Reorganizing the Nursing Home Industry: A Proposal

This paper proposes a reorganization of the nursing home industry with capital facilities owned by government, but with management conducted through a system of competitive contracts with the private sector. The paper explicitly demonstrates in real estate finance terms how the present system of private ownership of captial facilities inherently impedes providing a high quality of care. The authors believe that in the proposed industry reorganization, market forces, instead of working against quality care, would be supportive of quality care in a framework that would involve generally less regulation than exists today.

Author(s): David Shulman; Ruth Galanter

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Volume 54, Issue 2 (pages 129–143)
Published in 1976