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laborer 7,923 Views

Joined Apr 30, '08. Posts: 278 (58% Liked) Likes: 401

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  • Dec 21 '15

    Quote from PinayUSA
    I hope to see Obamacare repealed soon.........
    And what would you recommend in its place? The old system has far too many cracks that people slipped through and were unable to obtain the preventive care they needed to reduce emergent and much more costly health care interventions. The old system was broken, the current system isn't perfect. It needs fixed, and repealing the PPACA won't do it unless there is a viable alternative.

  • Dec 21 '15

    Quote from Carlyb
    Ok, what is the alternative to strike nurses? If the nurses that are hired to take care of the patients are on strike, who do you suggest take care of the patients ? Shouldnt patient care be the top priority? Or do you think patients should be left to care for themselves during the strike? Confused here.
    Striking nurses always organize a critical care pool and give hospitals strike notice to plan ahead. Nurses rarely strike over pay and benefits alone (although you'll get that impression from the media); nurses will usually be pushed to a strike when they're stretched so thin that patient care is consistently compromised. Hospitals love pushing the envelope to the max.
    If you're crossing a picket line, you're not doing anything noble for the patients. You're just dooming them to chronically poor-quality care, for your own bottom line. Nursing strikes are rare and done with the big picture in mind.

  • Jul 3 '15

    I love this thread. I'm an ANM on a SPCU floor and I just had this conversation with one of the nurses that work with me. They asked the question about ratios and acuity.

    A good example is the patient being charged $25 for one aspirin. It's not the aspirin being charge for. It's the ordering, the verification, the delivery the dispensing and administration of that aspirin.

    Until acuity is considered in assignments and nursing hours are billed for and not budgeted for we it will be difficult to change.

  • Jun 26 '15

    Quote from brandy1017
    Your wage would be raised to the new minimum at least as well! So it would actually benefit you. It would benefit others who are burned out with healthcare and provide another employment option with fair wages. What gets me is wages in general are so compressed and flat for most workers. If minimum wage had kept up with inflation it would be over $21/hr today! Think about that! How much are wages have decreased over the years. GM workers had wages worth $50/hr today. How far American workers have fallen! And how underpaid nurses are with all are education and training, only a few make $50/hr!

    I support an increase to minimum wage, it is long overdue. We need to stop pushing education as the solution to the economy because it is a lie. Too many people getting college degrees, taking out debt that can never be forgiven in bankruptcy and no guarantee of getting a decent job to pay back all these student loans. We push the children and teens to believe a BA degree is required to make a living, get them to sign their life away at 18 with student loans they may not be able to pay back and in the end many end up with worthless degrees working minimum wage jobs, living at home, defaulting on student loans. Even people with nursing degrees, business, engineering can't find jobs and that doesn't include all the people who have been laid off and can no longer find a job due to age discrimination and the overabundance of job candidates to choose from.

    Education is not the solution alone. We need all jobs to pay a fair, living wage with additional education as an option. Bankruptcy protections should be returned to student loans and the ability to refinance and all student loan interest should be eligible for a tax credit or deduction! I personally believe in tech training as the best solution for many people, national healthcare that levels the playing field for all and relieves the burden from companies to provide healthcare and which encourages age discrimination due to increased health costs from older workers.

    I have confidence that if the minimum wage was increased, employers would give in to the pressure to raise wages for the rest of the workers. Worse case scenario, maybe I would take early retirement from nursing due to the stress and health dangers to my back and body, and work as a secretary instead knowing I'd at least have a fair wage to make a living!

    Don't kid yourself you are already paying for all the underpaid minimum wage workers in the form of increased taxes to support medicaid, and food stamps and welfare for those the businesses like Walmart underpay so the Waltons can be billionaires and the CEO's can make millions!

    But would it actually be raised? I know where I work, we wouldn't get anything more. Same work for same pay. Or a dime/quarter an hour raise.

  • Jun 26 '15

    The type of scheduling used is dependent on the resources, size and collective bargaining agreements, in a given hospital. What works for one institution may not work for another. Scheduling should take into account the needs of the institution and the needs (quality of life) of the individuals RNs. There needs to be a balance to have a truly effective organization. Scheduling done to satisfy the "bean counters" is actually more expensive in the long run.
    I still find it appalling that RNs are still involuntarily called off/cancelled for low census in certain areas of the country. You never know what will come in through the door or a patient goes bad requiring additional staff. What other profession would accept losing 20% or more of their weekly income on chance.. Do firemen only get paid while fighting fires?

  • Jun 26 '15

    Sadly it appears that in the U.S. we rather pay for wars than pay for our fellow human beings to have healthcare. I'm desperately in need of a good argument to prove me wrong.

  • Jun 26 '15

    ...and for all of these reasons above I am bloody proud to be an Aussie. Free or highly subsidised healthcare. Everyone is covered no matter your income or ailments.

  • Jun 26 '15

    Quote from pmabraham
    Good day:

    The death of common sense « Atmore News is an interesting read from several perspectives including why removing autonomy from citizens will only lead to higher health insurance costs:

    "People reacted with surprise when major health insurers such as Blue Cross announced planned rate hikes of up to 50 percent in 2016. They began to cry foul, even though common sense would say that when people are forced to purchase anything, those who sell the mandatory product have NO incentive to keep costs down. You must buy their product, no matter what they charge, so they will stick it to you for every penny they can get. By 2020 we will be longing for the days of 50 percent rate increases"

    Thank you.
    They actually can't charge whatever they want, Obamacare places actuarial value requirements on plans as well as limits on overhead, so you are legally guaranteed to not being paying excessively for your insurance. That doesn't mean it isn't really expensive, but that's because our healthcare system is really expensive, but it's not because insurance companies are allowed to bilk you.

  • Jun 26 '15

    Quote from XNavyCorpsman
    I could NEVER strike no matter how bad things got! I can not care for my patients if I am out on the sidewalk. From what I understand, most of the things WON with striking, has nothing to do with the patient, but for the workers.
    Just my thoughts.
    Wherein lies the rub...

    Hospitals exist to provide skilled nursing care. Your views are and have been held ever since the days of starched whites and caps. A good number of professional nurses take their "calling" that seriously enough they never would consider participating in labor action. If a strike is called they will go in regardless. They view participating in a strike as some how disloyal to their patients and profession. Fair enough, to each his or her own...

    However this reluctance has been duly noted by management/administration and used to keep nurses in line. Rather like using a child to coerce, threaten and or influence the decisions/behavior of its mother.

    Thing is at some point you get sick and tired of being sick and tired. Historically as nursing was mostly a female dominated profession the easy way out was to marry. If that went well enough you never had to work as a nurse (or anything else) again. That or you took another form of employment. Nursing has never been a particularly well paying profession so you could find something with better hours and conditions often for same or even an increase in wages.

    Of those that remained you had a good number of self-sacrificing martyrs. They continued to go in and put up with conditions on the ground because their patients "needed" them. In the process many developed ulcers and other physical conditions related to stress. This along with wearing their bodies down from repeated injuries caused by doing things they shouldn't (like moving heavy patients without proper equipment or back-up support). Sadly there would be those that turned to self medication (pills or booze) in order to cope.

    Sometimes wonder how different the nursing profession would be if it were dominated by men. That sex does not have a history of society adjuring them like a conscientious governess to be "nice", refined and altruistic. Nor are they easily put off with presents and vague promises of rewards for future good behavior.

  • Jun 26 '15

    Quote from herring_RN
    It seems as though the hospitals first tried to offer money to the nurses while wanting total control over staffing.
    I think they finally agreed to hire more nurses rather than agree to ratios in the contract.
    It is all interesting because the NYSNA had said all along money was *not* the main issue, but staffing. So they are now getting about two percent more along with an addition of three hundred and thirty new hires. However the devil will be in the details. That is who or whom decides where those new nurses go and when they are to be called.

    As for the wage increase there was a bit of dirty pool in the past few weeks. It seems *someone* released to the media reports showing the wages of various executives at several NYC hospitals IIRC. These persons are being paid very good money but do not have direct patient care responsibilities. Believe the idea was to show where some of the "fat" could be cut and thus free up funds to hire more nurses.

  • Jun 26 '15

    *Update*

    As of Thursday a tentative agreement was reached via mediation between several of the NYC hospitals and the New York State Nurses Association; plans for a strike have now ended pending ratification of the deal. Registered nurses will not walk out of hospitals | Crain's New York Business

    However the matter is not settled on Staten Island so stay tuned folks:

    2 Island hospitals still plan strike if agreement isn't reached | SILive.com

  • Jun 26 '15

    Quote from lindarn
    Nurses need to get in the public's face about this issue. Have a BIG rally in Central Park, invite the Daily News, the NY Times, the TV Stations, CNN, etc.
    Hand out balloons to the kids, provide free BP screenings for the public ,etc, The NY: Times, just had an article that was titled, "NY Needs More Nurses". I would contact the staff writer, that wrote that article, and give him/her, an earful concerning what is going on with your contract negotiations, and how and why, staffing is important. Direct them to the articles from the IOM, concerning nurse staffing, and patient mortality and morbidity.

    Have fliers to hand out, concerning the relationship between nurse staffing, and poor patient outcomes, etc. Include BIG posters, that quote the mortality due to poor staffing, include the salaries of the CEO, etc, and the cost of their benefits packages, etc.

    Remind the public that TEACHERS HAVE A SET AMOUNT OF PUPILS THAT ARE ALLOWED IN EACH CLASSROOM. Why? Because teachers have made it clear, that children don't learn when teachers have too many children in their classrooms. Hospitals have kept that information under wraps for a reason. Schools have their testing results made open to the public. Hospitals keep their mortality and morbidity results under wraps.

    A hospital here in Spokane, has a bill board downtown, with a running time for its ER patient wait times. Why isn't there a bill board that informs the public what its nurse patient ratios are??

    Remind the public that, NO ONE EVER DIED BECAUSE THEY COULD NOT DO LONG DIVISION, OR DIAGRAM A SENTENCE !! Patients are dying and suffering because nurses have too many patients to be responsible for!

    YOUR CHILD SAFER IN A KINDERGARTEN CLASSROOM, THEN THE PEDIATRICS WARD OF A HOSPITAL!!

    AS AN EX-NYer, I FULLY SUPPORT YOUR EFFORTS! FEEL FREE TO QUOTE THE ABOVE STATEMENTS TO THE PUBLIC, NEWS AND THE PRESS!!

    JMHO and my NY $0.02
    Lindarn, RN, BSN, CCRN (ret)
    Somewhere in the PACNW
    A good number of local NYC nurses *are* trying, but you have to counter attitudes that vary from supportive to someone that views nurses as overpaid and or underworked. You hear comments like "when my grandmother was in "X" hospital I had to ring the (call) bell (insert your favourite number here) before a nurse showed up. Or "*they*" make all the nursing assistants do the work while they sit at the nurse's station.....

    Read some of the comments posted here from a local Staten Island newspaper regarding the strike vote: Nurses approve strike over staffing at 2 Island hospitals | SILive.com


    Some truly understand and get it; others, well best left not said.

  • Jun 26 '15

    Wow. Just wow. Thank you for sharing your story. Affordable healthcare should be available to EVERYONE. I have always felt like this.

  • Jun 26 '15

    Amen. I am deeply in debt from the two years that my kids didn't have health insurance. Until you are in a position where you have to choose between buying food and filling the prescription for your kid who was just diagnosed with strep throat, it's hard to understand the concept of unaffordable care. Thanks to the ACA, my kids qualify for assistance and I have been able to get them the medical care they need without going even further into debt. Eventually I will have access to affordable insurance through my employer, but until then I am truly thankful that this assistance is available while I need it.

  • Jun 26 '15

    I'm glad for my taxes to go to healthcare, and I'm ashamed that our country has been so backwards.

    I've always had health insurance and honestly I was one of those that thought if you worked hard you would be able to obtain healthcare. Boy did I have some real situations put in my way to realize otherwise. It's not about work ethics, it's about healthcare as a right, in the same way as education, in a developed country.


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