In the early 19th century, U.S. local governments built public nursing homes to take care of their elderly residents. But now, 65 percent of nursing homes are for-profit, 28 percent are nonprofit, and a mere 7 percent are public, notes Anna A. Amirkhanyan of the school of public affairs at American University. This drive to privatize is for the worse, suggest her team’s findings in the spring 2008 Journal of Policy Analysis and Management. Their review of 14,423 nursing home inspection re…

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