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On Being Outraged. |
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Isaac soloman
Champion Joined: 13 Oct 2015 Status: Offline Points: 6085 |
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Posted: 16 Jul 2019 at 4:10pm |
Who really wants to grow old.
There has got to be a better way.
Whilst tbv is outraged by trump this is closer to home. Royal commission hears aged care residents served re-used, cold meals in 'race to the bottom'Updated 46 minutes ago PHOTO: Pictures supplied to ABC investigations as part of a crowdsourcing project on food in aged care. (Supplied) The aroma of bacon and onion frying in butter should be wafting down the hallways of the nation's nursing homes an impassioned Maggie Beer has told the Royal Commission into Aged Care. But the celebrity chef said her work through advocacy group the Maggie Beer Foundation found meals were too often prepared with little regard to presentation, aroma or nutrition. "Everyone wants to smell proper food. You cannot make good food with bad ingredients," she said. Ms Beer told the second day of hearings in Cairns that relatively minor reforms such as increased specialist training and salaries for chefs, tailored menus, and budget increases could lift the abysmal standard of food in aged care. PHOTO: Maggie Beer said she was shocked by the evidence she heard. (ABC North Coast: Samantha Turnbull) "Without it — the energy that comes from good food — [residents] don't have the will to or the physicality to be involved," she said. Her comments came after a morning of gastronomical horror stories in which the commission learned the quality of food often hinged on how much a provider was likely to pay. Cutting cornersEarlier, a roundtable of three chefs with almost 100 years of experience in a range of aged care services and kitchens between them suggested an answer to why food standards were so poor. The commission heard the quality of aged care menus — described by one panellist as "the one thing [residents] get to look forward to" — came down to what the facility paid per resident. For $16 a day, the residents of the unnamed facility Lindy Twyford manages were served salt-and-pepper squid, fillet mignon, and occasional portions of frozen but high-quality produce. At the other end of the spectrum, a home spending $7 would rely on secondary cuts of meat and mass-ordered vegetables, some of which would be thrown out at the expense of serving sizes.
Mr Hall said food costs at some facilities he formerly worked at were inflated by an ordering system beyond supermarket prices, in one instance by as much as 100 per cent. Chef Timothy Deverell raised concerns about the lack of training to create texture-modified foods, menus that had no input from residents until they complained, and food served on open-air trolleys that was often cold by the time it reached some residents. Some homes would place food orders using a "restrictive" system in which a drop-down box offered just a handful of options, Mr Hall said. PHOTO: Food from a nursing home in Perth supplied as part of an ABC investigation into food in aged care. (Supplied) Facilities would opt for finger food platters because they were "low-risk", cheap, and didn't require a chef. Some meals would be repeated up to three or four times a week as providers made a bid to reduce costs.
Maggots, rotten foodThe commission was also told of one "upmarket residential aged care facility" which had a maggot-infested rubbish store between service trolleys and a nearby fridge containing enough rotten food to fill a trailer. "[I've seen] reusing food that's already been out, served to residents and come back to the kitchen," Mr Deverell said. "They use that for texture-modified diets." Mr Hall said food safety audits were too infrequent and services were given advance notice, meaning extra cleaners could be hired to bring facilities up to scratch. He said nutritionists failed to properly engage with residents and their needs. PHOTO: The commission heard a home spending $7 a day on residents would rely on secondary cuts of meat and mass-ordered vegetables. (ABC News: John Gunn) "Nutritionists are there solely, in my experience, so the home or third party facility can say 'we have a dietician or nutritionist'," he said. "You see residents wasting away because they're not given enough food. It's just a joke." Ms Beer said a meagre budget increase to $10.50 per person, per day could vastly improve the issue. "It's not possible to feed them with a combination of nutrition, flavour and pleasure — it is not possible, full stop, at $7 a day," she told media outside the hearing. She said the evidence presented at the commission was the worst she'd heard.
"We owe it to our elderly residents and also those in the community who are alone and no longer cooking for themselves. We need to look after them." |
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furious
Champion Joined: 19 Feb 2007 Status: Offline Points: 25179 |
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Oh there is so much more than just this to be outraged about Isaac. Old age shouldn't be a crime or middle age for that matter. Yet my husband and sister were both outsource just before 60 years of age.
I can remember the puree food that I had to feed a friend who ended up in a home due to having no family who could look after him as his mind started to fail and he was prone to falling. It was horrid and although he'd eat some usually he asked couldn't he have a sandwich. Don't know why swallowing becomes difficult for some but if it ever happens to me I don't really want to live. The above sound like the usual. You sell you house to get into these homes for the help you need. It costs a fortune yet where does that money go. Not on the care for the residents in some of these homes it seems. Just another way to line some peoples pockets. Like the non existing child care places which was claiming money for the government. There must be some good homes out there surely.
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acacia alba
Champion Joined: 30 Oct 2010 Location: Hunter Valley Status: Offline Points: 41524 |
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Our neighbour has just this week gone into the local here. Yes Furious, there are some decent ones out there. The one here is more like a motel for oldies , with good facilities and care. In a place like this they would never get away with bad food or treatment as most of the staff are known to families and are locals, and some even have one of their own rellies in there .
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animals before people.
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Gay3
Moderator Group Joined: 19 Feb 2007 Location: Miners Rest Status: Offline Points: 52012 |
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I might come & join you acacia, once we're too feeble to do much for ourselves............if I don't decide instead, to totally avoid that stage
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Wisdom has been chasing me but I've always outrun it!
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oneonesit
Champion Joined: 06 Aug 2012 Status: Offline Points: 37209 |
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Sad fact is some people just live too long. Old age is a bugger.
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Refer ALP Election Promises
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Second Chance
Champion Joined: 02 Dec 2007 Status: Online Points: 45809 |
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Aged care homes have ever been a winner for providers. No more so than since 2013 when the Coalition government under Tony Abbott went out of its way to remove the requirement for compulsory external audit of the industry. "Remove the red tape, "regulated" self assessment is more than sufficient."
Six years later many of the providers suck off the Commonwealth teet in handouts, provide little in the way of quality care, and somehow pay bugger all in tax on huge BTE. Thanks big end of town, thanks Tones. Not.
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oneonesit
Champion Joined: 06 Aug 2012 Status: Offline Points: 37209 |
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Agree. The system seems aimed at making money - & patient outcomes seem secondary. Western society can learn a lot from other cultures in the way they care for those getting old.
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Refer ALP Election Promises
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ExceedAndExcel
Champion Joined: 20 Dec 2008 Status: Offline Points: 16245 |
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You are not wrong OneOne. And when you see how much money the operators make it is quite outrageous. I see an obese Adelaide man (part owned Rebel Raider from memory) who owns several nursing homes slobbing out on a bench in the Flemington betting ring every November. Betting thousands. And then hundreds of thousands at night in the casino. Somehow it just seem right to me that there is so much profit made in a field like this. |
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acacia alba
Champion Joined: 30 Oct 2010 Location: Hunter Valley Status: Offline Points: 41524 |
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Well, myself and whats left of my cousins, and my OH, and my 3 besties, dont have kids to make decisions for us, so we are looking at pooling our funds,,or whats left of them when we give up bashing about, and establishing our own home , where we can do as we please and run the show , so you can put your name down to join us in skimmer frame races down the hallway, if you like.
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animals before people.
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maccamax
Champion Joined: 18 Jun 2010 Status: Offline Points: 41473 |
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Why do you think they open their Psychiatric Wards on the 5th floor and provide balconies.
Why do they have a law that Nursing Home Areas have to be notified in advance if inspections or Quality Rating is to be carried out. Why is a nicely polished floor & well kept paperwork more important than Residents. Why is air conditioning non existent in many facilities. There are a million "Why's" with no answers. |
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maccamax
Champion Joined: 18 Jun 2010 Status: Offline Points: 41473 |
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What is needed? We need a fundamental shift in community, government, service provider, staff and regulatory expectations of what residential aged care does. Our model of aged care is mainly about clinical care, while neglecting emotional care. For instance, friendships are a unique social interaction that facilitate healthy ageing, but many residents told us that the social opportunities in their nursing home did not align with their expectations of friendship. Read more: Loneliness is a health issue, and needs targeted solutions We need our model of care to be a model of a home. In a home everyone contributes, has a say in what happens in the home (such as the menu, interior design, routine and functions), is able to invite their friends to their home for a meal, and can leave during the day and come back at night. A home is a safe place, where people are loved and nurtured, and where they can be active and fulfilled. There isn't time or inclination for much Staff / patient interaction. Behind those "walls" are the hidden , isolated , neglected, human cattle & in most cases they are there as a result of a busy "Family" , adopting the out of sight = out of mind attitude. The reward for rearing , giving & loving the useless , we bring into this wonderful World. |
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marble
Champion Joined: 12 Jan 2008 Location: Brisbane Status: Online Points: 6242 |
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have to agree with all of that Macca - aged care is treated as a business and profits come first. It's a disgrace and I admire Maggie Beer for what she is doing. European countries look after the oldies - we just push them into these facilities and think we are looking after them
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TIGER
Champion Joined: 23 Feb 2007 Status: Offline Points: 8533 |
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Aged care in this country is a disgrace, all about the money, people come a distant second
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EAD
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Whale
Champion Joined: 01 Jun 2009 Location: St Kilda Beach Status: Offline Points: 38719 |
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top post this and so true about selfish brats who farm their parents off, never vist and can't wait for the to die to get their inheritance
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acacia alba
Champion Joined: 30 Oct 2010 Location: Hunter Valley Status: Offline Points: 41524 |
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Whale, do you want to put your name on my list and join us in our skimmer races ????
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animals before people.
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Isaac soloman
Champion Joined: 13 Oct 2015 Status: Offline Points: 6085 |
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Is the way to go aa and employ your own personal carer when needed.
Share houses for older people, pool your resources. And NO outside interference, read SHARKS.
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Isaac soloman
Champion Joined: 13 Oct 2015 Status: Offline Points: 6085 |
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Treat the oldies as disabled or with a disability.
Under that "classification" they will receive the respect they deserve as evidenced by the younger bods with such. Or some such.
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Whale
Champion Joined: 01 Jun 2009 Location: St Kilda Beach Status: Offline Points: 38719 |
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the last time someone challenged me to a race he changed his nic and went west
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Passing Through
Champion Joined: 09 Jan 2013 Location: At home Status: Offline Points: 79532 |
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I am confident that our Christian PM will reverse Liberal Party policy of defunding social programs and reinstate the ''red tape'' to prevent vultures preying on vulnerable older people before I get to the nursing home.
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Isaac soloman
Champion Joined: 13 Oct 2015 Status: Offline Points: 6085 |
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Aged care providers putting profits before their responsibility to careAustralia’s top six aged care providers, some with foreign ownership, posted enormous profits whilst taking advantage of AUD $2.17 billion in Australian taxpayer funded subsidies, using various loopholes, corporate structures and discretionary trusts to avoid paying their fair share of tax, according to a new report examining tax avoidance in the rapidly-growing aged care sector. The report, Tax Avoidance by For-Profit Aged Care Companies: Profit Shifting on Public Funds, was prepared by Jason Ward from the Tax Justice Network, on behalf of the country’s largest union, the Australian Nursing and Midwifery Federation (ANMF). The chronic staffing crisis in Australia’s aged care system has led to dangerous workloads for nurses and carers resulting, too often, in missed care for vulnerable nursing home residents, yet the report finds that the big for-profit providers clearly have the financial capacity to improve staffing to ensure safer and more effective care. The report shows:
The ANMF says the report highlights tax avoidance on a grand scale in the government subsidised for-profit aged care sector. Implementation of legislation that enforces transparent reporting and public accountability by for-profit aged care providers is critical. To view the full report, go to: http://bit.ly/anmf-taxavoidancereport Annie Butler, the A/Federal Secretary of the ANMF: “Aged care is in crisis, yet Australia’s biggest aged care providers are clearly putting profits ahead of their responsibility to ensure safe and dignified care for the elderly. “When contrasted with what we know about the aged care crisis in Australia, and increasing evidence of chronic understaffing, this report shows us that for-profit providers do have the financial capacity to improve staffing to deliver safer and more effective care for residents but they are choosing to focus on maximising profit rather than providing safe staffing levels. “These for-profit providers can no longer cry poor. The report shows us that these providers are making profits from funding that’s provided courtesy of the Australian taxpayer, while too many residents suffer. It’s simply unconscionable that our taxpayer money is not being directed to ensure the care that nursing home residents desperately need. “The ANMF has launched a national campaign, calling on the Federal Government to mandate staffing and skills mix in aged care – and to implement legislation enforcing greater transparency, reporting and accountability for-profit aged care providers, to fix the crisis in aged care as a matter of urgency.” Author of the Report, Jason Ward, Tax Justice Network: “Our research concludes that many for-profit aged care providers are utilizing a variety of loopholes, corporate structures and discretionary trusts to minimize their taxable income, whilst making substantial profits from government subsidies. “It’s also difficult to get a detailed and complete picture of the total extent to which these heavily subsidised aged care companies are avoiding paying as much tax as they should, because Australian law is not currently strong enough to ensure that their financial records and accounting practices are publicly available and fully transparent. “The Tax Justice Network recommends that any aged care provider that receives Government funding over $10 million in any year must file complete audited annual financial statements with ASIC in full compliance with all Australian Accounting Standards and not be eligible for Reduced Disclosure Requirements. “Public and private companies operating in aged care should also fully disclose all transactions between trusts or similar parties that are part of stapled structures or similar corporate structures where most or all income is earned from a related party and where operating income is substantially reduced by lease and/or finance payments to related parties with beneficial tax treatment.” |
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Tlazolteotl
Champion Joined: 02 Oct 2012 Location: Elephant Butte Status: Online Points: 31447 |
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The 'marketisation' of aged careMatt Wade But Davidson argues there is a clear link between the advance of market-based strategies and the problems in some aged-care services which have triggered the royal commission. He says the process of marketisation coupled with deregulation has created “the incentive and opportunity” to reduce staffing levels, supervision and other costs which “ultimately lead to poor and possibly toxic cultures in some nursing homes”. The quality of aged care would improve if all providers were to open up their operations and finances to greater public scrutiny, he says. https://www.smh.com.au/politics/federal/the-marketisation-of-aged-care-20180921-p5057m.html |
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An honest politician is one who when he is bought will stay bought.
Simon Cameron |
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Isaac soloman
Champion Joined: 13 Oct 2015 Status: Offline Points: 6085 |
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And you can apply the above to child care, employment and training, education...
The treatment of older people has been like this for years, before the big money came in. Isnt the introduction of what is happening now in response to the terrible stuff that happened before? Families need to take more responsibility and be held to that. Or made wards of the state. |
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Isaac soloman
Champion Joined: 13 Oct 2015 Status: Offline Points: 6085 |
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maccamax
Champion Joined: 18 Jun 2010 Status: Offline Points: 41473 |
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The hell houses of the distant past ( say 1960's ), have improved somewhat but reality is ---- What are Aged Care facilities . ?
First impression is a group of elderly People , sitting around in comfort , enjoying one another's company , Socialising in scenic areas with unit/Villa style company, Observed and attended when necessary by devoted Nursing Staff. That's NOT real Aged care . That is an early, pleasant, stepping stone to the inevitable Hell houses that await our senior citizens when the ability to function at that level arrives. The deterioration is slow & consistent and the time arrives where dementia , personal needs & helplessness, has the aged totally dependent on others. Staff don't have the time for special , one on one attention & suitable care. There is no such thing as near normal interaction between residents. It becomes security pens where the interned, wander aimlessly, oblivious to surroundings , relatives or any form of normality. Criminal to fight to preserve this quality of life . BUT medical Staff are virtually forced to. The risk of facing serious allegations , if they allow people to pass on with dignity. The quicker an acceptable method of Euthanasia is practiced , the better. This is a stage of life we should all fear. |
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Whale
Champion Joined: 01 Jun 2009 Location: St Kilda Beach Status: Offline Points: 38719 |
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NOURISHING OLD AGEA lack of protein in the foods served at aged care centres is putting two-thirds of residents at risk of malnutrition, but research shows that simply improving the menu has big pay offs for everyone By Dr Sandra Iuliano, University of Melbourne For the past decade, aged care facilities in Australia have been reducing their expenditure on food, providing fewer servings of high-protein foods to residents. As highlighted by the Royal Commission into Aged Care Quality and Safety that is now rolling out across the country, the results of this inappropriate approach to cost saving are stark – high rates of malnutrition among residents in aged care. Our previous research across 21 aged care facilities in Melbourne found that 68 per cent of residents were malnourished or at risk of malnutrition. By assessing what people were actually eating, we found that a major contributor to malnutrition is inadequate protein intake. Typically, the facilities we researched worked to a four-week rotating menu, usually consisting of a continental-style breakfast; a midday meal of a hot dish and dessert; an evening meal of soup, a choice of a hot or cold dish, and a dessert; along with morning and afternoon tea and snacks. And in terms of dairy protein – milk, cheese, yoghurt – residents were receiving the equivalent of just one serving a day, compared with a recommended four servings a day.recommended two servings a day. servings a day. And in terms of dairy protein – milk, cheese, yoghurt – residents were receiving the equivalent of just one serving a day, compared with a recommended four servings a day. A FALSE ECONOMYUnless families are regularly bringing in food for their loved ones, residents have limited opportunity to access other foods. This means that without adequate provision of quality protein foods the risk of malnutrition remains high. While on the surface this may appear to be a cost-saving measure – it is actually a false economy. A FALSE ECONOMYUnless families are regularly bringing in food for their loved ones, residents have limited opportunity to access other foods. This means that without adequate provision of quality protein foods the risk of malnutrition remains high. While on the surface this may appear to be a cost-saving measure – it is actually a false economy. https://pursuit.unimelb.edu.au/articles/nourishing-old-age |
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Isaac soloman
Champion Joined: 13 Oct 2015 Status: Offline Points: 6085 |
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As penance George columbaris should do community work at aged care kitchens.
Now THAT would be a worthwhile act of contrition.
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maccamax
Champion Joined: 18 Jun 2010 Status: Offline Points: 41473 |
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My only Sister went into aged care in Orange NSW this week . Aged 90
When a bed became available the sales vultures were in like a flash. Virtually Kidnap anyone who can pay the " BIG BONDS " and make them a prisoner of the crown. I'm a long way away and in touch per phone most days , IMHO she is too functional , quite with it and has heaps of support. Little one can do as the members who wanted her IN , avoided any opinions from other experienced family members. Coerced her into an application some months ago , unbeknown to most of us . ( Beware of this POWER OF ATTORNEY ) when the so called fixing up your affairs go. It has back fired on my Sister IMO ) Anyway she is now on her journey through the HUMAN CATTLE YARDS . She rang this morning to tell me most residents are away with the pixies . Already the confused and wanderering clients are causing a problem . Locks on their private room ( en suite ) doors aren't functioning . Staff she says are great but don't have much time to spend with people of lower care needs . Age care is a worry ----- Prompted me to re read this thread . Some very relevant remarks were put forward by numerous members. Enough to make us cry and little will be achieved by Royal Commissions. |
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Afros
Champion Joined: 14 Jan 2009 Status: Offline Points: 15508 |
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This is what happens when any form of healthcare is run as a business rather than a service.
Most other area's of health will go this way without Medicare. |
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maccamax
Champion Joined: 18 Jun 2010 Status: Offline Points: 41473 |
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The other areas have moved that way , even with Medicare . Greedy Medical areas , the usual gap is widening and bulk billing almost non existent ( except for pensioners ) |
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Whale
Champion Joined: 01 Jun 2009 Location: St Kilda Beach Status: Offline Points: 38719 |
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well she is 90, has had the opportunity to live a long time. Unlike furnace victims many of whom had not reached 20 or even 10. But hey I wish her well
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