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In addition to visitation, many residents have been denied rights that outside visitors provide and help protect like the right to use their own property, to receive mail, to vote, to choose their own doctor, to wear their own clothes, to talk to their attorney, to make medical decisions, to privacy, to refuse treatments, or to even practice their religion. Residents also lost the protection from the potential for abuse and neglect that comes from outside visitors who check hydration and cleanliness, make sure the resident is eating, notice unreported bruises, injuries, bed sores, and signs of untreated illness. These are some of the many reasons the Nursing Home Reform Act of 1987 was put in place and why H.R.3733 and essential caregivers are about more than visitation.