灾难的舞台已经准备好:营利性养老院、联邦法律和COVID-19

D. Papke
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引用次数: 1

摘要

在20世纪下半叶,特别是在20世纪60年代通过医疗保险和医疗补助立法之后,营利性养老院开始主导美国的养老院护理。然而,与国营和非营利性养老院相比,营利性养老院平均提供的护理较差。在20世纪的最后几十年,国会试图解决养老院的问题,但大量的法规和大量的规定主要是使有问题的营利性养老院合法化。然后,COVID-19悲剧地凸显了法律认可的营利性养老院作为美国生活中主要的社会法律机构的缺陷。
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The Stage Was Set for Disaster: For-Profit Nursing Homes, Federal Law, and COVID-19
For-profit nursing homes came to dominate nursing-home care in the United States in the second half of the twentieth century, especially after the passage of Medicare and Medicaid legislation in the 1960s. However, for-profit nursing homes on average provided inferior care when compared to state-run and nonprofit nursing homes. Congress attempted to address the problems in nursing homes in the final decades of the twentieth century, but massive statutes and abundant regulations served mostly to legitimize the problematic for-profit nursing home. COVID-19 then tragically underscored the flaws in the legally sanctioned for-profit nursing home as a major socio-legal institution in American life.
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