New health care laws and our jobs.

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    Hi everyone, LPN here from the midwest. I just had a meeting at work and heard that because of medicare cuts they may have to cut back on census and thus cut back on employees. They havent mentioned it but I think there also going to run into trouble with the fact that the new laws require any business of 50 or more employees is REQUIRED to provide health insurance to it's employees. My place of work does not provide benefits its a small town for profit facility. We DO have like exactly 50 employees. So yea, im guessing the fact that there gonna be required to provide us insurance is another reason why they might have to cut back. Its kinda scaring me though, im beginning to wonder what might happen. Right now nursing and CNA work is one place where you are always able to find a job. Is that going to change and all the sudden it will be tough to find places to work because facilities will start cutting down on staff and residents? Where will those residents go anyway?
    I probably just started a political argument, but im really not interested in the bickering between the right and the left right now. The laws been passed and im just wanting to know what we are stuck with. Id like a more non partisan discussion. Unbiased facts. Not looking for blame games like "the liberals are ruining us" or "the redneck conservatives dont know whats good for them". Looking for intellegent responses id rather not anyone bother talking like they do in congress, fox, or msnbc. From my point of view, both sides have good points, but when one side is correct the other side just refuses to recognize this.
    Anyway... tell me what you all think? Whats going to happen to our jobs when it comes to nursing and healthcare?
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  3. 13 Comments so far...

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    Honestly, there is a lot of uncertainty about how the new laws are going to work and also some misinformation being passed around. As a result, there has been a lot of overreaction to the new health care laws, and flippant statements by many managers about being forced to lay off employees, or not hire new ones, as a result of it without them fully understanding it.

    The truth is, no one really knows how all this is going to shake out. As with any new program it will be a work in progress for some time, and there will be adjustments along the way as unintended consequences turn up and are corrected.
    tewdles likes this.
  5. 6
    Quote from roreyn02
    Right now nursing and CNA work is one place where you are always able to find a job.
    In many parts of the country masses of nurses and CNAs have been unemployed since the financial meltdown of 2008. Contrary to popular notions, nursing is not recession-proof.

    Moreover, the Patient Protection and Affordable Care Act (PPACA) does not kick in until 2014. Many big businesses are merely using it as a convenient excuse to cut back.
    ♪♫ in my ♥, Rose_Queen, HouTx, and 3 others like this.
  6. 0
    Why would big businesses want an "excuse to cut back", TheCommuter?
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    All facilities are going to have to make changes, especially if there is legislation that forces business to purchase something, or forces them to do something without being paid (such as mandatory emergency tx regardless of pay). Some of this can be written off as charity, but that only goes so far. Hospitals want to stay in business, so if their costs increase and/or their revenue decreases, different cuts will need to be made. A hospital I was recently at said that in their last quarter they lost 50M corporation wide due to non-paying patients.

    Unfortunately this might mean that patio to staff ratios will increase, and time spent per patient will absolutely be cut.
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    It all comes down to money. Businesses can easily start to hire part time employees only and therefore not have to provide any form of insurance (this includes nursing homes and hospitals). I have been around long enough to know that nursing is not recession proof and that we are expendible in the eyes of our corporation. I would not be surprised if there is a return to the charity hospitals that at one time was dominate in this country.
    NRSKarenRN likes this.
  9. 3
    I agree with Orca.

    This is a big, complicated change. It will take some time before it is all sorted out. Both people and businesses right now are confused and frightened by the change and are reacting and posturing. There may be some difficult times ahead as we all adjust.

    The BEST summation I have read of the ACA is in the following link. It is a clear, thorough, unbiased, and succinct (relatively speaking, it is a big bill) explanation of the ACA:

    CaspianX2 comments on ELI5: What exactly is Obamacare and what did it change?

    Read it, so that you can be more informed about what the bill does and does not do.

    For full disclosure, I support the ACA. I only wish it had included a Public Option as well. As it is, I think it is the most reasonable way to ensure health insurance coverage for the maximum number of citizens within our current for-profit health insurance system.

    A few weeks ago we had a young man (40s) admitted s/p CABG. He'd had stents a few years ago (bad genes!), but could no longer afford his meds. He is a laborer, and supports a large extended family.

    We, as a community, paid for that open-heart surgery. We could have paid for Plavix instead. I know a good deal when i see one.
    tewdles, laborer, and NRSKarenRN like this.
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    Why are the care takers RN LPN CNA SECY and anxillary of the hospital having to take hourly cuts and being sent home early without pay. We break our back for our patients and the bonuses that are paid to the CEO's of "non profit" hospitals are outrageous. One article I ready and these can be found via a google search revealed that one such hospital paid it's CEO $4.2 million in 2011 to celebrate a profitable year and meeting all of its systemwide goals. How is this fair if it is a non profit hospital????? Hey government take note and change the laws SHAME ON YOU for allowing this to happen. What do you all think??
    sneeds likes this.
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    This is where the ANA and it's PAC need to focus their efforts. I strongly feel all nurses should be writing the ANA and their State representative to bring issue with nursing salaries. The dollars floating around healthcare are going in the wrong direction, but Nurses haven't made enough of a stink to create change.
    sneeds likes this.
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    Because they are businesses (which are inherently evil because, in order to remain solvent, must make a profit) and because they can . Until we enact federal laws that prohibit such actions, this reprehensible practice will continue to eviscerate our society.

    We need a (federal) Department of Job Security to ensure that jobs everywhere remain intact. If for nothing else, this must be done for the children.


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