So it's a vicious circle. The workload goes up, the staff burns out and leaves, and then you've got another gap.
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Stabilize the workforce. This is directly tied to increased reimbursements, as you've heard, which need to be tied to inflation.
I urge this committee to focus on the impact that Medicare and Medicaid payment policy is having on veterans' access to post-acute care services.
Your costs didn't go down? Your cost didn't go down----
So that's compounded by additional regulations that increase cost but don't provide any additional funds; is that correct?
Shame on us if we're not ready for it because it's totally predictable.
It would help if we had a budget, not a continuing resolution.
The best news I've heard so far is the expansion of the home-based care.
Certainly that's important. You have what amounts to a nursing home at Togus.
What should we be attending to in the next round of VA and veterans' legislation?
We've really got to work on that because it would be awful to have somebody who's ready, wants a mission, wants to do it but they can't wait for nine months or a year.
Every day that you delay a nursing-home placement, the veteran is happier and the taxpayers are happier.
Everything we talked about still comes back to workforce, doesn't it? Home-based care, respite care. It's all having the people.
I think that's something we have to figure out how to waive or something.
Well, it seems to me that's an area that we should be talking about in Washington.
The cheapest health intervention is the one that doesn't happen.
I've told my staff I want to be the falls senator; without falling.