Can someone "dumb down" what Obamacare really means? - page 4
I don't have time to watch the news or read articles so I don't understand much of what is being talked about. Can someone explain to me how it changes for citizens and what it will do to the future... Read More
0Aug 15, '12 by SC_RNDudeQuote from joshscSo, those who have a different opinion then yours must be making up facts for have politicial motives? How disheartening that you believe that.Completely AMAZING how even among medical professionals, that instead of being professional and giving the true facts, it becomes political. How disheartening and shameful.
0Aug 15, '12 by lossforimaginationMBARNBSN...you must get all your info from the NYTimes. Killing off Medicare and Social Security? Really? Sounds like typical leftwing scare tactics. And you believe Obamacare will actually be 'affordable'? The insurance companies will be the biggest beneficiaries..
2Aug 15, '12 by cdsgaI don't think anyone knows anything about anything-just our perceptions, conjecture and puzzle pieces being put together blindfolded. Even the politicians don't know all of it.
Everyone's rushing around to implement things not knowing how it's going to play out-because it is political. There is no way around that.
Our ANA has fully endorsed this plan. I think they see this as an open door to:
1) give nurses more opportunity (for a while-until MD's find a way to boot us out of the power structure)
2) give more strength to the need for implementing BSN as entry into practice and promoting another mandate for MSN
3) place NP's in roles that family practice MD's once held-and since there is quite a shortage of those, then there is plenty of room at the table for nurses to step in and fill
4) gear us up for real shortages at the bedside, which with the lack of instructors and people on huge waiting lists to enter nursing school, that will be seen in the next 10 years when the vast majority of us start seriously retiring.
5)gives more power to regulatory agencies such as JCAHO, which places huge responsibilities on the nurses who will implement and document these mandates in order to keep money flowing to the workplace through CMS reimbursement
For those reasons I am fearful and excited at the same time. It's the fear of the unknown that has everyone so worried.
Bottom line-people are going to need care-how we position ourselves as a profession, keep our skills sharp, be flexible with the changes, and stick together/support one another-be wary of the one pot collective Koolaid...I think we will be OK
4Aug 15, '12 by MunoRNQuote from lossforimaginationRyan's plan to change medicare into a much different program came from Ryan, not the NY times. Read Ryan's "Path to Prosperity" from a source with any slant you prefer and you'll find the same thing; his plan is to cut medicare funding by first changing it to block grants (without addressing costs in any way) and eventually change it into a voucher program, essentially doing away with any resembling Medicare.MBARNBSN...you must get all your info from the NYTimes. Killing off Medicare and Social Security? Really? Sounds like typical leftwing scare tactics. And you believe Obamacare will actually be 'affordable'? The insurance companies will be the biggest beneficiaries..
0Aug 15, '12 by SC_RNDudeQuote from libbyliberalWhy/how will the National Nurses Union expand and "become a force"? And, if they do, then why will there be less staffing and why will "older expensive nurses" suffer???The ACA is a major overhaul of the healthcare industry. EMRs are required by 10/2014. The need for nurse coders and informatics is going to increase dramatically. At the very least you will need to have Epic, Cerner, Meditech or Eclypsis experience on your resume.
We can expect to see a huge influx of patients in all settings.
Reimbursements will decrease and I think we will have to do even more with less staff. Older expensive nurses are going to suffer even more and be replaced by cheaper inexperienced new grads. The National Nurses Union is going to really expand and become a force like the NEA.
Meaningful use standards in health care will be strictly enforced with heavy fines from the OIG.
The system of incentives and taxes on hospital profits may force some hospitals to close their doors.
There are many of well researched articles on NYtimes.com.
4Aug 15, '12 by joshsc, ADN, RNThe original post asked NO ONE of their OPINION. Opinions aren't facts. Opinions don't answer the question. But you didn't hesitate to jump in there and start bashing and looking the most unprofessional. Feel free; your credibility just keeps declining.
"3:29 pm by SC_RNDude So, those who have a different opinion then yours must be making up facts for have politicial motives? How disheartening that you believe that."
1Aug 15, '12 by cdsgaI want to be clear here-Medicare is not free-my parents(in their 80's) pay quite a bit of money for their insurance every month-and the additional secondary coverage. Granted their out of pockets expenses when used is not alot and they get a break on their Rx's, but they love their Medicare-it's a badge of honor these elderly people feel they have worked for and deserve. But it is not free. I have fully expected for many years for Medicare to not be around as we know it right when I'm going to be at the age to be eligible for it. So I'll have to plan on something for myself, without gov't assistance. With people living longer and us paying for our elders care, who will be around to pay for ours? I'm all for someone to revamp it and cut the fraud. Reclaim what is owed to the trust fund.
This National Nurses Union is not present in the South. Would be interested to know how that is going to happen? Is joining the union a mandate just like the ACA where you get penalized if you don't join????
3Aug 15, '12 by redtop316I am one of those that needs anything political "dumbed down". Political opinions are like what you'll find in any Gastro procedure room. However, I have two comments to make and am not even sure how they fit in to this whole conversation.
I retired at 62 due to medical issues and went without health care until I turned 65 this past March. So, for three years I paid out of pocket for my medical care, part of which required me to have a routine lab test every 6 months. The cost of this lab test was $340.00. When my medicare kicked in to pay the bill the lab charged medicare $1688.00 for the same routine test(...and the nurse performing the test didn't get paid more!). This is just one of many examples of the over-inflated charges by Doctors, labs, hospitals, etc. that I have noticed. I do understand that not-for-profit hospitals inflate charges for the insured to balance the indigent care they provide, however, in my area ALL the hospitals are now for-profit. If you are not insured, you will be turned away, other than life-saving, short-term E.R. care and then you are hounded by a collection agency and threat of a law suite until the bill is paid.
Second point: Why is "socialized" such a bad word? Look at socialized agencies we already have - police dept., fire dept., library, public schools, etc. And furthermore, Canada and England may not be the best examples...ask about other countries like France. Post-partem women get a doula for a number of weeks! In Malta, if you feel ill, you go the pharmacy, tell them your symtoms, and you see the Dr. (Gov. paid) that staffs the office located in the pharmacy or calls the Dr. on-duty during the weekends. Keeps the E.R. un-clogged for real emergencies.
Just my simplistic rambling thoughts.
1Aug 15, '12 by KentrnazQuote from libbyliberalMy question is "Who is going to pay for this?" Some people apparently think that Medicare and Social Security have been part of American history since our founding. It was only started in the mid 1960's. At that time, all the same lies were told about how great it would be. Both are now broke, (I guess the federal government did not think through all the options when they were started). So, if anyone really believes that Obamacare is going to solve all the problems with healthcare in the US, they are sorely mistaken. If you do not want to call it Obamacare, then call it what it is... Socialized medicine that is doomed to failure.This federal legislation, the Affordable Care Act was upheld by the Supreme Court of the United States in June. The reforms are comprehensive and will enhance the health of millions of Americans.
Please stop calling it "Obamacare." Thank you.
6Aug 15, '12 by woohQuote from KentrnazI don't think ANYONE thinks it's going to solve ALL of the problems. It would have solved a lot more if it actually WAS "socialized."So, if anyone really believes that Obamacare is going to solve all the problems with healthcare in the US, they are sorely mistaken. If you do not want to call it Obamacare, then call it what it is... Socialized medicine that is doomed to failure.
Of course, I find it interesting that all the doomsayers never seem to have a better idea. (Other than to just let the working poor get sick and die.)
2Aug 15, '12 by woohQuote from KentrnazI'm asking now. TELL US. All I've heard from the right is voucher this and voucher that. Because in Paul Ryan's world, private insurance companies are going to willingly take on elderly people with pre-existing conditions? Vouchers don't work if there's nobody that will accept the vouchers. (Of course, if they die from lack of medical care, that's fewer vouchers, which will help his budget ideas.)I have many better ideas. So do alot of other people. It is quite unfortunate that people on the left just don't want to hear them.
4Aug 15, '12 by Elinor1. It's not socializing anything. The idea of having a public health care option went out the window early on, so there is no new government-run health care. I think some people are confused about the definition of "socialized." For comparison, we do have socialized education in the US, i.e. public schools. There is nothing comparable in the health care reform. NO PUBLIC OPTION. There's really no way to spell it out any clearer. Anyone who uses "socialized" is just revealing their own ignorance.
2. If we did socialize our health care in the US, it would be awesome. Jeweles26, you can give all the anecdotal information you want about Canada, the fact of the matter is that on actual measures of health care quality -- infant mortality and life expectancy chiefly -- countries with socialized health care have us beat. Canada has a lower infant mortality rate, as does the UK, France, etc. So I wish there was a public option. I wish we would socialize our health care in the US. We would be a healthier country.
To the people who are still confused about what the Affordable Care Act actually does, see libbyliberal's post #12 on page 2, one-third of the way down. That gives the best summary of the changes that will take place, minus the fear mongering and outright lying.