TALLAHASSEE, Fla. -- Even though a fully functioning hospital was across the street, eight residents died in a sweltering nursing home without air-conditioning in the Miami suburb of Hollywood, while calls for help were ignored.
Brian Lee, who was forced out as Florida's long-term care ombudsman, said for years, those representing the nursing home industry have successfully chipped away at protections meant to keep elderly residents safe.
"You know, I've seen this happen back in 2004 when we had the four hurricanes,” Lee said. "We saw this with a number of ALFs (Assisted Living Facilities) where folks with inability to make decisions about what to do in a crisis and a crisis standpoint - and that could be what happened here."
Gov. Rick Scott has launched an investigation into the nursing home tragedy, even though direct calls from the facility to Scott went unanswered.
In 2006, a bipartisan bill to require all nursing homes to have generators when power is out failed after the industry objected.
Florida relies on inspectors to enforce the laws governing the state's nursing homes, but protecting the rights of the roughly 70,000 elderly patients who live in those facilities falls on the state Long-Term Care Ombudsman Program and an army of volunteers who visit facilities to monitor care. The number of volunteers has fallen by nearly a third over the last decade - from 413 in 2007 to 281 in June - according to annual reports produced by the program.
Among other cutbacks, Lee said state legislators slashed the number of hours of direct care that nursing homes had to provide to residents.
"There needs to be a promise made to elders now that they are going to do something to make this better for residents, and not listen to the squawking by the industry that's going to say that, 'Generators are going to cost too much money. We can't afford this,’” Lee said. "That's bogus. That's garbage. The industry is flushed with cash."
The Scott administration issued emergency rules requiring all nursing homes and assisted living facilities to purchase ample resources, including a generator and fuel, in order to maintain operations and "comfortable temperatures" for at least 96 hours after a power outage.
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A New Mexico resident will attend President Joe Biden's State of the Union address tonight as legislation is pending to expand the Radiation Exposure Compensation Act.
The measure was passed in 1990, with money going to residents of the Southwest who were harmed, either from uranium mining or atomic tests in 1945. The original legislation included "downwinders" in Arizona, Utah and Nevada. But New Mexico was left out, despite the state being home to the world's first atomic bomb testing and explosion.
Tina Cordova, co-founder of the Tularosa Basin Downwinders Consortium, has made it her life's work to get New Mexico families compensated.
"I've been working for 19 years to bring attention to the negative health effects the people of New Mexico suffered," Cordova explained. "The Trinity bomb was detonated in the middle of our state and adjacent to a bunch of towns where 13,000 people lived in a 50-mile radius."
Cordova was invited to the annual Presidential address by Sen. Ben Ray Luján, D-N.M. In the coming days, the Senate is scheduled to vote on legislation to reauthorize the act, now scheduled to end in June.
Cordova pointed out the more than 30-year-old compensation program was an admission of guilt on the part of the government but left out many of those harmed. She knows families who have lost relatives to cancer, some within 10 years of the nuclear bomb testing.
"I just hope that people who know I'm present, realize that we will never give up the fight," Cordova asserted. "We will work very hard to get the RECA amendments passed this year, but if by some chance that doesn't happen, we will continue to fight this fight for justice as long as it takes."
This Sunday, the Hollywood blockbuster, Oppenheimer, about the creation of the atomic bomb, is a favorite to win best picture at the 2024 Academy Awards. The film did not address effects to those downwind of the bombing site.
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A new report finds Connecticut's recently released prison population is facing reentry challenges.
The State of Reentry report found resources and services are lacking for formerly incarcerated people. Between 2022 and 2023, 14% of the population said they would be homeless upon release.
It is just the tip of the iceberg as many of the state's Reentry Welcome Centers reported most of their clients were housing unstable.
Scott Wilderman, president and CEO of Career Resources, said it can be attributed to numerous factors including the stigma of being an ex-offender.
"We have to do a better job of educating and working with landlords and try to encourage them to give individuals a second chance," Wilderman contended. "There's no doubt about that. The sad part is, with returning citizens or ex-offenders, there's really no such thing as an ex-offender since everybody always sees the offense."
He thinks Connecticut should focus more on justice reinvestment. Other criminal justice advocates have called for using funds saved by closing prisons to invest in reentry centers. The centers are not funded by the state and have been subsisting on American Rescue Plan funds. When the money expires at the end of the year, it is uncertain how they will be able to help people with life after prison.
Given it is the third year of the report, Wilderman acknowledged there have not been many changes, but he found it surprising, noting there has been plenty of time to make improvements, specifically in areas like education.
"We know education is the great equalizer and having a high school diploma is essential," Wilderman asserted. "It just opens a lot more doors for an individual as it's often a requirement for employment, or in some cases going after further education or job training."
The report noted 66% of incarcerated people with sentences ending in six months said they did not have a high school diploma. Enrollment is down in programs for incarcerated people to complete their degrees. One reason for it is Connecticut's ongoing teacher shortage.
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After a five-year court battle, New Jersey's medical aid-in-dying law has been affirmed by the state's Supreme Court, which rejected an attempt to overturn the statute.
Signed by the governor in 2019, the law was soon challenged by a physician based on religious, personal and constitutional grounds. It allows mentally capable, terminally ill adults with six months or less to live to get a prescription they can use to end their lives.
Dr. Paul Bryman, a hospice and palliative care physician, is an advocate for medical aid in dying for people who feel their suffering is intolerable.
"I think it's important that that option is available for people who choose to avail themselves of it. It's not for everyone and it's someone's choice whether they want to use that. No one's forced to do it," he explained.
Bryman practices geriatric and internal medicine and believes there are adequate legal safeguards to make sure patients are protected. The law was briefly suspended in August 2019, but reinstated 13 days later as court proceedings continued.
The nonprofit group Compassion & Choices expressed support for the decision as well as expanded and improved end-of-life care options.
Alan Howard, Compassion & Choices attorney, urged the justices to uphold a lower court's ruling.
"We are grateful that the Supreme Court recognized that there are terminally ill New Jersey residents who are counting on this end-of-life care option to bring them peace of mind during this difficult time," said Howard. "Dying people should have this compassionate option to peacefully end their suffering if it becomes unbearable."
Bryman added a total of 186 terminally ill New Jerseyans have used the medical aid-in-dying law and believes the court made the right decision.
"I'm glad that it's finally over and that this law's available for people in New Jersey who have the right to their own health-care decisions," he said.
In addition to New Jersey, Washington, D.C., and nine other states, which represent 22% of all Americans, have authorized medical aid in dying.
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