02/26/16

THE SHAME OF SUBSTANDARD CARE: SHADOW ECONOMIC CRISIS (Part 3)

By Sharon Sebastian

It is rare that politicians step into the nightmare of shame that is today’s nursing home industry in an effort to protect the innocent and condemn an industry rife with greed and substandard care.

“Nursing homes are rapidly becoming nothing other than legalized scams…a place to ‘warehouse’ the elderly, suck away their money, treat them like children, let them die, and then take in another from the waiting list.” – Former Iowa State Senator Dennis Black

Senator Black’s lament reveals the desperation of families across the nation.

“It is hard for people to accept reality about people being abused. Out of sight, out of mind. Unless it happens to you, people do nothing about it. My experience has been extremely heart wrenching. I did not really know the man. He was not even a constituent. I just stepped in and tried to help.”

In a nation that prides itself on quality health care, first-hand investigations and extensive research reveal a shameful truth that must be brought out of the shadows. While embedded as a journalist for years in the elder care system from hospitals to nursing homes, what became evident was a broken system of care for families and their elderly loved ones. In a system where too frequently profits trump care, the results are ugly, inhumane and often deadly.

What the Iowa Senator details, in addition to deficient care, is a great moral collapse undergirded by greed in today’s America. The continuing degradation of the nursing home industry is forcing a crisis of conscience. Senator Black speaks of a man, a father, a grandfather and a U.S. veteran:

“America needs to know that he is but one of untold or unknown numbers of people who are being ‘farmed’. They represent a certain amount of cash and assets, and are seen as such by the money changers who only see them as a cash crop. He was just a ‘throw-away’ person that this system of DHS [Department of Human Services] has deteriorated to in Iowa and apparently across the nation. We allow our elderly to be placed in confinement in a nursing home at $6,000 per month, drain them of their life’s savings and assets, medicate them into a stupor of near comatose…” Sharon, I can’t go on with this. It brings back too much from my experience and memory. [But,] I can’t put it away, because my buddy is six feet underground, placed there without the truth being told.”

Senator Black continues:

“I am not broad-brushing the entire nursing home industry. Readers know who the good and the evil are, for you have either experienced it with your elders, or had reliable verification of the travesties that occur to others. Frankly, I’ve been exposed to an epidemic of abuse that emanates from the fact that ‘the bottom line’ is the first statistic viewed by the management of these [nursing home] corporations… As always, the almighty dollar dictates.”

Families in every state across America feel abandoned as government policies fail to adequately regulate the multi-billion dollar nursing home industry. Contract fraud is rampant. An average of $5,000 is paid monthly for each resident’s care. Yet, the shortage of actual services rendered to patients often reveals a theft that would not be tolerated in other businesses. With no one taking account, nursing homes regularly cutback on staff, nutrition and supplies (such as toothpaste and diapers) in order to shave costs. Savings stolen from patient care are applied to bottom-line profits for the owners who are reaping a reported financial boon of billions of dollars during a down-economy. The average nursing home administrator’s salary is over $100,000 annually.

What would be condemned or prosecuted just outside of the doors of nursing homes goes unchecked once inside. Prosecution of abusers is rare to nonexistent in the majority of cases where people are subjected to physical harm. Physical assaults, mental taunting and emotional bullying occur regularly to frail, defenseless victims and go unpunished. America cannot consider itself a civilized society when our aging and fragile parents and grandparents are left in the hands of bullies and predators without protection or relief.

The first critical step is strict enforcement of the laws that are on the books, both financial and criminal. Closing down what some call “houses of horror” is another. Marjie Lundstrom of The Sacramento Bee reports that the California State Attorney General’s Office filed involuntary manslaughter charges against a nursing home in suburban Los Angeles: “Two registered nurses on staff also were charged with felony abuse. Public officials in neighboring South Pasadena continue to press the Attorney General’s office for criminal charges against another nursing home – a facility the local police chief denounced as a “cesspool” and a “community menace.”

What Senator Black and others may not know is that many nursing homes owners reward nursing home administrators with thousands of dollars in bonuses if they can get a four-or-five-star rating from State and Federal inspectors. Akin to the atrocities that have gone on in the Veterans Administration and its treatment of our veterans, nursing home managers have become adept at hiding the ongoing neglect and abuse during inspections. First-hand experience reveals that inspectors are easily fooled or choose to look the other way.

With a nursing home dependent on profits, a good rating from government inspectors, even when false, attracts customers and potential investors. To affect the bottom line or mollify stockholders, nursing homes cut services and care to increase profits. What is at stake is quality-of-life and, oftentimes, life itself. Prioritizing cost cutting over basic care is endemic throughout the industry. The result, according to Whistleblowers, is that people suffer or die. The good deserve credit, whereas the bad remain profiteering merchants of misery.

Every ten years a study comes out proclaiming that nursing home “care” is every bit as shameful as it was ten years prior. That pattern remains unbroken. Conditions have worsened since U.S. Senator Charles Grassley (R-IA) wrote a letter to the U.S. Dept. of Health and Human Services over a decade ago after reviewing an investigation by the Office of the Inspector General. Senator Grassley complained that: “…facilities are given too many ‘free passes’ to correct deficiencies… Surveyors’ noted that in most instances a facility would, as an initial matter, correct the deficiency only to revert back to its “old ways” once a follow up review is completed.”

Grassley further adds and recent investigations reveal that surveyors state that: “…patients and/or family members are rarely interviewed; administrative and medical records are rarely reviewed; valuable information is routinely recorded incorrectly; and the word of the facility is often taken at face value over that of a resident and/or family member. As a result of these inherent procedural failures, complaints are rarely substantiated and serious quality problems are therefore not corrected. Despite years of reports, evaluations, and investigations, the surveyors that we interviewed portray a bleak and dismal situation in America’s nursing homes. The surveyors themselves are demoralized when blatant quality of care deficiencies and findings are watered down, substantively altered, and/or blatantly ignored or dismissed. These surveyors have raised enormously disturbing issues for anyone who cares a wit about the very health and safety of frail nursing home residents.”

Senator Grassley asserts that government ratings’ systems are unreliable and misleading since nursing homes are allowed to “self-evaluate” as part of the government’s five-star system of ranking. Families are unable to discern which are the good ones and which are bad.

Grassley denounces Medicare’s rating s as notoriously outdated and incorrect: “The concerns include questions about the integrity and reliability of the information provided to the public through the Nursing Home Compare [Medicare] website. A plan of attack is needed to restore the integrity of the system… The survey process, I am sure you will agree, is meant to improve the quality of care for residents, not to ignore it, gloss over it, and most of all, not make it worse. If the survey and certification process is not working–and it looks like it is not–it must be fixed.”

Owning and running nursing homes is based on a financially strategic decision where making a profit is central. Some open their doors to provide a decent service to meet a critical need. For others it is an ugly, get-rich scheme off the backs of families and our most vulnerable members of society. Dr. Charlene Harrington, has researched nursing home standards and regulations for more than three decades. I posed questions to Professor Harrington:

Q. How do nursing homes cut their operational costs? Is it by chronic understaffing, cutting supplies, and poorer quality meals?

A. There is really only one major way to cut costs and that is to cut staffing especially RN staffing since it is the most expensive. The chains often have very low supplies and equipment and spend little on meals but they can’t go much lower on those [food] expenditures.

Q. If sufficient funds are paid [average $5,000 per month nationwide] and insufficient care is provided, is that fraud against the government and those paying thousands of dollars monthly per resident for the promised quality care that is most often advertised by these companies?

A. Yes, that is fraud and false advertising and there have been a number of legal actions on this, but unfortunately not enough to put the bad companies out of business.

The book, “Aging Warning: Navigating Life’s Medical, Mental and Financial Minefields details how widespread substandard care is and provides insight on how families can protect themselves and their loved ones medically, mentally and financially.

Nursing homes are licensed by the State to provide quality care and protection for their residents. As a care facility, they have a greater calling to decency, morals, ethics, kindness, and patience – in addition to appropriate levels of skill and training. Yet, the system is corrupt. A symbiotic arrangement exists between many in the billion dollar nursing home industry and politicians. Whistleblowers report that State and Federal politicians’ pockets are lined as lobbying occurs across party lines. Wealthy owners’ with deep pockets buy influence from both sides of the aisle to influence legislation favorable to the industry. Quality skilled long-term nursing facilities are an important part of the future. Along with families, ethical nursing home owners must demand a purging of the fraud and corruptness that permeates the industry.

Without the public holding government overseers accountable, conditions will continue to worsen inside nursing homes. Expect overcrowding, understaffing and the hiring of less skilled personnel handling more patients, including an increase of those with brain diseases such as dementia and Alzheimer’s. Our elderly and their families face a dismal future unless strict enforcement of criminal and civil laws inside of nursing homes becomes a reality nationwide.

Daily, people are being physically hurt, emotionally traumatized and bullied. The vulnerable must be protected. Ongoing suffering at the hands of predators must stop. A quality level of services must be rendered. The shame on this great nation will manifest itself as a grievous moral and financial crisis that could have been avoided — if only the warnings were heeded.

Take action. Email this article, and the links to this 3-part series posted below, to your representatives in Congress and the legislators in your state.

Related articles in series:

Epidemic of Dementia: Shadow Economic Crisis (Part 1) by Sharon Sebastian

FDA and the Spread of Brain Diseases: Shadow Economic Crisis (Part 2) by Sharon Sebastian

Sharon Sebastian, author of the book, “AGING: WARNING– Navigating Life’s Medical, Mental & Financial Minefields,” is a columnist, commentator, and contributor in print and on nationwide broadcasts on topics ranging from healthcare, culture, religion, and politics to domestic and global policy. Sebastian’s political and cultural analyses are published nationally and internationally. Website: www.AgingWarning.com

02/5/16

FDA AND THE SPREAD OF BRAIN DISEASES: SHADOW ECONOMIC CRISIS (Part 2)

By Sharon Sebastian

The U.S. Food and Drug Administration (FDA), charged with the mandate to protect the public’s food supply, openly admits its liability in the deaths of Americans, mostly in the form of heart attacks. That is far from the full story. What the giant government agency hides is its culpability in the recent rise in brain diseases that continue to claim both memory and lives.

A broad alert from the FDA should read:

Research links processed foods to a proliferation of deadly brain diseases such as dementia and Alzheimer’s.
Studies reveal a food ingredient is connected to memory loss that impacts learning acuity in schoolchildren and lessened productivity in the workplace among adults.

The FDA concedes that under its watch it has allowed so-called “Frankenstein oils” to permeate Americans’ processed food supply. On public record, the FDA states that partially hydrogenated oils (and their derivatives, trans fats), have caused thousands of heart attacks and deaths annually. The FDA would like it to be old news, swept under the rug. What the FDA hopes to bury from public knowledge is that the “killer oils” have proven to be more deadly than disclosed.

The bad oils that have been fed to Americans for over five decades have now been linked to the increase in deadly brain diseases. In an official release, the FDA admits that the laboratory-engineered oils cause “memory loss” without telling the full story to the American public of a scientific link to long-term, physical damage to the brains of people of all ages. The FDA’s admittance of wrongdoing evades full disclosure. The agency remains conspicuously mute on the recent scientific link of the oils to the sudden increase of incurable brain diseases. An early symptom, of which, is memory loss.

Among the scientists interviewed in the newly released book, “AGING: WARNING – Navigating Life’s Medical, Mental & Financial Minefields,” Dr. Beatrice A. Golomb, a renowned researcher at the University of California, San Diego, provides insight:

Are “partially hydrogenated oils” and their derivatives, trans fats, toxic?
If “toxic” is defined by the ability to confer harm, then yes, overwhelmingly evidence indicates that trans fats/partially hydrogenated oils are “toxic”.

These oils are notorious in scientific circles for being bad for the body; what is the mental impact?
The brain has a few important functions. One is regulation of mood. One is regulation of behavior (e.g. to control irritability/aggression). One is regulation of cognition [ability to think]. Our data have found trans fat [partially hydrogenated oil] consumption to be adversely linked to each of the three.

Does this loss of memory indicate loss of brain cells?
Evidence shows that trans fats increase inflammation (brain inflammation is bad for memory) and increase oxidative stress, the kind of damage that antioxidants protect against – which is bad for memory – it can kill cells, and it can impair cell energy which can kill cells. But these effects can also impair function without killing cells.
How does memory loss in young, working Americans, due to their consumption of these fats, [partially hydrogenated oils] impact their lives?
That was not an aspect of our study. But certainly, less favorable memory function is expected to translate to less favorable performance in school and in the workplace. Less favorable performance can constrain career choices, affect job performance, and thus influence career trajectories.

What is the value, if any, for using industrially-fabricated oils in our processed food supply?
I used to tell my patients that trans fats improve the shelf life of the food, but reduce the shelf life of the person.

Of critical note is that the deadly oils will remain in the American processed food supply until mid-2018. An excerpt from the aforementioned book, provides further details on how these oils are linked to the build-up of a sticky and deadly protein scientifically known as beta-amyloids. Beta-amyloids wreak havoc as they flow through the cardiovascular system to the brain and eventually attack brain cells:

“A build-up in the brain and blood vessels of a protein plaque called beta-amyloids may be spurred or exacerbated by a build-up of bad cholesterol. Bad cholesterol is accelerated by – how does the FDA put it – by an ‘industrially produced’ food ingredient that the FDA allows to permeate the food supply. Converted in laboratories, they are known as partially hydrogenated oils or PHOs. When deadly beta-amyloids attack and disintegrate brain cells, ‘memory loss’ first occurs, then overtime, oxygen flow is diminished, limbs become incapacitated, bodily functions shutdown and eventually death occurs.”

It is the classic description of death due to most forms of dementia, including Alzheimer’s.

Though brain diseases have existed over time, the documented increase per capita in memory related disorders has sounded alarms. Research points the finger at the very ingredients that, for decades, have permeated processed foods: partially hydrogenated oils. These oils have long been banned in other nations from Europe to Asia. Yet, the FDA looked the other way as major processed food manufacturers glutted the American food supply with the “killer oils.”

An outcry by health advocates forced the FDA to announce a total ban of the oils effective as of June 18, 2018. Until mid-2018, buyer beware. The “phantom oils” remain in a vast array of processed foods as an active ingredient that is being fed daily to American families.

Though a staggering 1 in 3 seniors reportedly dies with dementia, the loss of mental capacity, whether dementia or Alzheimer’s, does not automatically occur with aging according to experts.

“Alzheimer’s [dementia] is not a normal part of aging.” — Alzheimer’s Association.

If not age, researchers queried, what is mentally derailing increasing numbers of people? It is jokingly said when a person’s body goes physically or mentally awry: “Was it something I ate?”

Diseases are caused by either genetics or the environment. According to the Alzheimer’s Association, family-inherited, early-onset Alzheimer’s Disease accounts for less than 5% of Alzheimer’s cases worldwide. Based on those extremely low statistics, researchers zeroed in on an environmental cause. In their sights are industrially-modified oils.

For almost twenty years, food activists voiced alarms that the laboratory-contrived oils remain stuck in arteries and veins far longer than oils from natural food sources. Under assault, the FDA has begrudgingly initiated a ban to slowly withdraw from processed foods the numerous forms of the oils that still saturate the marketplace. While not identified as the cause of Alzheimer’s, partially hydrogenated oils are linked to the acceleration of the build-up of the cell and nerve killing, sticky proteins — beta-amyloids — that turn into plaque and clog the brain. Beta-amyloids are the hallmarks of Alzheimer disease. Findings of top scientists are detailed in the book.

As a government agency, the FDA fails to “use reasonable care” on behalf of the American people. For decades, its inactions resulted in deaths and mental and bodily harm to millions. By law, the inactions by the FDA would be categorized as “depraved indifference” or “gross negligence.” At minimum, it is a “reckless disregard” for human life.

The damage imposed by the FDA proves costly, especially for middle-income families. An excerpt from the article “Epidemic of Dementia: Shadow Economic Crisis” explains: “The rapid increase in dementia and other brain diseases is occurring at a time when middle-income American’s discretionary spending is being tapped out. For growing numbers of families nationwide, long-term health care costs, both inside and outside of the home, are unsustainable.”

The FDA functions under outdated laws that give wide leeway to corporate food giants. Charged with overseeing the overseer, it is Congress that must act to plug the loopholes:

“Corporations that are supposed to be regulated by the U.S. Food and Drug Administration may also be aided and abetted by the FDA as food corporations are allowed to ‘self-regulate’. The FDA allows major processed food manufacturers to designate their products as being ‘Generally Recognized As Safe.’ It is known by the acronym GRAS. Under the practice of GRAS, the FDA depends on the processed food industry to be its own overseer, its own inspector. Essentially, what that means is that the processed food industry is on the ‘honor system’. It is eerily akin to the tobacco industry when cigarettes were once promoted as being good for your health.”

In addition to PHOs that are consumed daily, the U.S. FDA allows other ingredients and toxins into the American food supply that are banned in other parts of the globe. Processed food manufacturers continue to pack the processed food supply with chemically manipulated ingredients that negatively impact young and old alike.

Taste biotechnology companies today have chemicals aimed at binding artificial flavors to taste bud “receptor cells” on the tongue. They are meant to ‘manipulate and trick’ the mind as substitutes or catalysts for heightened sugar, salt or other flavor sensations. With more patents in the pipeline, competition to stimulate your taste buds through both chemical and natural ingredient-alterations is expected to be fierce.

Will taste bud modifiers that reportedly “trick the mind” have a damaging impact on the developing systems of the very young and the fragile systems of aging Americans? Will the FDA do sufficient testing to determine if mind-altering chemicals will have a long-term, negative impact on consumers’ health regardless of age? If the past indicates the future, the FDA may again remain on the periphery as processed food companies continue to spoon-feed chemically-modified food and drink to unsuspecting consumers.

The charge against the FDA is malfeasance against the American public. As one major toxin is slow-walked out of the processed food supply, a stream of new, laboratory-engineered chemicals and toxins are set to permeate the marketplace. Why is the FDA loath to alert U.S. families that many of the chemicals and ingredients found in the food on their dinner tables, in children’s school menus, in fast foods, on grocery shelves, and in hospitals and nursing homes — are banned elsewhere around the world?”

Recent findings of the damaging impact of lab-modified partially hydrogenated oils come decades too late for the afflicted, dying, and loved ones lost to brain and heart diseases. Instead of a full explanation of the harm done and harm still to come, the FDA’s message remains: “Sorry about that memory loss and all of those heart attacks.” Having admitted guilt without consequence, it remains business as usual as the FDA continues to bow to corporations’ profits over citizens’ health. The determining question is — do Americans care?

Note: The 3-part series of articles on a Shadow Economic Crisis by Sharon Sebastian is presented after years of research and interviews with top professionals and scientists in various fields.

Upcoming article:

The Shame of Substandard Care: Shadow Economic Crisis – (Part 3) by Sharon Sebastian

Related articles:

Epidemic of Dementia: Shadow Economic Crisis (Part 1) by Sharon Sebastian

Scamming Alzheimer’s by Sharon Sebastian