Joe Manchin actually said...

A lot of the States have basically their own controls, their oversights, their ombudsmens, things of this sort.

Let me just say, sir, it's really a shame in this great country, as much money as we spend on nursing home care, not to get a better quality...

The only thing that bothers me more than anything is that--how much fraud, abuse, and waste that goes on in the whole system.

Are they trained? Have they been trained properly to look for the types of so-called over prescriptions or abuse that might go on?