Obamacare? How will it affect dialysis? - page 2

I have been hearing alot of changes coming in the future for dialysis, none sound very good. What have you all heard & how do you think it will affect our careers as dialysis professionals in the... Read More

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    I guess bush had a great knowledge of economic policies, we were so lucky to have him hein ?
    cocoaluv likes this.

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    Fresenius employs lobbyists who actively engage in trying to reduce funding for kidney transplants. Talk about conflict of interest! 31 million people in the US are currently on dialysis and they vote so I think we will have to wait and see what the future holds.
    Marisette likes this.
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    It makes me furious too that funding for drugs needed post transplant stops after 3 years.
    It costs so much more to keep a patient on HDx it just makes me crazy to think we stop their drugs.
    Not everybody can find a job, sometimes they have been sick for so long that they have no skills and no work experience.
    Low paid jobs often dont provide insurance, employees cannot afford the insurance or it is so basic it would not cover the medicines.


    This is not new, Obama care did not enforce this, it was already in place that medicare stops providing after 3 years


    he patient in this article got her transplant in 2002 and medicare only covered 80% of drugs for 36 months, so stopped getting medication in 2005. Obama did not come into office until 2009.

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    Our FA told our staff this week that CMS is going to cut Medicare reimbursements by 2% for sure and is considering a nearly 10% cut that will result in a lot of smaller dialysis clinics closing causing pts to have to travel farther to get their treatments. CMS is also wanting the dialysis companies to begin providing diuretics & BP meds to their patients, as we are already providing phosphorus binders & EMLA cream or spray. This cut in Medicare will not only affect dialysis, but also hospital services, dr offices, outpatient clinics, etc. I really worry about the direction that our healthcare is going. Obama preached about making healthcare more affordable & more accessible to everyone, but this looks like it will be more costly & out of reach for the people who need it the most.
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    Althought I do agree in some ways, I think the real villains in healthcare reform are the CEOs of organizations like Davita and Fresenius. I was recently informed that the CEO of Davita is the highest paid CEO in the whole state of Colorado. I am currently living in Denver, and they just built a huge, billion dollar skyscraper with Davita written across the top. It the reimbursements are cut by 10%, maybe the profit holders need to put some of their own bonuses back into the front lines. We are already running skeleton crews in those clinics and legally, they can't cut staff anymore. So, what will have to happen is probably supply cuts, more ridiculous rules, and the people who will truly suffer are the patients. I think that maybe Obama probably realized that companies like Davita were making billions of dollars off Medicare reimbursements and in all fairness, if they are making those kinds of profits, they can probably afford the 10% cuts. However, since the 10% cuts go cross the board, smaller, independent dialysis companies may not be able to survive. All clinics will be bought out by this monopoly of dialysis providers. It is sad to me that as a dialysis nurse, I know that someday I will have no options but to work for one of these two monster companies. They don't even offer decent benefits for staff. Anyways, just my opinion. I think the reform of healthcare needs emphasis on where the profits are going. They need to adopt the Toyota model of doing business, if the front lines are happy, the business will succeed immensely. Imagine the money they'd save just in staff turnover alone if they just tried to make the employees satisfied.
    Last edit by NurseRies on Jul 25, '13
    NDXUFan, Joni's Mom, Marisette, and 2 others like this.
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    Quote from NurseRies

    I was recently informed that the CEO of Davita is the highest paid CEO in the whole state of Colorado.
    C'mon, you can't expect Kent Thiry to get by on just 26 million dollars a year.
    Marisette and workingmomRN like this.
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    Amen. I work in a small, poor rural county in Virginia. And honestly, I didn't have a clue until one of my dialysis patient showed me a paper they handed out at the dialysis center. Under Obamacare the budget cuts and Medicare changes will effectively close down the dialysis center in our area and indigent patients will be forced to discontinue therapy. Is that what Americans need to see...a massive loss of life througout the US before they realize that life is the cost of social healthcare.
    workingmomRN likes this.
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    Is that what Americans need to see...a massive loss of life througout the US before they realize that life is the cost of social healthcare.

    • #17I am Canadian and I can tell you that Life is not the cost of social healthcare. True social health care saves many lives. Perhaps what is proposed to Americans is not truly social health care
    Everline likes this.
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    Compared to Reagan, Bush Sr., Clinton, and Bush Jr., Obama is a nightmare. Do some research on what is called the "Laffer Curve" and then come back to me.

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