One of my friends dropped by this morning. There were some issues regarding the care of her mother in a nursing home. During the discussion, my friend was told by admin that the last four patients they tried to admit from a hospital were rejected. It seems effective January 1 of this year Obamacare policy positions require patients to be in a hospital for observation for 4 days - but the trick is they are not actually ADMITTED to the hospital as patients. After the four days of medical observation the elderly "patients" are returned to their home. Nursing homes can no longer transfer these patients directly from the hospital because they have to had been ADMITTED as patients to the hospital in the first place and now hospitals cannot admit them. Insurance companies have no liability since the elderly were not admitted. If the elderly patients need nursing home care they will have to apply as individuals and bear personal financial payment for their care. This non-admittance policy also takes Medicare off the hook for any financial responsibility. Those who have no property or financial dealings that can be sold are just left at home. In other words, someone's elderly father has a massive stroke and is paralyzed from the shoulders down on one side, he's rushed to a hospital and observed by various medical caregivers for four days. He cannot be transferred to a nursing home because he was not admitted as a patient for observation, so they have to go home. If he or any other family member does not have the financial means to pay for nursing home care - then they just stay at home. Nice.