this post was submitted on 22 Apr 2024
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The Biden administration finalized on Monday the first-ever minimum staffing rule at nursing homes, Vice President Kamala Harris announced.

The controversial mandate requires that all nursing homes that receive Medicare and Medicaid funding provide a total of at least 3.48 hours of nursing care per resident per day, including defined periods from registered nurses and from nurse aides. That means a facility with 100 residents would need at least two or three registered nurses and at least 10 or 11 nurse aides, as well as two additional nurse staff, who could be registered nurses, licensed professional nurses or nurse aides, per shift, according to a White House fact sheet.

Plus, nursing homes must have a registered nurse onsite at all times. The mandate will be phased in, with rural communities having longer timeframes, and temporary exemptions will be available for facilities in areas with workforce shortages that demonstrate a good faith effort to hire.

The rule, which was first proposed in September and initially called for at least three hours of daily nursing care per resident, is aimed at addressing nursing homes that are chronically understaffed, which can lead to sub-standard or unsafe care, the White House said.

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[–] [email protected] 0 points 6 months ago (15 children)

The controversial mandate

I wonder what the controversy is...

Nursing home operators strongly objected to the minimum staffing proposal in September, saying they already struggle to fill open positions. Such a requirement could force some facilities to close.

Oh, of course, they don't want to pay people. These business owners should go back to econ 101, the labour market is just another market. If you can't get enough people at current prices, you need to PAY MORE.

Mark Parkinson, CEO of the American Health Care Association, said in a statement Monday. “Issuing a final rule that demands hundreds of thousands of additional caregivers when there’s a nationwide shortfall of nurses just creates an impossible task for providers. This unfunded mandate doesn’t magically solve the nursing crisis.”

Oh, it's funded. Two steps. Grab your wallet, Mark. Look in your wallet. There is your funding.

The proposed staffing mandate has also split Congress, whose approval is not required. A bipartisan Senate bill and similar legislation introduced by House Republicans would prohibit the Department of Health and Human Services from finalizing the rule.

The only time you can reliably expect the US Congress to actually do anything for their fat paychecks is when it has to prevent other people in government to do their jobs.

[–] [email protected] -1 points 6 months ago (14 children)

Oh, of course, they don’t want to pay people

Even if they could...

Were like 3 years deep into a nationwide nursing shortage and even hospitals can't get staffed up.

Biden is "creating jobs" that we literally don't have qualified people to fill.

Which is going to lead to lots of nursing homes being forced to close, and shitty nurses always having a place to land somewhere.

You know what would help?

If Biden had fixed our student loan shit show so more people are able to afford to be nurses.

Like most of the headlines about Biden, it only sounds good if you don't think further than the headline.

Down the road this causes more problems than it'll fix.

[–] [email protected] 0 points 6 months ago (1 children)

My sister is a nurse. Hospitals are constantly trying to put more and more workload per nurse than is feasible/safe. That sounds like it's to your point, but it isn't really. My sister was making like $25 per hour before covid. Her job was to take care of NICU babies. For $25 per hour, with a degree and a fair amount of student loan debt. And they keep adding responsibilities and assume they will work overtime "for the babies".

Why would anyone want to go to school to get into an underpaid field where literal babies' lives are constantly in your hands, and the hospital is trying their hardest to decrease their nursing payout by decreasing nursing staff?

We need regulation. Nurses are quitting the field because they cannot handle the stress and the pay certainly isn't worth it.

[–] [email protected] -1 points 6 months ago

That sounds like it’s to your point

My point is we need more nurses.

And the cost of our educational system prevents many from becoming nurses.

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