Conventional wisdom suggests that the Teaching-Family Model (TFM) approach to treating youthful offenders is not effective in reducing post-treatment recidivism. This article reviews two major studies referenced in support of this widespread perception. Data presented in one widely referenced study are treated with a Cochran-Mantel-Haensel test, which, the author argues, is appropriate for data originally presented in two separate 2 X 2 tables (one for boys and one for girls). The construct and statistical conclusion validity of a major evaluation study presented to the NIMH is critically evaluated and discussed. A revised view of the leading TFM evaluations has implications for public policy regarding juvenile justice. The author suggests that a belief in the lack of post-treatment efficacy associated with community-based residential treatment has resulted in harsher treatment of juveniles and a higher incarceration rate.

This study documents the widespread belief among the public, “pundits,“ and policymakers that health care inflation in the United States is heavily influenced by longevity. It demonstrates the error of that belief. It points out that health care experts recognize that, although health care costs for the elderly are high, the aging of the population is an insignificant factor in health care cost inflation. Nevertheless, existing literature tends to ignore important influences on cost, such as poverty, lack of access, lifestyle issues, and matters of social justice. It also ignores the differences among numerous subgroups of patients. Ignoring these factors and concentrating on an aging society as a major cause of health care inflation distracts policymakers' attention from the true causes and leads to unjustified calls for benefit reductions in Medicare. As part of this study, the author includes analyses of hospital discharge data that have not been published previously.

Nursing homes faced serious challenges with large COVID-19 resident infection rates and deaths during the pandemic. This descriptive case study examined the structure, operations, strategies, care outcomes, and owners of The Ensign Group Inc. the second largest U.S. for-profit chain, between 2007 and 2021. Ensign, as a holding company, has a complex organizational structure that uses more than 430 corporate entities to manage its 228 nursing homes and senior living facilities. With mostly Medicare and Medicaid revenues and favorable government COVID-19 relief, Ensign grew rapidly, even during the pandemic, to $2.5 billion (all amounts in U.S. Dollars) in revenues with a market capitalization of $4.5 billion and strong profits and financial metrics in 2020 to 2021. The company used real estate purchasing, debt financing, and spin-off companies, and tax arbitrage to optimize shareholder value. Before and during the pandemic, its 198 nursing homes had low registered nurse and total nurse staffing levels and regulatory violations with below-average ratings, and they had high COVID-19 infection rates during the pandemic. Ensign's small board, executives, and institutional investors protected and enhanced shareholder interests rather than ensuring that its nursing homes met professional standards and regulatory requirements.

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