It could be coming another round of medicaid/medicare cuts

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Medicaid reimbursements and Medicare reimbursements look as if they will get even lower! The debt ceiling plan may cause Medicaid to be mostly funded by the states and more cuts to Medicare.

I doubt the sky is falling but it's pretty close.....Does anyone know of another time in Nursing history cuts were this bad?

Keep in mind the plan needs to be ironed out by the house and senate but either way their will probably be more Medicare and medicaid cuts resulting in more job problems for nurses in the forms of hiring freezes and lay offs.

And to think the NNU and Mass Nurses Association supported Obamacare which cut $500 Million from Medicare over the next 10 years. LTC and Homecare will be hit hard. Hospitals that are safety net hospitals or are located to close to other hospitals will probably close.

I'm staying where I am at as long as possible and possibly thinking about a back-up career.

I recall something similar with Medicare or Medicaid cuts happening in 2004ish with Bush and some LTC s closed mostly ones in low income areas and or had to do major facility updates.

The other huge issue is Medicaid it does not pay enough and if the states have to pay more it will spell disaster.

On the other hand things never seem as bad but then again people thought Obamacare would never pass.

Specializes in Sub-Acute/Psychiatric/Detox.

I find it shocking that their is no law requiring a federal balanced budget.

I agree cuts have to be made, but why not look at all foreign aid first?

I think a deal will be reached softening these proposed cuts.

The thing is the past 2 weeks one person says we have a deal the other says I don't know and the other says no!

Now is not the time to become a nurse. If I get laid off it probably won't happen for a year or so. Truck Driving or plumbing here I come!

there can only be two outcomes to the current debt distaster: we either keep going down our current path and eventually become a socialist country with sup-par healthcare and have our freedoms taken away, or we let the bottom fall out, which will cause a lot of acute money pain, but reset the economy and start over...

with all due respect, this is a very simplistic view of a complex issue. if we keep going down our "current path"? and what path is that? the current path on which we are traveling is one towards oligarchy, not socialism. i don't understand why individuals have to see socialism vs. capitalism in black and white. it should be viewed as a spectrum of amount of regulation, not feared as "beware of big government ". as a matter of fact, it was de-regulation that caused our economy to tank in 2008. nevertheless, there is corruption in american government on both sides of the table. the crash resulted because the regulators weren't doing their jobs, and noone was regulating the regulators.

and who exactly is taking our freedom away? our freedom is taken away at the voting booth. have you ever noticed the wording of proposed amendments? how can someone with low education comprehend it? i mean, seriously. and have you ever read congressional documents online detailing these proposals? first, the amount of loopholes and additions are ridiculous!! and second, i'm asleep by the end of first paragraph. :yawn: nevertheless, i hardly think increasing medicare funding is going to cause our country to "fall apart at the seams". that seems to have already happened. and, let me be clear, no, i do not believe in giving everyone a hand out. however, taxpayers end up paying for transient healthcare anyway at the er.

finally, there is no magical "reset" button. and what is "acute money pain"? is jefferson having heartburn on the $2 bill. perhaps, perhaps.

Medicaid reimbursements and Medicare reimbursements look as if they will get even lower! The debt ceiling plan may cause Medicaid to be mostly funded by the states and more cuts to Medicare.

I doubt the sky is falling but it's pretty close.....Does anyone know of another time in Nursing history cuts were this bad?

Keep in mind the plan needs to be ironed out by the house and senate but either way their will probably be more Medicare and medicaid cuts resulting in more job problems for nurses in the forms of hiring freezes and lay offs.

And to think the NNU and Mass Nurses Association supported Obamacare which cut $500 Million from Medicare over the next 10 years. LTC and Homecare will be hit hard. Hospitals that are safety net hospitals or are located to close to other hospitals will probably close.

I'm staying where I am at as long as possible and possibly thinking about a back-up career.

I recall something similar with Medicare or Medicaid cuts happening in 2004ish with Bush and some LTC s closed mostly ones in low income areas and or had to do major facility updates.

The other huge issue is Medicaid it does not pay enough and if the states have to pay more it will spell disaster.

On the other hand things never seem as bad but then again people thought Obamacare would never pass.

"Obamacare". As if the Republicans are any better or have any real solutions.

Does there always have to be some personal fight?

xtxrn, Welcome to Politics 101. Oh, and it's not fighting, it's political discourse. :)

There can only be two outcomes to the current debt distaster: we either keep going down our current path and eventually become a socialist country with sup-par healthcare and have our freedoms taken away, or we let the bottom fall out, which will cause a lot of acute money pain, but reset the economy and start over.

We are an entitlement country now--most people are paid by the government or are on the dole, whether working or not. How can we sustain this type of economy? If the government keeps increasing taxes on the 52% of the country that actually pays all the taxes, where does the money come from when the tax payer is eventually forced on to the government dole and has no more to give?

Let's start writing the people on the 'Hill,' who are supposed to be representing us and start asking questions and holding them accountable. Why do we as American citizens have such small voices? We're gonna have to scream if we want the 'Hill' to here us!!!!

Myth: We own a business so we are wealthy. Our taxes are raised all the time. Guess what? When tax after tax after tax is imposed on small, small, small businesses, growth stops. We've closed stores and don't hire anymore, we can't afford the payroll taxes. This is a huge problem seeing how the private sector income is the what fuels economy stability.

Why does everyone say, "We need to cut spending, but don't cut the program I like." I say pay what's necessary..........everything else is on the table. Isn't that how we run our own households? It's called sticking to a budget.

Why is it that socialism is always related to a terrible healthcare system? There are many successful models, people just can't make the big bucks off of them.

xtxrn, Welcome to Politics 101. Oh, and it's not fighting, it's political discourse. :)

OH, excuse me- I thought I was on a nursing site- not another useless political "discourse"....

Maybe I should check out socialist MSNBC for some nursing chatter..... :)

Specializes in They know this too!.

And to think the NNU and Mass Nurses Association supported Obamacare which cut $500 Million from Medicare over the next 10 years. LTC and Homecare will be hit hard. Hospitals that are safety net hospitals or are located to close to other hospitals will probably close.

I live in MA no wonder why I never get any "real" jobs or any hours. I am going on year 3 here. I try to move, but if you can't work you can't save. Relocating is so much money these days. Oh yes because of gas prices. No one wants to pay. I was so close and then the hospital backed out.

Nurses get laid off here or they implement programs to pay New Grads less for Intern Programs. Yay! :mad: But, you only hear about it on this site or maybe once or twice in the paper.

Never can win. :down:

Specializes in Hospice.
OH, excuse me- I thought I was on a nursing site- not another useless political "discourse"....

Maybe I should check out socialist MSNBC for some nursing chatter..... :)

What do you suppose provides much of the money in your paycheck?

What do you suppose controls the access your patients have to care and what that care is?

What do you suppose determines your working conditions ... pay scales, staffing, work rules, etc.?

Did you imagine that nurses are just supposed to be the magic nightengale fairies and don't have a unique interest in thinking critically about issues that affect all of the above and more?

What is your interest in trying to quash discussion of health care costs and funding?

Do you even know what "socialist" means?

Specializes in psych/addictions/liaison.

Do you even know what "socialist" means?

And this guy wasn't even a socialist!

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obamacare has cost me more (what's been implemented) and provided less- but those of us on medicare will never "count" like 'regular' people....forgetting that we did work for years and paid into the system...

"obamacare". as if the republicans are any better or have any real solutions.

does there always have to be some personal fight?

"obamacare" is a derogatory term. you ask if there "always has to be some personal fight?"; when the thread starts out labeling something or someone, it immediately make others defensive. upon research of the subject, one finds that it is the house majority that is seeing to it that medicare is cut, not obama. http://www.ahanews.com/ahanews_app/jsp/display.jsp?dcrpath=ahanews/ahanewsnowarticle/data/ann_072111_ipps-dearcoll-hill&domain=ahanews

xtxrn, when i replied to you yesterday, "welcome to politics 101 blah blah ", you were offended, and i meant nothing personal by it. actually, i was offended that you, like the original poster, used the term "obamacare", but until now, did not voice it.

you stated that you are disabled. i genuinely believe that obama would like to help citizens like you, but the current political landscape is more akin to a horror film. as the saying goes, "when you lie down with pigs, all you ever get is dirty."

a clip from john stewart: http://www.newsweek.com/blogs/the-gaggle/2010/04/21/stewart-calls-it-obamacare-derogatory.html

a longer read, but great article:

http://www.grist.org/politics/2011-04-28-policy-in-an-age-of-post-truth-politics

why is it that socialism is always related to a terrible healthcare system? there are many successful models, people just can't make the big bucks off of them.

i believe that a national healthcare system is distribution of wealth, through taxation; when all the money runs out there will be sub-par services. the all-inspiring german healthcare system has run out of money and now the patients are suffering. as a matter of fact the entire eu is crumbling, these systems only work on the backs of the taxpayers and their backs are broken. yes, i do understand that our economy is in dire straits but we're not worse off than the eu.........yet.

and who exactly is taking our freedom away? our freedom is taken away at the voting booth. have you ever noticed the wording of proposed amendments? how can someone with low education comprehend it? i mean, seriously. and have you ever read congressional documents online detailing these proposals? first, the amount of loopholes and additions are ridiculous!! and second, i'm asleep by the end of first paragraph. :yawn: nevertheless, i hardly think increasing medicare funding is going to cause our country to "fall apart at the seams". that seems to have already happened. and, let me be clear, no, i do not believe in giving everyone a hand out. however, taxpayers end up paying for transient healthcare anyway at the er.

i feel that if everyone paid for there own healthcare, the costs would be driven down because it would eliminate the need for insurance companies and needless er visits. the problem is not increasing medicare funding, it's putting a cap on medicare funding. the reason medicare, ss, and medicaid are dealt with first is because they're open ended, they have no limit.

a national healthcare system would also emliminate the need for insurance companies by forcing the privately insured onto the government plan. nothing is free, if you use government money you play by their rules, thereby losing your freedoms. :confused:

for example: we chose a private school for vpk for our son. they did not offer free vpk, which is funded by the state with taxpayer money, because they didn't want to be beholden to the state.

with all due respect, this is a very simplistic view of a complex issue. if we keep going down our "current path"? and what path is that? the current path on which we are traveling is one towards oligarchy, not socialism. i don't understand why individuals have to see socialism vs. capitalism in black and white. it should be viewed as a spectrum of amount of regulation, not feared as "beware of big government ". as a matter of fact, it was de-regulation that caused our economy to tank in 2008. nevertheless, there is corruption in american government on both sides of the table. the crash resulted because the regulators weren't doing their jobs, and noone was regulating the regulators.

i apologize i was mixing up terms and ideas here. :idea:

i feel that we're a quasi-socialist sundae. we have socialism topped with an oligarchy and just a sprinkle of facism; and our current path is dictatorship.

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