Joe Manchin actually said...

That's an alarming rate.

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...

This didn't happen overnight. This has been, I mean, you've seen the telltale signs for quite some time.