The Washington Post had an article discussing the impact of TrumpCare on nursing home jobs.  “The Better Care Reconciliation Act would reduce the country’s Medicaid spending by $772 billion over the next decade, the nonpartisan Congressional Budget Office projected in a report. That could shut down nursing homes across the country, health-care leaders argue, and trigger widespread layoffs in one of the nation’s fastest-growing fields of employment.    

Though Medicare generally covers older people, Medicaid funds long-term services, including nursing home stays. Nearly two-thirds of America’s 1.4 million nursing home residents rely on Medicaid to cover their care.

Roughly 1.7 million people work at nursing homes, mostly in caregiving roles, according to AHCA figures. And health-care employment is rapidly growing — especially in areas that serve the elderly. Providing comprehensive, around-the-clock care tends to be labor-intensive.

Employment of nursing assistants and orderlies, which covers nursing home employees, is expected to keep pace, with a projected growth rate of 17 percent through 2024 — or double the growth rate for all occupations, according to the Bureau of Labor Statistics.

Nursing assistants make an average of $26,590 per year. Sara Rosenbaum, founding chair of the Department of Health Policy at George Washington University, calls the growth of such health-care employment “a Medicaid workforce.”

“You destroy the Medicaid program,” she said, “and you can kiss your nursing homes goodbye.”

Mark Parkinson, chief executive of the American Health Care Association and National Center for Assisted Living, which represents about 11,000 nursing homes nationwide, said on a conference call Monday that Medicaid cuts under the proposed health-care law would cost individual nursing homes an average of $100,000 a year over the first three years.


The Burlington Free Press reports a lawsuit filed against Pillsbury Manor South alleging violations including bed height, insufficient staffing and failure to re-examine the best type of bed conditions. The estate of Patricia Calmer who died at Pillsbury Manor South in November is suing the facility and its former owners, alleging negligence led to the resident’s death.  The family’s lawyer called it “an unnecessary and untimely death.”

Calmer was discovered in her room at the home in the early morning of Nov. 3, 2016, with her head trapped between her bed rail and an air mattress.

According to the lawsuit, the facility was in violation of a number of state regulations at the time.  A number of these violations were noted during a site visit five days after Calmer’s death in a report filed by the Division of Licensing and Protection through the Vermont Department of Aging and Independent Living.



A new report from the Commonwealth Fund and George Washington University researchers finds that TrumpCare will slash total jobs by about a million, total state gross domestic products by $93 billion, and total business output by $148 billion by 2026. Most of those jobs would be shed from the health-care industry. Most of the losses in economic activity would come in states that have expanded Medicaid to low-income adults under the Affordable Care Act.

Reductions in federal funding for coverage through massive cuts to Medicaid and reduction of private-insurance subsidies will cause “a period of economic and medical hardship in the U.S.” in 2020. The most dramatic effects would be in the health-care industry. Per the Congressional Budget Office estimates, 23 million fewer people are expected to be insured under TrumpCare. This report suggests a net loss of about 700,000 jobs in the health-care sector alone. Kentucky and West Virginia would lose 16,000 combined jobs in the health-care sector alone.

TrumpCare invests more federal money to insure fewer people while also killing jobs and economic activity. See article at The Atlantic for more information.