I wonder if the politicians of our industry realize the complex dynamics it takes to care for the elderly? If you take into the consideration that the population is at risk for every possible disease and we have to be prepared to understand how to handle that, in the acute sense, as well helping them to rehabilitate. We have an enormous workload, that makes the task at hand seem almost impossible. We are taught the important steps we as healthcare providers are to perform, to help the injured, sick,diseased, or dying. Help, mend, or cope with what medically is their affliction. Whether that be physical rehab, mental rehab, or the realization that death is expected. Yet with all that going on, we most of the time are dealing with a 30 to 40 patient load. Not to mention a staff that isn't in touch with the full spectrum of what is really going on. Then because of state regulations, we are obligated by law, to complete the necessary paperwork to prove we provided the appropriate care for the current need at hand. Do you ever wonder as if you have been set up to fail? As though the elderly truly are the forgotten generation? Why is it, if these people, are the foundation of our current America, as we know it, is it then, that suddenly, when they are in need of what we as healthcare providers have to offer, are they subjected to the common practice in LTC, as doing the kind of nursing of that we have come up, that squeaks by as being sufficient. When a state inspection is in progress we do our best to do everything in the correct order, have our HIPPA regulations followed, and provide the best care, we can, while being watched, but we shouldn't we have the time to meet all state regulations, at all time? Unfortunately, with a patient load as we are expected to care for this becomes an impossible task. As I asked before; Do you ever wonder if we have been set up to fail?