there is another article written by a harada which states that unregulated care homes should be legalized and everything will be fine.  that is wishful and naïve thinking.  if regulated care homes have deficiencies than it is quite obvious the unregulated ones will have more.  patient safety and welfare should be the first priority, trying to avoid regulation.  bringing down costs may be good but we cannot compromise quality care for cheap care.  many of these patients are in the last few years of their life, we have to treat them with dignity and respect and not like animals.