Anyone have a LO in the new North Carolina assisted living model (or elsewhere) where they are regularly bringing in physicians and RNs?

I don't think the tide will turn with loved ones we may be caring for. But for us as boomers, it is something to watch. The mcknights link I posted, which is a trade publication, explores this and some other ideas being discussed for the upcoming tsunami.

Ala carte care.

More and more assisted living facilities are dealing with an increasingly sicker census. And because this is the model more easily sold to resident and family, this is the model where largest changes might make debut. When so much of the commentariat to Paula span's articles in the Times opt for self eradication, there's more than a ripple there.

The models will have to change.

There is also a frequent poster to Paula spans articles in Times who spells out the trip to Switzerland for end of life. Flight fare and 9k. If this is where we are as a society...i choose self eradication over choices the market is offering me.. We are in trouble.

Being subject to fed regulations is very different though.

One of our ALs is run by Drs. Even though privately owned, it still falls under state inspection. Moms AL had an RN, state law. When she wasn't there, she was on call.

And to clarify the real estate model comment, as marketed currently, this model more saleable to family and resident in that it does not look like a nursing home. But they are not regulated. Due to the horror series in the star Tribune in Minnesota,that state may be first to regulate.