Joe Manchin actually said...

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

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...

That's an alarming rate.

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