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Thread Closed Available for reading only. | No. 40 |
Jun 20, 2009, 02:39 PM
Re: How Will Universal Health Care Change Nursing?
I don't want something for free. I want for people who cannot afford insurance to be able to get insurance.
Just FYI the Obama admin health system is not going to be "free." It will be sliding scale based on income. The lower the income the lower the out-of-pocket cost. There will be a percentage who get it for free, as they have nothing.
Also, this system as the Obama admin has set forth will not shut down free enterprise. There will still be other insurance options for those who can afford it, and want it. You can get private insurance in the UK as well.
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Jun 20, 2009, 02:47 PM
Re: How Will Universal Health Care Change Nursing?
All I can say is Wow.
| | No. 43 |
Jun 20, 2009, 03:32 PM
Re: How Will Universal Health Care Change Nursing? Originally Posted by geekgolightly I don't want something for free. I want for people who cannot afford insurance to be able to get insurance.
Just FYI the Obama admin health system is not going to be "free." It will be sliding scale based on income. The lower the income the lower the out-of-pocket cost. There will be a percentage who get it for free, as they have nothing.
Also, this system as the Obama admin has set forth will not shut down free enterprise. There will still be other insurance options for those who can afford it, and want it. You can get private insurance in the UK as well.
The system of sliding scale payment for health care already exists in the US. It is the system found in the Community Health Centers. Based on your level of income you pay a certain amount. A clinic visit can cost you $5 if you are a family of 4 and below the poverty line and as much as 100% if you are a family of 4 with good income. The clinic is staffed with young physicians and NPs. Lot of Residents moonlighting. You can actually get pretty good care there.
However, this is where "poor" people go. Middle class and up go to their private physician. Insurance pays. Their copays are anywhere from $15 to $50. The waiting room is nice and usually has a flat screen TV.
Just like the "dumbing down of America" within the public school system perputated by the federal government and the educators unions you will see a "leveling" of the health care provision field. Eventually, under UHC, we will all go to the big building in town, sit in an overcrowded waiting room for hours, be seen by a "physician extender" and treated for our ailement. This is the promise of health care reform.
| | No. 46 |
Jun 20, 2009, 03:52 PM
Re: How Will Universal Health Care Change Nursing?
The up side of UHC for nurses? We will be able to finally get a national union that represents all of us and our issues. Since the government now owns GM it is not much of a leap of intelligence to consider that we all join the UAW and the Federal Employees Union, AFGE. If the government becomes successful in taking over the telecommunications industry we could combine the UAW, AFEG and CWA and then we would have some considerable weight in pay, benefits and staffing ratios. Could be a good thing!
| | No. 47 |
Jun 20, 2009, 04:04 PM
Re: How Will Universal Health Care Change Nursing? Originally Posted by ghillbert What rubbish. I have lived most of my life in a country with UHC (and also private insurance, if you want) and we don't even have "physician extenders". We certainly are not loaded into trucks going to some drab government health building haha. You can even choose your doctor and make appointments so you don't have to wait!!
LOL! And you certainly didn't get your health care in a country as big as the USA. Our leadership (Obama) cut its teeth in the community organizing arena and community health care clinics. This is the model they will follow because it is all they know. The current bill, in it's design, will provide an option to join the public program but it will tax the private insurance provided by employers. Being a smart business man, I will put my employees in the public program. Hence the end of private insurance. No need for it. Few will pay for it. With private doctors dropping out of Medicare/Medicaid in droves do you really think they will stay in it under the government plan? No way. It will be better to join a clinic and work your hours, take your government paycheck and go play golf or spend time with your family. Private insurance in the USA will die because no one will pay for it when it is cheaper to be in the government plan.
Oh, and don't forget, our wonderful 28% combined income tax rate is now going to soar to 54% or more, just like in European countries. So who is going to have money to pay for private health care or private health care insurance anyway?
The socialist this week are in full fear of having the bill costed out by the CBO. $2,000,000,000,000.00? And there is no money to pay this bill. This on top of an unfunded stimulus package and financial and industrial bailouts? Unemployment at double digits?
Rubbish? Garbage, I say... LOL! | | No. 48 |
Jun 20, 2009, 05:27 PM
Re: How Will Universal Health Care Change Nursing? Originally Posted by It'sMe, RN, BBA, MBA The system of sliding scale payment for health care already exists in the US. It is the system found in the Community Health Centers. Based on your level of income you pay a certain amount. A clinic visit can cost you $5 if you are a family of 4 and below the poverty line and as much as 100% if you are a family of 4 with good income. The clinic is staffed with young physicians and NPs. Lot of Residents moonlighting. You can actually get pretty good care there.
However, this is where "poor" people go. Middle class and up go to their private physician. Insurance pays. Their copays are anywhere from $15 to $50. The waiting room is nice and usually has a flat screen TV.
Just like the "dumbing down of America" within the public school system perputated by the federal government and the educators unions you will see a "leveling" of the health care provision field. Eventually, under UHC, we will all go to the big building in town, sit in an overcrowded waiting room for hours, be seen by a "physician extender" and treated for our ailement. This is the promise of health care reform.
That's very very city/region dependent. I would have to drive three and a half hours to have a hope of finding somehting like that. Now, when I lived in Houston, I didn;t think it was that big of a deal to be without insurance, because there were many free/low cost services, but after living in numerous towns and cities in the US, I have come to find out that most places are not so "rich" in funded clinics for the poor.
| | No. 49 |
Jun 20, 2009, 06:14 PM
Re: How Will Universal Health Care Change Nursing?
Very true. Little towns will have to have travel to bigger towns to receive treatment. Little hospitals, defined as anything under 120 beds will be turned into urgent care centers. There is already a model being tested here in Atlanta where a community of considerable size will not have a hospital but they will have an urgent care center that replaces the hospital. Consolidation of hospitals and the closing of "excess" beds will continue. Just look at what happened in Philadelphia.
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