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Cake day: March 18th, 2024

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  • He’s married?!?

    Given the well publicized cheating and alcoholism, reinforced publicly by Hegsbeth’s mother, this cannot be a healthy relationship. Even so, it’s bring your wife to work day, never mind national security and the potential for Jerry Springer vibes with that national security. I’m fascinated. What is this family dynamic?

    Unless, like it sometimes occurs in healthcare, Hegsbeth requires a support person to help him retain and interpret information given by those with advanced degrees and experience. That’s my best guess. Second guess is the executive branch is now full low EQ in supporting individuals who cannot go 10min in their lives without another person attached to them. (You can’t watch this movie alone it must be done together, you can’t go back for surgery prep alone we must be together until the last possible minute, my adult self can’t spend the night anywhere with my person, mommy?).

    I have so many questions.




















  • This is not hyperbole. There are many elderly living alone, SScheck to SScheck with no one to lean on.

    They’re a common admission when neighbors call in wellness checks and they’re found down or confused.

    The other piece is the people who supply medical care and social services still get paid, one way or another and that payment comes from SS and Medicare. Every time someone doesn’t pay their bill, costs increase. That said, the purpose of a hospital care management team is to transition these elderly cases to a safe living situation. If that is now assisted living or a nursing home it happens by the grace of those institutions now essentially taking the monthly SS check to pay for the new room and board situation with caregivers on site.

    These institutions would certainly miss the SS check. In fact, there’s a hard cap on the level of profit these institutions can make because they rely on the monthly senior benefits to pay their staff, supplies, and electricity. Those monthly benefits don’t really increase. And before you scream that there should be no profit, without profit, these institutions would not exist. People get paid, or doors close. We see this a lot on well meaning but short sighted (regarding money) mental health care institutions. But for elderly care, up until now, SS and Medicare paying costs has been reliable.

    Which raises the question. If the nursing home doesn’t get paid and the dependent old person gets evicted? Where do they get evicted to? Bedbound, confused, where do they go?

    I have an answer for that one. A medical reason will be found to drop them at a local ER, with no return (the needs of a patient can exceed the capability of an institution so this is legal and happens often enough). This makes the displaced SS recipient and senior citizen a not paying hospital customer. Moreover, they are a non-acute person taking up an acute care bed, leaving the ER even more clogged with even longer wait times as the flow out (in the form of discharges, freeing beds for ER admissions, which frees space in the ER for people in the waiting room) slows down even more.

    I give the long explanation so you can follow yet another crack as it forms, leading to the eventual collapse of the already tenuous and strained healthcare system.

    Your statement that they may just die is apt. Strangely, Heritage is serious about banning assisted suicide because it “lacks dignity”.