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.