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    Wondergirl's Avatar
    Wondergirl Posts: 39,354, Reputation: 5431
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    #1161

    Nov 8, 2013, 09:38 AM
    Quote Originally Posted by speechlesstx View Post
    No, my dad needs nursing home care, but one would expect them be proactive, not expect us to make sure he's healthy and safe.
    It doesn't work that way. In fact, it has NEVER worked that way. Nursing homes give physical on-the-spot care (clean you up, give you meds [hopefully the right ones], change your bed and your pjs every now and then, do your laundry [maybe, without losing it]). You yourself or your family has always had to be your best advocate for maintaining mental and physical health when in a nursing home.

    I've been a family member dealing with elderly relatives and nursing homes for years. Both my MIL who insisted on staying home and who died last year at 93 and my own mom who also insists on living at home and is 89 realized a nursing home is not where they want to be. There are huge efforts being made to keep elderly relatives at home and managing with family help and visiting nurses/community helpers. I'm sorry, speech, that's not possible in your dad's situation.
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    speechlesstx Posts: 1,111, Reputation: 284
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    #1162

    Nov 8, 2013, 10:44 AM
    Sorry, I don't buy it. If a patient is obviously sick they need to take action.
    talaniman's Avatar
    talaniman Posts: 54,325, Reputation: 10855
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    #1163

    Nov 8, 2013, 10:55 AM
    Likely that's a ambulance trip to the hospital. Nursing homes generally cannot perform diagnostic tests. Nor administer any meds not prescribed by doctors. Licensing and liability issues.
    speechlesstx's Avatar
    speechlesstx Posts: 1,111, Reputation: 284
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    #1164

    Nov 8, 2013, 12:53 PM
    Quote Originally Posted by talaniman View Post
    Likely that's a ambulance trip to the hospital. Nursing homes generally cannot perform diagnostic tests. Nor administer any meds not prescribed by doctors. Licensing and liability issues.
    It's the VA, they have a staff physician.
    Wondergirl's Avatar
    Wondergirl Posts: 39,354, Reputation: 5431
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    #1165

    Nov 8, 2013, 01:03 PM
    Quote Originally Posted by speechlesstx View Post
    Sorry, I don't buy it. If a patient is obviously sick they need to take action.
    Nope. They can alert the family if they see a need, but it's the family's responsibility to make something happen (a doctor to come in or the patient to go somewhere) if tests are needed, medical care changed, etc. My husband several times a week would visit his aunt in her very nice nursing home (her son and husband had already died, so she gave my husband POA). It fell to him to monitor her health and coordinate with the nursing home to make sure she received the appropriate care.

    ***ADDED And the same with a VA nursing home.
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    speechlesstx Posts: 1,111, Reputation: 284
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    #1166

    Nov 8, 2013, 05:40 PM
    Quote Originally Posted by Wondergirl View Post
    Nope. They can alert the family if they see a need, but it's the family's responsibility to make something happen (a doctor to come in or the patient to go somewhere) if tests are needed, medical care changed, etc. My husband several times a week would visit his aunt in her very nice nursing home (her son and husband had already died, so she gave my husband POA). It fell to him to monitor her health and coordinate with the nursing home to make sure she received the appropriate care.

    ***ADDED And the same with a VA nursing home.
    Excuse me, but don't tell me what kind of care my dad is supposed to be receiving. It is a skilled nursing facility and it is their responsibility to recognize a medical need.
    tomder55's Avatar
    tomder55 Posts: 1,742, Reputation: 346
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    #1167

    Nov 9, 2013, 02:39 AM
    Tuttyd's Avatar
    Tuttyd Posts: 53, Reputation: 4
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    #1168

    Nov 9, 2013, 03:01 AM
    I think you mean sorry for trying to do the impossible with the improvable.
    tomder55's Avatar
    tomder55 Posts: 1,742, Reputation: 346
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    #1169

    Nov 9, 2013, 03:33 AM
    That too I guess. It aint being sorry for lying to the American people and deceiving us with a false narrative about the law being rammed down our throats. He claimed in his interview he was sorry people are losing their plans even after the claim he made multiple times that if you like your plan and your doctors you could keep them.
    Obama: "I'm sorry" Americans are losing insurance - CBS News
    What was really sorry was his self serving apology . He's not at all sorry that people are losing their insurance plans. The worse is yet to come when his one year delay of the employer mandate is over ;and millions of Americans lose their insurance.
    Tuttyd's Avatar
    Tuttyd Posts: 53, Reputation: 4
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    #1170

    Nov 9, 2013, 03:45 AM
    Quote Originally Posted by tomder55 View Post
    That too I guess. It aint being sorry for lying to the American people and deceiving us with a false narrative about the law being rammed down our throats. He claimed in his interview he was sorry people are losing their plans even after the claim he made multiple times that if you like your plan and your doctors you could keep them.
    Obama: "I'm sorry" Americans are losing insurance - CBS News
    What was really sorry was his self serving apology . He's not at all sorry that people are losing their insurance plans. The worse is yet to come when his one year delay of the employer mandate is over ;and millions of Americans lose their insurance.

    Intended consequences often lead to unintended consequences. No doubt there will be many more unintended consequences to come. Unfortunately the quantum computer is still in the infancy stage.
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    tomder55 Posts: 1,742, Reputation: 346
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    #1171

    Nov 9, 2013, 03:50 AM
    Nah ,this was an intended consequence. Oh the web site is an unplanned circumstance mostly due to the collective hubris of the Obots... but the people losing their plans... they knew that would happen .
    Tuttyd's Avatar
    Tuttyd Posts: 53, Reputation: 4
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    #1172

    Nov 9, 2013, 04:14 AM
    Quote Originally Posted by tomder55 View Post
    Nah ,this was an intended consequence. Oh the web site is an unplanned circumstance mostly due to the collective hubris of the Obots... but the people losing their plans... they knew that would happen .
    Tom, I think you are giving credit where credit isn't warranted.
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    tomder55 Posts: 1,742, Reputation: 346
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    #1173

    Nov 9, 2013, 04:37 AM
    Nah they knew .
    U.S. Departments of Health and Human Services, Labor, and Treasury Issue Regulation on ?Grandfathered? Health Plans under the Affordable Care Act
    The generous interpretation is that they knew everyone would have to transition into a plan that the Obots approved . But that is NOT how it was sold.
    tomder55's Avatar
    tomder55 Posts: 1,742, Reputation: 346
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    #1174

    Nov 9, 2013, 06:47 AM
    excon's Avatar
    excon Posts: 21,482, Reputation: 2992
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    #1175

    Nov 9, 2013, 07:01 AM
    Hello again, tom:

    So, if you have sh!t insurance, why would want to keep it if you can get BETTER insurance through the exchange???

    excon
    talaniman's Avatar
    talaniman Posts: 54,325, Reputation: 10855
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    #1176

    Nov 9, 2013, 07:06 AM
    If you read the grandfather clause it basically leaves most private policies in the hands of the companies that sold them. Should have been tightened up long ago, but righties can't read, and think companies can do what they want to make money any way, so what's the right wing beef?

    You didn't care if consumers and workers get screwed by for profit private companies before, now all of a sudden you care?
    tomder55's Avatar
    tomder55 Posts: 1,742, Reputation: 346
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    #1177

    Nov 9, 2013, 07:39 AM
    Quote Originally Posted by excon View Post
    Hello again, tom:

    So, if you have sh!t insurance, why would want to keep it if you can get BETTER insurance through the exchange???

    excon
    That would be my choice.. right.. I may have many reasons to not want what the exchanges are offering... maybe as simple as I like the price. Maybe I don't need all the things that are now being mandated . No one has proven to me that the exchanges are going to be less expensive. Certainly the evidence so far is the opposite .
    Again ,the essential point is that the emperor lied repeatedly about it .
    tomder55's Avatar
    tomder55 Posts: 1,742, Reputation: 346
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    #1178

    Nov 9, 2013, 07:41 AM
    Quote Originally Posted by talaniman View Post
    If you read the grandfather clause it basically leaves most private policies in the hands of the companies that sold them. Should have been tightened up long ago, but righties can't read, and think companies can do what they want to make money any way, so what's the right wing beef?

    You didn't care if consumers and workers get screwed by for profit private companies before, now all of a sudden you care?
    BS .That's a convenient deflection . Repeat after me... the emperor lied when he said "if you like your plan you can keep it ...PERIOD "
    Wondergirl's Avatar
    Wondergirl Posts: 39,354, Reputation: 5431
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    #1179

    Nov 9, 2013, 07:46 AM
    Quote Originally Posted by tomder55 View Post
    BS .That's a convenient deflection . Repeat after me... the emperor lied when he said "if you like your plan you can keep it ...PERIOD "
    He unfortunately trusted that the insurance companies look forward to gaining more insured and wouldn't do an end run around him. They quickly figured out how to make even more money off the ACA..
    tomder55's Avatar
    tomder55 Posts: 1,742, Reputation: 346
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    #1180

    Nov 9, 2013, 08:04 AM
    Quote Originally Posted by Wondergirl View Post
    He unfortunately trusted that the insurance companies look forward to gaining more insured and wouldn't do an end run around him. They quickly figured out how to make even more money off the ACA..
    Lol you make it sound like the insurance companies had a choice. The truth is that the emperor knew that it was standard practice for insurance companies to make annual adjustments for plans... very minor ones . The emperor knew that once that happened the new regulations bound them to discontinue those plans. So stop the ruse of blaming the insurance companies . That dog don't hunt .

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