I just got finished reading about how nursing home rating are for the most part useless. They depend entirely on the homes to rate themselves and pass a few health inspections. It was found that 5 star home fared no better than 1 star in the number of COVID deaths.
Looking at it from a higher level I see two MAJOR difficulties with government actually keeping private enterprise in line with public expectations. One is that we simply don’t give them enough money to actually do the job. The other is that the money we do give them is for the most part wasted on inefficiency and fraud. You can’t blame the workers for this, many of them are trying to do an impossible job with little or no compensation.
Of course, the lack of funding is the result of the fundamental differences between how our current two political parties view government. One says private enterprise is the primary importance. The other is that government is to take care of the people. The middle ground which most of us occupy seems to be pretty much vacant right now.
One of the recent fundamental overhauls of our society is to “defund” the police. I don’t know who chose that moniker, but it probably does more harm than good. It is not the intent of those supporting this issue to eliminate policing authority, but rather to point it into another direction. Even I, an old white man, pretty much fear the police when I come into interaction with them. I can’t imagine what it is like for a person of color when he sees the flashing lights behind him far more often than me. There are just too many in most police agencies that think of the people, especially people of color, as the enemy. Perhaps that has been the attitude for our entire existence, but it is nice to see that it is now being recognized as something that needs serious change.
Getting back to the topic of government, I kinda think the same thing when it comes to most of our political processes. There are just too many people who don’t live up to the expectations of a “servant of the people”. Mitch McConnell is the epitome of that type of politician. He sees all of us who mostly vote for the Democratic ticket as the enemy. So, maybe we should “defund” congress while we are at it.
Let’s face it, ineffective leadership spurns ineffective results. When we put people in political office with that attitude we are actually prompting ineffectiveness.
I guess this all goes back to my acronym “LMPI” (Lazy Minded – Proudly Ignorant).
4 thoughts on “Our Federal Government Is In Serious Need Of Reform”
RJ, I have had to deal with multiple nursing homes over the last few years. Most of the residents in the homes I dealt with were on Medicaid. That means the state sets the daily rate they are paid. The last one my mother was in only had 10 out of 120 residents that were private pay. We had to leave her first residence when the home significantly raised the rates on the few private pays to try and make ends meet. They can’t raise the rates on the Medicaid residents. I believe some of these residents would have been able to live in assisted living or possibly with a relative. Unfortunately when those two things are not available a Medicaid funded nursing home is the only answer. Both of the homes my mother occupied filed for bankruptcy. Private companies are buying up the successful assisted living facilities in our area. That means higher prices down the road for those that can afford it. Lower income need not apply. There is zero interest in our state for raising the Medicaid daily rate to nursing homes. This problem will only get worse due to aging boomers.
Thanks for the words of experience, Fred. We live in one of the poorest counties in Indiana and with some recent experiences I’m sure that the vast majority in the two nursing homes here are Medicaid. My wife spent three weeks in “physical therapy” at what I thought was a pretty good facility. It was build less than 20 years ago, but the facility looks much older than that. It is not a pleasant place to visit or be a resident.
It looks like my wife will have to return to a nursing home pretty soon as she is deteriorating quite quickly now. I am investigating homes in the more affluent adjacent county for her future stay. Her needs are just quickly overwhelming my ability to provide them.
Yeah, Marquita, politics is a big joke now. LMPI is one of the major problems. btw… the entire thought is LMPI Trumpies. 80% of my county voted for that despicable person, so I am surrounded by them on a daily basis.