Obamacare: are you for it, against it, or unsure? | allnurses

Obamacare: are you for it, against it, or unsure?

  1. 1 I am just curious how the nurses on here feel about it. What is your vote? Do you think obamacare will be good or bad for our country? How will it affect nurses?
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  2. 28 Comments

  3. Visit  BlueDevil,DNP profile page
    #1 11
    It is the Affordable Care Act, and in my opinion it doesn't go nearly far enough. I support it only because it is better than the alternative, not because I think it is wonderful. It still allows for too much waste and doesn't cover enough preventive care. I believe we need true, single payer, government run socialized medicine in this country. Medicare in it's current form needs to be abolished. I believe unnecessary QALY improvement issues should be paid for out of the patient's pocket.

    No one should be entitled to elective procedures such joint replacements or extraordinary measures like transplants unless they can pay for it, but everyone should be entitled to free preventive and emergency care at no charge. The affordable care act offers none of these things. France has the best model, and we should be emulating them for improvements in expenditure and outcomes.
  4. Visit  Asystole RN profile page
    #2 7
    I am generally against the PPACA.

    For one, I believe that health coverage should be a state issue, not a federal issue. I firmly believe in Article 1, Section 8. I do not know why people in Arizona should dictate their health coverage to people in North Dakota, or visa versa. Allow the states to decide their level of coverage.

    Secondly, I do not believe that the federal government should dictate the terms of how Medicaid should be implemented, again I believe that individual states should decide what is best for themselves.

    Thirdly, I am not a big fan of the third party payment system. I believe that, preferably states to provide if they so desire, a voucher system should be enacted instead of the third party payment system. If healthcare payments were all routed through the patient, and costs were identified upfront, I firmly believe that the consumer discretion would provide the quality improvement incentives that the VBP program is attempting to artificially create.
  5. Visit  sapphire18 profile page
    #3 5
    I believe healthcare is a right, not a privilege, so yes- I am very much for the Affordable Care Act. Not sure how it will really affect nurses, though.
  6. Visit  amygarside profile page
    #4 3
    Not sure how it's going to affect nurses, but I am for it because it's best alternative so far. Hopefully, the government comes up with a much better one in the near future.
  7. Visit  brandy1017 profile page
    #5 1
    I wish we all had national healthcare like the rest of the modern world does. I don't understand how we can have the richest people in the world and yet we only have healthcare if we are lucky enough to get it at work or a govt program. It will force insurance companies to insure people they have refused before, but will people be able to afford the rates. On top of that so many of us are stuck with crappy insurance plans that steal thousands out of our pocket each year if we have the misfortune to get sick or have a chronic illness! I really don't know how families pay for family coverage and the ridiculous spousal charge and thousands out of pocket, usually twice as much as single coverage. No wonder so many bankruptcies are tied to medical bills! Then they wonder why people aren't saving for retirement, with what, all the money goes for medical, dental bills and the raises are pathetic. They are raising out of pockets another $1,000 this upcoming year for single coverage and any copays don't count to the maximum. They have high deductible plans but they don't pay for anything from prescriptions to doctors visits till the deductible is paid and we all know how insane prescription prices are since the govt refuses price controls and the pharmaceutical companies know anything goes in America. The rest of the world is smart enough to limit the pharmaceutical companies that way it is so much cheaper to get meds from Canada! No one is dealing with healthcare cost and inflation, instead the companies just require workers to pay thousands more out of pocket and too bad for them if they get sick and can't afford it!
  8. Visit  SC_RNDude profile page
    #6 4
    Quote from Asystole RN
    I am generally against the PPACA.

    For one, I believe that health coverage should be a state issue, not a federal issue. I firmly believe in Article 1, Section 8. I do not know why people in Arizona should dictate their health coverage to people in North Dakota, or visa versa. Allow the states to decide their level of coverage.

    Secondly, I do not believe that the federal government should dictate the terms of how Medicaid should be implemented, again I believe that individual states should decide what is best for themselves.

    Thirdly, I am not a big fan of the third party payment system. I believe that, preferably states to provide if they so desire, a voucher system should be enacted instead of the third party payment system. If healthcare payments were all routed through the patient, and costs were identified upfront, I firmly believe that the consumer discretion would provide the quality improvement incentives that the VBP program is attempting to artificially create.
    Yes. When a third party is paying, the consumer has less interest in looking for the best value in care, and providers have less incentive to provide the best quality and value possible.

    If the consumer is in charge of where the payment goes, the competition created would encourage quality, innovation, and value.
  9. Visit  SC_RNDude profile page
    #7 0
    Quote from amygarside
    Not sure how it's going to affect nurses, but I am for it because it's best alternative so far. Hopefully, the government comes up with a much better one in the near future.
    You may be right. If you would, help me out and give me one of the alternatives it is better then, and why?
  10. Visit  uRNmyway profile page
    #8 9
    Well I come from Quebec, where they have socialized healthcare. I worked as an RN there for almost 3 years, and hated the way things are run. When you don't pay out of pocket for anything, you don't know how much things cost, and you abuse the system. To ER nurses out there: Who abuses the ER more? Who tends to go in for broken nails and the sniffles? Is it the private pay, those with poor coverage from their insurance providers, or those covered by Medicare/Medicaid? Of course, I realize that there is no catch/all. Not everyone on Medicare/Medicaid abuses. But it is more likely that there will be useless visits or hospital stays if you have to cover some of the cost. You have more incentive to do things that will make your health better, to try every other thing before rushing to the hospital.
    And yes, I realize that some people don't go even when they need to, because they can't afford it. My fiance is currently one of those, and I have been working on getting him to go get checked out for a while for a recurring pain we can't explain. I would rather make payment arrangements with a hospital to get him the care required than deal with having to pay funeral expenses.
    And it drives me nuts when people think that it will cost them less for healthcare this way. Where do people think the money will come from for all this? Maybe taxes won't go up right away, especially not before elections. That would probably be the nail in the coffin of the Obama campaign. But they will have to go up eventually, probably sooner rather than later. After all, if Obama gets re-elected, what does he have to lose by doing things that would be unpopular with the general masses? Its not like he has to be careful to stay in power. In Quebec, just federal and provincial income taxes add up to around 45% of salary.

    Now as far as nursing in this environment. When the hospital and doctors/clinics make less money, they can afford to do less. Doctors will either leave the country, or will limit treatments and all. Why do you think most clinics will only take so many Medicare/Medicaid patients? Because they already barely make pennies on the dollar of profits for those patients. So with less profits, you get less staffing, less functioning equipment, less pay increases. Forget those beautiful renovations. Those fancy gadgets, computers, palm pilots? A thing of the past when there is no longer money to pay for them.

    Insurance costs for the general masses will also most likely increase if insurance providers can no longer refuse people with pre-existing conditions. Their purpose is to make a profit. If they have to pay out more for people who are frequently hospitalized, then the prices for everyone will have to go up.

    Anyways, I know a lot of people don't agree with me about this. This is just what I have seen from living in a country with socialized healthcare. I understand that Quebec specifically has a bad reputation for corruption. And I hope that it works out better here than there. But honestly, if I start to see those tell-tale signs I witnessed back home, I might just have to look into nursing in the UK or something....
  11. Visit  uRNmyway profile page
    #9 4
    To ER nurses out there: Who abuses the ER more? Who tends to go in for broken nails and the sniffles? Is it the private pay, those with poor coverage from their insurance providers, or those covered by Medicare/Medicaid? Of course, I realize that there is no catch all. Not everyone on Medicare/Medicaid abuses. But it is less likely that there will be useless visits or hospital stays if you have to cover some of the cost. You have more incentive to do things that will make your health better, to try every other thing before rushing to the hospital.
    And yes, I realize that some people don't go even when they need to, because they can't afford it. My fiance is currently one of those, and I have been working on getting him to go get checked out for a while for a recurring pain we can't explain. I would rather make payment arrangements with a hospital to get him the care required than deal with having to pay funeral expenses.
    And it drives me nuts when people think that it will cost them less for healthcare this way. Where do people think the money will come from for all this? Maybe taxes won't go up right away, especially not before elections. That would probably be the nail in the coffin of the Obama campaign. But they will have to go up eventually, probably sooner rather than later. After all, if Obama gets re-elected, what does he have to lose by doing things that would be unpopular with the general masses? Its not like he has to be careful to stay in power. In Quebec, just federal and provincial income taxes add up to around 45% of salary. And why are taxes so high? Other than corruption, its to pay for all the socialized services provided by the government.

    Now as far as nursing in this environment. When the hospital and doctors/clinics make less money, they can afford to do less. Doctors will either leave the country, or will limit treatments and all. Why do you think most clinics will only take so many Medicare/Medicaid patients? Because they already barely make pennies on the dollar of profits for those patients. So with less profits, you get less staffing, less functioning equipment, less pay increases. Forget those beautiful renovations. Those fancy gadgets, computers, palm pilots? A thing of the past when there is no longer money to pay for them.

    Insurance costs for the general masses will also most likely increase if insurance providers can no longer refuse people with pre-existing conditions. Their purpose is to make a profit. If they have to pay out more for people who are frequently hospitalized, then the prices for everyone will have to go up.

    Anyways, I know a lot of people don't agree with me about this. This is just what I have seen from living in a country with socialized healthcare. I understand that Quebec specifically has a bad reputation for corruption. And I hope that it works out better here than there. But honestly, if I start to see those tell-tale signs I witnessed back home, I might just have to look into nursing in the UK or something....[/QUOTE]
    Oh, and there is also a thread on here about customer satisfaction scores determining repayment from Medicare under the ACA. Anything under an 8/10, and you get no reimbursement for services rendered. Scary thought...
    Last edit by uRNmyway on Sep 10, '12 : Reason: Sorry, just wanted to correct some stuff but for some reason couldn't edit my previous post.
  12. Visit  chaka_1709 profile page
    #10 0
    I'm for it as long as we follow a model that works in other countries that have socialized healthcare. Question for Jewels... you do know that UK (and pretty much every modern nation) has socialized healthcare too right? So by hypothetically moving there is it because their system is better or you didn't know it was socialized?
  13. Visit  malestunurse profile page
    #11 0
    Quote from chaka_1709
    I'm for it as long as we follow a model that works in other countries that have socialized healthcare. Question for Jewels... you do know that UK (and pretty much every modern nation) has socialized healthcare too right? So by hypothetically moving there is it because their system is better or you didn't know it was socialized?
    The NHS is faaaar from perfect, terrible system and full of holes. Still better than the largely privatized system of America though.
  14. Visit  SweettartRN profile page
    Totally 100% against anything that taxes, or threatens Americans with jail if they don't wish to spend their hard-earned money on something that they don't agree with, believe in, or want. We live in a free society for a reason. If you want socialism or communism, go somewhere else. I prefer what little bit of freedom I have left.

    I also do not believe that the IRS, a government entity that currently can not run itself, should be monitoring whether or not people have insurance. They already have too much un-constitutionalized power as it is.

    While I love being a nurse, I did not become a nurse to make $10 an hour, which is what is estimated may happen if this law is allowed to go through.

    I do not believe that a 25 year old grown man or woman should be able to hang on mom and dad's apron strings for health insurance either. When I turned 18, I had a full time job with full benefits, and I believe that's how it should be- when you're 18, you're an adult and should be treated as such. I do not have much hope for the future of young people who have been molly-coddled and have no personal accountability or responsibility these days and it sickens me.

    I am against anything that tells religious organizations in this country that they have to go against their faith and beliefs and bow down to what the government says, when we are given the right to worship and practice that worship as we please.

    I am against this law because the members of our congress, and many big buddies of the Obama administration have been given "get out of jail free" passes on having to follow this law. If it's "good enough" for the American people, why is it not good enough for them? That's completely unacceptable.

    I could go on and on and on, but you get the picture. I am still shocked that Supreme Court let it stand. I felt very betrayed as an American citizen that day, as I was sure it would be declared unconstitutional.

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