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Yes. It's frustrating for everyone involved except those who profit from such s a convoluted system. I'm sure handing a terminally ill patient a Medicare waiver is absolutely heart-wrenching. When I worked ICU hall in the nursing home, back when two CNAs were actually required per fifty patients, and worked in teams, I can't tell you how many were quickly burned out from being disheartened by having five minutes or less to dress immobile patients, or from having to restrain patients to keep them from scratching shingles outbreaks, or being unable to find a nurse available to suction patients with death-rattle.
I just finished my second family medicine rotation and it's just so ass-backwards because if we could give them the medication they need, they won't end up in hospitals/ICUs/long term care facilities/etc. The new medications are incredible drugs and can vastly improve the quality and quantity of life for patients with diseases like diabetes, heart failure, renal failure, and more...if the patients can afford them, which they frequently cannot.
How are we supposed to extract what's left of their value unless they're in said facilities?
Typing that out made me throw up in my mouth a bit.
Well, JD Vance thinks grandma and grandpa should be the solution to childcare, but that only works if they aren't actively dying and need to be cared for themselves. I'm pretty sure the GOP also thinks that daughters-in-law and granddaughters should be doing the elder care for free as well, so I don't really know how they expect that all to work.
(It's not supposed to work. People are supposed to make rich people richer and then die, according to the GOP)