Patients on Medicaid - page 5

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  RNmom08} profile page
    3
    Quite honestly I feel it's none of my business. Yes, we are paying taxes and funding Medicaid but still it's none of my business how they act or check out their groceries. We still need the healthcare for people who need it - end of story. I have not lived in another persons shoes to know what their life has been like to make them grumpy, demanding, rude, or even kind and polite.

    For those who are not kind and polite I guess all I can do for them is say a silent prayer to myself for them that they may find peacefulness here in their lives and not be so demanding and grumpy tomorrow.
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  3. Visit  Jo Dirt} profile page
    0
    Quote from doe9181
    The only thing that aggravates me about medicaid patients stems from when I worked as a pharmacy tech while in nursing school. When patients would come through the drive thru in their 60,000 dollar mercedes or bmws and be on medicaid. Now how the hell did they pull that off?
    I don't know, but ask what their secret is and share it with us!
  4. Visit  EmmaG} profile page
    2
    Quote from motorcycle mama
    I don't know, but ask what their secret is and share it with us!
    I'd like to know that as well. Because I'm sure that they've checked the registrations of these cars and these people are the actual owners. And that they have detailed knowledge of the drivers' financial status, work history and home life. After all, it couldn't be that they have borrowed a friend/relative's car, or that someone else is picking up a prescription for the person covered by Medicaid. It couldn't be that someone has fallen on very hard times.

    Naw, that could never happen...
    semiller36545 and Jo Dirt like this.
  5. Visit  VivaLasViejas} profile page
    1
    On the other hand, I have known people who managed to live very well while on the system. My youngest niece was one of them..........she owned a Ford Explorer, lived in a nice neighborhood in a 3-bedroom house, had a cell phone and bought brand-name groceries, all while on welfare. I never did figure out what her angle was, because I certainly didn't live like that when my family was on assistance!

    However, Emmanuel Goldstein is right: we DON'T know the circumstances of each individual who appears to be thriving while on the public dole. It's easy to turn up our noses at those we think are abusing our tax dollars to indulge in a lifestyle that we ourselves can't afford; far less so to take everything on a case-by-case basis and judge each situation individually, so that we can identify and punish the ones who truly ARE abusing the system, rather than making life even harder for those who are using it as a stepping-stone to a better life.
    Elvish likes this.
  6. Visit  leslie :-D} profile page
    2
    i once worked with a cna who 'appeared' to live well.....nice house, gorgeous car, her kids w/designer clothes.
    she was quite verbal about being on section 8, receiving public assistance, medicaid.
    i asked her what her secret was.
    she said something to the effect of, "i know every single system and loophole, here in america".

    wonder what that means?

    leslie
    pattycakeRN and Altra like this.
  7. Visit  EmmaG} profile page
    0
    Quote from mjlrn97
    On the other hand, I have known people who managed to live very well while on the system. My youngest niece was one of them..........she owned a Ford Explorer, lived in a nice neighborhood in a 3-bedroom house, had a cell phone and bought brand-name groceries, all while on welfare. I never did figure out what her angle was, because I certainly didn't live like that when my family was on assistance!
    Used to be that a mother couldn't apply for assistance if her husband/bf was living in the home. That has changed (at least in VA) and from the experiences of some I know, if she is unmarried, they don't count his income.
  8. Visit  Multicollinearity} profile page
    0
    When I was a child, my father became permanently disabled. We went from our nice upper middle class lifestyle, to on welfare and medicaid, after exhausting our own resources.

    I can still remember being treated differently at doctors' offices. The only thing that changed was the medicaid card my parents had to present.

    I would agree there there are some common problems among low income groups. That is just common sense. It is unfair to treat everyone on assistance as though they behave like some problem people, though. I remember that unfairness. It felt bad.
  9. Visit  Babarnurse} profile page
    0
    Multi:
    I'm sorry you had to deal with that and I agree, it does feel BAD. I felt as though I had done something wrong, when in fact, it was quite the opposite. Just like in your situation, it isn't like your family was sitting around eating bon-bons. You had a major life change. I'm sure, given the choice, your family would have preferred to never receive state assist.
    Lori
  10. Visit  woody62} profile page
    1
    I was a junior in a diploma program, in 1965, when Medicare/Medicaid came into being. I remember all the dire warnings about both programs be a sign of socialized medicine. And we were all going to hell in a hand basket. Funny how things changed over the years. I have seen numerous people on Medicaid. And I have had to help numerous people on welfare. Funny thing, I have never seen anyone living high on the hog off welfare payments. I've never seen them in the supermarket buying prime rib and other expensive food items. And I have never seen them in top of the line, designer clothing. But I have read about them, not only here but on other messages boards. Would some one do me a favor. Please post a place, here in Florida, that I can go witness these people for myself.

    The people I have seen, on Medicaid, myself included, didn't have the money to buy or even lease $100,000 cars. And they weren't dressed in designer clothing. And most of them live in the projects, both in New York City, and here in Florida. Sorry if I sound like I am doubting you all. If you know someone is cheating the system, it doesn't matter if it is a friend or relative, you have the obligation to report them to your state's Attorney General Office, as well as your local representative, both state and federal. It might take a couple of times of complaining, but I'm sure if you complain long and loud enough, someone will look into it. And if they don't, there is always the New York Times. I know a reporter on it.

    Woody
    Jo Dirt likes this.
  11. Visit  Jo Dirt} profile page
    0
    I read where someone said I don't hold it against the kids, it isn't their fault and talking about how irresponsible people were who got on Medicaid.

    I thought I was being responsible seeing that my children had coverage in the event they became ill.

    What do they expect people on Medicaid to do? Walk with their heads down and not make eye contact, not even have the nerve to put shoes on their feet, come to the clinic leading a donkey carrying all their personal belongings?

    Get real.

    I can't stand snobs, I just despise them with the intensity of 1,000 burning suns.
  12. Visit  GadgetRN71} profile page
    7
    In the welfare/public assistance population, there will always be what I call "cheats" when I'm feeling nice, and "bums" when I'm not. The system was put in place for people who were having temporary problems, it was not meant to be a way of life. Unfortunately, there are some families that are multi-generational and have no sense of shame about being on welfare for years. I have a first cousin who has 5 kids and only got off welfare and got a job when they kicked her off the system. She was bragging before that about how she cleaned up the previous Christmas when she participated in the Adopt-a Family program. She is able bodied so no reason why she shouldn't get off her fanny and get a job.
    There are people who need the help temporarily, and I have no beef with them. I think the "bums" make everyone else look bad. I try to treat all my patients with kindness even though there are some I would like to smack upside the head for their foolishness. I also think there should be something set in place to kick the repeat offenders of the system. For instance, putting welfare payments on a debit card that could only be used for clothing, healthy food, and necessity items(no alcohol or cigarettes). At least there is a movement in many states to place limits on how long a person/family may receive welfare. I'm sorry, but if you know that you have trouble making ends meet, why keep having kids?(you listening, Cousin?) When I was in nursing school, the campus where I did my last semester was in the ghetto. Almost every tenement house had multiple satillite dishes on it. Guess they didn't have the money for food and shelter, but managed to get Direct TV. Nice to know where the priorities lie!:uhoh21: PS- Medicaid doesn't irk me so much-again, there are people that claim "disability" when they probably have less health problems than I do, but I think everyone should have access to healthcare. As a taxpayer, I'd rather pay for someone's prenatal care than for ciggies and beer, because if the mom has a sickly kid, that'll be just another future welfare recipient. I'm sure I sound high and mighty, but my grandparents immigrated here in the early 50's. They both got jobs and never spent one day on assistance. Their first apartment didn't have running hot water and it didn't have its own bathroom either-you had to share with everyone on the same floor. I hardly come from a rich background. I just happen to have pride and a sense of resentment when I look at how I get gouged for taxes every week.
    Last edit by GadgetRN71 on Sep 2, '07
    canoehead, Gelfie68, pattycakeRN, and 4 others like this.
  13. Visit  JOLLIEHOLLY} profile page
    2
    Quote from DiEd
    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 care for; they often are rude, demanding, and unappreciative of nursing care. I have cared for many who demand tests/procedures/an extra day or two in the hospital/supplies that they don't really need; doctors often admit to just giving them what they want, rather than arguing. I have had medicaid patients say to me after I suggest to them, they can probably purchase an item for cheaper at the store, "Oh I don't care, I'm on Medicaid". Recently, a woman openly admitted that she had another child because she wanted more Medicaid money. When a woman has six kids by different men, and lives off Medicaid, I asked myself, "how does this happen"; aren't there people out there monitoring this system". About a year or so ago, I was taking care of a woman - and because the census was extremely low, patient-nurse ratio was 2:1 (unusual but nice). Anyway, I took so much extra time visiting with, caring for and going way beyond what I really needed to do to ensure quality nursing care, and at lunch, her Diet Pepsi wasn't on her tray. She gets on the phone and proceeds to rant and rave about this to a friend. I could hear her end of the conversation. Yes, she was a Medicaid patient.
    Wow, I was blown away and got quite upset. I can't believe these are isolated incidences. Many nurses I work with are able to identify Medicaid patients just by their behavior.
    As I said earlier, I don't mean to offend, but I am interested to learn if others out there in the nursing world encounter the same type of thing. I realize it is not right to label or generalize people, and I don't let it affect how I care for people; I certainly don't like the way I feel when confronted with this behavior. Any responses are welcome.
    Thanks.
    Let me tell you something, people who really need government assistance often times don't receive it. When I was pregnant with my second child I was denied WIC because I made $10/month too much!!! Keep in mind, between my husband and I we were making 27,000/year for soon to be a family of four. Maybe if I would've just shacked up instead of marrying my husband I would've received it. Then I could walk in and claim I am single and exclude my husbands income. It is a SAD day in America, when people who do the right thing and work hard get screwed and can't get a little help. I probably would've gotten WIC if I would've said "He's just my baby daddy"(just like the rap song, people really live up to those lyrics)
    sharona97 and Jo Dirt like this.
  14. Visit  woody62} profile page
    1
    Quote from WitchyRN
    In the welfare/public assistance population, there will always be what I call "cheats" when I'm feeling nice, and "bums" when I'm not. The system was put in place for people who were having temporary problems, it was not meant to be a way of life. Unfortunately, there are some families that are multi-generational and have no sense of shame about being on welfare for years. I have a first cousin who has 5 kids and only got off welfare and got a job when they kicked her off the system. She was bragging before that about how she cleaned up the previous Christmas when she participated in the Adopt-a Family program. She is able bodied so no reason why she shouldn't get off her fanny and get a job.
    There are people who need the help temporarily, and I have no beef with them. I think the "bums" make everyone else look bad. I try to treat all my patients with kindness even though there are some I would like to smack upside the head for their foolishness. I also think there should be something set in place to kick the repeat offenders of the system. For instance, putting welfare payments on a debit card that could only be used for clothing, healthy food, and necessity items(no alcohol or cigarettes). When I was in nursing school, the campus where I did my last semester was in the ghetto. Almost every tenement house had multiple satillite dishes on it. Guess they didn't have the money for food and shelter, but managed to get Direct TV. Nice to know where the priorities lie!:uhoh21:
    Actually, it is a misconception that welfare is mult generational. Prior to the Clinton's change in the federal welfare law, the statistics showed that the majority of people collection bebefits were 1) mostly white, 2) collected benefits for a period of less than two years and 3) got payments at or below the federal poverty line.

    I worked with the Brooklyn VNA. Most of our clients lived at or below the federal poverty line. Most do not have multiple satilllite dishes on them. And very few had cable TV. Most had mininmum telephone service, disallowing long distance calls unless receiving them. And a portion of my clients cooked stew, that I learned, was composed of Laddie Beet stew beef, carrots, onion andpotatoes. I first it made me slightly nasueaous to thing some were eating dog food. But I spoke to a dietician, who told me, the beef was actually horse meat. And better for them then beef stew meat

    I had similar experiences here in Florida. And a lot of them, both in Brooklyn andFlorida did not even have a high school education. And when they did, the available jobs paid minimum wage at best. And it took them out of the income allow for medicaid, food stamps and other benefits. I really couldn't blame then for not wanting to get a job that denied the benefits they received. And could not afford the benefits they lost. And benefitng from poor choices, I know a number of middle class and upper class that live above their income, are in debt up to their eyeballs. Their poor choices don't impress me either.

    People also tend to think that those drawing Workers Comp are generally frauds. And living high off the hog. Know my clients and my own personal experience, nothing could be arther from the truth. My standard of living fell dramatically and so didn't the clients I worked with. The only way a person lives high off the hog, on welfare or WC is by cheating and lying. And they eventually get caught. There is always someone to turn them in. I had a client who committed WC fraud. And after a year and half, his fraud finally caught up. His wife, soon to be ex-wife, called and told me what he was doing. He lost the $65,000 he would have made in his settlement.

    Like I said in another posting, please supply the names of the towns and stores where you see all the people. I would like to see them as well.

    Grannynurse
    sharona97 likes this.


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