Now a majority of the nursing home are state run. Which means they have less wealthy residents. I'd believe that he's raising this fee because he assume Medicaid will pay the fee, it comes from the feds, not the patients.
In other states, though, the claim is that the problem is that the Feds have been making cuts in what Medicaid and Medicare will pay, throwing the burden back on either the patients (who if, as you say, are "less wealthy", don't have it to pay) or the states.
So where is the money _really_ going to come from?
Time To Stock Up On K-Y Jelly And Nupercainal Maru
-- Ronn! :)
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