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BYDANDIAMOND
ANDRACHELROUBEIN
TheWhite House on Monday
announced plans to boostnurs-
ing home staffing and oversight,
blaming some of the 200,000-
plus covid deaths of nursing
home residentsand staffduring
thepandemiconinadequatecon-
ditions.
Officials said the plan would
setminimumstaffing levels, re-
ducetheuseofsharedroomsand
crack down on the poorest-per-
formingnursinghomestoreduce
the risk of residents contracting
infectious diseases. TheWhite
House also said it plannedto
scrutinize the role of private
equityfirms, citingdatathat
their ownership was linked with
worse outcomes and higher
costs.
Theinitiatives are amonga
broaderpackageofdomesticpol-
icies thatPresident Bidenplans
to tout in his firstState of the
UnionaddressTuesday.
Nursing homes have been an
epicenter of covid spread during
thepandemic,asthevirusinitial-
ly tore throughfacilitiesbefore
vaccines were available in 2020,
andthencontinuedtosickenand
kill residentsatanelevated rate
lastyear.Advocates have de-
mandedbetterpoliciestoensure
the facilities are preparedfor
emergenciesandfollowpractices
tocurbthespreadofinfections.
UnderBiden’s plan,officialsat
the Centers for Medicare and
Medicaid Services will propose
minimumstaffing levels within
the next year, which the White
Housesaidwouldimprovesafety
byensuringresidentsreceivesuf-
ficient care and attention.The
administrationalsocitedastudy
thatfoundincreasedstaffinglev-
els were linked withfewer covid
casesanddeaths.
Thenursing home industry
has warnedthatthe pandemic
hasexacerbated long-running
staffing shortages, noting that
roughly 420,000employees in
nursing homes and long-term
care facilities, manyofwhom
complained aboutlow pay, have
departedoverthelasttwoyears.
Federal officials also will ex-
plore tactics to encouragenurs-
inghomestoshifttosingle-occu-
pancyrooms and phase out
roomswith three or more resi-
dents, which increase the likeli-
hoodaninfectious-diseasemight
spread,theWhiteHousesaid.
Meanwhile, Biden willcall on
Congresstoprovidealmost
$500 million—a25percent
bump —for health and safety
inspections in nursing homes.
Thousandsof the long-termcare
facilitieswent without suchin-
spections in the firstmonths of
the pandemic,as inspectors ran
short of personal protective
equipment and some states pri-
oritizedremotevisits.
TheBidenadministrationalso
vowstougherscrutinyofnursing
home facilitiesand investors
withatrack record of safety
concerns,announcinganarrayof
newoversightmeasuresand fi-
nancialsanctions. Forinstance,
Biden will ask Congressto allow
nursinghomes to be penalized
upto$1millionforcertainareas
of poor performance,up from
$21,000now.
“For too long, corporateown-
ers and operators have not been
held to account for poornursing
home performance,”the White
Housesaidinafactsheet.
Federal officials also plan to
create adatabase thatwould
track and identifyowners and
operators across states to high-
lighttheirsafetyrecords.
“Theseareallgreatsteps,”said
David Grabowski, an expertin
long-termcare at Harvard Medi-
cal School who has called for
improved oversight of the nurs-
inghomesector.
Grabowski said he had ques-
tions about whetherincreasing
accountabilityofnursing homes
would free up funding to hire
additionalworkerstomeetmini-
mum staffing levels.“Howdowe
makesuretherearedollarsavail-
able to fund all thesenew posi-
tions?”Grabowskiasked.
Some industryofficialsraised
theirownconcernsaboutBiden’s
proposals,arguingtheirfacilities
needmorefundingandcontend-
ing thatMedicaid—the primary
payer for nursingcare —doesn’t
coverallthenecessarycosts.
“Regulations and enforce-
ment, even with the bestinten-
tions, justcan’t changethat
math,”Katie Smith Sloan, presi-
dent and CEO of LeadingAge,
whichrepresentsnonprofitaging
servicesproviders,saidinastate-
ment.
“Wewould love to hire more
nursesand nurse aides to sup-
portthe increasingneeds of our
residents,”Mark Parkinson, the
head of the American Health
Care Association, amajor nurs-
ing home trade group, said in a
statement. “However,wecannot
meetadditional staffing require-
mentswhenwecan’tfindpeople
to fill the open positions —nor
whenwedon’thavetheresources
tocompeteagainstotheremploy-
ers.”
Administration officials also
said theyplannedto investigate
the roleofprivateequityfirms
and other investors in the nurs-
inghomesector,theWhiteHouse
said, citing studies thatinvest-
mentgroups’ ownership of nurs-
ing homes is linked to lower
qualityofcareandhighercosts.
Biden also will call on Con-
gress to expand regulators’au-
thority to scrutinize chain own-
ers.
Duringhis 2020 presidential
campaign,Biden pledged to im-
prove nursinghome safety and
reverse policydecisionsunder
former president Donald Trump,
such as reducingpenaltiesfor
nursinghomes,thathealth ex-
perts said had put residents at
risk
Biden plans nursing home reforms
Initiativesseek to boost
staffingand oversight,
cut use of sharedrooms
ALVAROBARRIENTOS/ASSOCIATEDPRESS
Awastebasket afternursing home residents receivedvaccines. The
White House vowsto increaseaccountabilityofnursinghomes.
regularpostsremainsmassive.
RT currentlyhas7.3million
followersonFacebook,
4.6millionsubscriberson
YouTube,2.9millionfollowers
onTwitter,830,000followerson
Instagramandroughly280,000
onTelegram.
Theoutletalsohassmaller
followingsonTikTok,with
about88,000followers,andon
YouTube-rivalRumble,with
roughly9,000subscribers.
Otherprominentplatforms,
suchasTikTok,haveyetto
announceanysuchstepsto
limitRussianstatemedia.
TikTokhascontinued
showingvideosfromRT into
Sundaymorning,evento
Americanuserswhohadn’t
specificallyaskedforcontent
fromtheRussianstate-
controlledoutlet,JeremyMerrill
reportsforTheTechnology202.
APostTikTokaccountwas
shownonesuchvideo,posted
SaturdayafternooninEastern
Europe,purportingtodepictthe
“voluntary”surrenderof
Ukrainiansoldiers.ThePostdid
notverifythevideo,whichthe
TikTokappsaidhadbeen
shownalmost4.5milliontimes.
SpokespeopleforTikTokdid
notreturnarequestfor
commentonthevideooronits
policiesregardingRussianstate-
mediaoutlets.
TelegramandRumbledidnot
returnrequestsforcommenton
theirpoliciesregardingthe
outlets.
Withthemilitaryconflictin
Ukraineshowingnoimminent
signsoflettingup,andwith
globalsanctionsstillgaining
steam,techcompaniesarelikely
tocontinuetobeputonthe
defensiveaboutwhetherthey
aredoingenoughtocurb
Russia-backeddisinformation.
Russianchannelsaffiliatedwith
recentsanctions.”
Themovescameas
governmentsaroundtheglobe
dialedupsanctionsagainst
Russia,includingitsstatemedia
outlets,whichcouldcreaterisks
forcompaniesthatcontinueto
dobusinesswiththem,suchas
byacceptingadmoney.
Sen.MarkR.Warner(D-Va.)
praisedthecompanies’initial
actionsSaturday.
It’s unclearhowsignificant
cuttingoffRussianstate-media’s
accesstodigitaladvertisingand
monetizationtoolsmaybe,
however.
RT’s mainpagehasn’trun
anyadsonpoliticalorsocial
issuesonMeta’splatformssince
2018,anditsSpanish-language
page,whichhasover18million
followers,hasrunonlyfiveinas
manyyears,accordingtoa
reviewbyTheTechnology202
ofMeta’sonlineadslibrary.
SputnikandRIANovosti,two
othermajorRussianstate-
mediaorganizations,haven’t
runanysuchadssince2017,and
another,Ruptly, hasrunonly
threeinthat time,accordingto
thereview.
Thedatabasedoesn’tkeepa
recordofallinactiveadsinits
library, meaningthatsomemay
haveescapedourcount.
Theapparentscarcityof
politicalandissueadssuggests
thatprohibitingRussianstate-
mediaoutletsfromrunning
themmay belargelysymbolic.
YouTubespokesperson
FarshadShadloodeclinedtosay
howmuchmoneyRThasmade
fromadvertisingonthe
platform,addingthecompany
doesn’t“discloserevenuefor
anychannel.”
Meanwhile,thereachof
Russianstate-mediaoutlets’
Socialmedia
companies,
including
Facebookand
YouTube,
announcedplans
overtheweekend
toblockadsfrom
Russianstate-mediaoutletsand
tolimitthesepublications’
abilitytomakemoneyonlinein
thewakeofRussia’sinvasionof
Ukraine.
Buttechcompaniesarefacing
growingpressuretoblockthe
organizationsfromplatforms
altogether,mostnotablythe
state-financedtelevision
networkRTandstate-owned
digitalandradionewsagency
Sputnik,whichtheU.S.State
Departmenthascalled“critical
elementsinRussia’s
disinformationandpropaganda
ecosystem.”
Thestandoffmarksoneofthe
highestprofiletestsofhow
socialmediacompaniesrespond
togovernment-backed
misinformationand
disinformationcampaignssince
the2016U.S.elections.
AfterRussialaunchedits
militaryoffensivelastweek,a
slewofpublicofficials,advocacy
groupsandtechexpertsurged
majorplatformstobanRussian
state-mediaoutlets,which
researcherssayhavebeen
spreadingbaselessandfalse
claimsabouttheimpetusforthe
attackformonths.Andthecalls
havegrownasRussiahas
limitedpublicaccesstosocial
mediadomestically.
Sofar,nomajorplatformhas
followedthroughonbanning
Russianstate-mediaoutlets.
Instead,socialmediacompanies
havetakensmallerstepsaimed
atlimitingtheirabilityto
generatemoneyorrunpaid
messagesonline.
Facebookparentcompany
MetasaidlateFridaythatit
wouldprohibitRussianstate
mediafromrunningadsand
“monetizingonourplatform
anywhereintheworld.”On
Sunday, Meta’s vicepresidentof
globalaffairs,NickClegg,said
thecompany hadadditionally
“restrictedaccesstoseveral
accountsinUkraine,”including
“some” Russianstate-media
organizations.
TwittersaidFridayitwas
“temporarilypausing”all
advertisinginUkraineand
Russia.
YouTubesaidSaturday ithad
“restrictedaccesstoRT anda
numberofotherchannelsin
Ukraine” andwaspausing
severalchannels’ability to
monetize,“includingseveral
Social networks face Russian dilemma
The
Technology
202
CRISTIANO
LIMA
SHURANHUANGFOR THE WASHINGTONPOST
Demonstratorsoutside the WhiteHouseinWashington on Monday
hold Ukrainian flagsand protestRussia’s invasionofUkraine.