New America Media had a great article about the proposal to require nursing homes to have a medical doctor onsite at nursing homes.

Jonathan M. Evans is a geriatric physician who teaches "Aging and the Law" at the University of Virginia School of Law.  He published the article “When Long-Term Caregivers Have Ethical Obligations.”  Evans is a proponent of the model of care requiring a nursing home specialist and has been involved in long-term care for seniors for more than 20 years.  “The thing that matters most is being there – being there for patients when they’re sick; being there for families when they’re in need; being there for staff to provide support and ongoing education. You can’t be part of a team if you’re not present.”

"Several years ago Paul R. Katz and his health care-research colleagues at the University of Rochester wrote a journal article about the problem with nursing home physicians. They made a compelling argument for a new model of care."

We contend that rather than accepting a diminished presence of physicians in nursing homes and finding alternative care models, it is time to fully consider, appropriately fund, and test the nursing home specialist model. If nearly half of the baby boomers spend some time in a nursing home, the question ‘Is there a doctor in the house?’ will take on new urgency and meaning.”