Thousands of elderly nursing home residents across the country are getting this message loud and clear. In an environment of reimbursement based elder care services, you will not receive care that looks out for your future well-being and stability. In a system of unbridled profiteering by various nursing home operators, if a service isn’t paid for by someone, you won’t be awarded it. Vito Genovese (not the notorious mob figure) was playing cards with his buddies on March 22, 2015; he went to the kitchen for some sandwiches, tripped and broke his hip. That day was the last day he walked without assistance. He went to the hospital for a week and then was admitted to a nursing home for physical therapy. After 100 days of therapy he was able to walk 100 feet with assistance. After therapy, Vito was not mobile enough to return to his 3rd-floor walk-up apartment. He stayed in, at the facility as a long-term resident. After 100 days his therapy stopped. Without it he was not able to walk, so he was relegated to a wheelchair, without any therapy or physical activity. This situation led Vito to become depressed, and after a while, he refused to get out of bed. He deteriorated rapidly. Medicare only provides up to 100 days of physical and occupational therapy. While this may be enough to restore some elders to full functionality, many elders need more time. To these residents, Medicare says, “Tough luck.” Even those residents, who can walk after 100 days of physical...