Hospital discharge urgency meets funding authorization delay.
The patient needs a ramp Friday. The family is ready to pay Friday. The OT has assessed the home and signed off. But then: "Will the VA cover this?" And the answer takes 2-6 weeks. The clinical urgency operates on a 3-5 day clock. The funding authorization operates on a 2-26 week clock. These clocks are structurally misaligned. No franchisee has a system that bridges them.
