Obama health care law upheld. - Page 14

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  1. Jul 13, '12 by
    You and I agree on a number of things. Yes we do have issues with teen pregnancies, obesity, substance abuse, etc. Where we differ is in consideration of the ACA. I believe that the ACA helps to improve access for those people who currently have limited access to the health system. I also believe that the increased access for routine and preventative care will help us to have a greater impact on the lives of these people.

    I believe that nursing is, in large part, what is missing in the health relationships of patients and they system. Currently, nurses are the health educators for patients, yet, many times the ONLY access that people have to nurses is in the acute care setting. Either because the medical offices do not employ nurses or because the patient does not have a medical home. In the absence of nursing intervention, and ongoing nursing guidance and education about health behaviors and outcomes we will continue to see exponential increases in poor health behaviors in the general population. IMHO

    I certainly do not feel or believe that the ACA is a magic bullet to fix all of our ills, I believe that it is a step in the right direction and forces the country to examine the health processes we have in place with the intent of improving access, affordability, and accountibility. I tend not to be fearful of change, but rather to embrace change as part of the natural progression of things. To me, ACA simply represents a beginning of needed revisions.
    lindarn and herring_RN like this.
  2. Jul 13, '12 by
    I believe that nursing is, in large part, what is missing in the health relationships of patients and they system. Currently, nurses are the health educators for patients, yet, many times the ONLY access that people have to nurses is in the acute care setting. Either because the medical offices do not employ nurses or because the patient does not have a medical home. In the absence of nursing intervention, and ongoing nursing guidance and education about health behaviors and outcomes we will continue to see exponential increases in poor health behaviors in the general population.
    I completely agree with you.

    I tend not to be fearful of change, but rather to embrace change as part of the natural progression of things. To me, ACA simply represents a beginning of needed revisions.

    I actually love change, however, we aren't changing our culture in a positive way. The ACA doesn't change behaviors and if the reimbursements are going to be as low as they are in every other universal health care system (every system pays physicians, NP's and RN's lower even with a COL conversion) that we won't be able to do the wonderful things you stated above. Almost every time insurance reimbursement or Medicare rates go down, hospitals cut staff. In the long run, it will be interesting to see who stays in the new ACA system and who leave and what care will be rationed. Getting back to a point I said before, there is few ideas on what should change, but very little consideration on who is going to pay for it.
  3. Jul 13, '12 by
    well, we are all paying for it now...and it costs us 17% of our GDP. there are better, more efficient ways to provide necessary health care to the citizens of this country.

    there is no "free" care
  4. Jul 13, '12 by
    and about the payments...couldn't agree more...the primary people making big bucks in the health system are the people providing the least amount (if any) actual care to patients. The boat is upside down and we wonder why we can't find our life preservers...
    lindarn likes this.