Queen's House is a private, not-for-profit home run by a voluntary management committee, which looks after 32 older people.

BBC: Kelso care home nurse lacked qualification

Unlike the private sector, management of the not-for-profit education industry isn't beholden to shareholders, who typically demand maximum efficiency that calls for cost cuts wherever possible.

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Democratic sources said the Senate deal reached Tuesday night includes proposals to replace the public option by creating a not-for-profit private insurance option overseen by the Office of Personnel Management, much like the current health plan for federal workers, along with the Medicare expansion.

CNN: Pelosi asks to see better way than public option