Obamacare - page 3

How exactly does it affect nurses? I've heard there are shortages of nurses all across the country, particularly the West coast. And was wondering if those shortages are due to the recent news about Obamacare. Nurses are... Read More

  1. 6
    Quote from SC_RNDude
    You mean like insurance companies increasing their rates and hospitals piling on more for nurses to do, with fewer of them. Those are just two ways off the top of my head that I can think in which they will adjust.

    I know your comment was directed toward the evil corporations involved directly with healthcare. But, to your point, corporations everywhere will have to adjust and they have started already. They will hire more part-time vs full-time workers to avoid providing insurance and paying the fine. Or they may decide paying the fine is cheaper and just won't bother with health insurance. Maybe they'll still offer health insurance but will compensate for that with employ fewer people or not pay as much.

    I know some folks like to stick it to corporations, but who pays for that in the end?

    And, I agree that health insurance companies shouldn't be managing our healthcare, and our healthcare coverage shouldn't be tied to our employment. Obamacare doesn't address those issues however. At least not in an direct, efficient, and beneficial way.
    You make good points and I couldn't agree more that ACA doesn't adequately address a number of issues. At least it is a start, a movement away from the current system that is not sustainable.

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  2. 1
    Quote from ChristineN
    You do realize "Obamacare" doesn't really go into full affect until 2014. As a RN and a current NP student I believe that government healthcare will increase the amount of Americans seeking healthcare in all settings. NP's and other primary care providers are going to be in very high demand because right now most uninsured patients are not able to afford to utilize primary care. Hospitals will also see an influx of the formerly uninsured coming in for elective procedures they could not previously afford. Overall, I believe job prospects will increase because of Obamacare
    great post!

    and no, most people don't realize the bulk of Obamacare, or the ACA hasn't gone fully into effect yet.
    laborer likes this.
  3. 6
    //"You mean like insurance companies increasing their rates and hospitals piling on more for nurses to do, with fewer of them. Those are just two ways off the top of my head that I can think in which they will adjust."//



    You say that like this is something 'new'
    or somehow related to Obamacare or PPACA, whichever term you want to use. You say that like we all haven't already been footing the bill for the uninsured patients all along, for decades, paying ever increasing insurance rates, every increasing healthcare costs,
    by having our rates, our costs for each item, jacked up,
    and what is covered, and our deductibles, reduced, a bit more and more year by year by year,
    to help cover those patients who have no insurance.


    This is not new...it's been a snowball rolling down on us for eons and eons, a bit more each and every year. Hopefully, with more people BEING covered, the price the rest of us pay, could be reduced,
    but, in a "for profit" healthcare system, we might not be sure the profiteers will reduce their own profit margins at all.
    Last edit by somenurse on Jan 20, '13
    malamud69, KelRN215, Pranqster, and 3 others like this.
  4. 2
    Quote from tewdles
    I certainly know of a few people who will seek medical intervention for problems that they have not had coverage for...

    a torn rotator cuff, a torn meniscus are examples of needs that people put off until they have insurance to help them pay for the interventions (surgery)...until then they struggle with pain and functional losses.

    yes, most people do see Obamacare (or the PPACA) will increase business, will increase the patient census with more who actually are having their bills covered (as opposed to having their bills just 'eaten' by the hospital)
    herring_RN and laborer like this.
  5. 0
    I personally dont have a great feeling about the new Healthcare. No one seemed to KNOW what was really going on with this hugh packet of papers. If there are more people that will rush to healthcare facilities in the future due to this, what kind of scenario do we face as healthcare professionals? I hear less and less people are becoming doctors also. If the previously sick and injured werent cared for properly before then they will blast through the medical doors with a vengeness to have those problems taken care of. I may be jumping the gun here but I dont think America has the capacity of nurses, docs, EMTS, paramedics to handle this incredible load.
  6. 7
    Quote from lumbarpain
    I personally dont have a great feeling about the new Healthcare. No one seemed to KNOW what was really going on with this hugh packet of papers. If there are more people that will rush to healthcare facilities in the future due to this, what kind of scenario do we face as healthcare professionals? I hear less and less people are becoming doctors also. If the previously sick and injured werent cared for properly before then they will blast through the medical doors with a vengeness to have those problems taken care of. I may be jumping the gun here but I dont think America has the capacity of nurses, docs, EMTS, paramedics to handle this incredible load.
    Don't you think it is kind of sad that people have this image of vast numbers of citizens flocking into MD offices and hospitals all over the country once they have access to health coverage.

    ...vast numbers of American's without access to health coverage...sigh
  7. 0
    Quote from tewdles
    Don't you think it is kind of sad that people have this image of vast numbers of citizens flocking into MD offices and hospitals all over the country once they have access to health coverage.

    ...vast numbers of American's without access to health coverage...sigh
    nOW, Tewdles, usually i much admire how your brain works,
    but, on this, come on,
    think about it,
    instead of creating the possibility of increased need for healthcare jobs,
    wouldn't it be better to just keep all those who need healthcare coverage out of the system?

    so what if many studies say the number of deaths
    due to lack of ability to pay for our ever increasing healthcare/lack of insurance,
    in the USA
    is 45,000 or more? each and every year!!

    Just let 'em walk it off, don't rock the boat here...cuz the census in so many of our 'for profit' hospitals is.......oh wait, yeah, it is often down, isn't it?
    and many of those in the beds, there on emergencies,
    have zero coverage, which usually ends up meaning
    the hospital will eat that cost, (less ca$h for the hospitals to pay nurses with..)
    or the other patient will end up being charged MORE for his healthcare, to help spread around the financial loss.
  8. 4
    Quote from Jean Marie46514
    nOW, Tewdles, usually i much admire how your brain works,
    but, on this, come on,
    think about it,
    instead of creating the possibility of increased need for healthcare jobs,
    wouldn't it be better to just keep all those who need healthcare coverage out of the system?

    so what if many studies say the number of deaths
    due to lack of ability to pay for our ever increasing healthcare/lack of insurance,
    in the USA
    is 45,000 or more? each and every year!!

    Just let 'em walk it off, don't rock the boat here...cuz the census in so many of our 'for profit' hospitals is.......oh wait, yeah, it is often down, isn't it?
    and many of those in the beds, there on emergencies,
    have zero coverage, which usually ends up meaning
    the hospital will eat that cost, (less ca$h for the hospitals to pay nurses with..)
    or the other patient will end up being charged MORE for his healthcare, to help spread around the financial loss.
    Upon rereading my post I realize that my point was implied but not clear.
    I love your sarcasm, I try to use it occasionally...usually with bad results. LOL

    We absolutely need to have universal health care coverage in this country, IMHO.
    I am more sad about the number of people who have inadequate health insurance and therefore inadequate health care. My prayer is that ACA will have more benefit than not.

    It does seem that many hospitals are experiencing financial challenges and many are far from full of patients. The hay days of the '70s and '80s for the hospitals are long gone. Shoot, some nonprofit hospitals engaged in all sort of real estate acquisition and construction projects because they were making so much money they had to do something with it.

    Things are different now. Hospitals MUST adjust. They cannot afford millionaire CEOs anymore...but they CAN afford adequate nurses.

    There has been so much fear spread about the ACA and there are so many people who have VERY strong feelings about it that there will be reactions as well as responses to the changes. I am sorry that my peers are worried about their jobs as ACA unfolds.

    I hope that nurses stand strong on the abundant evidence demonstrating that cuts in costs must not negatively impact nurse/patient interaction time or patient outcomes WILL be affected.
    KelRN215, Genista, herring_RN, and 1 other like this.
  9. 1
    Tewdles, i DID fully grasp your point, i immediately understood your point.
    my reply was not clear, sorry.

    speaking of unclear posts by me,
    i made a mistake here, in reply #22, too

    //"by having our rates, our costs for each item, jacked up,
    and what is covered, and our deductibles, reduced, a bit more and more year by year by year,
    to help cover those patients who have no insurance."//

    i MEANT to say this:

    //"by having our rates, our costs for each item, jacked up,
    and what is covered, reduced, and our deductibles, increased, a bit more and more year by year by year,
    to help cover those patients who have no insurance."//
    Last edit by somenurse on Jan 24, '13
    tewdles likes this.
  10. 0
    Quote from Jean Marie46514
    nOW, Tewdles, usually i much admire how your brain works,
    but, on this, come on,
    think about it,
    instead of creating the possibility of increased need for healthcare jobs,
    wouldn't it be better to just keep all those who need healthcare coverage out of the system?

    so what if many studies say the number of deaths
    due to lack of ability to pay for our ever increasing healthcare/lack of insurance,
    in the USA
    is 45,000 or more? each and every year!!

    Just let 'em walk it off, don't rock the boat here...cuz the census in so many of our 'for profit' hospitals is.......oh wait, yeah, it is often down, isn't it?
    and many of those in the beds, there on emergencies,
    have zero coverage, which usually ends up meaning
    the hospital will eat that cost, (less ca$h for the hospitals to pay nurses with..)
    or the other patient will end up being charged MORE for his healthcare, to help spread around the financial loss.
    Many studies? I know of one that says 45,000 and another that says it's about half that. And then there is this one that says that those two are flawed and that lack of insurance doesn't cause ANY additional death.

    "Richard Kronick, chief of the Division of Health Care Services at the Department of Family and Preventative Medicine at the University of California at San Diego examined the IOM’s findings in a paper published in April 2009.

    Kronick, a senior health care policy adviser in President Bill Clinton’s administration, found that after adjusting for demographic and health factors - such as whether uninsured respondents were smokers and how they rated their own health - the uninsured were at no greater risk of dying earlier than people who had employer-sponsored group insurance.

    Kronick pointed out in his paper that even he considers findings "counterintuitive." He suggested that uninsured people are being caught in the social safety net of public hospitals and community clinics before they they die prematurely.

    PolitiFact, in an August, 2009 story, spoke to a range of experts from the left-leaning Brookings Institute to the conservative Heritage Foundation, who said they found Kronick’s results credible."

    PolitiFact | Do people without health insurance die sooner?


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