1. What public interest groups, aging services, or professional organizations have the most influence on political decisions related to long-term care? Why?

2.What was the significance of the passage of the Omnibus Budget Reconciliation Act of 1987? What are the differences in the primary mandates assigned to state and federal health facility surveyors and state ombudsmen?

3.Please, discuss how the different advance directives serve to inform the healthcare team about patients' wishes. What are some common obstacles to ethical decision making for healthcare leaders?

4.Please, discuss how the concept of federalism affects the ability of states to regulate healthcare today, explaining the difference between statutory law and common law.