The Deadly Monetization of Nursing Homes 

It sounds like communism right? Communism has always been here.

@HowMoneyWorks Could you please share the bibliography of papers in your video descriptions? Would love to read the NBER report that you mentioned at 02:20 about the effect of PE on Nursing Home Care.

So you are half wrong about one thing. Skilled nursing facilities aren’t the highest. The highest form is Long-term acute care or Ltach. These are places where patients go when they are to sick to return the nursing home. These patients are basically on a ventilator, cardiac drips, etc.

@howmoneyworks please make a video about the scams like 5000 dollars from the government or stupid classes from stock brokers. Or marketing. I always get those scam videos and I'll be interested in how and why they do that annoying crap

I think more tax cuts and more regulation cuts will solve this like they solve every major problem in society!!!!

I agree. Society needs a restructuring. Involuntary slavery was repackaged and rebranded but it still remains today in plain view 😅

despite all my rage im still just a rat in a cage!

You guys complain about these things then still have kids knowing they’ll likely go through the same thing 😂

School and university do NOT prepare you for work. The education system produces weak, stupid useless people and wastes 12-20 years of your life and your youth. Goes doubly so for STEM.

@@jimbojimbo6873 I think that drawing such a conclusion from the situation we're living in just means giving up on any possibility for things to change. Instead of revolting we seriously consider self-extinction: has fighting to make the world a better place in one way or another become too difficult and overwhelming, or have we just become too lazy to care about each other?

Insane. Is there a mechanism to report nursing homes that do this? I suppose there probably is but it falls on deaf ears.

PEG, trach, and then off to LTAC

Horrifying to hear. My partner just left the ICU to a skilled nursing facility to undergo rehabilitation and it is negligent to the point where I’m worried they wouldn’t survive to make it back to the ICU. They’re only 25 years old. I have to trust the facility with their life.

Yeah I'll make sure I don't live to be put into on of those so called "homes", screw that.

This absolutely true. I had to fight to get my mother away from a skilled nursing home. The only way was getting her admitted to a hospital and taking her home upon discharge even though the hospital wanted her in a skilled nursing home. I told them the skilled nursing facility didn’t meet their objective to get my mother well and able to move on her own. It was awful for her and for the family. Somehow the facility decided to keep her locked up with no way to get her discharged back to the family.

Yes

so true

Amen

I have a feeling that in the next few decades this is exactly what will happen. I think people will begin choosing to die young

Yeah the scary part is that you don't get to choose

And housing.

"You will own nothing" Brought to you by private equity.

There's nothing they don't ruin

Dang that Bartholomew Banks!

With the help of govs

12 cents per meal in a kitchen, that won't even pay for the damn icecubes in there drink

This is what capitalism is. Maximizing profit to shareholders IS minimizing expenses.

Such legalized crime. So sad. I wish more families knew how their money was really being spent when they send their loved ones to these places thinking they're going to get a high standard of care because they're one of the better ones. For-profit care facilities should not be legal. It attracts psychopaths who do nothing but cause incredible harm to their vulnerable guests and patience and pocket millions collectively for their efforts. It's legalized plunder.

Once the facility I worked at said they would pay for my certification to work as a CNA, I got out of the kitchen fast.

A majority of seniors that end up in nursing homes wind up there for one of a few reasons, either they never had kids, or they treated their kids like shit and are insufferably entitled so their kids send them to nursing homes, or they are too prideful to ask their kids to assist them in their dotage and so they would rather blow any chance of inheritance their kids could otherwise obtain to keep their ego masturbated. I do not have sympathy for any of them.

3/4 of my grandparents didn't need assisted living; all of them lived well into their 80s and the one who needed it only had to get it because of a femoral neck fracture which was inoperable in her age of 87. She passed away 4 years later. So, take as good care of your health as you can, but most importantly, stay active and never stop learning. Of course, we never know God's will for us, but a body that is trained to move and a sharp mind will greatly offset your chance to have to rely on strangers when you get old.

@@LadyMontane This is great advice. Getting a gym membership and working out consistently is a great way to stay out of a nursing home. Lifting and resistance exercises keep bones and muscles strong. That prevents falls and fractures.

@@LadyMontane I agree completely. I've started going to the gym over the last few years in the hope of avoiding needing personal care when I'm older.

Maybe we should start asking why the elderly are dependent on strangers in the first place? Go to most Asian countries and you'll see that the elderly is taken care of by their own family. Why should a business care more about your grandma than you?

It's why I vow to never be raised into one. Be in shape, eat well, and hope for the best and that your family won't backstab you

We really need to go back to taking care of our elderly parents ourselves I really have struggled with my parents, but I am going to make sure I stay very close by, and also I have really enjoyed spending time with my grandparents at the late stages of their life. They really mellowed out and I learn so much about myself from them. Not only do we cost our self a lot of money by not taking care of our elders, but we deprive our self of learning and understanding

@@SilentShibaThat is workable up to a point. When your parent needs help 24/7, you would have to be available 24/7. And by the time your parents need help, you might not be able to do the heavy lifting required for that level of care.

​@@SilentShibayes😊

A lot of us already know, which is why we try to die at home. Imagine living a hard life then dying without dignity. Corporations taking over nursing homes is not good. Nobody cares about anyone. Corporations are vultures.

It really shouldn't be controversial, even among the most economically liberal, that some places are not best-served by market forces and profit-seeking incentives.

Should not be allowed to exist. Full stop.

@@NinjaLobsterStudios A majority of seniors that end up in nursing homes wind up there for one of a few reasons, either they never had kids, or they treated their kids like shit and are insufferably entitled so their kids send them to nursing homes, or they are too prideful to ask their kids to assist them in their dotage and so they would rather blow any chance of inheritance their kids could otherwise obtain to keep their ego masturbated. I do not have sympathy for any of them.

Companies shouldn’t even have that much power in the first place

That may be worth doing, since they seem to be making problems worse, but they are not causing the problems. As was briefly suggested in this video at 12:42, they may have delayed this problem. The aging population is an underlying problem that will make this hard to deal with. The unpopularity of the old means a political solution might not work either.

Because it doesn't affect the wealthy

This is the free market in action, baby! Did you think free market meant free services? No. It means they can charge you for everything and nobody is going to try and get in their way.

Becouse usa cares most about profit not people or freedom

Because being fiercely independent is a race to the bottom that makes us all weaker and thus more vulnerable to predatory behavior.

How does it approach being legal? The law is what runs the system. Fiduciary duty and government kidnappings of the elderly "because we know what's best for you" drives the entire scheme.

I used to work at a skilled nursing facility. I loved my patients but I had to quit for the reasons mentioned in this video.

This is a HIPAA compliant comment.😅

I know. I had a healthcare worker say that they don't care about elderly people and they don't.

The canadian healthcare system would kill of every person aged 60+ if they could in that communist hellhole

That's still pretty bad.

What were the ratios before?

Ontario PSWs UNITE! I'm in Burlington.

@@crazy_mind-ox8if before ratios were approximately 1/11

Your money IS your money.

Would be very convenient if there was a "plug" to pull whenever we wanted. Unfortunately it rarely works like that. I've met patients who I've tried to explain why they should look after their health, to maintain their independence. They say "I don't care, I would just kill myself if I reached that point". You can't even wipe your own bum without help, how do you think you're going to kill yourself? Naïve thinking.

how about taking care of your parents

@@josephtopete1492 Damn right, and it's going to my kids, not some facility.

​@@SCIFIguy64Cash it out and dole it out while u still have your marbles. Set up an estate/living will. Don't pay the inheritance tax unless the government is going to care for you when you grow old and can't care for yourself.

Ouch

Lol there's a bot the copied ur comment, with a link to OF.

They cover it up with manual and automated air freshener. At times there's going to be an odor from B&B incontinence,etc. When it's constantly lingering it means the patients are not getting washed up well enough.

There's nothing to laugh about

They cover up the smell with chemicals. If you can’t smell anything it doesn’t mean it’s clean.

These kind of jokes are akin a coping mechanism in the face lf a gruesome reality.

Or just don't put your loved one in one. How much can staff do with a work load set at illegal levels? My grandmother passed away peacefully last year at home.

@@FloridaTrininot everyone has the resources to keep their family members at home

@QuinnFC Keeping your family at home is a far better option than thinking that keeping staff that already have illegal patient ratios "on their toes" is going to do something. The people who accept your family member into a facility knowing they don't have the staff or resources to care for your family member get away without repercussions while your family member suffers and staff gets in trouble for "accepting that high of a patient load leading to neglect."

​@@FloridaTriniExactly, I have a bad relationship with my parents but even I would never put them in a home. I would rather hire someone to look after them and put hidden cameras in their house to record in case the caregiver does something bad to them then I have it on video and I can take them to court

So??

@@aar0n709so it demonstrates abysmally terrible use of resources. Clearly management is taking home money they don’t deserve

@@aar0n709do the math

​@aar0n709 still waiting for the point too

@@edgarmwanguhya The point is 8k a month is a large amount of money to charge patients, when you're paying your employees below living wage. And uh, also, I feel like working in a dementia ward is highly skilled and emotionally taxing labour that ought to be paid more than 1.5x minimum wage.

Why? These "evil" businesses are the only entity that cares about the elderly. Why should a business care more about your grandma than you? This is purely a western problem. Maybe learn a bit more about how other cultures take care of their elderly.

thats why we have families...yes its evil.@@jumboshrimps4498

Go watch the movie "I care a lot"

You should be very careful about how much finance you let in. The bigger a stake they have, the more power and control they will have. Yes, it gives capital upfront, but ultimately the companies do not care about older people, only profit, profit that must come from the elderly themselves, or the government.

Like selling your horse to repair your cart wheel.

It sounds like every advanced country is struggling with this. The system does not seem to be viable long term. I'd be v interested to hear of anyone that has figured this out. Perhaps we need to go back to all generations living together.

​@@concretew Some initiatives tried generational living, singular successes only, in many rural regions and deindustrialised tows there are simply only elderly generations left. There are options for living arrangements in flat-shared-communities partially supported by public funds and health insurances. The still somewhat able seniors help those who are no longer independent. But it is just slowing the inevitable that they will have to cut costs due to less people funding the system and there will be ghost towns. Maybe assistant living with robotics is a way or a remedy for cancer and dementia is found. That would help a lot.

@@fabianherrmann6398 Yeah that's interesting. This eventually comes back to the economic issue of a shrinking population. Hopefully robotics will help. But finding cures for cancer and dementia I feel is just kicking the can down the road. Important for more quality life, but eventually we'll still end up in the same position unless we can stop aging all together. You're also right about the divide between large cities and rural areas. I come from a rural area in NZ. Some young stay (and indeed move out here from town) because of the lifestyle, but unless you want to farm there are very little opportunities. This is why I'm planning my escape as we speak. But this does lead to a v out of proportion society with lots of old people. And then when they can't look after themselves, they go into rest homes in town which is completely foreign to them and they often HATE it. This is what happened to most of my Grandparents. I actually did live with my grandparents on a couple of different occasions. I loved it and so did they. But I had to work and they were starting to come down with dementia and alzheimer's so I don't see how that setup would have worked long term sadly.

Not all Americans do this. My grandparents died at home, care for by family. Two spent a few weeks in nursing homes, and that was enough for us.

That is how humans have lived for thousands of years. It is the natural form the family takes we would live in large household with our 1st cousins usually divided upon patrilineal or matrilineal lines

That's awesome.

I'm from an Asian culture too. It works up to a point. When your their health starts to deteriorate, it will require the full attention of an able bodied adult in the household. If you have a situation with stay-at-home spouse, it can work with a willing care giver. If you have a 2-income/parent household, you either need to hire a home health aide or put them in a nursing home.

My father cared for my mother until she passed; I in turn cared for my father. But all the care fell on me (my dad wasn't comfortable having my husband care for him, and none of my brothers or other family stepped up), while I was also raising my kids and working full time from home. Now I'm forty and my health is permanently reduced from the decade of endless physical labor and minimal sleep. I had injuries and illnesses that I literally didn't have time to attend to because all of my time belonged to everyone else, so now they're permanent. It was very hard on my marriage, because I had very little energy left to give to my husband at the end of the day. I couldn't not work, because then there would have been no money to pay for medical care for my dad. Caregiving is incredibly intense, and doing it within the family in the West basically requires someone give up their entire life (usually a woman). There is no extended family culture to help. I don't regret it, but I do think that people who don't do it have no idea just how much it actually costs the caregiver and their immediate family.

I'm a physician and you are right. Non- healthcare eople don't believe me when I tell them this.

Leaving healthcare is the best thing I ever did.

It’s happening in every sector. The system is going to collapse if it keeps this pace up.

Yeah, I need a new profession. This one is making me depressed

And it will ultimately be it's downfall!

Usually makes more sense for someone to quit their job and care for them full time

@@SigFigNewton both of my parents are retired.

@@whitejodeci8926 I'm sorry your parents have to look after your grandparents while they are mentally deficient

@@whitejodeci8926 i believe they are talking about someone from their family, like a child, sibling, or whatever.

I would be curious to the venn diagram between people that supported throwing their kids out at 18 and the people being starved to death by minimum wage illegal immigrants at these elderly gulags

And in typical boomer fashion didnt plan for so now they and thier kids are screwed

Meanwhile in everywhere except America... Our elders live with us. Our cousins live with us. Our neices and nephews live with us. We stand together, and leave the nest only in the interest of expanding our influence.

These "evil" for profit businesses are the only entity that cares about the elderly. Maybe we should start asking why the elderly are dependent on strangers in the first place? Why should a business care more about your grandma than you?

@@gino14what country do you live in?

Rehab is different from this. You see a physical therapist and then go home unless you are physical unable to do so.

@@lostboy8084 not that different. They wanted her to stay at a live in place for an unspecified period of time. Just glad they didn't force it, but if she lived alone they would have.

@@MM-fe9mz They always do so they can charge more but having done rehab after serious knee surgery you can just prove that you can have someone that can care for you. They do offer care facilities which actually better than the elderly homes. Because they are run like a hospital in the one offered me. I think that it’s because it's not only for elderly and bad reviews and lawsuits for medical neglect would happen.

@@lostboy8084 What youre talking about is in-patient vs out-patient rehab. The option given is different based on a number of patient specific factors from ability to pay, type of injury, resources available, etc. Hip injuries are a very complex injury that requires significant time, rehab services, and support. The location of the hip and the amount of movements its necessary for means that recovery takes a long time. Due to this, the most effective (when not run by complete shitheads) care that can be provided is in-patient rehab and a facility as you generally require around the clock care and would struggle to get to an outpatient facility. The other option is home rehab, where the physical therapists come to your house, but this is significantly more expensive out of pocket as medical insurance/medicare/medicaid dont usually cover as much of the costs. Knee injuries rarely require in-patient care. This is because the knee is significantly easier to stabilize and prevent from moving, and when it can be allowed to move, its movements are far less complex, needed far less, and support much less of your body. Its also rare that a knee injury will completely immobilize you like a hip can. There are a number of mobility assistance devices that a knee patient can use, while a hip injury can be bad enough where you cant even sit in a wheelchair for the first few weeks-months depending on the case. Further, in the elderly population, hip injuries are often fatal even after the hip has begun to heal. In people over 60, the 1 year survival rate for a hip injury is somewhere around 60%. It is very easy to go septic from this spot if youve needed surgery, and even with exceptional recover of mobility from the rehab, that mobility will most likely be reduced resulting in reduced quality of life and increased risk of future injuries. Knee injuries rarely become this severe, and even if you are facing an infection in your knee, worst case scenario the limb can be amputated.

Wrongful death that is whats it called in medmal cases. Get a super lawyer that's what they're called

@@the_expidition427 This would not be a wrongful death case, at least on the nursing home. If theyre the medical power of attorney, and make all medical decisions for the patient, they could possibly press charges for an accessory to kidnapping, its one of the many reasons why as an EMT, i always ensure we call our patients medical proxy. The other reason is that often SNF staff are often poorly trained and dont understand that their equipment is a tool not a precise instrument (we have one facility in our region that uses wrist blood pressure cuffs, on those cuffs they literally say "for individual home use only") so the patient might not actually need transport. As for OP, i cant assume to know exactly what happened, but i have experienced cases where we have to transport to a non-preferred hospital. For one "minor fall" can be significant for the elderly, even a slight bump on the head can cause a significant bleed that will kill them. Anyone over the age of 65 should be sent to the hospital for a head CT if they hit their head at all during a fall. It wasnt even 2 weeks ago that we had a patient who suffered a "minor fall" and was attempting to refuse transport as she said she felt perfectly fine, we convinced her to go. A couple days later we got the followup report, she suffered a broken neck, 4 broken ribs, and a very minor brain bleed (the bleed had already healed on its own, no surgery was required). The point here is, until a patient is seen at the hospital, its impossible to tell if someone has had a minor fall or a major fall. These calls all require a specific type of emergency room, categorized as a level 1 or level 2 trauma center. As for transporting to the garbage "local" hospital, there a number of reasons why this might have happened, and it all stems from if 911 was called. Given the phrase "local" i am assuming this was a small area with small town basic emergency room. We have specific protocols that require us to go to the closest hospital when transporting a patient. There are exceptions that can be made, for example if the delay to preferred hospital is unlikely to have an effect on the patients outcome (they arent actively dying), and the delay is reasonable (a 5 minute delay in definitive care is usually fine, a 15 minute delay is unreasonable). The other possibility is the local hospital is a major trauma center (level 1 or 2 trauma center) while the other hospital is not. In this case, by federal law ambulances are required to contact the destination hospital to provide a brief summary of the patients condition. Its very possible that the preferred hospital upon receiving this call instructed the ambulance that they were unable to provide the care needed and to go to a different hospital. This is done by order of a doctor and we cannot ignore this order. The only exception is when transporting an unstable patient (actively dying) and would not survive the delay. Another possibility is that the preferred hospital was on whats called a diversion status. Essentially the hospital was so busy that they are unable to take any more patients by ambulance and requires the ambulance to transport to a different hospital. Again, the only exception is if the patient is unstable and would survive the diversion. Finally, and not unlikely, it occurred exactly as OP described. The SNF actively ignored the families order and sent the patient to a different hospital without instructing EMS. I do not deny that this happened to OP because i have seen it way to many times. That is why best practice, as i said above, is to always contact the patients POA/medical proxy. Finally, if anyone is ever in this situation, once the hospital released the body to you, find a 3rd party pathologist such as the state/county/city coroner and have them do an autopsy. Dont be concerned about what theyll do to your loved ones body (i know some people have religious reasons against this), it doesnt have to be about getting money from the hospital, but if no one ever fights back against this kind of practice, bad hospitals can continue to get away with these things.

@@tlpineapple1 If you reread the original comment, you'll see that the family is PoA.

@@GregPrice-ep2dk Yes, im well aware of that, it was apart of my comment. This would still not be a wrongful death case

@@tlpineapple1 The home's treatment of the person was a proximate cause of their wrongful death.

Let's not pretend either half REALLY wants to stand up to the corpos. The American political divide is really just a corporate civil war.

the freedom to charge you to exist not the freedom to exist, is what they're talking about when they say free market.

A majority of seniors that end up in nursing homes wind up there for one of a few reasons, either they never had kids, or they treated their kids like shit and are insufferably entitled so their kids send them to nursing homes, or they are too prideful to ask their kids to assist them in their dotage and so they would rather blow any chance of inheritance their kids could otherwise obtain to keep their ego masturbated. I do not have sympathy for any of them.

Who are the people defending this exactly? Please be very specific

As bad as private industry treats the elderly I would be horrified at the prospect of depending on the government. At least private employees are incentivized to do a good job while incompetent companies and workers can lose out to those who are more able and motivated.

Did you have to quit? Did you become a RN?

You don't stay in Healthcare longer than 5 years unless you're a masochist

Solid plan.

How is that anyone's problem but yours? You chose not to have children. Enjoy lonely life.

​@@HaggisMuncher-69-420not everyone can have children & even if you have, it doesn't guarantee that they will take care of you.

​@@HaggisMuncher-69-420 Idiot. Not everyone wants or is able to care for children. As a society one of our top priorities should be caring for those that can't care for themselves, like the elderly. A society that doesn't do that, and lets greed override compassion and common sense, is a failure.

Their parents oughf to have had more than one child

That's an interesting idea, but it might mean job losses here so I can't see it being politically popular.

@@HowMoneyWorks It would probebly only be an option for the ones rich enough to pay premium prices in the first place...

Shame on both of you. You know she's being neglected and you're not ripping her out of there? She's probably better off there, you two are both as selfish as each other.

@HaggisMuncher-69-420 yeah, as if it's that easy. She's in the best one that we can afford. My mom retired early so that she can visit once a week and deal with anything that needs to be done. She isn't being blatantly abused, and with visits and phone calls we're able to get proper attention. Shut the fuck up until you've come back to reality, where things like money and time are limited. Don't you dare call us selfish.

Don't worry, you'll get to experience her hell soon enough.

List their other options please suggestion box wide open

@@the_expidition427 That's for the to decide. It's quite simple though, you don't allow a relative to fester in a place that doesn't care about them. PERIOD.

This is such a lazy and predictable take on America. There is absolutely no thinking required to make this statement.

​@gavinshickle1814 is he wrong tho? You guys fight tooth and nail against taxes which would provide some safety net to everyone (from kids, to less fortunate ones (free healthcare), to elderly), you do not have multigenerational households because you chuck your grandparents into aged care, you put your kids into kindergarten and you kick them out at 18. While all this is very generalised, and I am sure there are exceptions, USA is driven by consumption and profits. Some things should not be for profit. But as soon as someone mentions that.. COMMUNIST!!! So live in your Capitalist utopia, where "on paper", you have best incomes, but your quality of life those incomes can afford you, is terrible.

lol you're annoyed cause it's true. i never blamed plain americans for their predicament but the culture is a factor. It would require no thinking to think it isn't@@gavinshickle1814

​@@gavinshickle1814Do tell.

​@@gavinshickle1814but they're right tho?😢

Ikr! Never heard of it before. Unfortunately, I am very interested in learning more.

I wonder if the quality of care is just as bad in major urban cores? I feel like if the facility was in a dense city you could find help and change facilities as long as you made it out the front door (though I understand there are systemic issues plaguing all facilities)

If this isn't a massive criminal racket and an incredible crime against the vulnerable I don't know what it is. People should get 10-15 years minimum if found guilty of such a scheme.

Why not take a camera in and film that? The news would love a good story like this. Being complicit is why this is happening. Be better.

​@@HaggisMuncher-69-420 because HIPAA. I personally know people that have been fired for posting their healthcare-related workplace photos on Facebook etc.

Why are so many people saying they're not allowed to talk about stuff, here?

@benkenny3220 NDAs with the workplace. Not being allowed to say anything about the work conditions. It might say enough that we're not allowed to say.

I am Obu

Awesome! Thank you!

Esp in "red" states...

It's way more then that, its that there kids can't afford to have them at home with them either, because they have to have both people working full time to rent and put food on the table

IF you live long enough in one of these places they'll drain your assets then you'll go on state medicaid anyway to pay for your care with maybe 2 to a room , in some cases 3, and the smell of feces , CDIF and urine floating in the air.

Taking care of someone with Dementia, ALS or Parkinson's is a lot for anyone. A person with ALS for example needs a device (Be-pap) to breathe at night, the caretaker sleeping in the same room must listen to the machine as they sleep in case it stops for any reason such as a power failure. The caretaker must then wake up quickly, raise the back of the bed so that the person with ALS can breathe without the be-pap and connect it to a battery if the power ran out. Sometimes the person is uncomfortable and needs to be moved in a different position through the night (one side, back, other side). If this happens a dozen times during the night, the caretaker ends up starting the day having had little to no sleep. A single caretaker cannot handle such prolonged stress for very long they need a break as they are basically a prisoner day and night.

@@HepCatJack This is unfortunately very true. I know I won't be able to do everything for them, but I can at least do the best for them while I can. We are also a very very tight knit family in the unique position where I live right next door to them and my mother is planning on buying the other house next door to provide care. My mother is also a nurse and I work from home. The plan is to work together to delay nursing care as long as possible. Easy while their health is still good, much harder when issues are piling up. But hopefully better care earlier might help with some health issues. Since I have been filling my grandma's pill counters her blood pressure went down to normal since she is taking her meds regularly, etc. Hopefully our family can come together and tag team the necessary care. I do understand however that there are scenarios in which a nursing home is inevitable. But hopefully mine and my families planning will keep them out of a home.

and the disabled who can't get other care...

My parents chose to move away from family, many states away, to a western state with a lower cost of living. Me and my siblings have careers, we can't just give up our jobs to move to a sparsely populated state. Trust us, we would have preferred that our parents stayed near us. But, we couldn't force them not to move.

The only thing wrong with this assessment is thinking that voting actually works.