Argent, that's a pretty strong statement to make about the health care system in general and about the Medicare Program. Ii have to tell you that in the 33 years I surveyed hospitals, nursing homes and psychiatric hospitals under the Medicare Program I never encountered such a philosophy or practice. I surveyed and evaluated patients for the health care and services they required. I interviewed them personally, evaluated their physical and emotional (mental) needs and determined if the setting they were in, a hospital, nursing home or psychiatric hospital was meeting their needs as prescribed and if not, then we determined which setting or level of care was necessary for the patient to best benefit from treatment. And I have to tell you again that I have never heard of forcing people into a nursing home just because they were single and living alone.
This sounds a awful lot like someone not in the know interpreting Medicare Program guidelines or getting the wrong information from a second hand source, because there is absolutely no way the Medicare Program can or will save money by accepting people into institutional care (not just in older state run facilities or county facilities) when they do not need institutional or inpatient care and can remain at home with visiting nurses and other more mobile caregivers, if they need some degree of care at all. Medicare is strongly oriented to providing care, and appropriate care where possible in the home (individual patient's home, not a nursing home if it is not needed). There is this thing in health care facilities called the Utilization Review Program. It is hated by most all caregivers because it takes the warehousing concept out of inpatient health care and allows patients to move through the health care continuum until they can be discharged. It often takes the 'motherly-ness' out of nursing care and the concept that 'we can take care of you forever'. This is the one Medicare/Medicaid program that is designed as a cost effective guideline for treatment and it works, only that it works in the opposite way you mentioned.
If you are in need of long term care, under doctor's orders following a thorough examination, not just someone's impression that you're old and dotty, then you can either follow the doctor's orders and be admitted to a hospital or long term care/nursing facility for treatment, or not. If you disagree and feel you are capable of providing for yourself at home without serious or debilitating injury or illness to yourself I seriously doubt some doctor is going to try to force you into a nursing home as this is the sort of thing that will bring the federal Medicare Program, the State Medicaid Program and the Joint Commission on the Accreditation of Health Care facilities so far up your wazoo that you won't be able to breathe.
I have closed nursing homes because they admitted people who did not need the level of care they provided and because they were bilking Medicare for funding while not providing the necessary care to their patients who needed it while simply drugging others into compliance. I have evaluated patients in nursing homes who needed immediate transfer to hospitals for inpatient and urgent care, I have evaluated patients in hospitals who needed nursing home care and I have evaluated patients in psychiatric hospitals who did not need any care and treatment at all and were discharged back home.
What you are describing is the future of the 'Medicare For All' Program espoused by Ms. Almost Occasionally Cortexed and her band of progressives and what their program gets you is institutional care at whatever your ripe old age should be according to some progressive guidelines and social work determinations based on housing availability. Let's not forget that if they convince you to go into a home, probably because you are definitely dumb enough to believe them, the State Medicaid Program will eventually take your home, retirement and social security, leaving you a modest amount of pocket cash, and then sell your home to someone else ....and all this to save money by tricking you into a institutional setting.
Really Argent, what have you been smoking this morning?????