Obama's health plan takes shape

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Barack Obama's health plan takes shape

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If Congress were to take a vote on a health reform bill today, Democrats and Republicans would find a surprising level of agreement-so much so that the broad outlines of a consensus plan already are taking shape.

Sick or healthy, rich or poor, all Americans would be guaranteed access to health insurance.

In fact, they'd probably be required to purchase it-perhaps through mandates in the law that would include stiff tax penalties for anyone who tried to opt out.

Newly created insurance marketplaces would make finding a plan as easy as shopping for cheap airfare. People could keep their coverage, even if they switched jobs. And they might be able to choose between private insurers and a government-backed plan.

But here's the catch-none of this would come free, with the wealthiest Americans likely to face higher taxes to help pay for coverage for all.

It's hard to believe that only three months ago, health care advocates worried that President Barack Obama would drop the health reform issue from his first-year agenda. Now, with an August deadline to pass a bill, a compromise that once seemed unimaginable is considered quite possible, both sides say.

Specializes in Critical care, tele, Medical-Surgical.

medicare for all (single-payer) reform would be major stimulus for economy with 2.6 million new jobs, $317 billion in business revenue, $100 billion in wages.

a single-payer system could not only solve our healthcare crisis, but also substantially contribute to putting america back to work and assisting the economic recovery.

read the study:

http://www.calnurses.org/research/pdfs/ihsp_sp_economic_study_2009.pdf

Specializes in He who hesitates is probably right....

Of all of the bad alternatives, single payer is the absolute worst.

Specializes in ICU/CCU/TRAUMA/ECMO/BURN/PACU/.
Of all of the bad alternatives, single payer is the absolute worst.

Why?

From my point of view, and, according to the American Association of the Colleges of Nursing,

here are the values that form the cornerstone of professional nursing:

AUTONOMY

HUMAN DIGNITY

INTEGRITY

ALTRUISM

SOCIAL JUSTICE

Americans want: guaranteed access, free choice of doctor or nurse practitioner, high quality, affordability, trust and respect

Canadians get: life expectancy two years longer, infant deaths 25% lower, more MD visits, hospital care, less bureaucracy; universal comprehensive coverage, quality of care equivalent to "insured" Americans', free choice of doctor/hospital, per capita health spending half of US level, access to all medically necessary preventative and restorative health care

Americans get: one third of population uninsured or underinsured, HMOs denying care to millions more with expensive illnesses, death rates higher than any other wealthy nation, costs double Canada, Germany, Sweden's and rising even faster, executives and investors making billions, destruction of the patient/provider relationship, denied admission, delayed treatment, early discharge, poverty/inability to pay prevents them from receiving the benefit of ongoing nursing care, insurers in charge of who gets care, if they get care or meds, instead of professionals

In what way is support of the for-profit insurance industry congruent with those values that are at the core of our profession?

Single payer is fiscally conservative and publicly accountable. It's the most reasonable and responsible health policy. Patients still have the choice to receive their care from any of the existing private or public clinics. The disparities and iniquity would be eliminated and we would have the opportunity to credibly assert that we are indeed one nation, with liberty and justice for all. We're all in this together; we're not just a nation of individuals competing with one another.

The US Govt has mis-managed Medicare/-aid. It is insolvent. Now the Feds are trying to take advantage of the 'economy of scale' by adding all of the US citizenry, creating 'Medicare for All'. Why won't this work? The government chronically mismanages our tax dollars. And why is America so angry about this?? Partly because they realize they will lose the quality of health care they now enjoy, but ALSO because Congress is being disingenuous.

were not all in this together. You have the few paying for the many. We will all be in it otgether when everyone pays their fair share for healthcare coverage. By the way Canadians have a higher death rate from cancer. You can't have low cost and quality without rationing or simply denying procedures period end of discussion!

Why?

From my point of view, and, according to the American Association of the Colleges of Nursing,

here are the values that form the cornerstone of professional nursing:

AUTONOMY

HUMAN DIGNITY

INTEGRITY

ALTRUISM

SOCIAL JUSTICE

Americans want: guaranteed access, free choice of doctor or nurse practitioner, high quality, affordability, trust and respect

Canadians get: life expectancy two years longer, infant deaths 25% lower, more MD visits, hospital care, less bureaucracy; universal comprehensive coverage, quality of care equivalent to "insured" Americans', free choice of doctor/hospital, per capita health spending half of US level, access to all medically necessary preventative and restorative health care

Americans get: one third of population uninsured or underinsured, HMOs denying care to millions more with expensive illnesses, death rates higher than any other wealthy nation, costs double Canada, Germany, Sweden's and rising even faster, executives and investors making billions, destruction of the patient/provider relationship, denied admission, delayed treatment, early discharge, poverty/inability to pay prevents them from receiving the benefit of ongoing nursing care, insurers in charge of who gets care, if they get care or meds, instead of professionals

In what way is support of the for-profit insurance industry congruent with those values that are at the core of our profession?

Single payer is fiscally conservative and publicly accountable. It's the most reasonable and responsible health policy. Patients still have the choice to receive their care from any of the existing private or public clinics. The disparities and iniquity would be eliminated and we would have the opportunity to credibly assert that we are indeed one nation, with liberty and justice for all. We're all in this together; we're not just a nation of individuals competing with one another.

Specializes in burn, geriatric, rehab, wound care, ER.
The US Govt has mis-managed Medicare/-aid. It is insolvent.

The reason Medicare is insolvent is because the Medicare population is full of high-cost users -the disabled and the over 65's.

Expand Medicare to all, dilute the user pool with low-cost users and you will solve the problem.

Alternatively, we could have assisted suicide legislation passed in all 50 states and then we won't need to worry about reforming healthcare at all.

Good one, UKRNinUSA! Nah, I'd don't suppose we need to go down the 'assisted-suicide' route. At least part of Medicare's problem is that anyone over 65 MUST use Medicare as their primary -- even if they have other options. So that's one 'easy' fix. The gov't has been trying to expand Medicare for years --- we need to reverse it and eliminate it.

Specializes in burn, geriatric, rehab, wound care, ER.

Eliminate Medicare? are you serious? Try running for public office on that platform!

If you are going to eliminate good healthcare for people you don't do it outright you run on a good sound bite that fools people easily like maybe Change and Hope. Yeah that one would work great. Kind of like Changing your employment status to unemployed and then HOPING to get a new job before unemployment runs out.

Eliminate Medicare? are you serious? Try running for public office on that platform!
Specializes in burn, geriatric, rehab, wound care, ER.
If you are going to eliminate good healthcare for people you don't do it outright you run on a good sound bite that fools people easily like maybe Change and Hope. Yeah that one would work great. Kind of like Changing your employment status to unemployed and then HOPING to get a new job before unemployment runs out.

Yes indeed -it was a great campaign. Obama won the election with a positive message in juxtaposition to the right who continued with their message of pessimism and paranoia, and lost the election.

YES WE CAN vs. JUST SAY NO -you choose -which mantra is more productive ?

Obama's poll numbers are sinking faster than the titanic, democrats are getting pounded by citizens in their own districts when trying to talk about the health care reform scheme. The smoke and mirrors are starting to wear thin. Reminds me of 1994 when Hillary care cost the democrats the House and Senate.

Yes indeed -it was a great campaign. Obama won the election with a positive message in juxtaposition to the right who continued with their message of pessimism and paranoia, and lost the election.

YES WE CAN vs. JUST SAY NO -you choose -which mantra is more productive ?

Specializes in burn, geriatric, rehab, wound care, ER.
Obama's poll numbers are sinking faster than the titanic, democrats are getting pounded by citizens in their own districts when trying to talk about the health care reform scheme. The smoke and mirrors are starting to wear thin. Reminds me of 1994 when Hillary care cost the democrats the House and Senate.

I wonder who is behind that -perhaps the health insurance company lobbyists that are spending $1.4 million dollars a day against the "scheme"? Hmmmm

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