America, party of 2

[Cwoods]

Welp. There will be a new President soon...He has promised to "repeal and replace" Obamacare.

The real question is (as someone who will be out of school and in practice soon) what will happen with our profession? I know with Obamacare, folks were saying NPs will be in high demand. Don't get me wrong, I know NPs will still be in demand, but what do you think it will look like?

[Aromatic]

Why worry?

The Republican party represents liberty, capitalism, small government, and a a law-oriented Republic.

The Democratic party isn't the same freedom-oriented party as Kennedy knew it. It's a dark, sell out, mobocracy directed towards socialism and "special interest groups" rather than the majority of America.

This is the generation of not failing students, calling losing teams winners, and literally and thoughtlessly giving away free insurance, food, phones , homes, and electricity for years and years. We need to expect people to assimilate and conform to laws and not require the masses to conform to individual special interests.

The US has been in decay, and we now have someone at least reporting a vision for what the US was designed to be. Nothing about our president elect has to do with hate, but in a society that has safe zones and calls an argument "mean" the mere making of demands are perceived as hateful. It's ridiculous and I'm ashamed to be colleagues with such a liberal unamerican base of nurses.

The strong liberals will refute you on these points without base to their arguments. But if anybody wants unbiased historical contexts to show the truth in psychguys post then read through the history of the world and see how nations rise and fall. There are many similarities between the events.

A wise man man once said "nations are born stoic and die epicurean". This is what we are headed towards. Repetitive history does not lie and we are most likely not the exception to the rule

will Durant said that. I'm not a history major but his readings are fairly unbiased and provide us with footholds to anchor ourselves to in order to prevent atrocities that have been the downfall of many in the past.

[MrChicagoRN, RN]

Has this been spoken about during the campaign?

Very little of substance on any topic was discussed during this horrendous campaign.

[Purrsx2]

Thanks to everyone who actually answered my questions.

I agree that president can't change state regulations. Is he able to appoint a healthcare "Czar" who will initiate changes in Medicare/Medicaid rules, since these are federal entities?

If Medicare, for example, would mandate that NPs can only work under the supervision of MDs to be able to get reimbursement, than it is only a matter of time when the rest of major insurers will follow the suit, regardless of what state scope of practice is. Can it possibly happen?

Also if Medicare decides to change the reimbursement to NPs from 85% to 60% as a cost cutting matter, without affecting reimbursement to MDs, the rest of the major insurers might also follow the suit. Can this happen?

Is it true that conservative states have the most restrictions on NP practice, which is reflected in reimbursements to NPs in those states being much lower that the rest of the country?

[PG2018]

The strong liberals will refute you on these points without base to their arguments. But if anybody wants unbiased historical contexts to show the truth in psychguys post then read through the history of the world and see how nations rise and fall. There are many similarities between the events.

A wise man man once said "nations are born stoic and die epicurean". This is what we are headed towards. Repetitive history does not lie and we are most likely not the exception to the rule

will Durant said that. I'm not a history major but his readings are fairly unbiased and provide us with footholds to anchor ourselves to in order to prevent atrocities that have been the downfall of many in the past.

Steaks on me, pal.

[PG2018]

Thanks to everyone who actually answered my questions.

I agree that president can't change state regulations. Is he able to appoint a healthcare "Czar" who will initiate changes in Medicare/Medicaid rules, since these are federal entities?

If Medicare, for example, would mandate that NPs can only work under the supervision of MDs to be able to get reimbursement, than it is only a matter of time when the rest of major insurers will follow the suit, regardless of what state scope of practice is. Can it possibly happen?

Also if Medicare decides to change the reimbursement to NPs from 85% to 60% as a cost cutting matter, without affecting reimbursement to MDs, the rest of the major insurers might also follow the suit. Can this happen?

Is it true that conservative states have the most restrictions on NP practice, which is reflected in reimbursements to NPs in those states being much lower that the rest of the country?

Sure and needs to,but he's said states will manage Medicaid and shouldm

Could, won't.

No.

[PG2018]

Because little girls will grow up with the knowledge that a man can sexually assault someone, brag about it, and people will still elect him to be the most powerful person in the whole world. How can they feel safe reporting sex crimes?

Because he's vowed to ban all Muslims from entering the United States. This has been used and will be continued to be used by ISIS as propaganda to rally their troops of their hate against the US

Because he's determined to build a wall along the border of Mexico and calls Mexicans rapists.

Because his running mate signed a bill to jail people who applied for a same-sex marriage license.

Because he allows himself to be easily angered and goaded which is dangerous in the international community.

Because even if he doesn't mean a single word he has said, he has still stoked people's hatred and intolerance of those different from them. Hate crimes are being reported all over the US right now, just do a google search. Even if he doesn't mean any of his rhetoric, he has allowed it to be socially acceptable.

A POTUS has enormous influence in this country. It's not the bills he signs but the culture that he influences. And yes, even despite all that, the POTUS is still the most powerful person in the world. He can send military troops to fight wherever he wants without anyone's approval for two months. He can sign executive orders. Yes, we have checks and balances in our system- but a president can still do a lot of damage.

You're being dramatic.

I'm ecstatic about banning immigration from Islamic nations. I want to be secure first. The melting pot can wait.

I don't recall him calling all Mexicans rapists. Sure, many are. Many Canadians and Americans are too. The point is that Mexico has been granted unfettered access to the US and so of an innocent man can cross for work so can a criminal rapist for victims. Build that wall. I'll help lay brick.

I'm against same sex marriage so if that's a crime then lock them up or fine them. I don't care what the locals elect as a penalty.

I think Hillary is easily angered as well. She tries to sound intelligent rather than running off that the mouth. The intelligence was a ruse. We need to not worry about feelings and stepping on toes. Anger is a natural emotion.

I have listened and heard the same things but the population has taken such a pansy safe zone approach of course people unreasonably think he's spreading hatred. He's a realist. Few people are today. I'm one of them.

Look at the culture Barak has allowed. Cop killing, BLM terrorist promoting, anti-establishment,socially deprecating morons who can't think but rather jump up and down because they didn't win a tshirt or get their name on a plaque, apology, et al.

I love America, and by God I want it back.

[Coffee Nurse, BSN, RN]

anti-establishment,socially deprecating morons who can't think but rather jump up and down because they didn't win a tshirt or get their name on a plaque, apology, et al.

Sounds like you've been perusing your candidate's Twitter feed.

[Ruby Vee, BSN]

I am proud to support President Elect Trump, my Republican party, and I have never been so excited about politics.

For those worried about the direction of healthcare, keep working. Do well, work hard, and you'll make money. We're losing money as a result of Obamacare. For my family of three, I pay $16,000/year in health insurance. I can afford it, but it's ABSURD. It's hard to gauge what a President can do with his first term, but I am definitely excited to find out.

Obama never did anything positive, productive, and lasting. We now have a business leader who will take office, and I hope this leader will run this country as a business without worrying about individual feelings and entitlements. An array of men have Trump's ear, and these are knowledgeable men with Conservative world views which is just what we need after eight years of socialism.

I no longer have a concern with global warming. I feel like it's happening, but there are far more pressing issues to concern ourselves with, and sans the transgender sharing regular bathroom thing, which I also believe is ridiculous, I support the Trump-Pence platform wholeheartedly despite knowing more nurses are liberals.

Trump had a platform? Other than hate, of course. Because it seems to me that he ran on misogyny, racism, xenophobia and all forms of bullying and hatred.

[Ruby Vee, BSN]

Then why did you cry? I think that all of the handwringing (and rioting) is because folks don't understand what powers a POTUS has and does not have. He can cause inconveniences and annoyances, but even those are reversible (thank God). We have state constitutions and a US constitution and exist in a republic.

Anxiety is far more appropriate in light of some local elections I've seen.

We have a Republican president, a Republican House, Senate and Supreme court. The handwringing is appropriate, and while I don't believe in rioting, I'm sympathizing.

Trump didn't even know that his employees didn't get health care under the ACA. I hope he educates himself before taking office, but given his history of spouting off without knowing the facts, I doubt that will happen.

[Ruby Vee, BSN]

We're going to have to see what happens. ACA certainly had proven successes in states like California where the insurance marketplace is being run by the state. I don't know how the new administration would handle the transition from ACA to a different system but I am holding out hope that the president elect and his advisers would not be cold and heartless enough to allow millions of Americans to all of a sudden lose their insurance exchange coverage without an alternative means of obtaining coverage. Having said that, there will always be a need for providers. The question is what kind of system will be proposed as an alternative for those previously covered by ACA should it be repealed.

You are hoping that Trump won't be cold and heartless? When has Trump ever worked for anyone's interests other than his own?

[Ruby Vee, BSN]

You're being dramatic.

I'm ecstatic about banning immigration from Islamic nations. I want to be secure first. The melting pot can wait.

I don't recall him calling all Mexicans rapists. Sure, many are. Many Canadians and Americans are too. The point is that Mexico has been granted unfettered access to the US and so of an innocent man can cross for work so can a criminal rapist for victims. Build that wall. I'll help lay brick.

I'm against same sex marriage so if that's a crime then lock them up or fine them. I don't care what the locals elect as a penalty.

I think Hillary is easily angered as well. She tries to sound intelligent rather than running off that the mouth. The intelligence was a ruse. We need to not worry about feelings and stepping on toes. Anger is a natural emotion.

I have listened and heard the same things but the population has taken such a pansy safe zone approach of course people unreasonably think he's spreading hatred. He's a realist. Few people are today. I'm one of them.

Look at the culture Barak has allowed. Cop killing, BLM terrorist promoting, anti-establishment,socially deprecating morons who can't think but rather jump up and down because they didn't win a tshirt or get their name on a plaque, apology, et al.

I love America, and by God I want it back.

Here's what Trump had to say about Mexicans:

When Mexico sends its people, they're not sending their best. They're not sending you. They're not sending you. They're sending people that have lots of problems, and they're bringing those problems with us. They're bringing drugs. They're bringing crime. They're rapists. And some, I assume, are good people.”

Of course, Trump himself is a serial sexual assaulter.

[PG2018]

Sounds like you've been perusing your candidate's Twitter feed.

I don't have social media. I believe Twitter is like instant messaging with pictures.