Quote from asoldierswife05
I am curious to see how this will affect the healthcare system. Recently, I attended an inservice at my hospital in which we were told that the company had entered into a CIA agreement with the Federal Government in order to keep our Medicare Eligibility. They stressed that without Medicare payments, our hospital could not exist...its the bane of our existence. If the SS system collapses and Medicare is severely reduced or obsolete...what will happen to hospitals like mine?
The hospital I was working at is a non-profit catholic charity hospital. 70% of the patients are medicare/medicaid. Many hospitals will have to close or change how they do things. This hospital here closed some of the floors and leased them out to other businesses like a rehab facility and LTC facility. They are expanding the emergency room.
15-20 years ago, everyone went to a specialist. Then Managed Care came along and said that you had to have a Family Physician as a Gate Keeper. More and more family physician offices are bringing in NP's and APN's rather than other doctors. I think it is just a matter of time before Managed Care says that you have to go to a NP and be referred to a Family Physician.
Then look at the UK. 4 of 5 of the new graduating nurses can't find employment and the UK has taken away licenses of all foreign nurses in that country. They have cut nursing programs
by 80% leaving lots of educators unemployed as well. They have a glut of nurses. Same thing could happen here. Imagine if the 41,000 applicants that did not get into nursing school
had gotten in this year.
ANA continues to yell and scream and lobby that we are in dire straights for nurses especially considering the huge numbers of elderly we will soon have. But it all comes down to the money. Without money, there is no healthcare as we know it today. So, the point of all this is to start thinking about how we will be the 1 in 5 that has a job and what will that job look like. What do we need to start doing NOW so we don't end up in the unemployment line and on welfare.
I think we will be contract labor without any benefits.
I think we will bid jobs and the job will go to the lowest bidder with the greatest skills and education.
I think healthcare for the millions of elderly that will be provided by medicare will be wellness care in line with Healthy People 2010
I think doctors that make $300K to $500K a year are a dying breed.
Team nursing is a failure. Customers will demand primary care and low nurse/patient ratios and for a reasonable price. They will find a hospital that provides that even if they have to travel to get there. As long as the insurance companies were paying the bills, we didn't care how much it cost. When we start having to pick up the tab, we will care.