Why aren residential care facilities more closely monitored by the individual states?
To me, there is not a scientific answer for this. Instead, there is a political or economic reason. Residential care facilities are not monitored more closely because A) state governments do not have unlimited resources to pay inspectors and B) there is a strong bias in favor of the idea that the government should not regulate businesses too intensively. This second reason has a great deal to do with the lack of closer monitoring. The industry has lobbyists who push to prevent closer monitoring. Lobbyists are generally effective on issues like this. In addition, closer regulation would surely drive up costs in the industry. Residential care already costs a lot, and consumers would surely not like anything that increases those costs.
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