Opinion Piece from Dave Ranney, KABC Board Member
Dave Ranney • April 1, 2025
Opinion piece from Dave Ranney, current KABC Board Member and retired newspaper reporter:
In a recent Kansas News Service story on Sen. Roger Marshall’s appearance at a town hall meeting in Oakley, Kansas, (pop. 1,982), a board member with the local nursing home said he’d hoped to hear about issues “…affecting nursing homes right now. Rural hospitals are hurting but all people wanted to do was scream at the senator.”
The board member’s concerns are valid and deeply troubling. Cuts in Medicaid spending will be devastating. Medicaid is the backbone of long-term care in Kansas; 57 percent of the state’s nursing home residents rely on Medicaid for their care. These are frail elders whose estates have been depleted. They have no money.
Medicaid reimbursement rates are, at best, break-even. They’re not ‘profit centers.’ Even a small reduction in rates will push many rural facilities to the brink of closure. Quality of care, too, is sure to suffer.
Medicare, unfortunately, does not cover nursing home care.
Rural families will be left with no choice but to move their loved ones far from home to receive the care they need and deserve. Already, eight of the state’s 105 counites are without a nursing home; at least 40 have only one.
National surveys have found that a fourth of the nursing homes in Kansas are providing sub-standard care, usually due to inadequate staffing. Recruiting and retaining nurses and healthcare staff in small towns is critical.
The board member would do well to consider what’ll happen when DOGE figures out that Medicaid is paying for care that often falls short of federal standard.
Lawmakers on both the state and national levels have a responsibility to ensure stable Medicaid funding to keep existing facilities open while, at the same time, investing in community-based services that offer lower-cost, in-home care options that allow people to remain in their communities.
Sincerely,
Dave Ranney
Dave Ranney is a retired newspaper reporter, he lives in Lawrence, Kansas.
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Inside Kansas Nursing Homes: A Special Series Returns in Honor of KABC’s 50th Anniversary In celebration of Kansas Advocates for Better Care’s 50th anniversary, we are proud to reintroduce a powerful special series from our early days as Kansans for Improvement of Nursing Homes. Originally launched in the mid-1980s, Inside Kansas Nursing Homes: Through the Eyes of the Experts offered an unflinching look at nursing home care across Kansas, as observed by those who know it best: the relatives, friends, residents, and caregivers of residents. Now, nearly four decades later, we are bringing this vital series back, with the same grassroots spirit and commitment to truth. This first issue of Volume One marks the beginning of our updated report on the current state of nursing home care in Kansas, informed by the honest voices of frequent visitors who witness daily life inside these facilities. Since April 2025, we have been gathering recorded and transcribed conversations with individuals who care deeply about their loved ones in long-term care. These candid reflections are edited to preserve confidentiality—identifying details are removed, names are changed, and nursing homes are referred to by assigned numbers and regions. Mentions of facilities in passing are designated with alphabetical letters (e.g., Nursing Home A). Over the next year, we aim to gather insights on at least 40 to 50 percent of Kansas’s 305 nursing homes. Volume One of this series, covering roughly 40 homes, will be released in serial form over the coming weeks. Through these voices, we invite readers to reflect, question, and advocate, just as we did in the 1980s. Because meaningful change begins when we listen.