Got the second years ago when it launched because I was looking for a new rpg to play. Bounced off it immediately because the gameplay was far too passive -- I didn't feel like I was doing anything -- and the fucking quote spam POPPY WILL PROTECT MASTERPON is branded on my soul.
TheChurn
joined 2 years ago
Again, it doesn't matter whether you find the argument about compelling.
If care cannot be provided profitably, it won't be provided at all. That is reality. Somehow, the care must be paid for.
Those who need care are not better off if these facilities close.
The businesses are hardly profitable. For every dollar they get from housing a resident, they get just above half a penny of profit.
As I showed above, you can take the entire profit and put it into hiring more staff and it won't actually make a difference. They either need to raise prices, cut costs elsewhere (maybe administration? I'm not familiar enough to know), or pay people less.
That's what the numbers say.
We get it, you don't like nursing homes.
You don't seem to be engaging with the substance of the matter, so I'll leave it here.
This would've been more believable if they left off the wheat. Oil I can imagine, but no fucking way are US troops stealing wheat of all things.
Do they think there is a mill at their base? What the fuck would they use it for? It has negative value.
And that is a valid opinion. Unfortunately what do you do with all these people if the homes close because they can't afford staff?
The intent of the bill is to prevent neglect in nursing homes - that is a worthy and important goal. The mandate doesn't actually help make that happen.
It doesn't provide funding the care providers to increase staff, it doesn't add incentives for individuals to get certified and help address the personnel shortage, it doesn't put a cap on administrative costs for care facilities, it doesn't actually DO anything to help solve the problem.
Good mandates also provide an avenue to meet them.
That is an insanely small margin, and directly contradicts your claim that they can staff properly.
Let's take the entire profit for the industry and hire nurses. Let's say reach nurse costs $80K ( $60K salary, $20K for taxes/insurance/other benefits).
That pays for 9600 more nurses. Which, given the nursing requirements in the bill (3.48 hours per day per resident), only covers staffing for 22K residents.. a rounding error to the more than 1.2 million nursing home residents in the country.
There are ~15K nursing homes in the US, each of them getting 0.6 more nurses doesn't help anything.
The $94/hr isn't a salary, it's the cost to the business. Employees generally cost a business 1.3-1.5X their salary - since insurance, payroll taxes, PTO, etc. all also need to be paid for.
Again this is not considering any other cost for the facility: utilities, food, other staff, medical equipment, maintenance, insurance, rent...
3.5 hours of nurse care per resident per day (from the bill).
Resident pays $120K per year to stay at the facility.
There are 365*3.5 hours in a year they need nursing care = 1277 hours of nursing care per year per client.
$120K per year / 1277 hours per year = $94/ hr maximum cost for each nurse - assuming there are no other expenses for the facility.
Must have mistyped to get $95, but that is the math.
$120K per year per resident isn't that much revenue to cover 24 hour availability of care, food, lease, etc.
I'm not saying it is unworkable, but with the requirement for 3.5 hours of nurse care or resident per day, that means the maximum total cost of a Nurse is $95 per hour, or about $190K.
That really isn't much - typically employees cost a business twice their base salary. So the nurses can be paid $100K per year while leaving almost $0 for any other expenses..
I've been using Nvidia under Linux for the last 3 years and it has been massive pita.
Getting CUDA to work consistently is a feat, and one that must be repeated for most driver updates.
Wayland support is still shoddy.
Hardware acceleration on the web (at least with Firefox) is very inconsistent.
It is very much a second-class experience compared to Windows, and it shouldn't be.
People have honestly no idea about the early history of the US.
The pilgrims literally left England because they couldn't oppress people enough. They can to America to build their perfect religious society.
Many colonies in the South weren't 'fleeing' anything, they were fully funded by the crown with the goal of settling the land and sending resources and taxes back to Britain.