A vital and clear-eyed analysis of America's nursing-home crisis, where economist Paul L. Grimaldi unpacks the surge in Medicaid-funded elder care, exposing the troubling rise of substandard care, unnecessary stays, and fraud, while making a compelling case for market-driven reform over government mandates to control costs and safeguard quality, making it an essential reading for anyone grappling with the economics of long-term care, healthcare policy, and the future of Medicaid reimbursement.