Yes but precedent is set already for CMS to makes rules. They already do. They were involved in making rules for hospitals and anyone who takes Medicare.

This is why I quit homecare. Let me introduce you to CMS, the most busybody, pushy, criminal government apparatus that exists.

Every week it’s CMS made these changes, better learn them. I could give two shits about the vaccine, that’s easy. Just brave some health effects, maybe die who cares because CMS has some changes you need to learn.

I’d be damn happy if this lead to an awareness of what’s going on with Medicare. They are pushing us around so frequently they are like the bully that knows it will win, and is so proud of itself.

This week CMS changed these rules so now XYZ they thought was best last week is no longer best, there’s a new best and there will be a new rule next week.

Listen, this is about shaking off providers trying to suck off the government teat. The wealthy on both sides are fighting and it’s your loved one who means nothing. Why is the patient treated like expendable livestock?

If CMS thinks physical therapy will prevent burden of costs they make a rule and the healthcare corps or business start ups will agree, hire people to learn how to suck money off the government and hire more therapists to create problems they can solve for a fee, even promote joint surgery to help them. Are our parents and grandparents better off? Of course not. Because CMS is run by fucking psychopaths who just change things to shake off the wealthy who employ healthcare people. But that’s not the only reason they change things.

Y’all want to know about healthcare depravity I’m trying to explain it.

These policies about where they will spend money are not about the patients and what’s best for them at all

It’s about what problems are occurring.

2008 the bankers on Wall Street bought too many hookers and fucked up royally, right?

So government says: Let’s promote PT and OT in hospitals so they keep patients longer, do the therapy there, in house, that’s the new rule.

Why? Because we needed to give cheap loans to hospitals to build bigger more expansive hospitals so we can ride out the recession on the healthcare sector that’s building jobs.

Then a few years later:

Stop. No more PT/OT in house we want it in transitional care units (nursing homes that upgrade toward taking hospital level patients) because hospitals want to ramp down beds now to prepare for the boomers who will depend more on hospitals as they are a sick 30 percent of our population and the largest generation to need care all at once. Hospitals need to go to virtual care and close by 2025, to avoid losses from a large elderly group that dwarfs profits from private insurance which pay more.

New CMS rules y’all, (herd people around like cattle)

Op!

We want to let the mentally ill out of state hospitals and out of government care. No more group homes we can’t afford it.

So CMS says “we take it back that PT/OT helps hospital recidivism”. Now we believe PT/OT isn’t helpful AT ALL.

(Not based on needs of patients or studies, watch what they do next)

We need to street the mentally ill and keep the elderly out of hospitals which want to move to virtual care to limit costs of an extremely large elderly population.

CMS now needs transitional care units to take on hospital patients that aren’t acutely ill but displaced because they can’t manage at home. They poo poo the benefits of therapy in TCUs with an announcement.

CMS rules change! After hiring all those physical and occupational therapists that delivered us from the recession we will now fire them. Medicare will no longer pay for that many physical or occupational therapists.

Bye.

Now we have TCUs taking the older mentally ill and the elderly who just need help with bathing or in between placement. PT/OT no longer helps anyone per CMS in garbled regulatory-speak.

Home care went through similar shifts. Instead of CMS paying for the elderly to be cared for, they force the elderly to give their own IV antibiotics, and instead of a nurse watching over them they do catheter changes or any treatment in clinics. (CMS told clinics they had to, so rules changed for them too. Herd more cattle)

Now Home Care has social workers and nurses to go individually into acutely mentally ill patients homes as they streeted them. Wanna know why crime rates are so high in cities? Mentally ill, violent patients were sent to apartments, where Home Care nurses have to try and not get attacked by them. I was locked in by a rapist and they sent me despite a court order this patient was to have no female staff.

CMS rules said so! Instead of police let’s sent a 110 pound new grad with a nursing degree and no experience to deal with the problem, patient is out of control, she can handle it.

Now there’s less access to home care, especially aides for the elderly because the government wants home care to handle the unstable mentally ill.

Next up:

TCUs/now handle the elderly who are sick. And they bring in immigrants who have little empathy for our culture or our loved ones. (IMO it’s my opinion that they are worked in such poor conditions it’s bad for the people they care for, democrats will not stop bringing in overseas nurses, it helps them sweep problems of safety in these places under the rug)

Physical therapists and occupational therapists were again cut in TCUs, because they needed TCUs to care for acutely ill or moderately ill elderly so the hospitals weren’t burdened. (Remember NY nursing home scandal well they were doing this way before that)

Now due to the pandemic, hospitals are pissed they can’t partially shut down by 2024. The reason there’s a crisis in hospitals is because they quietly forced nurses into retirement, reduced beds for a decade. 2024 Medicare cuts to hospitals are next so let’s see what the government devises.

Outright genocide?!!

It’s not going to help your older loved ones because it’s not about them. Not about their needs.

It’s about helping Wall Street buy hookers and hospitals staying solvent without making cuts to CEOs and managers. There’s so many managers in hospitals, we never see them and I expect all they do is read stocks and figure out ways to day trade. Meanwhile your loved one fights to be relevant in this situation and to have a voice in their care at all.

No, CMS has been making rules already. The vaccine rule is laughable. Meaningless to me. The shit they do to support the elite is a crime.

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