All of us are faced with a myriad of decisions. Do this, then that. Do that, then this. Life is full of complicated, often uncharted decisions. How one chooses often makes the difference for so many millions.  This is what the GOP health care bill legislation reminds me of.

As reported by the New York Times, the selected Senators working on the GOP legislation includes Mitch McConnell, John Cornyn, John Thune, and John Barrasso. The group also includes three committee chairmen: Mr. Hatch; Senator Lamar Alexander, Senator Michael B. Enzi, Tom Cotton, Cory Gardner, Rob Portman and Patrick J. Toomey. This was an all boys’ club, woman weren’t allowed. No public hearings, no healthcare professionals and zero representation from the insurance industry.

Having worked in healthcare for years, I’m accustomed to seeing an oft-forgotten segment of society, the elderly and ill. Much of this group includes the mentally ill, dementia inflicted, those with Alzheimer’s, cancer patients, and Medicaid/Medicare permanently bound nursing home residents.

As person inflicted with both heart and neck disabilities, I am at peace knowing that for the moment, I’m not on public disability.

For the moment.” For the moment. The words “for the moment” lingers in my soul. I, like nearly sixty-five percent of Americans, will become afflicted by disease so severe that I will be forced to receive care from another. This is not a picture I imagined 30 years ago let alone 5. Like many who experience this, the vitality of life has left for better weather and all that’s left is this old wrinkled soul. It’s a reality almost all I’ve encountered expected.

Elizabeth O’Brien of Time Magazine wrote

When it comes to finding—and financing—long-term care for older loved ones, most families are on their own. And many end up turning to Medicaid when their money runs out. It’s not hard to drain your life savings on nursing home care that runs around $82,000 per year but can go much higher in costlier areas of the country. To qualify for Medicaid for long-term care, applicants need to have depleted most of their resources. Criteria vary by state; in New York, for example, the asset limit is about $14,000, not including a certain amount of home equity.

My healthcare experience included many assisted-living and nursing home facilities. Accordingly, I’ve residents from all walks of life – former professional athletes, teachers, farmers, doctors, lawyers, stay-at-home parents, health aides, stockbrokers, CEOs’, auto mechanics, and laborers. You name a profession, I have seen it. Many entered old age with significant assets but were forced into Medicaid as resources depleted. A combination of longer life spans and spiraling health care costs has left an estimated 64 percent of the Americans in nursing homes dependent on Medicaid.

So what’s the unanswered question? If the GOP bill gets approved, where do all these people go?

To the streets.