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Joined 2 months ago
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Cake day: April 28th, 2024

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  • I’m not familiar with other skilled nursing facilities (SNFs) outside of California but I believe if the skilled nursing facilities in California are struggling to survive, there is a possibility that others would as well with this requirement. Already operating margins have been shown to be at break even or negative before Biden’s initiatives [1], [2][3, note to add, i can count on my fingers, 10 yrs in HC, how many ppl pay privately for SNF].

    The whole sector is honestly a mess unfortunately and I have so much to say. I will keep it simple though. I do not think the prices will rise or will be passed onto consumers like the above poster suggests because SNFs cannot control Medicare or MediCal reimbursement/payments (which is the bulk of their clientele). I think they will simply close down, especially with Bidens requirement, leaving less options for any patients needing short term care (iv abx before going home, wound care, rehab) and almost NO options for patients that don’t have money to live anywhere else. Already, sometimes I have to send long term pts 200+ miles because I can’t find any SNF beds closer. There has been a nursing shortage in SNF for so long, and Bidens requirement does not address any issues currently with the SNFs. And just adds a HUGE problem, likely to cause many SNFs to close down. That’s why I am against the nurse requirement.


  • If I have time to sit up and read, I have been reading The Covenant of Water by Abraham Verghese. Historical fiction about a woman in India. Otherwise, I just got my Kobo Libra Colour and have been reading The Color of Magic by Terry Pratchett as I go to sleep. Fantasy.

    For my commutes to work, I have been listening to Furiously Happy by Jenny Lawson. I have been reading heavy material from depressing articles to more serious books and needed a break from all of that. Its about a blogger whose cognition is so vastly different from anyone elses and its very humorous how her brain works.


  • I haven’t read a lot of romance novels honestly but I read 11/22/63 last year by Stephen King. At its core its a historical fiction (very long read, I did audiobook) but there’s a love story interwoven and I found it very romanic. The main protagonist Jake seems very average to me and his views on life and the world were very relatable. Just an English teacher trying to make a difference in the world.




  • I def think Arrowhead had some shared responsibility for it. Going into a contract with Sony, they must have known the PSN account was a requirement but no one on either side mentioned it until it was going to be implemented.

    If PSN was required from beginning, it should have been enforced/limited to specific countries. If it had “technical issues”, maybe they should have fixed it much sooner than 6 months.