This is probably more compassionate.

On the outside, they’d be admitted to a hospital ER for some acute condition, then funneled to a county run nursing home or one in the hospitals’ network that needed bodies badly enough to accept a Medicaid patient. If the patient were male, that might be far away from family as no facility wants to be stuck with a male Medicaid patient.

If the patient were older, they would do a little better as the initial Medicare reimbursements are higher.