Universal Health Coverage?

Nurses General Nursing

Published

This topic came up last night in our seminar. Again, we struggle and struggle with this concept.

I often times look at Medicare and how they handle things such as coverage, reimbursment, etc. As it is, they only pay 30cents on the dollar, are slow to reimburse, most often clinics and hospitals struggle financially and often times have to write off alot of procedures d/t Medicare. I sometimes see Medicare as a reflection of what universal health coverage would be; not enough money and care down to the least common denominator. Canada, our neighbor, is also struggling as there isn't enough money to care for all of their citizens. What is everyone else's opinion on this? What IS the answer?

Here is a poem I came across that I thought I would share:

Taken from the International Conference in Medicine held in February 2001:

Draped in Disquise

Cries for medical care equal to Canada or Great Britain is fair

Everyone's much better there, so why not us? We want their care

NO, they say, it isn't so

Don't give up what you have for the lesser care within our society

Am I to believe it's a disguise? A mask claiming to be better for you or me;

confusion, disorder split in two which shall we choose?

One bringing change, or another bearing mediocrity

Our lives are too precious to be bound by the arms of bureaucracy.

Other nations have tried and failed leaving only discontent and disparity

Look forward to what can be.

Not their past except it's history.

Lest the burning desire of what we lust becomes the aftermath of only dust.

If we turn our backs and pretend not to see, no more will we the envy be, and the failures of others becomes our destiny.

Learn from their failure, for left unexplored creates another worse than before.

By Linda Tofanelli

My heart goes out to you. You certainly tell it like it is. You should be testifying and telling your story to your state legislature every time they convene. If we all did that, they would listen and change things. They would have to listen. When is the last time one of the folks on this BB wrote a letter to your rep about anything?--------------- --------------------------- ? That is why things do not change. They do read the letters. The letters are valuable. One letter is said to represent the sentiments of a dozen people who did not write. Do you think if every one in the country took 30 minutes to write a letter and said, " Change the health system now !! Or else, I will work my buns off at the grass roots level to see that you are not re-elected !!" That's all you have to say. You do not have to write a lengthy letter. You do not have to tell them how to do it. If and when we demand it at the cost of their gravy train jobs, it will change. What are we waiting for? We are nurses. We could start it from this BB. We could set a date...July 4th..? for all letters to be mailed. We could call it"" RN Country's Healthcare Revolution"" All we have to do is email the idea to everyone on our email list , and hand out flyers at work, and have all our email buddies to email their addressee's and so on and so on...and if the change is not enacted by November, vote their asses out !! It is really simple. Democracy does work if you demand it. This is not a Republican vs. Democrat issue....this is not an issue for campaign promises...this is an issue that we can demand results NOW ! And get them. Nurses should be the creators and instigators...we are on the front lines and see the abuses ! If you all wanta do it, let's organize over on the political thread and do it.

There are a number of national and state organizations that nurses can join to assist in the Universal Health Care movement.

I am active in Health Care for All - California, which led the lobbying effort for the passing of SB480 - a mandated study on health care options for California. (one of these options was written by an RN) The study clearly has shown that a single payer system is the most efficient and affordable method to deliver quality health care to all citizens. We are now working to educate the public through forums, leafletting, letters to all the major newspapers, etc. Our next step will be to get a referendum on the ballot and let the voters decide.

http://www.healthcareforall.org/index.html

http://www.uhcan.org/HCAR/

How long will it take to get a referendum on the ballot? And as far as getting the voters to vote in favor of it? Have you heard of any reasons why they would not?

RE: "being penalized by SS because she elected to stay home and raise a family". Excuse me, but chosing NOT to pay into and participate in a program is not a penalty. It was her choice, though she now regrets it. My son lives in Sweden where he pays >50% taxes. He has "free' health care but it is restrictive and elects to pay privately sometimes. care for children is excellent and he gets reimbursed if they have medical expense here (grandbaby always gets sick the first few days she is here). There is no such thing as free lunch but we really need to rethink our public programs. This has no easy answer but I am glad to see other nurses working on the problem.

Specializes in LDRP; Education.

Purplemania- where did you see that post? I want to read that.

A friend of my in-laws one day made a comment about how in order to get "top benefits" of Social Security, one must have made $70,000 or greater, and how that is soooo unfair that someone with more money should see better benefits. I'm not sure what benefits they were talking about, but my husband kindly pointed out that the person making >70K paid MORE into the system, thus, should receive MORE. They argued with my husband until the cows came home. He finally gave up.

What is with that mentality?

Purplemania, my mother does not regret her choice of staying home to raise children. It is more a point that there are no options for here. She is 58 years old and did what she had been socialized to do. Growing up out of my group of friends one had a parent that worked outside the home, and she was a hairdresser whose shop was literally across the yard from her home, so she could always be available to her children. What is wrong here is to give no other options. I feel, not my mom, but me that women who did what society expected them to do are actively being penalized. My mom is not the only older woman I know that is up the creek without a paddle. My parents have a friend who won't marry the man she is living with because she will lose the benefits she has through her husband who died several years ago and they can't afford for that to happen. The woman is 60 years old and the man she is living with is 67. They have both had spouses that died, got together and after being together nearly 3 years moved in with one another for reasons of expense, but could not marry without losing benefits. It was a HUGE decision for people of this age to move in together without benefit of marriage.

My real dad used to say something that sticks with me probably every day of my life. Can't never did nothing. I have typed that into a post more than once. It is always easier to say we can't do this because, we can't do that because, than it is to actively particpate in changing norms and standards that are with us presently. I think in this discussion it is necessary to realize that America is unique in more ways than not from other countries, and to think that this country which has invented or tweaked more innovations than probably any other country in the world today could not have universal healthcare with reasonable guidelines and reasonable costs is to say that we have lost the capacity to do what American's have always done. Who says a universal healthcare system has to look like Canada's or Britian's or Sweden's? I don't even think it needs to be something that has no persoal cost associated with it. I personally believe there should always be some personal cost to the consumer, otherwise abuse of the system is too easy, or you have controls like in the listed country that make it unpalatable to American's.

So purplemania, what point I was trying to make was that it is simply wrong to have no options when you are 58 years old, with severe COPD, oxygen dependent with some snot nosed bureaucrat not even half her age telling her that there are no options because she had the audacity to do what society expected and stay home and raise her children. And while this uppty young man was informing her of this and making her feel as if she was basicly a useless old woman who was looking to drain the system, who had never managed to do a thing with her life, he did let her know that when she was 62 she could draw off my dad reinfocing that her life wasn't worth much without a man just like she had been told by messages all around her from day one. You have no idea the way this person talked to her, or how she was treated. What shocked me more even more was that it was in front of me. After I helped her to the car I went back into the building and let him just what a horrid little shit he was. I reminded him that I did worK, AND MY TAX DOLLARS PAID HIS WAGES, I then lodged a complaint with his supervisor. What I really wanted to do was knock him on his ass. So yes, while I understand what social security is all about I find it extremely distasteful that young people who have done little throughout their lives can draw disability, even if they have never worked a day in their lives because they don't work so meet the income guidelines, but my mom can't because she married, did everything expected of her and with my dad drawing $1100 a month he makes too much money for her to even be insured. There are many different messages in that from society. One, that what she did was not as worthwhile as having a career would have been. Two, she therefore is not a worthwhile and of course since she didn't work she isn't even worth anything without her husband. All of these messages suck, though they probably make me more angry than they do my mom. My mother is a worthwhile human being regardless of whether she worked outside the home or not and deserves to at least have the OPPORTUNITY to have insurance so neither of my parents go bankrupt trying to take care of themselves. Or is that too much to ask from our society?

I have lived my whole life in a system where healthcare is free at the point of need, funded through taxation. Simple. Access to care when you are sick is a right, and taxation is the fairest way to pay for it. All insurance schemes, however good, require a division of the money pie wehre the first slice is taken to pay the profits and the shareholders, and only then is the remainder distributed in benefits to the sick.

As to non-working mothers, who is to say that fulltime child rearing is an unproductive undertaking? It's certainly badly paid! and then you are to be penalised for nurturing the future generations. That is all wrong.

Wow! What a debate!

I am from Canada. I believe the our medicare system should be maintained. People should be able to receive medical care, no matter their income. That does not mean there are not problems

1. We are taxed far too much. Our government can and should put more money back into healthcare instead of giving themselves little perks ( that's another issue!)

2. NP's are not used more, I believe, because doctors here fill threatened by them.

3. Patients over use the ER. I educate my patients about when to go to the ER and when to visit their FP or go to the walk-in clinic - people are slow to catch on.

4. A National Homecare Program needs to be developed. There are some areas of this country that do not have access to homecare nurses. My parents live in Newfoundland and one time my father stayed in hospital for 3 weeks for IV antibiotic Tx!

5. There are long waiting lists for tests ( in my area). People who can afford to pay for MRI,etc. will however.

Canadians take their healthcare system for granted. It can be saved - we just need the right people at the top

Sharon

WHY did you take mom out to the car and go back in & let the A--hole have it ???????? I think it would have done mom a world of good to hear you whack him !! It would have made moms' day and done her proud !!!!

Specializes in Gerontological, cardiac, med-surg, peds.

Our whole medical system as it exists today needs a complete overhaul, a major housecleaning.

The stranglehold of the big pharmaceutical companies needs to be broken. They have much more control over the entire system than we can even conceive and they are the one BIG reason health costs are so exorbitant. These companies are reaping ENORMOUS profits from people's misery.

Alternative types of medicine (such as homeopathy) need to be integrated into traditional medicine. Costs much less and can produce better results.

Crazy practices such as 90-year old demented nursing home pt's with DNR status, staying for weeks in the ICU, on the ventilator, on expensive multiple drips, only to die later--well, it just needs to be stopped. A terrible waste of scarce medical resources. (YES, this does happen...all too commonly). Like I said, the whole system needs to be overhauled. Automatic DNR status for some patients and commonsense but humane treatment for such patients desperately needs to be instituted.

As MayeRN suggested, broader use of NP's and homehealth nurses. Break the chokehold of AMA over nursing practice. We should all be equals. End the senseless reams of government paperwork which are making homehealth nursing such a drudgery.

TORT REFORM--put an end to all those big, spectacular lawsuits, which are also contributing to skyrocketing medical costs and compel nervous doctors to order so many unnecessary tests, medications, and procedures. Let's put the ambulance-chasing lawyers out of business.

These are but a few suggestions. As RNCountry stated, we CAN do this (no, rather we MUST do this), with God's help, commonsense, innovation, decency, and determination.

I too, as Don stated before, was born and raised in a country where healthcare is free, but people who are working have to pay taxes for this. The more you earn, the more you pay.

Plus there is also the possibility, to take an extra private insurance, so you can go to private hospitals and things like that.

So I sometimes pay for stay-at-home-mothers, I sometimes pay for the homeless, I pay for people who are sick a lot and I pay for the old, who can't take care of themselves any longer.

So, I am grateful for this system. Times can change very quickly for all of us, and I could be in a very unfortunate situation, like others are now.

I know I will be taken care of, like I sometimes do now for others.

Hasn't this got something to do with selfishness? People tend to look not farther as their own doorstep , as long as I am fine, who cares. This is 2002 for me.

But, to change a system is not easy, it not only takes time, but apart from money, it needs people, leading and giving a good example.

Take care, Renee

Unfortunately, there has been a very concerted effort to spread disinformation about the Canadian health care system, a process that has been dominated by libertarian elements that wish to keep the government out of health care in the United States. Because knowledge about Canada by most of us is very limited, and because the supporters of universal health care coverage have not been adequately effective in carrying the message of the benefits of the Canadian Medicare program, the average individual in our country believes that the Canadian health care system is inferior.

This misperception is not altogether the fault of health care reform activists. The message of a just, comprehensive health care system is a very complex message to deliver and exceeds the patience and desires of most Americans to study and absorb a subject that for most of them is very boring.

On the other hand, the opposition can keep their

message very simple by limiting the facts presented to very isolated problems within the Canadian system, while concentrating on simple rhetoric that lumps health care in with features of government that the public believes to be undesirable.

The media readily report the isolated stories of problems within health care. The horror stories of managed care in this country abound, just as the stories of the deficiencies of the government program in Canada make good copy, or at least news filler.

The conclusions that our citizens draw from these reports are that:

(1) a patient bill of rights will correct the defects of managed care (2) we do not want a government system like Canada's.

The members of the media reflect the same simplistic viewpoints, and most seem to lack the depth of understanding of the Canadian system that might otherwise influence their reporting stance. This is not laziness on their part but rather reflects the fact that they must make decisions on how to allocate their time effectively. The "government" health care system of Canada is simply not a priority for them.

Our efforts should be directed to informing the media of the realities of the Canadian health care system. We can never tell them what stories to cover, but we can encourage them to base their coverage on a background of comprehensive knowledge of the Canadian system. An excellent beginning source for them is a 251 page report by the Canadian government on the status of their health care system, released February 2, 2001. It can be downloaded at:

http://www.hc-sc.gc.ca/medicare/home.htm

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