Patients on Medicaid - page 2

by DiEd

31,854 Visits | 333 Comments

I hope not to offend anyone out there, but I would appreciate some feedback on taking care of young to middle-aged adults who are on medicaid. It seems that so many (I realize not all) are some of the most difficult patients to... Read More


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    i cannot support the generalization b/c some of my nicest, most greatful, loving patients have either been medicade or someone who paid for their surgery/medical care with a homemade pie or some token b/c that was the best they could do.

    my dr would receive the gift as if it were a million dollars, never letting anyone feel they were less deserving than the next patient who might have all the money necessary to cover expenses. he sure has taught me a lot.

    (funny that a lot of people think a dr can write off loses but they cannot)
    moonchild20002000 and rph3664 like this.
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    I have seen both. When I worked in a family practice I saw people on medi-cal (like medicaid but in California) drive up in 30,000 pick-up trucks and then proceed to complain to me that their wife is trying to get half of the selling price of their house ($250,000) in the divorce. I have seen people come in smelling like a $5 pack of cigarettes to get a scrip of OTC meds because if it is on the doctors Rx pad they get it from the pharmacy for free....
    I also worked on a mobile medical unit that used motor homes to go to the homeless shelters and give medical care ; these people were some of the most THANKFUL people I ever met, and they really had nothing.
    Last edit by HeartsOpenWide on Aug 29, '07
    pattycakeRN and rph3664 like this.
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    Quote from TheCommuter

    Women who received WIC vouchers were even worse. These women always had major attitude problems.
    So, YOU were the cashier I kicked in the head!!

    LOL..

    Seriously though, I used WIC through both pregnancies and until my kids turned 1 and were off of Formula. That stuff could be expensive, and I only used it until I didnt need it anymore, even though I did qualify after that ...

    All the women I encountered while in the WIC office were nice, you wouldnt belive how horribly those offices (at least in my region) were run. Not a lot of staff, but lots of customers..and waits were loooong. If you missed your appt, you couls kiss that months vouchers goodbye.
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    As far as I'm concerned, it is irrelevant whether or not my patients are on Medicaid or not. The only time I even need to know how they are paying for their visit is if they need to be connected with the social worker, case management or the financial counselor.

    I agree that people in general tend to be rude these days, but to lump all people on Medicaid/public assistance into the same group is unfair.

    Because I work with kids, I am able to say to them "Ill get you that if you say 'Please' and 'Thank you' ". I did have one teenager who said "Never mind, I don't want it then", which just blew me away. It it really that hard to be polite? :uhoh21:
    life_aknew, sharona97, PNCC2001, and 3 others like this.
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    Quote from BSNDec06
    As far as I'm concerned, it is irrelevant whether or not my patients are on Medicaid or not. The only time I even need to know how they are paying for their visit is if they need to be connected with the social worker, case management or the financial counselor.

    I agree that people in general tend to be rude these days, but to lump all people on Medicaid/public assistance into the same group is unfair.

    Because I work with kids, I am able to say to them "Ill get you that if you say 'Please' and 'Thank you' ". I did have one teenager who said "Never mind, I don't want it then", which just blew me away. It it really that hard to be polite? :uhoh21:
    sorry... that is just funny!!!
    Simba&NalasMom likes this.
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    I was on Medicaid when I gave birth to my daughter. And my daughter was on WIC afdter having all three of my grandchildren. I can't understand why someone would have a problem with what is covered and what is not. It is printed right on each check. I know because I sometimes would buy her groceries.

    Woody
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    Well, you have offended me and others.
    are you serious?, first of all medicaid does not mean cash, medicaid is health insurance, everyone should be entitled to, I am glad there is that system that offers this and often available for the working poor as well. And since you are referring to middle age people on medicaid, what is that suppose to mean? should they be ashamed or are they less of a person? because, you have no idea what the real world is like obviously; (you must be ahh young or clueless or both, I will excuse your ignorance this time, looks like you've been schooled.


    situations change, people lose jobs, lose spouses, lose there minds.
    You are a Nurse? You should know being a nurse is having compassion? empathy etc...
    Rudeness comes in walks of life, rich or poor.
    sharona97 and Jo Dirt like this.
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    To tell the truth, I rarely even check out how people are funding their hospital visits. It's not of interest to me so I haven't noticed any corelation between insurence status and behavior.

    I suspect that unpleasant behavior permeates all social classes. I grew up in a rich neighborhood and there were some totally obnoxious, demanding, self centered people there. Today I had the sweetest patient who was with the carnival, passing through town, and he needed a new hart valve. He was so nice and very humble even though I'm sure he was poor. We transfered him to the VA.
    ShayRN and Jo Dirt like this.
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    Here is my experience with medicaid pts.

    Yes, some of them can be rude and obnoxious--I agree. But remember that medicaid is a program for unemployed or low income people (or supposed to be, but that is another story). Some people who are unemployed or low income are that way because they have some sort of mental illness. Remember dumping all the mental health pts. out of institutions in the 70's? Well, now they and anyone else with a personality disorder, are all trying to cope with the rules of society. And do they get their mental illness treated and take their medications as they are supposed to? Are you kidding? These are the people who will never be employable and end up on medicaid. Do you think the person who is rude and obnoxious to you as a nurse is going to get a job in a bank and work with the public?
    Remember, the people who are the most difficult to get along with are usually mentally ill...be glad you are not.
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    Quote from puddingpie
    you have no idea what the real world is like obviously; (you must be ahh young or clueless or both, I will excuse your ignorance this time, looks like you've been schooled.
    You feel insulted, so you have turned around and said some derogatory statements about the OP without knowing anything about this person. There's no need to fight fire with fire. Two wrongs don't make one right.
    Quote from puddingpie
    You are a Nurse? You should know being a nurse is having compassion? empathy etc...
    Nursing is a whole lot more than having 'compassion' and 'empathy.' A nurse can be competent without having compassion and empathy. I'd honestly prefer to be taken care of by someone who has compassion, empathy, and all of the stereotypical 'BS' qualities that are expected of nurses, but there are many competent nurses in the workforce who do not fit the "angel of mercy" image.


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