To: ThirdEye who wrote (102837 ) 3/22/2007 11:32:18 PM From: worksinjammies Respond to of 361245 Actually ThirdEye, I really don't appreciate your tone in your response. As it happens, I work very closely with the patients of several facilities, and I have a very solid understanding of the LTC and Nursing home situation; I would be bold but probably correct to say I have a much more personal and informed view of the actual goings on in such facilities than yourself (unless you work there). I have also had the opportunity to see first hand the level of care in facilities located in Florida, Maryland, as well as Rhode Island, and the level and quality of care varies greatly between facilities, as does the expense for such care. I have had staff at these locations complain about the replacement of qualified staff by those of lessor skill. I am not talking about state run facilities; what I refer to are privatized care facilities, or pay-as-you-go, if you will. What I have seen in Florida, with some of the "better" facilities are people being cared for by aides, in a haphazard, and often careless manner. I have seen this first hand. I would recommend to anyone who was going to place a parent or loved one in such a facility to due an extreme due diligence before deciding on a particular location. There is definitely a link between the professional skill level of staff workers and the quality of care given to patients or residents. Due to my personal and professional experience in this area, I purchased a very large LTC policy in order that I might be able to receive care at home as long as possible by the most qualified care givers, and avoid facilities as long as possible. As I mentioned, these are privately run facilities, therefore your reference to a "national single payor plan" has no bearing on this conversation. Such a plan would only offer marginal care at best....you need only look at the state run wastelands they call nursing homes to see my point. WIJ