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Joined 1 year ago
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Cake day: June 10th, 2023

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  • This is great!

    Right now there is a serious issue with discharging patients from the hospital environment into skilled care. Since COVID, many nursing homes don’t take admissions over the weekend, limit admissions to long term care (as opposed to transitional care which is short term - and better reimbursed), and often have wait times. This has the effect of increasing the length of time a patient is in the hospital unnecessarily, thus decreasing hospital capacity.

    Yes, the nursing homes have staffing issues, but they pay for shit. Many of them pay less than $20/hour. You need to goto school to get your CNA license which isn’t free. You can get many other jobs for better pay without the investment of education.

    Source: I am a hospitalist physician. I work with nursing homes a great deal and my wife used to work at one as a CNA.







  • I agree. Fundamentally, these folks that support him now are not doing well. It’s not the same for everyone. Some are feeling disenfranchised from parts of daily life, some are experiencing undesired change, some are terribly unhappy and don’t know where to point their frustration, etc. Trump isn’t a likely cult leader. He isn’t very charismatic like we normally associate cult leaders. But he came with the right message at the right time and for a very large segment of our population, that message made sense to them. It gave them a REASON for how they were feeling, even if they didn’t understand their own feelings in the first place.

    When the day comes that the spell is broken, society must be ready to re-engage with these people in a meaningful way. Otherwise we are doomed to repeat it with the next person to show up and given them another reason.