Reply #12: Well, they ARE protecting themselves from law suits too, right? But the problem with the remedy to

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that, i.e. involving the families, that is the families of people who actually have families, in the care decisions, exposes too much of the guess work and trial-and-error nature of it all and might also reveal the profit making apparatus, so though they like to have the families around to take up the slack, they don't actually want them involved in the blow-by-blow care decisions, which involvement would then obviate law suits, because then the families would know too much about how it all works.