How Trump set up nursing home residents to die in the pandemic

And what President-elect Biden can do to help them

By Jillian S. Ambroz
November 17, 2020 8:52AM (UTC)
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Medical workers load a patient from Andover Subacute and Rehabilitation Center into an ambulance while wearing masks and personal protective equipment (PPE) in Andover, New Jersey. After an anonymous tip to police, 17 people were found dead at the long-term care facility, including two nurses, where at least 76 patients and 41 staff members have tested positive for COVID-19. (Eduardo Munoz Alvarez/Getty Images)

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As the coronavirus pandemic rages to new heights and we gear up for a new administration, there's an important step President-Elect Joe Biden could take right away to protect our most vulnerable population. He could restore the ability for nursing home residents to sue their facilities for poor health standards.

Coronavirus cases for people living in long-term care facilities total just 8% of all cases. But that demographic accounts for 45% of all COVID-19 U.S. deaths through August, according to the Kaiser Family Foundation.


The state-level data is even worse. Nursing home deaths from COVID-19 in Minnesota and Rhode Island, for example, accounted for 81% of coronavirus deaths in those states as of early June, according to the Kaiser Family Foundation data.

Long-term care facilities are a major driver of COVID-19 deaths in the country.

But seniors at long-term care facilities and their families have little legal recourse when it comes to fighting for better conditions.


Trump stripped seniors of those protections his first year in office. He rescinded a rule President Barack Obama put in place in 2016 which would have prevented corporate-run facilities from receiving federal funding if residents were forced into arbitration after suffering harm in their care. That rule also would have prevented facilities from making arbitration agreements a condition of admission or continued care.

The Obama administration found significant evidence that pre-dispute arbitration agreements negatively impact the quality of patient care and create negative incentives on staffing and care because there is no threat of a substantial jury verdict for sub-standard caere. These are findings team Trump did not dispute.

The move to erode protections for seniors prompted a group letter by 17 state attorneys general and the District of Columbia to the health department in 2018. The letter urged the agency not to "lower the level of regulatory oversight" by "rolling back reforms to improve the safety and wellbeing of nursing home residents."


The new rule, implement in mid-2019, has been promoted by the Centers for Medicare and Medicaid Services (CMS), which falls under the U.S. Department of Health and Human Services (HHS).

The Trump administration has taken an extra step to line the coffers of the corporations running these facilities. Since May, HHS has dedicated some $10 billion to facilities as incentive pay for curbing COVID-19 deaths and infections, among other things.


Long-term care facilities have not blunted the spread of coronavirus but they are taking the money.

Jillian S. Ambroz

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Coronavirus Covid-19 Dcreport Donald Trump Joe Biden Nursing Home