a family member in such a condition. I took care of my mother for 4 years and it turned out that I may have done more harm by trying to prevent her from going into a nursing him. I promised her while she was still lucid that it would never happen. Regardless of your politics (I have a hard time believing your claim of being a progressive after that post) but you are clueless. A nursing home is not a place where we throw away people because we just don't have the time for them. It is a place where people are cared for because others just don't have the means, the knowledge or education to do it. You're post suggest that all old folks in a home are there because people like myself just don't care. Nothing can be further from the truth. I did what I could for a parent until I was told I can't do enough that would help her. Sean Hannity and the other "socialized" scammers are missing you, go back to their blogs you heartless piece of..........................................................

There are other alternatives, like a few weekly visits by specialized nurses and this is paid for by medicare. After 3 grandparents in nursing homes, the experiences were all negative and my last surving grandmother was cared for by my parents in their home despite several ailments. I would never let my parents go to a nursing home and I'll do everything I can to avoid that.

As a nation, we cannot afford to put everyone in a nursing home under the current structure. Want one good reason why U.S. health care is such a bigger chunk of GDP than other nations? Look at the costs associated with the final years of one's life in the U.S. I'm not being callous, but in most other cultures that I've observed, they tend to care for the elderly in the home of some family member or they stay in their own residence. In the U.S. families are often spread apart geographically over large spans and this pushes elderly into nursing homes.

We have to have a health revolution in the U.S. so that people take better care of themselves physically and mentally over their entire lives. If a person lives an unhealthy life, they are going to have a long, painful, unpleasant and drawn out death. It will also be extremely expensive. If you think the obseity epidemic is expensive now, wait until thse people pass 65. The cost is going to be so overwhelming that some very difficult political decisions will need to be made down the road. I for one do not want to subsidize the smokers, the obese, etc for making bad life choices.

Eisanna Eiger's picture

Greg @ 66:

Eisanna Eiger @ 58:

Here is my question to those who find it an outrage that our elders are not getting quality care. Where are the old people in your family or tribe? Do you have them living with you? Do you do more than visit on holidays? I am all for Medicare but it does shock me how few Americans will put their money were their mouth is when it comes to family values and provide the original "assisted living" arrangements... IN THEIR OWN HOMES. Our elders are our family and should be with us not shelved away. Public funded assisted living is the last resort...NOT the first and only option. But this would mean less TV watching and pot smoking and more making dinners and feeding people who might not always smell good. It would also mean we would be training the next generation to take better care of us when we age… should we all be so lucky to live long.

I see the protestors on this and I am reminded of those at abortion clinics raging against women who have abortions but voting against funding those babies should they live or be willing to adopt them or stop making fun of single women with children. There is no difference...these same people protesting the eviction of these elders most likely have no elderly living with them or near them that they take care of. Us progressives can be just as hypocritical as the extreme right.

This post is absolute bullshit. You don't know unless you live it. I want to just say fuck you you piece of scum rot in hell but that would be baiting (which you are doing). Try taking care of a parent with something like...ummm...let's say Alzheimer's. Which chances are most of these people in this home are suffering from. Any doctor will and do tell you that their best place is in a home regardless of how you can pay for it. The Average person is not trained to take care of a family member in such a condition. I took care of my mother for 4 years and it turned out that I may have done more harm by trying to prevent her from going into a nursing him. I promised her while she was still lucid that it would never happen. Regardless of your politics (I have a hard time believing your claim of being a progressive after that post) but you are clueless. A nursing home is not a place where we throw away people because we just don't have the time for them. It is a place where people are cared for because others just don't have the means, the knowledge or education to do it. You're post suggest that all old folks in a home are there because people like myself just don't care. Nothing can be further from the truth. I did what I could for a parent until I was told I can't do enough that would help her. Sean Hannity and the other "socialized" scammers are missing you, go back to their blogs you heartless piece of..........................................................

Dude chillout.. what is with the combination of poor reading skills and nasty name calling.. how do you plan for that to attract anyone to your viewpoint? But you are in luck I am a tough chick and I am not insulted by you. I will even spend some time correcting you;) I live in San Francisco and I am politically active here...it is normal for crankypants like O'Reilly to question my politics and patriotism and for Limbaugh to use uncivil language towards progressives like me...but one of my own? Dude..really?

I never said nor implied that everyone had to take care of their elders no matter what. Most can, but not all. Like I said " I am all for Medicare" and "I see publicly funded assisted living as a last resort". In your case it is to be used because the situation is too much for the family to handle alone.

The topic is "Assisted Living" not Geriatric Hospital or Hospice. Assisted Living is a nice condo community with some nursing care, games and people to take residents out on trips act...like a family can and should be doing. What you describe about your mother is when she needed hospital care you gave it to her. I agree with you and I also want to see for those that can't afford it that hospital care it is their right to have.

Now if a person has no family who can be providing even assisted living then I am all for my tax dollars going towards their care.

My point is that we need to really stay in touch with our words matching our actions…least we become hypocrites.

slippytoad's picture

JasonS @ 68:

mudshark @ 57:

#53....still think he's "going all Colbert on us"?

Look, all I'm saying is that we're at war and in a time of war we have to make sacrifices.

Who better to make sacrifices than the elderly? They've already lived most of their lives. Why should it fall disproportionately on the young?

Besides, plenty of elderly people, even elderly and infirm, make very, very positive contributions to our country. Donald Rumsfeld, for example. Dick Cheney is another. Why can't our nation's elderly follow their shining example?

I also think we're being naive about the security risk these people represent. Aside from the aforementioned mysterious diseases they all seem to have, ask yourself, who would make the best suicide bomber? A young person with everything to live for? Or an old, twisted, embittered woman whose only pleasure in life seems to be draining her son's bank account?

OK. I think you're about as funny as you're going to get.

I know what I'd prefer Rumsfeld to serve out his remaining days doing for this country. It involves making big rocks into little ones.

groucho's picture

It took me about 3 minutes to find the CEO's name and email address and write her.
Laurie Bebo
quality@alcco.com

Edwin, hope you don't have a stroke and are left without use of your body or faculties. Because your stash won't be any good to you then. That's a very simpleminded solution to a complex subject

Sue's picture

Doggiebobo @ 38:

JasonS @ 35:

What about all the diseases these old people will spread into the general population if we release them? Has no one thought of that?

Put them on a boat, at least.

Surely you jest...."They" are not going to be released into the general population...The
State Dept. of Health is securing other elder care facilities for them when moved.

JasonS @ 24:

Mike Says:
If they do not sue they are in a position of losing money as Medicare and Medicaid simply do not pay the market rate for these services.

It's even worse than that. By demanding that the government welfare state pay for their stay, they take assisted living units off the market that could actually be put to better use by young, able-bodied workers.

I, for example, have a high stress job that involves long hours. How much would I be willing to pay to come home to a made bed, prepared food and medications on tap? A lot more than Medicare, that's for sure.

But I'm cut out of the market because of all these "regulations" that say I have to have a "manifest medical need." This is pure government-supported discrimination. It's ageism and it unfairly excludes people just because they're healthy.

But instead, what happens? I work hard all day and when I come home, I have to make my own meals, clean my own house and, just to add insult to injury, I actually have to pay taxes so these leaches can live high on the hog.

I ask you, is that fair?

Jason I know now you are just playing for comments...

JasonS's picture

Sue Says:
Jason I know now you are just playing for comments…

What gave it away? The suicide bomber thing? I thought that might be over the top.

George (~Bush)'s picture

Eisanna Eiger @ 58:

Here is my question to those who find it an outrage that our elders are not getting quality care. Where are the old people in your family or tribe? Do you have them living with you? Do you do more than visit on holidays? I am all for Medicare but it does shock me how few Americans will put their money were their mouth is when it comes to family values and provide the original "assisted living" arrangements... IN THEIR OWN HOMES. Our elders are our family and should be with us not shelved away. Public funded assisted living is the last resort...NOT the first and only option. But this would mean less TV watching and pot smoking and more making dinners and feeding people who might not always smell good. It would also mean we would be training the next generation to take better care of us when we age… should we all be so lucky to live long.

Not a lot of people have the skills to do the kind of nursing that is necessary now that people survive the diseases that used to kill them off. Have you ever tried to turn someone over in bed to change a bedpan? I tried to help the nurse once with my Grandfather who was then very reduced -- I threw out my back. You have people who need daily I.V.s, people who are not mentally compentent enough to be left alone, people who refuse to eat, etc. By the way, if you fail at taking care of your elder properly, look forward to a long jail sentence for elder abuse. When your parents are young it is fun to criticize the others who do the wrong thing, but just wait...

Eisanna Eiger's picture

OH P.S. Greg... as a person (me) who has worked in various half way homes and assisted living places with mostly Medicare and SSI patients (and taken care of those in my family)... many Amercians do throw away their developmentally challenged, mentally ill and elderly. 90% of the folks I took care of (over a thousand of all ages) did not have anyone even visiting them once a year... no phone calls no mails nothing. They literally handed them over to the state to be wherehoused. Some hid their families assets so they could still inherit, and sent the folks to the nursery home for the state to take care of.

I am happy there are funds to hire people to take care of them. We do collect and use taxes to help our disabled so we are on the right path. BUT it is noteable that many of us do not actually touch the elderly in our lives. To me it says we have half a goodwill when it comes to the money part...and very little when it comes to the human part. So the latter is what I am pointing out... just throwing more money at this problem or calling each other names on a blogsite does not makes us better at really healing our demented Amercian culture when it comes to family. ...and when I say family I truly mean all forms of it not just the Christian Hetro model.

Google_Meister's picture

Just think of 'The Gipper' good ole Ronnie and his tinkle down theory of economics!
Well, let them dip into their hedge fund! What a fucking joke. (No disrespect to the victims)

Eisanna Eiger's picture

George (~Bush) @ 79:

Eisanna Eiger @ 58:

Here is my question to those who find it an outrage that our elders are not getting quality care. Where are the old people in your family or tribe? Do you have them living with you? Do you do more than visit on holidays? I am all for Medicare but it does shock me how few Americans will put their money were their mouth is when it comes to family values and provide the original "assisted living" arrangements... IN THEIR OWN HOMES. Our elders are our family and should be with us not shelved away. Public funded assisted living is the last resort...NOT the first and only option. But this would mean less TV watching and pot smoking and more making dinners and feeding people who might not always smell good. It would also mean we would be training the next generation to take better care of us when we age… should we all be so lucky to live long.

Not a lot of people have the skills to do the kind of nursing that is necessary now that people survive the diseases that used to kill them off. Have you ever tried to turn someone over in bed to change a bedpan? I tried to help the nurse once with my Grandfather who was then very reduced -- I threw out my back. You have people who need daily I.V.s, people who are not mentally compentent enough to be left alone, people who refuse to eat, etc. By the way, if you fail at taking care of your elder properly, look forward to a long jail sentence for elder abuse. When your parents are young it is fun to criticize the others who do the wrong thing, but just wait...

My parents are not young. One of them is dead. I have changed bedpans. Can no one read here? I never said nor implied that everyone HAD to take care of their parents NO MATTER WHAT the circumstances are. How do we as Progressives expecting to change people's minds to our way of thinking through comments on blogs if we can't even take the time to communicate (read, listen and write and talk) with each other accurately?

Coffins draped in flags's picture

Eisanna Eiger @ 58:

Here is my question to those who find it an outrage that our elders are not getting quality care. Where are the old people in your family or tribe? Do you have them living with you? Do you do more than visit on holidays? I am all for Medicare but it does shock me how few Americans will put their money were their mouth is when it comes to family values and provide the original "assisted living" arrangements... IN THEIR OWN HOMES. Our elders are our family and should be with us not shelved away. Public funded assisted living is the last resort...NOT the first and only option. But this would mean less TV watching and pot smoking and more making dinners and feeding people who might not always smell good. It would also mean we would be training the next generation to take better care of us when we age… should we all be so lucky to live long.

I see the protestors on this and I am reminded of those at abortion clinics raging against women who have abortions but voting against funding those babies should they live or be willing to adopt them or stop making fun of single women with children. There is no difference...these same people protesting the eviction of these elders most likely have no elderly living with them or near them that they take care of. Us progressives can be just as hypocritical as the extreme right.

First off, my parents have passed on and when they were living, they were fortunate enough to live independently and I would visit and call them often. We would even vacation together. My husband's parents are still living and both of them are fortunate enough to live independently.

Many of us may need to spend our final days in a nursing home or under home care (a more affordable alternative). We arrive needing diapers and we leave needing diapers. Its a fact.

Melody's picture

Why kick them out, or abandon them? Rely on Pharma . . . just kill 'em with inappropriate medications. See the story on Pharmalot titled Antipsychotics, Nursing Homes & Increased Risks @ http://www.pharmalot.com/2007/11/antipsychotics-nursing-homes-expendable...

Eisanna Eiger's picture

Coffins draped in flags @ 83:

First off, my parents have passed on and when they were living, they were fortunate enough to live independently and I would visit and call them often. We would even vacation together. My husband's parents are still living and both of them are fortunate enough to live independently.

Many of us may need to spend our final days in a nursing home or under home care (a more affordable alternative). We arrive needing diapers and we leave needing diapers. Its a fact.

Right on! We need to act like a tribe that thinks in the big picture... I say that diapers are the clue;) It takes a tribe/family to raise a child as it also does to care for us when we are older. Each of us needs to check ourselves to see if we are acting in a tangible and supportive hands on manner in our communities and familes. I also do not think tribe = gov't in all cases. I support aid to mothers and fathers of infants and childern who are in need of help, as well as to the elderly. As a last resort gov't care, that is also high quality (ever been to a place that takes all the Medicare and SSI patients?..not very nice) for those who need extra help.

Eisanna Eiger's picture

Oops sorry Coffins I screwed up the quotes.. the first 2 stanses are yours .. mine is the last one starting with Right On!

indrasnet's picture

JasonS @ 71:

indrasnet Says:
Sorry to up
set your apple cart, but I intend to do no such thing. I have worked hard all my life (still am working), have paid my taxes, have earned a bit of leisure time before I die

And who will be paying for this leisure time?

If you are expecting me to give you a definitive answer to your question, it would be wise to remind yourself that there are no assurances for anything (I'm assuming you're old enough to know this elementary truth by now); so it's impossible to cast any answer in concrete (without writing an entire essay) or to prognosticate my own future. And I didn't say I'll necessarily be able to afford leisure time...but I can say that I have earned it and have done what I can to realize it. For all I know, if I'm lucky enough to live long enough to retire, universal health care could be a reality by then, which would remove part of the major concerns facing all of us. (I'm not counting on it, but not discounting the possibiliity either...I don't close doors until I'm sure everyone who wishes to enter has done so.)

As to "paying" for leisure time, it seems you are focusing on quantity not quality, and worth seen in economic terms only. My idea of leisure time may not be the same as most people's: I don't need to spend a lot of money on travel, toys, gadgets, gourmet outings, etc. My leisure time consists mainly of continued education, stimulating conversation, creative writing, art, reading, classic movies on DVD, etc...not necessarily things which cost a great deal of money. There are some benefits in learning to value simplicity and trying to live within your means.

And when all else fails, learning to live in the moment and appreciate the ride...

tyree's picture

indrasnet @ 87:

JasonS @ 71:

indrasnet Says:
Sorry to up
set your apple cart, but I intend to do no such thing. I have worked hard all my life (still am working), have paid my taxes, have earned a bit of leisure time before I die

And who will be paying for this leisure time?

If you are expecting me to give you a definitive answer to your question, it would be wise to remind yourself that there are no assurances for anything (I'm assuming you're old enough to know this elementary truth by now); so it's impossible to cast any answer in concrete (without writing an entire essay) or to prognosticate my own future. And I didn't say I'll necessarily be able to afford leisure time...but I can say that I have earned it and have done what I can to realize it. For all I know, if I'm lucky enough to live long enough to retire, universal health care could be a reality by then, which would remove part of the major concerns facing all of us. (I'm not counting on it, but not discounting the possibiliity either...I don't close doors until I'm sure everyone who wishes to enter has done so.)

As to "paying" for leisure time, it seems you are focusing on quantity not quality, and worth seen in economic terms only. My idea of leisure time may not be the same as most people's: I don't need to spend a lot of money on travel, toys, gadgets, gourmet outings, etc. My leisure time consists mainly of continued education, stimulating conversation, creative writing, art, reading, classic movies on DVD, etc...not necessarily things which cost a great deal of money. There are some benefits in learning to value simplicity and trying to live within your means.

And when all else fails, learning to live in the moment and appreciate the ride...

how do you stand on masturbation as a passtime for boredom?

My ex worked as an Exec. Dir. for those bastards for several years. They forced her to kick out all the State pay (DSHS -Medicaid) residents even tho the state paid just barely short of market rate. They doubled her operating profit number, and she was forced to cut staff almost in half, to the point where she feared for her residents' health. She quit in disgust.

Capitalism works great for corporations and those who own them. Not too great for the rest of us who make those corporations and their owners rich by working all our lives at a steadily decreasing wage. If they can't make money off us when we are working they will make money off us when we retire. If they can't make money off us when we retire we may as well die (in which case they will make a bit more for the funeral services.)

Under capitalism we are a resource to be used, exploited and dispossed of (properly, if possible.)

JasonS's picture

indrasnet
There are some benefits in learning to value simplicity and trying to live within your means.
And when all else fails, learning to live in the moment and appreciate the ride…

So, what's so "sad" about Edwin's "stash" plan?

Sounds like he's planning to live within his means.

Ali's picture

I always like to blame things on Bush and this is no exception. It is this administration that cut funds to the states for Medicaid funding. The reimbursement to hospitals and doctors is so low it doesn't even cover costs. Caring for a Medicaid patient means the hospital or doctor is going to lose money. It's that simple. And if they see too many Medicaid patients they will go out of business.

It's going to take decades to recover from the damange of 6 years of republican, no holds barred, lawmaking. They have ignored the people, to the benefit of corporate America.

Eisanna Eiger's picture

I am planning on mastrubation, sex and stashes of all sorts to get me through till the end!

bamboozled's picture

This is the future of America.

Those who can contribute to the economy will be allowed to survive.

Those who can't make someone money, i.e. children, the elderly, the mentally or physically disabled, veterans, will be evicted and left homeless.

It's the only possible outcome of a purely capitalistic society.

Because social programs are money-losers, not money-makers. At least for the wealthy. Society as a whole has much to gain from social programs, but it first has to recognize that those programs are valuable. But in a society where there is no value in life or community, where life is purely based on profit and the ability to make it for someone, people most certainly will suffer.

TruthTeller's picture

Its all about money ain't a damn thing funny
Its like a jungle sometimes makes me wonder how I keep from going under...

Grand Master Flash and the Furious Five.

"God help this country."

Me.

TF-MA's picture

It's great living in pre-Soylent Green America isn't it?

beverins's picture

The people running Assisted Living probably cheer for the Black Hat, Black Moustache evil guy in 1920's serials, as he threatens to evict the poor grandmother from her home.

They probably get sooo frustrated when the Evil Moustache Man never wins, so they feel that this is their opportunity to get some payback!!!

Lance's picture

If they were really, really good parents and elders... they'd be living with their families. As it is now, with this rotten mucked up world, maybe thats what they deserve for leaving their grandchildren a rotten, f^^^ed up world. What goes around, comes around silly sentiments (like 90% above) aside. Ya get what you give. My mother is moving in, in February because she's too old to work anymore and doesn't have the income to supporter herself alone. She will be a great kidsitter/homeschool companion.

Tom's picture

Bitter Scribe @ 4:

This is not meant as a defense of this Assisted Living Concepts---I hope those people are "assisted" into another line of work. But you might like to know that the reason Illinois passed the law referenced in your post was that the state is chronically late and short with Medicaid payments, to the point where it became almost an act of charity for a doctor or nursing home to accept Medicaid patients.

This is because, when it comes to putting together a state budget, the governor and legislature do their yearly impression of a bunch of 4-year-olds in a sandbox fighting over the pail and shovel. Medicaid recipients, who are almost universally poor and without clout, routinely go to the back of the line.

No different here in California and I seriously doubt that it's any different anywhere. Every time they need to build a new dam or a fancy new office building in Sacramento, the FIRST damned thing they do is cut Medi-Cal benefits and then delay Medi-Cal payments to providers.

But they aren't the only ones. You'd be surprised at the number of people and organizations who line up every month to skim their "share" of my Social Security check.

JasonS's picture

Lance Says:
As it is now, with this rotten mucked up world, maybe thats what they deserve for leaving their grandchildren a rotten, f^^^ed up world.

Excuse me, but the last several generations have done more to improve the quality of life on Earth than any others in history.

By all measurable means, especially for those of us in North America, we are living in the least violent, healthiest, happiest, best-informed period in human history and we owe that to our forebears.

Steven Pinker has numbers on this: http://www.ted.com/index.php/talks/view/id/163

The odds of a human dying at the hands of another human have never been lower. The life expectancy has never been higher.

Women can vote.

Africans are not property.

Homosexuals can acknowledge their relationships and will hopefully soon be granted full equality.

The reason we're discontent is because of two GOOD things:

1) We are exposed to more global information
2) We have higher standards

When people say they "never thought they'd see the US talking this way about torture" they forget that during the "good" war (WWII) we rounded people up and herded them into camps.

Imagine if Bush were to try something similar. Yet FDR is a hero of the progressive movement.

We stand on the shoulders of giants and curse the stars their distance.

sulphurdunn's picture

There are many things you don't ever want to be in modern America, but nothing compares with being old, poor and helpless, because there is absolutely no way investors can make decent money off you anymore.

tomk's picture

The local rag had a story about this being retribution for 1 resident who needed nursing home type care and refused to transfer.

Google port townsend leader victoria house

JasonS's picture

There are many things you don’t ever want to be in modern America, but nothing compares with being old, poor and helpless, because there is absolutely no way investors can make decent money off you anymore.

Old people vote. That's their strength.

Young people spend money foolishly. That's their strength.

The poor and the helpless are fucked and have nothing to lose. That's their strength.

NoBuddy's picture

I don't see anything wrong with Assisted Living Concepts (symbol ALC) trading near a 52 week low dumping their unprofitable patients. Who is going to invest in a company that makes charity of stock holders investments? Their latest quarterly report is here. I note the report indicates "Medicaid rates are generally lower than rates earned from private payers. Therefore, we consider our private pay mix an important performance indicator. Although we intend to continue to reduce the number of units occupied by residents paying through Medicaid, we currently provide assisted living services to Medicaid funded residents in 9 of the 17 states in which we operate."

Nice to see that they're working on improving return on investment (ROI). This stock doesn't appear to pay a dividend, so investors need to rely on the stock appreciating. Enough said of the business aspects except to note that if they feed their patients dog food, it might enhance the performance of the stock.

So long as the American public has voted that medical care be a profit creating enterprise, we'll see more of the same. I think that Ross Perot had it right - we should research the national health care systems out there and copy the best program. Since 29 out the 30 countries with national health care have "single-payer" systems, this proposal is antithetical to the insurance companies since, if the profit center approach is discarded, that national health care should be converted to a corporate welfare system like the prescription drug program was. The corporate media is doing their level best to keep the terminology "single-payer" out of the public vernacular.

The system is a mess, and meanwhile, the U.S. spends half the world's expenditures on military purchases, the exact problem that Ike noted in his exit speech to the American public where he pointed out the undue influence on politics by the military-industrial complex. The budget isn't balanced, so any paying for Medicaid will requiring the printing of dollars. As the government continues to print dollars, the currency will devalue, and the world will discard the dollar as the world's reserve currency. Medicare is also going to run into a shortfall of dollars shortly.

However, being the good Republican that I am, I'm confident that the good Lord will miracle away the deficits and cure all the ailments of our senor citizens.

CrazyCatLady's picture

As a nurse in a nursing home for over 25 years, I have seen almost all nursing homes change for the worse. It's all about the money now more than ever. We don't have supplies, not enough staff, not enough linen, not enough time to do the job right and compassionately. And accountability? Corporation investors diversify to avoid lawsuits by having 12+ 'investment' companies run the places. If a person sues they have to spend years and tons of money tracking down the 'Owners'. The investment corps don't give two hoots in hell about actual patient comfort. I'm ready for retirement soon, and I'd rather make a date with Dr.Kevorkian than go there or to any nursing home.

carol @ 16:

This seems to be the last step before just lining them all up and shooting them. Got gun?

Bush and the GOP would call that the "helping the elderly eliminate stress in their lives initiative."

And then Babs Bush and brother Neil would start a consulting company, selling software to the elderly on investing in this "one-time can't miss opportunity," with all proceeds going to an offshore tax-free charity, that has a Caymen Island, Bush family P.O. Box address.

MonkeyLove's picture

Oh, by the way. The Pres won't pay for children's health care but the government will pay to keep an 85 year old male stroke victim with a breathing tube, feeding tube, IV, legs bilaterally amputated, semi-comatose in ICU for a month because the grown kids just can't bare to say goodbye to their suffering, pain-ridden father. Our tax dollars at work. And they are paying nothing for this poor guy's care. I pray for this man every night for his suffering to cease. Hospice? They call it 'murder'. I call it mercy.

Eric Paulsen's picture

Dear John,

Today I watched as decency and democracy died in my country. It was sudden and without any real struggle or commotion, just the sad quiet passing of a once great giant. I wanted to cry but found that my tears had all dried up over the last 20 years or so while we were all slowly ground down by our corporate overlords, broken on the wheel of politics, boiled slowly in a pot like frogs. Take your pick.

I want to care, I really do, but if this doesn't move us to revolution then it's just one more cowards death. If you can't be bothered to DO something then it really isn't proper for you to cry your crocodile tears in public so you can be counted as a caring soul. Just one more frightened angry person ducking their responsibility as a citizen...

Trittydi's picture

Human garbage. Looking forward to seeing Washington fix this.
*

Eisanna Eiger @ 85:

I also do not think tribe = gov't in all cases. I support aid to mothers and fathers of infants and childern who are in need of help, as well as to the elderly. As a last resort gov't care, that is also high quality (ever been to a place that takes all the Medicare and SSI patients?..not very nice) for those who need extra help.

I've worked in privately owned nursing homes and the care provided had nothing to do with income or payment type. It's all about profit and each resident of the home was assigned three diapers a day... it didn't matter if it was a private payment or government payment. All the residents received the same lack of supplies and had to eat the same crappy food. I've also worked at local government run nursing homes. What a difference. The residents received excellent care at the government run nursing home as compared to the poor quality of care given at the privately owned nursing homes. It wasn't the quality of the staff, it was the lack of resources needed to provide proper care.

Robbie's picture

As the boomers get older and older, the problem of for profit elderly care will increase. Most families have everyone working, so home care is very hard and expensive. I don't like the idea of a community of throw away population, so the solution is that our entire social structure has to change. The one person bread earner will need to come back or families, three or more generations will need to live in the same house, and take on the responsibility of the elderly in their family, aunts, uncles, everyone.

Preacher Boob's picture

Assisted Living Concepts threw out the elderly, Medicare patients for the same reason we invaded Iraq.

Because they could.

CrazyCatLady @ 105:

As a nurse in a nursing home for over 25 years, I have seen almost all nursing homes change for the worse. It's all about the money now more than ever. We don't have supplies, not enough staff, not enough linen, not enough time to do the job right and compassionately. And accountability? Corporation investors diversify to avoid lawsuits by having 12+ 'investment' companies run the places. If a person sues they have to spend years and tons of money tracking down the 'Owners'. The investment corps don't give two hoots in hell about actual patient comfort. I'm ready for retirement soon, and I'd rather make a date with Dr.Kevorkian than go there or to any nursing home.

Thank you, CrazyCat, well spoken. This is what privatization does... it's all about profits and not about service.

One solution would be for Medicaid and Medicare to pay for a in-home health assistant instead of paying for a nursing home. Even if someone can stay home to take care of an elderly relative, they may still need help getting this person out of bed, feeding, bathing etc... . It would certainly be a lot cheaper because of less overhead.

JustSickOfIt's picture

“Assisted Living Concepts” and their motto is “Life Just Got Easier”.

I think someone misread the sign on the front of the building. It's actually "Assisted Suicide Concepts" "Death Just Got Easier". It seems that, for a fee, they will kick you out of your heated apartment where people help you to eat, take your meds, and clean yourself. They will make sure it happens in the middle of winter so that you can be guaranteed of dying of exposure and starvation. There is a money back policy if you don't die within 48 hours. But you have to collect the money in person at the claims office in the president's winter home in they Cayman Islands.

Paul's picture

This is just one more reason why HR 676 needs to become the law of the land.

Harry Scrote's picture

NO MORE F*CKING CORPORATE WELFARE!!!

Capt. Bat Guano's picture

Only in America, only in America. Damn I love my fucking country at times like this, the way I loved my crippled old cat enough to put her down.

capnmike's picture

You cant have everything. Either this country is going to be a free-market economy, or a communistic economy. If you want communism, I suggest you move to Venezuela, where Chavez has made an incredible mess of a once-fine nation. There you can bask in the filth and squalor that results from the destruction of private enterprise and subsequent lack of incentive for anyone to get off their butt and do a decent job of anything. Remember Soviet Russia? Meanwhile, if you want to pass laws forcing private companies to lose money, you undermine basic the principles of the nation. Businesses are NOT charities. The basic problem here is not the nursing home industry, it is the fact that people in America have come to believe that they do not have to plan or save for their old age and can depend instead on government hand-outs, and that every time something happens we can all go whining to the government and expect them to solve all our problems.

rain's picture

Coffins draped in flags @ 36:

Marc @ 11:

Where is the respect for our elders? It is sorely lacking in our culture.

Marc - you are so right about this. Other cultures respect their elders and care for their elders. We have a throw away culture and our elderly are not much more than another throw away. It's all about youth and beauty.

It's all about money - money - money.
My parents taught compassion to me and my siblings. Parents don't teach today and as a result, people with no morals or scruples run this country.

Thucydides Junior's picture

My sister is a social worker who specializes in Alzheimer's cases, and she is *always* dealing with care companies that discharge folks when they switch from their own funds to Medicaid, because they can't charge Medicaid as much as they can a private person. She even won a lawsuit opposite a lawyer representing a firm when they tried to defend their actions in court.

They do this in KS and MO, even though at least KS has rules and laws against this. Missouri, well, it's Missouri. You're on your on your own there health-wise, unless you are rich or connected.

My view is pretty much standard - our humanity is measured by how we treat the weakest and most vulnerable among us. Randism and social darwinism be damned.

Kimball's picture

The Health Care Financing Administration ( HCFA ) administers the Medicaid program. Authorized under Title XIX of the Social Security Act.

HCFA has been making illegal agreements with federal HMO contractors to deny ( T42CFR417 Adverse Determinations ) Existing Federal Hospital Extended Care Insurance ( Nursing Home Care ) to force illegal State Medicaid Applications ( October 21,1998 DHHS OIG Volentary Disclousure Program, to allow anti-dumping violations ). And then the same procedure is used T42CFR417 to deny the HCFA State Medicaid Payments. DUMPING & MEDICAID go hand in hand, and the Health Care Finance Administration ( HCFA now called CMS ) should be investigated for Federal Hospital Insurance & Medicaid kickback Fraud against American Citizens.

kclaf's picture

Well when the good ole government stays out of my pockets to fund a open end occupation, funds 'private security forces', gives billions to dictator lead countries, funds the bombing, burning, killing and displacing of people in foreign lands, etc., etc., all without my permission, I will stop expecting them to take care of matters within this country.......you know, all those elderlys who paid and paid and paid during their money producing lives. Of course, I believe in miracles too!

groucho's picture

I wrote to Ms. Bebo and she responded today. So she's feeling the heat, but I'm sure she'll have no problem enjoying Thanksgiving.

It took me about 3 minutes to find the CEO’s name and email address and write her.
Laurie Bebo
quality@alcco.com

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