This is a good article but, no, I don’t think we need to “rethink” nursing homes.
Rather, we need to think hard about nursing homes, possibly for the first time. Hardly anybody, now, gets the time and luxury of thinking before they put a family member in a nursing home. It is done in panic mode and, often enough, as part of the reign of terror known as “hospital discharge.”
There are lots of reasons given by the legislators quoted in this article for fighting the people’s will on Missouri Medicaid Expansion, but surely the most troubling is the insistence that it must be opposed because the voters in the person’s district opposed it. Oh, is that how it works?
This article suggests this difficulty in talking about the need to improve indoor ventilation may be because of its complexity. I think there is something else going on: easy to put COVID-19 preventive measures on the person (wash hands; stay distant; wear a mask; pursue vaccination) but harder to talk about measures that may well have to be addressed by others. After all, who will pay for all that increased better indoor ventilation in our schools and workplaces?
Thanks to KFF, we now have some insight into what has happened to the medical-loss ratio in 2021. The short answer is that health care utilization, overall, is way down, so rebates for 2020 failure to achieve the medical-loss ration will be the order of the day for covered plans.
The even more interesting question is whether this trend will continue into 2021. After all, the pandemic is not quite yet history, recent legislation has extended ACA open enrollment and a whole lot more:
There is an excellent article in The Atlantic on this topic. I have to wonder, when the breakthroughs become more widespread, as they inevitably will once COVID-19 vaccination becomes more widespread, if people will start to realize that other vaccinations (measles, mumps, etc.) also leave a certain number of people vulnerable even after vaccination and that degree of risk is variable for each individual. Will this help to dampen vaccination-resistance or enhance it?