Healthcare consultant | President, Stackpole & Associates, Inc. | Author, The Marketing Handbook for Health Tourism.

Newport, RI
Joined January 2012
EU cross-border healthcare rules are being rewritten. The proposals include ending advance payments, income-based support for travel and lodging, and faster authorizations. If adopted, patient flows across Europe will shift. #CrossBorderCare #EUHealth #PatientRights
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BDT & MSD are buying a majority stake in Sunrise Senior Living, reported at $1B+. Q1 2026 senior housing investment hit $12.1B, a 20-year high. About 10,400 units a year are being built vs. 100,000+ needed. #SeniorHousing #CRE #SeniorLiving
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As of 29 Sept, the US 100% Section 232 tariff on patented drugs applies to all firms not exempted. Trade in health goods and trade in health services are linked. Watch drug costs in international care packages and payer contracts. #HealthcareTrade #Tariffs #Pharma
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Labor is over half of senior living operating budgets. Yet most feasibility studies cover staffing in one line. Demand tells you who moves in. A workforce study tells you who shows up. #SeniorLiving #AssistedLiving #FeasibilityStudy
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Medicaid cuts are hitting home care first, as states trim optional services amid workforce shortages. The risk: people pushed into solutions (nursing homes) they don't need, at higher cost. Home and community care is the efficient model. #HomeCare #HCBS #LongTermCare #Aging
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Nurses are a traded health service too. One in seven works outside their country of birth, and 23% of nurses in high-income countries are foreign-born, says WHO. That is GATS Mode 4 at scale. Ethical recruitment is now strategy. #HealthWorkforce #HealthcareTrade #Nursing
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Medicaid funds more than half of US long-term services and supports. Federal Medicaid spending is set to fall by ~$911B through 2034, and in 2028, LTC coverage is gone if you have $1M in home equity. Families and operators: plan now. #Medicaid #LongTermCare #ElderCare
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Labor is ~56.2% of senior living operating budgets (Ziegler, 2026). Yet most feasibility studies cover demand in depth and staffing in one line. Demand tells you who moves in. A workforce study tells you who shows up. #SeniorLiving #AssistedLiving #FeasibilityStudy
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Senior housing occupancy in NIC MAP's 31 primary markets has passed 90%. 61% of properties are above 90%. The recovery story is over. The supply story has begun. Developers and investors: where is the pipeline & workforce? #SeniorHousing #SeniorLiving #CRE #Aging
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The oldest boomers turn 80 this year, yet US nursing home capacity is falling. Demand is rising while beds disappear. Are you modeling this gap and the workforce problem behind it? bit.ly/4dnLD45 #LongTermCare #Aging #NursingHomes #SeniorCare
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Today is the International Day of Older Persons. The oldest boomers turn 80 this year, yet US nursing home capacity fell 5% from 2019 to 2024. Demand is rising while beds disappear. Feasibility studies must model this gap. #LongTermCare #Aging #NursingHomes #OlderPersonsDay
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Completely predictable long-term care workforce crisis. Another Visa (bit.ly/4hBeLWW) is too little and way too late. #ageism #agingservices #longtermcare #assistedliving #seniorshousing #activeadult #supportivehousing #nursinghomes
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