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My Left Nutmeg

New Rule [Secretly] Enacted by Bush Administration Impedes Cases Against Nursing Homes

by: dsut56

Thu Feb 26, 2009 at 00:26:20 AM EST


George Bush has been out of office for over a month, but we are still uncovering new damage he has done to our nation. In Tuesday's Washington Post, Cindy Skrzycki reports about the latest discovery of new rule changes that the Bush administration Health and Human Services Department quietly enacted back in September that will make it much harder for consumers to sue nursing homes.

The change, which affects the $144 billion nursing-home industry, was enacted with no public notice or attention.

"This is pretty stunning," said Mark Kosieradzki, a plaintiff attorney in Plymouth, Minn. "Nobody was told. It was just done."

The rule designates state inspectors and Medicare and Medicaid contractors as federal employees, a group usually shielded from providing evidence for either side in private litigation.

The restrictions affect about 16,000 nursing facilities and 3 million residents in the United States. The practical effect is to force litigants to go to greater lengths, including seeking court orders, to get inspection reports or depositions for cases they are pursuing or defending.

"This change hurts nursing-home residents and their families by allowing bad practices to be kept in secret by nursing homes and inspectors," said Eric M. Carlson, an attorney with the National Senior Citizens Law Center in Los Angeles. "Government inspectors have the right to go into nursing homes and investigate, and they learn things that residents and families otherwise could never find out."

On Bloomberg.com, more details are given about the effect of this terrible new ruling:

More than 90 percent of U.S. nursing homes in each of the previous three years were cited for violating federal standards, according to a report in September by the inspector general of the U.S. Health and Human Services Department.

The new rule was issued in September by the department. It generally prohibits state health departments and contractors that do auditing and other services for the government from participating in private lawsuits involving facilities that are in the federal assistance program without approval by the head of HHS.

The effect of the directives has started to play out in the nation's courtrooms. Requests for information, once fairly routine, now are stalled between state and federal officials.

"This regulation update was in the works for a very long time," said department spokesman Bill Hall, in an e-mail.

I'm sure the enactment, at the end of the Bush administration, was just a coincidence!

The complete story is here and here

dsut56 :: New Rule [Secretly] Enacted by Bush Administration Impedes Cases Against Nursing Homes
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Crying out for rethinking care for our elderly citizens (0.00 / 0)
I am very grateful for your calling this to our attention, dsut56.  Our system for caring for our elderly ones reeks with neglect and ageism in so many cases (90% had violations?  Time for a paradigm shift!)

Making it impossible to reveal and right the wrongs does harm not only to the elderly, but to the spirits of the people in the family who are trying to assure their care.  It is a violence against keeping one's spirit intact not to be able to do right by those who brought us into this world in the moment we witness their neglect and abuse.

Having watched my parents both spend some time in nursing homes, I would be highly in favor of re-integrating the aging with those at other places in their lives, enabling younger people to experience the elderly and vice versa.  It is good for both, and  having watched young people working  in nursing homes who have really ageist points of view toward the people they care for, I think part of the problem is societal and the homes are artifacts which express an "always something new/toss the old" type of society.

Working out some sort of intergenerational contact possibilities (outside of visiting families) that could in part provide some surveillance about what goes on in the nursing home, and keep people engaged.  There is tremendous talent and experience in many of these people and yet they are put in this cartoonish living situation. I suspect health care costs would go down -- I think of a friend of mine who pulled her mother out of a nursing home, given two days to live.  She lived four years longer.  

Creating a rule that enables families to throw up their hands and not try to improve the conditions for their parents in these homes because it's too hard to do is not a positive step for society at all.  But you know that...

IMHO families need every single resource they can muster to shed daylight on what sometimes goes on in these places.  I have nightmares to tell about both of my parents' stays in nursing homes.  If they could be torn down for something better the way inner city  high rises are now biting the dust, I would be thrilled.

Hopefully this rule will be changed quickly enough for families to have something to resort to in establishing the facts when they have difficulties with nursing homes.

It is hard enough to be at the mercy of the caregivers in these situations.  If you tick them off, they may take it out on your parents.  If you don't tick them off because you don't speak up, they STILL may continue mistreating them.  Very tough to negotiate.

The most inspiring living situations I have read about are operated by the Quakers.  However, marketing material is just that.  I don't know if they are among the 10% who are not sued, but we need some best practices here.

Warehousing the elderly and preventing objections to abuse of the vulnerable does not build a strong and just society.


 
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