I was in the middle of writing a reply on exactly that same vein, but you beat me to the punch (because I am overworked tonight and getting pulled every direction except toward my chair to do my god-damned charting, and rounds took 2x as long because of people constantly needing to freaking pee. Sorry, needed to vent there.) and spoke it more eloquently than I am currently capable of articulating.
The basic feature is that it is unpopular in the US to acknowledge that it is
human nature to be a douche canoe, and to do the least actual work possible in a vocation, including those centered around caring for others.
The other part of that, at least concerning vocations centered on caring for others, is that complacency in the general population that "things are taken care of", coupled with a general lack of persons with the right aptitudes, ends up in a glut of people who need care, only so many warm bodies with the right heart to provide it, and those people have only so much compassion inside them before they burn out, and start instinctively lashing out, usually on the most helpless persons around that are tied to their emotional meltdown: The people who need the systemic care.
This is true of both "permanent child care", and of elder care.
It is a REAL problem. It's called variously "burnout", or "Compassion fatigue."
http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-16-2011/No1-Jan-2011/Compassion-Fatigue-A-Nurses-Primer.htmlIt is very easy to proclaim, in anger, "Those people are evil-- abusing those children placed into their care! What monsters! they should be fired!", however, that is an intellectually lazy thing to say.
As you may have gathered from my parenthetical above, I am a bit overworked, and am beginning to suffer the early effects of "compassion fatigue" tonight. Without much explanation, it is because a woman who has dementia has returned from the hospital today-- on the same day that a co-worker, who's presence is SEVERELY needed to maintain adequate staffing for the increased nursing load we have had lately, has called in "sick." Really, he is just dead assed tired from being overworked by taking too many double-shifts, and is physically unable to continue at that pace. As a consequence, this shift is now understaffed, resulting in dangerous/severe workload for the remaining staff, that is at skeletal levels. This is a recurring problem, because of the "Profit motive" driven nature of elder care in the US, (staff pay is abysmal, work demands are very high, and the number of people with the proper heart to do the work properly is only a tiny fraction of the population) and so-- we all take the "compassion fatigue" roller coaster in a downward spiral as we each start wearing out, and or-- reaching our limits and having to take sabbaticals from work, stressing our barely adequate staff to the breaking point, and causing an escalating cycle of bitterness, contempt, and and resentment, both to each other, and to our residents who never relent in their endless need for care. I am about 6 days away from taking a 10 day sabbatical that I planned in advance 5 months ago, and which is sorely needed.
Where am I getting with this rambling?
It is very easy to condemn people who are entrusted with care, when they hit their limit hard under sudden increased load (like the fucking state dumping thousands of children on care systems that are not staffed to handle that load, and being TOLD to LIKE IT, because it is what is fucking politically popular with some fucking idiotic xenophobes in power) where the charges are upset, and likely to act out because they have been take out of loving and caring environments, and thrust into an environment that in all likelihood was already at or very near the staff's breaking point, and when that staff becomes "fight or flight" because of the stress level, and some go into "fight" mode and take it out on the children (who are the immediate cause of that stress), it is OH SO EASY to denounce those people, who under more ideal circumstances, would bend over backwards for those children.
(I can say that with some degree of authority, as that is basically what happens in elder care, and if the state started suddenly dumping more elders on us than we could handle, it would not be a pretty sight.)
So-- The things that are OH SO FUCKING POPULAR with the GOP-- like "FREE MARKET SOLUTIONS!" and "DETAIN FOREVER TO SEND A MESSAGE!" result in a severely toxic environment where:
1) Pay for caregivers is forcibly maintained at absolute bare bottom levels, to assure profitibility of the facility
2) Number of caregivers is naturally low due to a rare aptitude being needed
3) The facilities in question have a recurring problem with burnout on a GOOD DAY because of the above two
4) The state has started dumping in WAAAY more charges to care for, demanding they receive care indefinitely, while of course
5) Refusing to account for staff needs, faclility needs, or increased costs on both human and financial levels for their increased demands on those systems and--
6) "Any problems that might arise, will be MAGICALLY FIXED by the fucking FREE MARKET fairy."
Rather than, you know--- being proper statesmen, realizing that they lack the infrastructure to properly undertake an action like this, being realistic about their problem, and acting accordingly to what is actually fucking logistically feasible.
And of course, the negative backlash of the public when caregivers are pushed, forcibly, past their breaking points in full public view of society only makes that bitterness much more permanent, and actively REDUCES the total number of people willing to undertake that kind of work, making the problem systemically worse.
The public does not want to actually understand or appreciate what actually happens with those "AMAZINGLY INEXPENSIVE FREE MARKET SOLUTIONS!" that they just fucking love over those "Dreaded
SOCIALIST plans where the state pays for things with taxes, OH MY!", and so do the people in government, because they get to demand the sun, the moon, and the stars in the sky--- then throw people in jail when they fail to provide. The public is fully gung-ho on jumping on that bandwagon. Most cases of nursing home abuse/neglect can either be directly attributed to being chronically short-staffed and taking in residents with excessive care needs, due to profit motives-- or to people just burning the fuck out when facility admins admit YET ANOTHER person who needs constant, 24/7 1-on-1 care to avoid them literally killing themselves.
I would wager a fair bit of money that the same is mostly true for child care facilities like Shiloh. (with the obvious caveat that there are perverts out there that would take a job at such a place because they could possibly get to bang the kids in secret, rather than because they have an earnest interest in proper child care---- but with the obvious statement that with the shortage of care givers, the employers are not looking that closely.)