Patients on Medicaid - pg.2 | allnurses

Patients on Medicaid - page 2

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... Read More

  1. Visit  ICRN2008 profile page
    6
    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.
  2. Visit  perfectbluebuildings profile page
    1
    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.
  3. Visit  woody62 profile page
    0
    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
  4. Visit  puddingpie profile page
    2
    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.
  5. Visit  FireStarterRN profile page
    2
    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.
  6. Visit  Neveranurseagain profile page
    3
    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.
  7. Visit  TheCommuter profile page
    9
    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.
  8. Visit  kanzi monkey profile page
    0
    I gotta go to work, so I'll be fast (and perhaps inarticulate)

    Many people in this country refuse to understand the gap between people with money and people without it--the bourge/the proles. Seriously. We are so backwards.

    Most if not all industrial countries have some kind of socialized medicine--so HCP's don't ever have to consider financial status when providing healthcare.
  9. Visit  MAISY, RN-ER profile page
    14
    Imagine a patient asking for tests and an extra day in the hospital...that used to be the norm, not the exception. Now, imagine this patient is on medicare with minimal access to healthcare. As that patient, I too would ask to get everything over with, asking for those extras while I was already there. There is nothing like trying to get a physicians appt or specialist to see you with medicare, unless things have changed they aren't required to see you unless you were seen by them or referred to them by a hospital.

    As far as, asking for medical things that can be purchased in grocery store. You are right, it's cheaper to buy with your own cash-but medicaid will not reimburse. What if that cash is for your meals, or rent?

    There is nothing quite as "special" as requiring any assistance. This is especially true of people who have never needed it! So, I can imagine the world of rudeness that awaits them due to their currant financial status can be frustrating, and just a little"unpleasant". That may explain any attitude you may feel from a medicaid recipient.

    It's back to walking a mile in someone's shoes....when I was much younger, my ex left me with a baby and toddler. At that time, you couldn't get childcare for children that weren't toilet trained. I had no money, no insurance, a flaky husband who walked out and was really in a bind. I was in my mid 20's and had always had insurance. What an eye opening experience. I received wic and medicare-the grocery store clerks felt they had the right to treat me anyway they wanted to due to my wic checks and sure you could go to a clinic for pediatrics and sit there for 8-10 hours and maybe get seen that day or not. I was lucky that my personal physician(who agreed to take the very low medicaid payment) would see my children and care for them. He always gave me medicine samples-I wasn't forced to buy anything. I was lucky. I'd always worked, been a contributing member of society and was using a benefit that was there for people who got into trouble. It was a couple of years, then it was back to work as usual. I never forgot what those people like me went through....again...I was lucky, I never truly suffered.
    Everytime I read a thread that beats on people that are poor I really get angry. A bad choice in life, a wrong turn, a bad marriage or life changing illness is all that stands between making it or not making it in life. It's easier to understand an attitude from a young nurse, but I have a problem with older nurses who have been around the human condition awhile longer. Everyone's experience is unique-we can only do our jobs without prejudice and advocate for those extras if the patient needs it.
    Rudeness knows no socioeconomic class, race, religion, age, etc. , but it affects both medical staff and patients. Definately not reserved for poor patients!
    "Judge not, lest ye be judged"
    Maisy
  10. Visit  StrwbryblndRN profile page
    6
    Two years ago just before I was to start nursing school my husband was the bread winner and had the best insurance you could get. (hospitaizations were $0 and very little came out of his check to pay for insurance) We had plenty of money and had planned for me to go school and we would have no debt when I graduated.
    Then all he$$ broke loose. He lost his job and could not find another for awhile and still had to wait 90 days after hire for insurance.
    We went on medicaid for the children for awhile and it really hurt to be treated differently. We went to a large and very popular peds office that had Saturday and late hours of operation. Yet as wonderful as they may sound, I was treated differently. Being that I know they usually treated people well I would have just summed it up as just how there were with everyone. We ended up having to change offices.
    I never know my patients insurance status. I do not want to know. It is not a part of my practice. Besides nothing should change my quality of care being given to my patients.
    crissrn27, sharona97, Elvish, and 3 others like this.
  11. Visit  cheshirecat profile page
    4
    Reading all these posts makes me feel so sad.

    People should not be judged by how much they have in their pockets/wallets.

    Probably the rude medicaid patients would be rude if they where multi-millionaires, that is just the type of person they are. But I bet they are outnumbered by the nice people who are also on medicaid a thousand to one.

    Thank god for socialised medicine. At least if I lose my job, I know that my families and my healthcare will not be compromised.
    sharona97, Elvish, Multicollinearity, and 1 other like this.
  12. Visit  jetscreamer101 profile page
    0
    Is it possible that patients on assistance programs have been treated poorly in the past so they anticipate problems?

    I've had to be on assistance programs many years ago. I was treated differently, and yes, it hurt. I can still hear some of the comments directed toward me replaying in my head.

    With that said, I did have an experience in an ER. A woman and her young son (11-12) came into the ER because he had vomited yesterday. Was fine today, but mom thought he should be checked by a doc. If I remember correctly she was a frequent flyer.
  13. Visit  Susan9608 profile page
    2
    In my PICU, a great majority of my patients are Medicaid, not so much because their parents are poor and on welfare, but simply because their medical problems are so complex and financially debilitating that to pay for their care without insurance would financially devestate their families.

    One simple hospitalization can be enough to bankrupt someone. For instance, I had an emergency appendectomy last November. Because my surgery occurred so late at night, I spent the night in the hospital, even though an appy is a relatively simple/benign procedure. The total bill was $36,000 (outrageous, if you ask), and fortunately, my insurance covered all but $250. If I had to have paid out of pocket, it would have made a pretty big dent in my savings. So for someone without insurance (as a lot of small companies and/or self employed people don't have insurance) and without savings, that bill alone could have wiped out all of their assets.

    As far as the attitude of Medicaid vs. private pay insurance patients, I have actually had the opposite problem of the original poster. Quite a few of our private insurance patients/families will make comments to me like, "Well, we're paying for this ourselves, so we shouldn't have to wait." Or "At least we're not a burden on society." I've also found that a lot of private pay or private insurance patients have an attitude of entitlement because they are paying for themselves or using their own insurance. Parents will call me into the room to do things like turn the tv/vcr on or bring them a glass of ice for their soda, and they'll say to me, "Don't you know how much I'm paying for this service?"

    Of course, there are obnoxious people everywhere; that's a given. But even if Medicaid patients happen to be more obnoxious than most (not that I agree with that assessment), so what? Does that make them less deserving of good care? In a service profession like nursing, it seems to me that it shouldn't matter if people are angelic in behavior or obnoxious - they still need care. Nurses still get paid (at least in a hospital setting, as far as I know), so what difference does it make to us if someone is Medicaid vs. private pay vs. private insurance? Isn't it our job to take good care of all of our patients, no matter how unlovely they may be?
    Last edit by Susan9608 on Aug 30, '07
    Mikey31079 and sharona97 like this.


Nursing Jobs in every specialty and state. Visit today and find your dream job.

Visit Our Sponsors
Top
close
close