However, only 13 of the 126 U.S. medical schools require either a course or a clinical rotation in geriatrics. This is nearly twice the national average. Low Medicaid reimbursement has many repercussions as quality care becomes threatened. Nursing homes have tremendous difficulty in competing for nurses with hospitals and other health services. Women are more likely than men of comparable ages to enter a nursing home.
Nursing homes are one of the nation's most heavily regulated industries.