continuity of care

One of the biggest faults of our healthcare delivery is that it lacks people who can sit back and assess the situation.  For many of the elderly folk and sometimes younger, they go from home or assisted living to the hospital and then to rehab.  And often back to the hospital.  Most social workers today are paper pushers who justify the patient's stay.  In the hospital setting, sometimes there is no social work piece.  Case management and all that.  It makes sense in a way.  Mostly hospital case managers work to get'em in and out in a timely fashion.  A rehab stay will not be paid for unless there's a three night stay, per Medicare.  See how it all fits together?

I know y'all are bored to tears with all this healthcare talk so I'll shift over to Iran or something.  China maybe.  Or maybe I'll just shut up and spark some joy.  

Grace ~