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Today's Poll: If the county sold the Nursing Home, what do you think would happen?

By Howard B. Owens
Karen Miconi

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Hopefully none of you will suffer from Demencia, Alzheimers, Parkinsons, or loss of bodily functions,motor skills, mind, and need care when you get old. Hopefully your family will change your diapers, and stay up with you all night, and day, feed you, bath you, and love you until your dieing day. Hopefully, your family will have a place for you, in their home. If not possible, Hopefully they will have a bed for you in your hometown nursing home.(there were none in Batavia, when we sought out care, and were put on a waiting list, also, not all take Demencia patients) Hopefully you wont be shipped like a piece of rotting meat, miles away from your family. Hopefully you wont experience the Sting of working your whole life, and having to hand it over to NYS, in order to care for you.
Scare Tactics?? Your damn right, you should be scared. Quality of care has everything to do with this, not how much cash nursing home "owners" (private and state) can stuff in their pockets. Using human life, and the care of loved ones, as a barganing tool is dispicable. Cant wait to hear the real story, and motives for this whole proposed sale, or whatever is going on, the pricetag for the study, and reason for the secret loan(the taxpayers) will have to pay.
REFORM is whats needed here, from the Top to the Bottom.
Statistics are also important. It will cost my parents 75,000 a year to care for my father. Medicaid was forced upon them, so NYS could take control of their assets(even though they could pay themselves). Then their so called "wonderful insurance"?? MVP GOLD, denied all his bills, incured in this time of crisis too? Whats wrong with this picture?? Highway Robbery some might say, miss apropriation of funds, what do you think?

Jan 11, 2010, 1:59pm Permalink
steven gaylord

Quality of care in nursing homes is dependent on who you have running them and their budget. As a nursing home nurse I feel that , If you have good management who make the residents their priority, quality care can be provided . You have to realize the economics of insurance and medicare reimbusements to these facilities also effects quality of care. Shortages of nurses and cnas also effects the quality of care. No matter who owns or runs the genesee county nursing home, all these issues will have to be dealt with. NYSDOH oversees all nursing homes and audit them frequently.

Jan 11, 2010, 10:17am Permalink
C. M. Barons

There are too many variables to judge the impact of privatizing the nursing home. It would depend on who buys/manages the institution, the conditions of sale, state and federal laws/the nature of health care subsidies and Medicaid-Medicare pending federal legislation coming down the pike, and the employees who are hired to work at the home once ownership has been transferred. ...Also, who the patients are and their financial situations. Do not overlook the glut of baby-boomers who are on the docket for chronic care. The health care industry is ramping up to enjoy a few decades of blissful profiteering at the baby-boomer golden years bonanza.

All of the discussions so far on this subject seem to overlook two points: the loss of local oversight once the institution has been privatized and the critical cost to local taxpayers- which is not the local operating cost as spread among county residents; it is the cost of Medicaid as spread among county residents. We pay for Medicaid via payroll deduction (fed & state) and annually (county taxes). Sale or not sell: our Medicaid obligations will not be decreased through the sale of the nursing home. All we gain by selling the home is reduction of a few line items on the county budget. That doesn't even equate to a lower county budget. With the state re-examining its reinbursements to local governments and school districts, you can bet that any changes will reduce local revenue across the board. Whatever costs are averted by transferring financial responsibility for nursing home operations will be reapplied to other lines in the budget.

And finally, do not suppose that relocating those who require care but cannot afford it to another jurisdiction will not encur charge-backs to the county of residence.

Jan 11, 2010, 1:33pm Permalink
C. M. Barons

Addendum: we also do not know whether the nursing home is a cash cow or an albatross. Operating a public nursing home attracts revenue sources: grants, subsidies, patient accounts payable, Medicaid/Medicare revenue, Social Security revenue, memorials, institutional grants, bequests, contracts, insurance ... To what degree does the nursing home provide profitability of its neighbor, the hospital? Privatizing would turn off some faucets. Don't throw the baby out with the bath water.

Jan 11, 2010, 2:05pm Permalink

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