Buoyed by astonishingly low expectations and a reimbursement system that literally pays them for making their patients sicker and weaker, nursing homes represent the one part of our health care system that has seen little substantive change in more than a half a century.
The second half of my working life stretches out in front of me and I no longer feel the need to censor my words and my deeds. I am a nursing home abolitionist and, going forward, I intend to act like one.