Obamacare: Should I get out while I still can? - page 2

by TexasAbby 51,267 Views | 55 Comments

Hello :) I didn't know exactly where to ask this, but I am very concerned and need some guidance...I am just about to take prerequisites to get into a BSN program. I would really love to be a nurse! And I have been looking... Read More


  1. 4
    Your brilliant governor just opted out and it is going to hurt hospitals big time. Time to get out? Yeah, of Texas.
  2. 0
    Quote from not.done.yet
    1. There is no nursing shortage. Biggest myth to ever float the media and be believed. Nurses are out of work all over the U.S.

    2. Getting paid pennies on the dollar by Medicaid is more than the big fat nothing we currently get paid to treat the same patient population now that will benefit from this law.

    Some feel this law is expected to help the nursing profession, not hurt it. It is expected to hurt the MD profession. Massachusetts already has a similar law in place and you can look at how nursing is there for an indication of how it may be more widespread across the nation, but the absolute truth of it is nobody knows for sure. You will have to do your own research and come to your own conclusions. Best of luck.
    You are so correct with number 1. I know people in other states that are telling me that some people that they know personally who are BSNs and boards passers, even those with experience who were laid off are settling as CNAs because of the abundance of nurses. too many people are changing their careers into nursing. I used to believe nursing isnt for everyone, but apparently almost everyone has to be one cause of the recession. Darn economy! lol -sigh-

    As for the Obama Care, I also have the same worries as the OP. And one thing I'm also worried about is the legal safety as a healthcare provider. This plan could mean more patients, more annoying patients with bad personality, more workload, more paperwork(charting and whatnot), lesser quality care time, lesser salary, more people looking for errors so they can sue you for money, and more stress.

    But I talked with my professor, and she had nice things to say. She said that with this plan people will be able to go to clinics and private physicians for preventative care which could open new jobs in the preventative healthcare area. And only the ones who really need urgent care will have to go to ERs which could save facilities some money and possibly hire more nurses or other employees for lesser stress.

    I just sounded like I contradicted myself, but, yeeah.... i cant really pick a side.
    But since the plan is final and official, I hope it brings more goodness than it intends.
    Im really trying to avoid taking student loans too. It would suck to graduate and not find a job or get paid so little, meanwhile, my bills are stacking up.

    so yeah... GOOD LUCK to ALL of US!
  3. 1
    Quote from d'cm
    Your brilliant governor just opted out and it is going to hurt hospitals big time. Time to get out? Yeah, of Texas.
    My dear you and residents of other states where governors have *said* they will opt out of "Obamacare" have little to fear in the long run.

    Medicare/Medicaid reductions in reimbursements are going to happen to *ALL* hospitals regardless of what the state does with OC. Healthcare systems/hospitals in states that opt out will be saddled with less funds on one hand, but no access to the other funds such as increased levels of insured and those on Medicaid on the other. Considering the vast wealth and influence physicans and healthcare systems have on politics one way or another ObamaCare will be rolled out nationally.

    Texas in particular has one of the highest levels of uninsured persons in the fifty states. So no matter how much people may hate Obama, they may just swallow all that and take the federal government up on the offer.
    MBARNBSN likes this.
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    [COLOR=#000000][/COLOR][COLOR=#000000]I have read through the posts regarding this topic and Ihave to say that as a nursing student, I have often wondered myself aboutObamacares effects on my career. I worked in a hospital for 2 years as areceptionist and often was responsible for going through the clinicaldocumentation. I witnessed the clinical staff being forced to compromise theircare of the patient because the paperwork had become so extensive. There wasn’tenough time during a shift to complete it all. Often staff would stay late,unpaid in order to complete the required documentation for Medicarereimbursement. I noted their dedication to their patients as they tediouslymilled over paperwork and their dedication to the company. Mostly I noted thatthey feared job loss if the reimbursement cuts continued. I am fearful thatObamacare will impose stringent regulations on many hospitals and doctor’soffices in order to keep reimbursement of medical services low, as they have sovery obviously done with Medicare. With all that said, I see the appeal toObamacare. It is very nice to believe that more will benefit from theimplementation, and ultimately it will drive costs down for taxpayers. Bygiving people access to preventative medicine, routine screenings, and thelike, the hope is that these individuals will no longer need to rely on the ERfor their care. This in theory will save hospitals money. My major concern isthat as a nation of individuals we are giving up our freedom of choice when itcomes to the matter of our health. I watched as the Obama administrationpreached that all women should have the right to choose. I firmly endorse thatposition, but am discouraged by the notion that a panel of elected officials inWashington would ultimately have the power to decide my choice anyway underObamacare. I would love for things to be fair, and I would love to believe inguarantees, but history has proven that there are no guarantees in life. I for seeanother bankrupt federal program on our hands in the future. Medicare isalready threatened by the reality of becoming bankrupt. I ask myself where themoney will come from to pay for all of these federal programs. The answerunfortunately is from our paychecks. If approximately half of our countrydoesn't pay taxes now then how can we expect to maintain the extreme cost ofimplementing such a program? As nurses we will see a decrease in our paybecause our taxes are going to go up. We will also see federal caps on ourwages, if the government starts taking over the hospitals in this country. We willalso see a rise in the unemployment rate as private sector health insurancecompanies are forced to close their doors. Although in theory Obamacare seems verynice, it is a wolf in sheep clothing as far as I'm concerned. It defies theconcept of free enterprise that our country was founded on and threatens thevery principles that we as a nation have held so near and dear to our hearts.Free enterprise is what fosters greatness. It requires individuals to improve,and create, and grow. It is what creates new and better medicine, surgeries,and diagnostic testing. Individuals are motivated by a healthy sense ofcompetition to strive for betterment. Irealize that Obamacare will be the law of the land shortly, but I am afraid.For the first time in my life, I am very afraid of the direction this countryis heading in. I do not see people as being undeserving of great healthcarebased on their socioeconomic status, race, ethnicity, or sexual orientation. Ido not favor discrimination of any person and would be ignorant if I said Idid. I also do not see heath care as a privilege, but as a right. I wanteveryone to have access to great medical care, primary prevention, andscreenings. I believe that is right and good for us as a nation. As healthcareprofessionals we should always promote good health for all. I am afraid becauseI see people eating up the entitlements and not questioning it. I see federalprograms going bankrupt and our country facing a fiscal cliff. I do not want toentrust the federal government to take control of my healthcare with that trackrecord. I believe there is a better solution to our problem. At a state level,I believe that we should start making implementations like the ones we saw takeplace in Massachusetts. On a local level, that state has been able to provide stellarhealthcare to its residents. It allows options for every individual, andfreedom of choice is imperative when it comes to matters of health. There isnot a one size fits all when it comes to healthcare coverage. This is myopinion and it is based on the historical failure of federal programs. I do notsee Obamacare offering our nation a way to better itself and I do not for seeit being a good long term solution to our healthcare problems.[/COLOR]
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    RetRN77 and vintagemother like this.
  5. 6
    So Amanda, to summarize your position: you believe in all the things Obamacare is about, you just don't want to have to pay for it.
  6. 5
    Quote from TexasAbby
    I know Medicaid is very slow to pay and doesn't reimburse doctors/hospitals much of the actual cost, so won't that trickle down to nurses' pay?...Also, the nursing shortage we have ALREADY is bad enough..so won't Obama's new law just make the problem that much worse by adding more people to a system that already desperately needs more nurses?. I'm also concerned that the quality of care will suffer as well (for the patients).. I really need advice on this...I want to be a nurse, but the uncertainty and the possibility of more work with less pay is not at all attractive...its scary!
    So my question is this: Should I go ahead with my plans to go to nursing school despite the unsure future? Or should I get out and find a new rewarding career path to take while I still can? Maybe I can wait awhile to see how things play out first?
    There 2 bolded sections of your posts are red flags to me.
    1. If you think it's a bad thing that more people will have access to healthcare, you may not make the best patient advocate as a nurse.
    2. If what you're paid/financial security is a huge factor in determining your career choice, nursing is likely the wrong career path.
    Just reflect on your reasons for choosing nursing; it may or may not be for you. Realize that few career paths come with the guarantee of job/financial security at the moment.
  7. 0
    Quote from mariebailey
    There 2 bolded sections of your posts are red flags to me.
    1. If you think it's a bad thing that more people will have access to healthcare, you may not make the best patient advocate as a nurse.
    2. If what you're paid/financial security is a huge factor in determining your career choice, nursing is likely the wrong career path.
    Just reflect on your reasons for choosing nursing; it may or may not be for you. Realize that few career paths come with the guarantee of job/financial security at the moment.
    Would nursing be the wrong career path because you think it will not provide financial security in the future? That is a concern of mine too. WHy do you think that? I don't know, but would like to know what others think.

    You are correct, many jobs do not have gurantees of security. But some are better then others. If you have reasons that nursing is or is not one of the better careers in terms of security, help us out and let us know!

    I don't think the poster said that more people having access to healthcare was bad thing. She simply has concerns about Obamacare. I do as well, and I am a great patient advocate.

    There are some of us who believe that insurance for more people (Obamacare) does not equal better quality of or better access to healthcare.
  8. 0
    Quote from SC_RNDude
    Would nursing be the wrong career path because you think it will not provide financial security in the future? That is a concern of mine too. WHy do you think that? I don't know, but would like to know what others think.

    You are correct, many jobs do not have gurantees of security. But some are better then others. If you have reasons that nursing is or is not one of the better careers in terms of security, help us out and let us know!

    I don't think the poster said that more people having access to healthcare was bad thing. She simply has concerns about Obamacare. I do as well, and I am a great patient advocate.

    There are some of us who believe that insurance for more people (Obamacare) does not equal better quality of or better access to healthcare.
    SC_RNDude, I know your reservations a/b Obamacare. I thought we agreed see how it all plays out (as if it was optional). Those of us who believe in the potential of Obamacare to provide access to care without compromising quality are free to post, so here I am. For the OP, Here's an ANA document put out that outlines the potential impact of the ACA on the nursing workforce. It doesn't address salaries, but it does address quality, the expanding size of the workforce through grants/scholarships, & educational opportunities for nurses.Single Sign On
  9. 0
    Quote from mariebailey
    SC_RNDude, I know your reservations a/b Obamacare. I thought we agreed see how it all plays out (as if it was optional). Those of us who believe in the potential of Obamacare to provide access to care without compromising quality are free to post, so here I am. For the OP, Here's an ANA document put out that outlines the potential impact of the ACA on the nursing workforce. It doesn't address salaries, but it does address quality, the expanding size of the workforce through grants/scholarships, & educational opportunities for nurses.Single Sign On
    You career advice implied that if you are unsure about Obamacare then you won't make a very good nurse. As you are free do to so, I am also free to say you are wrong.

    I was sincere when I asked you about your opinion on pay and financial security for nurses in the future as that is a concern of mine for which I don't really have an opinion on yet. Maybe I misunderstood your statement. What do you mean when you say, "if what you are paid/financial security is a huge factor in determining your career choice, nursing likely is the wrong career path"?
  10. 0
    Quote from SC_RNDude
    You career advice implied that if you are unsure about Obamacare then you won't make a very good nurse. As you are free do to so, I am also free to say you are wrong.

    I was sincere when I asked you about your opinion on pay and financial security for nurses in the future as that is a concern of mine for which I don't really have an opinion on yet. Maybe I misunderstood your statement. What do you mean when you say, "if what you are paid/financial security is a huge factor in determining your career choice, nursing likely is the wrong career path"?
    Regarding your first statement - NO, that is not what I stated. Nurses advocate for their patients, so I do have a hard time understanding why a nurse or aspiring nurse would be opposed to legislation that would allow more access to primary & preventive services and prevent denial of coverage d/t pre-existing conditions, among other perks. Regarding the quote at the end: nursing is hard work; many of us work long hours under stressful conditions. Burnout potential is high if you like the job/financial security but dislike the nursing aspect of nursing. That is worth considering.


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