The Deadly Monetization of Nursing Homes

[@HowMoneyWorks]

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[@dansaber4427]

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

[@shikharraje]

@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.

[@yvnerservius1913]

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.

[@bigjohnson3381]

@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

[@henrythegreatamerican8136]

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

[@johngomez7118]

I’m an ICU nurse, and the amount of patients we receive from nursing homes who are septic from unaddressed UTI’s, pressure wounds, mismanaged medications, etc. is staggering. Then we fix them up, send them back and they come back again in a few days or weeks until they go hospice and die. It’s so sad.

[@ertsec]

PEG, trach, and then off to LTAC

[@eat_thin_wheat_thins9278]

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.

[@PatrickBaptist-vv2bg]

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

[@rozannah8073]

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.

[@hhjhj393]

I worked in retirement homes when I was a kid, my mom also does elderly care. UTIs in women are the biggest issue for sure. UTIs are deadly and it's insanely hard to get anyone to care. I hated it and got out as soon as I could.

[@eligreg99]

I work at a nursing home currently. This is spot on. They don’t care about your loved ones, they only care about money and not being shut down by the state. Do not send your loved ones to a nursing home. It’s not as great as you think

[@mattzzz95]

I used to work as an EMT. I'd rather die than live in a nursing home

[@turtleanton6539]

Yes

[@rttt4958]

so true

[@skunkbottom5421]

Amen

[@SgmScraps]

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

[@kaiseriv8483]

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

[@1984Phalanx]

This right here is why it's so important to have a strong family that sticks together and looks out for each other.

[@lowfianimal8605]

We are born crying and screaming. Then we go to kindergarten were we are prepared for school. Then we go to school where we are prepped for college. Then we go to college where we are prepped for work. Then we work so we can support ourselves and lead a nice live when we become too old to be of use. Then the money and assets we accumulated are taken away by companies that drain them until we die.

[@JCtheMusicMan_]

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

[@shhwinner6663]

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

[@jimbojimbo6873]

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

[@rattlehead999]

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.

[@LucaPasini2]

@@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?

[@bigups1723]

Worked at nursing home for 12 years. If people only knew how these people are treated 😢.

[@deecee2174]

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

[@SilentShiba]

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

[@Tyiion]

@@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.

[@turtleanton6539]

​@@SilentShibayes😊

[@emiliog.4432]

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.

[@PARTYARTIE92]

Worked the kitchen at an "assisted living facility". The head chef was allowed 12 cents per resident per meal. And living there started at $6000 a month, and got as high as 12k. Everyone was underpaid and everyone hated working there

[@calebbarnhouse496]

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

[@SigFigNewton]

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

[@YourCapyFrenBigly_3DPipes1999]

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.

[@jonunciate7018]

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.

[@anusinha6958]

Its not just nursing homes, private equity is ruining your hospitals too.

[@codacreator6162]

And housing.

[@incurableromantic4006]

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

[@personzorz]

There's nothing they don't ruin

[@Descriptor413]

Dang that Bartholomew Banks!

[@Kabodanki]

With the help of govs

[@incurableromantic4006]

The thought of being dependant on strangers for everything is the number one reason I fear getting old.

[@smh9902]

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.

[@LadyMontane]

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.

[@hamsterama]

@@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.

[@incurableromantic4006]

@@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.

[@jumboshrimps4498]

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?

[@luisfilipe2023]

Im getting more and more convinced private equity needs to be banned or at least not allowed to operate in certain sectors

[@NinjaLobsterStudios]

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.

[@dragoniv]

Should not be allowed to exist. Full stop.

[@smh9902]

@@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.

[@HPkobold]

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

[@lordpisces5019]

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.

[@heraissilly]

I work in long term care in toronto. Thankfully, we have minimum staff requirements dictated by the government, which added an extra staff to every unit. Now, our ratios are 1/8. If it wasn't for regulation like that, I am certain we would return to the crushing ratios from before, which impact the quality and amount of individual patient care.

[@leoborros]

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

[@Earthboundmike]

That's still pretty bad.

[@crazy_mind-ox8if]

What were the ratios before?

[@CarolineIronwill]

Ontario PSWs UNITE! I'm in Burlington.

[@heraissilly]

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

[@NancyBetty-x]

I'm 54 and my wife and I are VERY worried about our future, gas and food prices rising daily. We have had our savings dwindle with the cost of living into the stratosphere, and we are finding it impossible to replace them. We can get by, but can't seem to get ahead. My condolences to anyone retiring in this crisis, 30 years nonstop just for a crooked system to take all you worked for.

[@Elliot-Ivan]

I feel your pain mate, as a fellow retiree, I’d suggest you look into passive index fund investing and learn some more. For me, I had my share of ups and downs when I first started looking for a consistent passive income so I hired an expert advisor for aid, and following her advice, I poured $30k in value stocks and digital assets, Up to 200k so far and pretty sure I'm ready for whatever comes.

[@NancyBetty-x]

@@Elliot-Ivan That's actually quite impressive, I could use some Info on your FA, I am looking to make a change on my finances this year as well

[@Elliot-Ivan]

@@NancyBetty-x My advisor is VICTORIA CARMEN SANTAELLA;

[@Elliot-Ivan]

You can look her up online

[@ChristopherAnthony-9]

@@Elliot-Ivan The crazy part is that those advisors are probably outperforming the market and raising good returns but some are charging fees over fees that drain your portfolio. Is this the case with yours too?

[@coolpumas1000000]

I worked as a caregiver as a DSP with individual with developmental disabilities at a level 3 facility and part time as a care partner at an assisted living/memory care facility. While being a DSP had its challenges, it nowhere compares to working with the elderly. From being understaff with two workers working THREE floors, to being encouraged by staff to use lifts that requires two staff on my own. I ended up injuring my back before leaving. More staff is needed but no one wants to work minimum wage for a job that takes not only a physical toll but an emotional one. It’s very frustrating to see the conditions some people live in. Sometimes I just sat at the stairs between floors and cried.

[@danielhale1]

Dear god. Imagine a sleazy hospital working with a sleazy guardian to abduct you, rob you of all your stuff, and hold you prisoner in their facility for profit, and you did nothing wrong and can do nothing about it. It really truly sounds like fiction, but here it is happening for real. How does this even approach being legal, in the fiercely independent USA of all places?

[@bobbyc1120]

Because it doesn't affect the wealthy

[@jjoohhhnn]

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.

[@ha2kon539]

Becouse usa cares most about profit not people or freedom

[@Descriptor413]

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

[@William0271]

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.

[@davehaggerty3405]

My wife and I watched “We Care A Lot”. When she got discharged from the hospital we toured “the only facility that had a vacancy”. Crying she begged me “don’t leave me here”. The facility required her to sign over medical care to the facility. The doctor came once a week. To sign prescriptions for a couple hundred residents. The door was locked when we tried to leave. We were told she can’t leave. I said that I had not signed anything! They finally let us out. I’m now a full time care provider. She qualifies for in-home nursing care. But have not needed it yet. Every resident in that facility was drugged out of their minds. And some of the staff. Medicare pays $340/per nite for a bed there. It’s a dumping ground for unwanted relatives.

[@John_Smith_86]

Exactly!!! Worthless people who don't have anybody who gives a shit about them and have no money. Think about what kind of life you must have led to end up in such a sorry state. Decent people often have a loved one who gives a shit about them.

[@John_Smith_86]

Why don't you just hire a nursing aide? If you can't afford it legally, then hire one off the black market. It is not exactly a high profile crime and you are unlikely to suffer consequences

[@codaman127]

Currently work in an elderly care, all I am legally allowed to say about this video is: Yes.

[@doglover32993]

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.

[@jonunciate7018]

This is a HIPAA compliant comment.😅

[@chiaralistica]

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

[@ethxo6734]

I’m going to school to be an EMT and during my clinicals we had multiple 911 calls from the local retirement home. The paramedics told me that they frequently get calls and often times they are already dead due to negligence. And sure enough I was able to see it for myself. For one transport, the ER even joking told us, “ wow, (name of home) didn’t finish her off”” It was very sad. If you have elderly parents or grandparents and have to put your loved ones in a home, visit frequently and keep the staff on their toes.

[@alephniguroth7105]

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

[@FloridaTrini]

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.

[@QuinnFC]

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

[@FloridaTrini]

@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."

[@TshepoKotelo]

​@@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

[@SCIFIguy64]

I already told my folks when I get to an age where I can’t chew my food they get to control the plug. If my inheritance is at stake, I’m pulling it myself.

[@josephtopete1492]

Your money IS your money.

[@m136dalie]

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.

[@jk9999999able]

how about taking care of your parents

[@SCIFIguy64]

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

[@delanorrosey4730]

​@@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.

[@fabianherrmann6398]

In Germany, I work for an association that represents thousands of private care facilities, mostly small or medium-sized services but also corporations, offering all levels of care. The work is much more highly regulated in this country and the vast majority of operators are carers themselves and very interested in the well-being of their clients. But care is becoming more and more expensive here too. As a result, traditional retirement homes are closing and more flexible care is being offered. Health insurers and the government are endeavouring to find solutions, but the necessary investments for the future are taking time, which is why external capital is being sought, passibly leading to a simliar outcome one day.

[@andreaslind6338]

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.

[@TESkyrimizer]

Like selling your horse to repair your cart wheel.

[@concretew]

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.

[@fabianherrmann6398]

​@@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.

[@concretew]

@@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.

[@Pollix780]

I used to work in Health Care and I have to say, this is an under reported crises. Seen patients kept alive for the sole purpose of getting their finances milked and when that dries up *((quickly too I add))* it siphons from whatever Gov't paid health care they have. Nothing left behind for their offspring when they pass, it's built like a financial vampire

[@whitejodeci8926]

Dealing with this now. My grandfather has dementia and grandmother has stage 4 cancer with several strokes. My mom has been their fulltime caretaker but it has been too much. The quote for a tiny room for 1 of my grandparents? 6k a month and it only went up from there depending on the extra services needed.

[@SigFigNewton]

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

[@whitejodeci8926]

@@SigFigNewton both of my parents are retired.

[@HaggisMuncher-69-420]

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

[@tlpineapple1]

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

[@EVARGAS1EDISONEDU]

There doing the same thing in hospitals. Understaffing in all areas, doctors, nurses, techs, phlebotomist, pharmacist, maintenance and cleaning staff, nutritional staff. There cutting back on equipment that is needed. It's crazy, I've been nursing for years and it keeps getting worse not better. Not being able to help appropriately is heart breaking, exhausting, frustrating and frightening

[@celieboo]

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

[@jasonjohnson6938]

Leaving healthcare is the best thing I ever did.

[@ll2323]

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

[@EVARGAS1EDISONEDU]

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

[@FloridaTrini]

I'm a nurse who's worked PRN in nursing home. I've been given 54 patients during a shift before. That is illegal in my state, but they don't care because they know them get away with it. The people who pay the ultimate price are the patients and the people who work there as liability will be placed on them regardless of whether they have the staff or equipment to do the job. Not to mention, nursing homes are starting to put "PCAs" in place of "CNAs" who are actually licensed, which places more responsibility on the already overworked nurses and CNAs. Since PCAs are not licensed nor formally educated by an approved institution, they can be paid considerably less and have a very limited scope of things they can do.

[@brandino97yyc]

My gf worked in a dementia ward at a old age facility people were payup upwards of $8k a month and she got paid $22hr in the most expensive place to live in alberta

[@aar0n709]

So??

[@SigFigNewton]

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

[@PluPerfective]

@@aar0n709do the math

[@edgarmwanguhya]

​@aar0n709 still waiting for the point too

[@FlameUser64]

@@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.

[@logan3920]

Nurse here - the midlevel and below long-term care facilities smell like urine at all times 😅

[@turtleanton6539]

Ouch

[@shaunpearce6846]

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

[@arkyboy14]

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.

[@manyulgarprsch]

There's nothing to laugh about

[@davehaggerty3405]

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

[@MM-fe9mz]

This is horrible. We were recently faced with possibility of sending my mom to a rehab after a hip replacement. We ended up opting NOT to after looking at the reviews and how once you get signed in if you try to leave before being discharged the insurance can REFUSE TO PAY sticking the patient with a HUGE bill. Just glad we were able to take on the responsibility of 24/7 care for a month or two until she regained mobility and some independence.

[@lostboy8084]

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

[@MM-fe9mz]

@@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.

[@lostboy8084]

@@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.

[@tlpineapple1]

@@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.

[@John_Smith_86]

What happened to your mom is because there is somebody who still gives a shit about her. Those patients led an evil life and now has nothing

[@ajv7038]

Watching this video feels so weird as an Indian with grandparents who live with my family, where we are the ones who take care of them in their old age. 😢

[@CMVBrielman]

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.

[@kekero540]

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

[@celieboo]

That's awesome.

[@jamesleung0]

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.

[@dchofman7819]

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.

[@davidbrevik2537]

Is it just me, or are all modern problems more or less 'Big, greedy companies (or other big organizations) want more money than they can ever spend.' Greed really has become a 'virtue' of our society.

[@michelledelfrate1014]

And it will ultimately be it's downfall!

[@chiliray4515]

No, it's not just you. Too bad most Americans would rather just sit home on their duffs than do something about things.

[@leoli306]

Size is irrelevant- small greedy companies are the same

[@Т1000-м1и]

These are the new news and people really need to hear about these things

[@craigt9203]

Worked for a nursing home as a maintenance man. They’re a nonprofit for profit. Some of the stuff that they destroy throwing out furniture that just needs to be cleaned. Then writing it off busting up a granite countertop just to make a change to a room that doesn’t need it. Putting your maintenance people as a security guard at night. Then having them respond to people having heart attacks. Amazes me how much we encourage people to do multiple jobs. For little money, one of the hospitals I talk to as HVAC working in their steam plant. Assigned me multiple jobs while I was there including snow, removal maintenance making sure I’m checking the boiler. Can’t take a day off due to me being ill. Still have to show up with the flu. Kind of silly a man throwing up to repair something at a hospital.

[@matthewnelson5293]

I was watching and thinking, this is the exact plot from "I Care A Lot" and then you said it! Thats insane

[@MrVayolence]

This is evil.

[@jumboshrimps4498]

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.

[@MrVayolence]

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

[@MoneyChannel-ge8df]

Go watch the movie "I care a lot"

[@fisherman557]

It’s amazing how the death of the multigenerational housing from the baby boom is now causing the boom and strain on assisted living. The writing was on the wall with our aging population for investors to get their hands in the pie. I’ve seen so many assisted living facilities pop up in Wisconsin. They will suck every dollar out to ruin any inheritance. We can only hope these max profit places collapse when the boomers pass on and the supply of elderly is reduced. Otherwise bringing back the ideas of multigenerational house holds could help.

[@idrathernot_2]

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

[@james-wx6jh]

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

[@gino14]

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.

[@jumboshrimps4498]

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?

[@Captainkirk88410]

@@gino14what country do you live in?

[@egry3922]

Worked in AFC. My breaking point? A resident only having VO5 shampoo available to bathe with for both hair AND body. When each resident pays at least 1.5k. I bought the resident shampoo and body wash before putting in my notice, no worries. I spent quite a bit on my people. The hardest part of leaving is knowing without you, their comfort and care may not be the same when you are going the extra mile for them. For my own sake, I'm never working HHC again. Compassion traps you

[@dani-uf1eo]

I was a CNA for a few months. Terrible conditions. It makes me sick.

[@benkenny3220]

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

[@jasonjohnson6938]

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

[@shotono3286]

This just breaks my heart. I don't want my parents to live like this when they're old

[@John_Smith_86]

Just care for them yourself, since you love them

[@akina1053]

I'm glad my grandma lived a good.life until the end. My grandmother passed away in her sleep, in my aunt's home living with her grandchildren, getting several visits a week from relatives and financially supported by my mother and her brothers.

[@lyricvids2964]

I worked in the ER as a tech for 3 years. Every time we would receive a patient from a long term care facility like this, they would look like they hadnt been cleaned in weeks, with dirty diapers for us to clean, and complete skin breakdown because of this lack of cleaning. The skin would just be completely degraded in some places; the bacteria from their dirty diapers had eaten through the skin due to lack of cleaning. Its horrible to see. And thats never even what the patient is there for…

[@mikestanmore2614]

I'm Australian. I've cared for both my parents. I did my best to keep my father out of Age Care. Australian Age Care has deteriorated since then, heading toward the US model. I'll *never* put my mother into Age Care. Period.

[@michaelaquilina2922]

My 88 year old father in law was mismanaged and murdered on respiradone toxicity in 35 days at Royal Freemasons Springtime, Sydenham , Victoria, Australia . No one got introuble, it is state Sanctioned murder. Catherine Aquilina.

[@peregrination3643]

My parents take for granted that I'll be caring for them. Problem is, I won't have anyone to care for me, and I'm sure the industry will be worse by then. I'm thinking of schmoozing up to a Mormon friend with a large family so that maybe I'll have a roommate in my late years and maybe by proximity someone will remember to check on me in case there's a body to remove. (Yes, I'm joking at the worst case scenario and don't seriously expect this as my only fate--but at least I'm thinking about how to improve my prospects.)

[@Jumpyfoot]

Solid plan.

[@HaggisMuncher-69-420]

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

[@Yammmmm_7]

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

[@chihirostargazer6573]

​@@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.

[@the_expidition427]

Their parents oughf to have had more than one child

[@andrewlentner]

I've seen this all first hand. My grandma currently lives in a small nursing home in a poor village in Upstate New York. My grandfather (her husband) passed away at 93 in the same facility. I've seen them neglected, not being taken seriously when complaining about a pain, and my mom is constantly on the phone trying to just get these people to do their job

[@HaggisMuncher-69-420]

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.

[@andrewlentner]

@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.

[@Zilharr]

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

[@the_expidition427]

List their other options please suggestion box wide open

[@HaggisMuncher-69-420]

@@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.

[@erikn.7540]

The assisted living facility that we put my dad in disobeyed our standing order to not send him to the local garbage hospital after he suffered a minor fall in the facility. They also made no effort to contact us until 6 hours after he was already admitted into the garbage hospital. The garbage hospital also refused to let us transfer him elsewhere. He was gone a day and a half later, likely from an infection acquired at the hospital.

[@the_expidition427]

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

[@tlpineapple1]

@@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.

[@GregPrice-ep2dk]

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

[@tlpineapple1]

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

[@GregPrice-ep2dk]

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

[@tcookie]

Trying to establish in-home care for an elderly family member after a hospital stay is also an uphill battle. You will not get help from the hospital's social worker, who will just send them to skilled nursing. Once the Medicare days run out, skilled nursing will either push them into into long-term care, which is a death sentence, or out on the street with no after care or support for family taking them in. In my state (IL) there is an excellent program that pays for in-home care for qualifying patients, but the social workers won't tell you about it. I learned from a disability advocacy organization that it is actually much cheaper for states to pay for in-home care than for full-service nursing homes.

[@kezia8027]

Been working in management in healthcare for a bit over half a decade, plus about the same again in general policy and education areas of healthcare, and honestly over the years I've just gotten more and more concerned. Things have been going downhill for as long as I've been in the industry and I haven't seen a lot of hope that there will be change that is drastic enough that it will right the ship. We live in worrying times.

[@jiffyb333]

This is incredibly important stuff, thank you for bringing it to light.

[@giladpellaeon1691]

The Kaplan bit reminded me of when I worked as a bank teller. A sizable part of our training every year was in recognizing elder abuse including fraud and exploitation by legal guardians and/or family. We saw some terrible things and stopped to terrible things too.

[@Kattbirb]

I work at an assisted living facility. It used to be not-for-profit. At that time we were fully staffed and well stocked. After becoming for-profit under new ownership, well, I'm not allowed to say.

[@benkenny3220]

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

[@Kattbirb]

@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.

[@foobarFR]

Two years ago in France we had the Orpéa scandal. Orpéa is a giant, public company operating retirement homes, mostly in Europe. They did a lot of horrendous stuff (including embezzling public subsidies by falsifying documents), but the worst thing is that they had real, internal documents that stated they deliberatly handled insufficient meals to the residents - they starved people to death and they knew it. And the worst thing - they were labeled as an ESG stock !!!! The company went belly up and almost bankrupt after the scandal... It's something like 6 billions € of market cap that blew up. The State and mutual, non profit financial companies were forced to step up and bail it out...

[@kalex7370]

if America didn't have such an individualistic culture, even if you didn't have money to have live-in nurses for your elders, you know the community would take care of them. Nursing home owners know this and exploit as such

[@gavinshickle1814]

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

[@lukabarisic8369]

​@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.

[@kalex7370]

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

[@gino14]

​@@gavinshickle1814Do tell.

[@cantgetitupanymore3244]

​@@gavinshickle1814but they're right tho?😢

[@PinkNinjaKick]

I want to say thank you for making this video. You’re very informative and this video painted a good picture of the state of nursing homes. As a current CNA, and aspiring RN, all I want to do on the job is learn new skills and help residents, but understaffing makes it almost impossible. It’s crazy the disconnect from floor nurses/CNAs and management. It’s like management lives in a different reality.

[@GneissShorts]

I thought about working at one of these places but I know it would absolutely break my mind and very soul.

[@graylucas3178]

@0:30 "...several in our areas have recieved below average ratings". I'd be willing to bet it's nearly half! Gasp!

[@draneym2003]

I love how half this country still defends a handful of people capitalizing off your loved ones

[@idrathernot_2]

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.

[@jjoohhhnn]

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

[@smh9902]

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.

[@synchronicity458]

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

[@coreydonohoe8121]

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.

[@BrianSWoods]

I was a nursing home administrator from 1999 - 2022. During that period, an entire new generation of ownership/investors took over the industry. Like any business, profit has always been a primary goal, however, this new gen is ruthless in achieving it. I agree with this video & would only add that milking the system has become standard within the entire medical/healthcare system, hospitals included.

[@DJDonkeytron]

Sold insurance in CA... beware of the RCFEs. These places are poorly regulated at best not having liability insurance is just a slap on the wrist. All you need is a 3 bedroom house.

[@cassiejacobs4197]

I'm so happy I made productive decisions about my finances that changed forever. I'm a single mother living in Vancouver Canada, bought my first house in October and hoping to retire soon if things keep going smoothly for me.

[@deannal.newton9772]

This is one of the reasons why I want to work in a field that involves money and why I even have a Bachelor's in Accounting to begin with. I want to help people be more financially literate but the closest thing to even learning about money is the value of a dollar and math problems when working with decimals and percentages. The only thing I learned from credit cards is to not get one until you have a job and I got a debit card after I graduated high school. I also want to help people avoid getting scammed by others who say that they would take care of your loved ones, when they don't. Even at a young age my sisters and I knew how bad retirement homes were but most adults at the time thought that they were fine and the worse that could happen is to die of boredom. I had no idea that it was worse than I thought andit does explain why the set up is very similar to a prison. It also shows how much I hate private equity firms and hedge funds.

[@fullnewsky]

Thank you for shining a light on this

[@PatRiot-]

I repair and maintain backup generators across the state for nursing homes, hospice, memory care etc. Sometimes I have to go inside for more than a few minutes. The inside of many of these homes can be quite disturbing. I once saw a man in a wheelchair bust out through the door…the front wheel got stuck on the corner of the sidewalk and he screamed help at the top of his lungs at me and my boss. Very sad moment to see someone trying to escape and be free… screaming for help while starting at us and I’m supposed to sit there and do nothing. Many of them cry for help while i walk by and it is simply ignored by everyone around. Very sad. This needs to change.

[@HaggisMuncher-69-420]

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.

[@maam-yj8ph]

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

[@Zoranurai13]

In the netherlands elderly care is pretty fiercely regulated. But even then i’ve seen the difference between someone who is able to privately fund a lot of the extra care, having a nice apartment in a great building and a decent amount of staff. Despite that it still feels like a prison as he sat on the couch every day saying he doesn’t want to live anymore. It’s already a prison like that. And then i know someone else who couldn’t afford to fund extra care, well, she’s actually in a “prison” with a room so small it might as well be one unfortunately. Seriously if i ever get in the position that i have to go there and need that much help. Just give my kids the inheritance and give me an overdose of painkillers or something.

[@thedownwardmachine]

“Captive market”, oh man

[@UniversalMysticsOfChrist]

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

[@FullLengthInterstates]

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)

[@Nesdude42]

I worked in long term nursing and rehab facilities for six years. I never want to work there again. Always understaffed, the staff shows up like their soul was sucked out of them, and the pay is not worth it at all for how much you have to do. It is expected by everyone that you cut what corners you can just so you have enough time to get the essential things done. It is not uncommon for employers to expect you to do your paperwork off the clock. It is a sad place to be at for both the elderly and the staff.

[@0s0sXD]

Would be awesome if you you compare this broken American system to the Swedish municipality care for elderly. I work in caring for old people in Sweden in their own homes, we drive to them. I feel like they are getting their bang for their buck and also we are mostly 97% of the time staffed enough and provide a great value of care.

[@PXAbstraction]

Nothing good in the world starts with the words private equity.

[@spawn142001]

Nurse working in a SNF here. Can confirm corporate gives zero fucks about the staff and the residents/patients. And they do everything in their power to not fix this. Such as for example. Literally painting over mold. Because it's cheaper than having someone come out and taking care of it properly. The staffing ratios/workload is asinine and this alone is abuse through unintentional neglect. And I promise you people dying prematurely is 100% accurate.

[@WumbologistPhD]

I am an EMT working in NJ, and most of my time is spent bouncing around these types of facilities. The video is still too nice to them. The squalor that some people are dumped into is inhumane. I have patients regularly cry when we discharge them from the hospital and bring them back to the facility. In emt class I learned mostly about medical emergencies and how to basically treat them, but on the job I've had to learn how to identify elder abuse and signs of neglect. These people lose not just comfort or self determination, they lose the right to go to the bathroom on their own or if they are able to see sunlight. Patients with dementia are locked in the basement and are segregated from the rest of the community. Both the community in town/state and even the rest if the community in the facility. Rehab centers we're not explicitly mentioned, but many of these facilities are also post-surgery physical rehabilitation facilities as well. This population is often poor and terminally in care, meaning all their rights have been slowly and systematically stripped away. They can be young, I've seen 30 year olds, and still totally beholden to the whims of whoever is on site that day. My job now is not stopping bleeds or resuscitating respiratory distress, it's patient advocacy. It's fighting nurses to change a diaper. It's convince family to move to a new facility. It's reporting signs of abuse. I don't explain to the hospital ER about how the pt fell per se, I explain how the neglect at the facility forced the patient to the ER simply to punish them for acting out (this is all too common!) And hope the hospital social worker can move them somewhere new.

[@misspat7555]

Personal care; whether of young children, acutely ill/injured people, disabled people, or the frail elderly; is the area where the tendency to underpay and understaff is most likely to directly result in harm to the most vulnerable. My mother has a lot of money, and is likely to get dementia; for my own sanity, when she gets beyond the mild stage, I can’t live with her 24/7 to keep her safe, and she has gobs of money; my priority in a home, having worked in a few, will be the pay rate of the aides. All else is secondary!

[@TheJackal917]

Someone once said ''we build hell with our hands''. The truth, however, is far worse than hell.

[@YourCapyFrenBigly_3DPipes1999]

SNFs should ALWAYS be publicly funded and publicly run as part of a broader comprehensive full national public healthcare system. Clearly there seems to be nobody in the private sector who has morals and is willing to provide the proper level of care that staff and patients require for a dignified and acceptable existence.

[@drewkenealy4295]

I lost my mom because of the brushing home’s neglect and terrible rn manager

[@katlynklassen809]

Being cared for takes just that. Care. Love. Without these things the demands of the act are too great and no amount of compensation will allow for someone to be cared for to the standard a loved one would desire. It is weird to expect the world to care for you when you and your loved ones can't. Money does not motivate enough for all tasks.

[@redreadyj8916]

This breaks my heart ...I could never treat someone like these people do ...I dont care how bad they dont listen my grandma just died in a nursing home ..she had a UTI too

[@williamlloyd3769]

Should change Medicare law to allow aged people to be cared for overseas.

[@HowMoneyWorks]

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

[@GregPrice-ep2dk]

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

[@maralinemanahan9148]

This is the reason why I love small business owners

[@abraham_musila]

Love your videos. From KENYA.👍

[@Dark_Souls_3]

I am Obu

[@HowMoneyWorks]

Awesome! Thank you!

[@meredithwilliams4326]

My mom is in AL right now. I had to fight to get her in and now it’s almost inhumane. I can’t take care of her at home but she’s not chronically ill enough for a nursing home. It’s a messed up system. Thanks for making this video.

[@FrancisKoczur]

The bottom of the barrel medical staff are found where patients can't complain and the pay is low causing lots of injuries and deaths from negligence. If they aren't profitable: I would think the better solution would be to restructure as a non-profit. At least this will prevent future corporate officers from siphoning off the company, allow grant money, and hopefully end up as stable business. A better paid staff makes for a better chance for care. The private equity 'solution' puts the risk to the bank and the market, but then squeezes their product to keep investments flowing. Doesn't fix the business, and causes more pain as it fails.

[@tracey5324]

I have worked in a few aged care businesses in my country and I noticed a huge difference between the first one, which was part of a chain and was squeezed dry by head office, and my current one- which is a single property business and reinvests back into the same facility. I will definitely be avoiding chain homes when I get to that stage of life.

[@sashakulikalova4868]

This video is very very positive!!!!! I’m a nursing assistant in a rehab-assisted living. The video is barely touching base on what’s really happening in there.

[@jonathanp3359]

I worked at assistant living in SF and was terrible. They only have two options of food and no flexibility unless you have allergies (what’s worst because you never eat fresh food). The way they treat the employees are terrible too

[@penitent2401]

The assisted disability living support in my country is worst, government and funds pay the a support agency who are supposed to provide care for those with disability living alone or with those unable to help, needing high level or even full time care, often over $100k-200k a year. The agency takes the money, assign like 10 cases to one support staff who only come to the house once a day or less for 5-10 minutes per visit, drop off some cheap food and take the laundry. They are supposed to help the person one on one sessions, cook and clean and help with any other tasks, expectations would be 1 staff for every 1-2 patient, given it's full time care role. Effectively, each staff spend most of their time driving one place to the next looking after $1million revenue for that company. There's no checks or supervision either, the carer can just go every 2nd day instead and does even less work and get paid same amount for working 10 hours and 2 days a week when they're supposed to be doing 40hr 5 days a week. Reports and complaints are ignored by the company since there is not any oversight from those funding them. they're raking in like 80% profit margins that they hid behind "administrative costs".

[@oscardaone]

This is my biggest concern. I’m currently taking care of a love one and eventually will have to get them into a memory care. In the process, almost all of the memory care available are private and don’t take Medicaid. I got so infuriated with the lack of Medicaid accepting memory care facilities in my area. The ones that weren’t private weren’t available. It’s like there’s no winning here. Hearing this just made my blood boiled. I’m almost burned out and now looking at this “business model” would explain a lot of nonsense I’ve seen in the last few months. 😡

[@Angel-od1bt]

I just found out that privatisation is happening with the social and child care space in the uk too…PE companies are involved and literally get a kickback when a disabled child is removed from their parents. There’s rampant abuse and neglectful conditions of course, because money is all that matters. This is how we treat our most vulnerable, children and the elderly in society. We’ve really failed in our own humanity, and we need a big change.

[@charlies2197]

I take care of my grandparents (they don’t need much, just company and someone nearby jic) and I will do everything in my power to keep them out of these places.

[@HepCatJack]

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.

[@charlies2197]

@@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.

[@PocketBeemRocket]

I am so glad my dad was able to make enough money so my mom could stay home with my grandma. One of the cousins, whom we think was trying to sweeten herself into inheriting Grandma’s house, said she could do it herself. Nah, she probably would’ve put Grandma in the home like the ones in the video.

[@ForeverYoung-fc3eo]

The result of the breakdown of the extended families. 😢

[@BrianK-zz4fk]

The Villages is not part of this list. Its a senior community that pays into basically an HOA for rec centers and golf. Medical facilities are not actually close by, very poor example of this.

[@d.p.6758]

It's time to bring this subject to the light! I'm a retired nurse and I used to work in a nursing home where I reported all the injustices I saw until my life became so unbearable that my health was affected and I needed to retired! YES, ALF AND NURSING HOMES NEEDS TO BE INVESTIGATED!🤬🙏🇺🇸🌏

[@SamBalducci]

There was a time when grandma and grandpa would move in with the family, help take care of the kids and when they were too old the family would take care of them or have a nurse come in to assist. Even if they did not move into the same home, they were right next door or right across the street. This was my family. My grandparents were in the house and my grandfather took me to school every day. Towards their end of life we took care of them until they needed assisted living but that was only for their final few years. In some countries like in Italy this is still true. In the USA today many elderly parents hate their adult children, or many adult children hate their elderly parents, and everyone wants to be independent of each other often meaning living thousands of miles away. The issue today, everything has become too expensive and people in families act more like strangers and are mostly selfish. The government has thrown money out of the helicopter for so long that inflation has made it uncomfortable to live unless there are two working adults in a household. At every level of government, it overtaxes and overspends leaving little for you. At the same time, people keep voting for more pork and we keep bringing in low skilled workers that add little to the tax base but add a burden to school systems and social services. This does not change or get fixed until people understand that they cannot just go into the voting booth and just check off the buttons on their favorite teams' lines. Our elected officials will not solve the problem, only the people can solve the problem starting with voting out the many idiots we have in charge who are well past their prime. The baby boomers are turning sixty-five at about 12K people per day this year, this is a future crisis that will only get worse because nobody is even talking about the problem.

[@hamsterama]

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.

[@NevisYsbryd]

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

[@coya8coy175]

I have a parent that works for a department of aging. The state can’t shut these places down because then the patient has nowhere else to go. Knowing what I now know regarding aging and care, I am even more firm in my stance that aging is not a privilege, it is cruel. One of my coworkers was talking about retirement at 60 with 5 good years left to enjoy… They are daft if they think I’m going to work and not enjoy my life in between. We all deserve more than that. I may have an opportunity to retire much sooner. If that card is still on the table in the future, I’m sure as shit taking it. People don’t live that long in my family.

[@charmaineespeut4627]

The movie 'I Care Alot' opened my eyes to what they do to old people. They tell them they aren't able to cate for themselves, then steal all their assets.

[@YourCapyFrenBigly_3DPipes1999]

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.

[@NickPangburn]

Cant believe there are no views on this video? Cant be because im here first again can it?

[@CaraMarie13]

My mother works in a nursing home. Her agency also does home care and she has done both. For nearly two decades I have heard this women complain about how the residents are treated in the name of money and worst, how too many of the workers observe this and they themselves treat the residents (and their coworkers) like s***. She says there is a floor where she wouldn't go near because the staff working there lack support (or just don't care) so you can "smell the funk" from far away. She thankfully has been with them long enough that she decide where she gets placed or else the things we would have had to hear...

[@ryandanielable]

Long time subscriber and biggest fan here. I've noticed that your background music has become louder to the point that it becomes harder to listen to you. Hope that helps, I'll listen to you either way. You are awesome and the pinnacle of my suscriptions.

[@glitterstarbeau]

I do guardianship work. I get very nervous about non-family guardians

[@Articulate99]

Always interesting, thank you.

[@TikkaQrow]

Oh, and this insures the generational transfer of wealth goes to savvy businesses, organizations, and insurance companies, rather than as inheritance to an elderly individual's next of kin. This is fine because the people running such businesses will be long dead themselves, or moved on to different opportunities when the current financially struggling younger generations turns old themselves and just can't afford nursing homes.

[@stlydan]

As a nursing home administrator for 25 years, my experience has been that after extended hospital stays, residents return with very compromised skin/wound conditions. Also, for the past ten years, hospitals have been discharging residents back to SNF facilities that should have never been discharged from an acute care setting. Yes, it is due to the insurance overlords, but you cannot blame the SNF for that. I mean, good grief; nursing homes have become sub-acute units. Yes, the system is badly broken. But placing blame is not going to fix it.

[@HGMzzzsss]

I work in healthcare and you have no idea how much worse it actually is…

[@GregPrice-ep2dk]

Esp in "red" states...