... Why aren’t doctors deciding how things will be done?
Medicaid pays for much of NH care, he who pays the piper...
https://www.payingforseniorcare.com/nursing-homes
...Medicaid, through its state affiliates, is the largest single payer for nursing home care. While estimates vary, it is safe to say that Medicaid pays between 45% and 65% of the total nursing home costs in the United States.