I couldn't agree with you more!!
sadly, this is a Medicaid cAse - with the case I mentioned, I do give meds often throughout the day and Tube feeds (for whatever reason the family isn't able on keep track of meds/feeds and administer them on time) but it does seem like abuse.
on the other hand I recently had a pt. with a trach, gt, ostomy, cath, wound vac, you name it, he had it..now this case Medicaid decided did not need nursing care so the family had to struggle to pay for around the clock care on their own.
it really is ashame how our system works! care doesn't always go to the right people, and there's no reason for that to be happening