IMO, you're entirely correct. There's a huge disincentive to move ALC patients out of hospitals due to the differential cost of obtaining services in private facilities. Most "bed blockers" either aren't financially eligible for publicly funded ALC nursing home beds and when they are the waiting periods for these beds can be outrageously long. Many of the rest, once discharged from hospitals, are dumped into the private sector, where they or their family members will have to pay substantially for medical care, at least here in Ontario where the government doesn't fund such care in the private seniors' facilities where a lot of these people are ending up. Increasingly, healthier residents in seniors' residences are paying higher medical care costs mainly to subsidize the care of high-needs residents. The stealthy privatization of chronic ALC care is something that's not adequately being addressed and it's a problem that's getting worse as the population ages.