By Jack Halpern Absolutely. Last year during the health care reform fight in Congress, Republicans and members of Tea Party were very vocal about the government using “death panels” to decide which elders will live and which will die. Of course the new health care reform act had no such provision, but the phrases “death panels” and “killing granny” really struck a chord with elders on Medicare. The following story should be a rude awakening to millions of our elderly in the US, who have Medicare HMO Policies. Linda Todd spent three weeks in a New York Hospital with a blood disorder, and suffered from complications resulting from obesity (she weighs 390 pounds). In the hospital she began to lose weight and get some rehabilitation. She required a lot of specialized care, which the hospital did not want to continue. The discharge planners began to pressure Linda’s husband to place her in a nursing home for rehabilitation and continued care. There are very few nursing homes in New York that can handle residents like Linda. Residents and patients weighing 350 to 750 pounds pose special challenges that most facilities are unequipped to manage. Providing appropriate nursing home care to residents who have obesity requires environmental modifications, specialized equipment, and staff training. Effective nursing home care of residents who have obesity is interdisciplinary and requires special nursing, medical, nutritional, psychosocial, and rehabilitation considerations. Most of the facilities that provide these programs receive a high reimbursement while they don’t provide any care close to meeting the above...