posted on Nov, 24 2016 @ 03:18 PM
a reply to: Bedlam
Ridiculous on the face of it. They make money per head. No patients, no money. So they have no incentive whatever to kill off their patients.
Not entirely true. It depends on the type of facility they are in. I won't name names here, but there are a growing number of retirement communities
which welcome seniors in while they are still independent with the promise that they can stay there for 'life'. The entry costs are steep (about
$400,000 for my parents...plus an all-in on investments, etc.). They pay a monthly fee as long as they can (over and above the entry costs), and this
is not cheap either. However, they are allowed to remain there, progressing from independent living to semi, to more managed and ultimately to full
nursing home status.
Overall most of these facilities are excellent, and I believe my parents is one of them. However, once you get to the nursing home level, and all the
money is gone, there is no longer much 'incentive' to aggressively look out for their future well being. I've witnessed it. Actual physicians visits
become less and less and the care is placed almost solely in the hands of some of the nursing staff. And while most of these folks are awesome, the
general trend seems to be as the patients become more problematic the more they are left on their own (in terms of care and re-evaluation).
Again, this is not true for all, but revenue/care is not always exclusively on a 'by head' basis.
On a side note, it sounds as if you have some tremendous knowledge of geriatric / psychiatric care and pharmaceuticals associated the same.
Impressive. I wish I knew the names of the drugs they had Dad on; you could probably shed some light on them.