An RN's thoughts on the health care law - page 3
by RN4MERCY 12,766 Views | 68 Comments
I've been following the debate about the health care law and it seems like most commenters are totally for it or adamantly against it. I've been watching my family, friends, and patients face bad choices and rationed health ... Read More
- 3Jul 4, '12 by qdiva411Please don't generalize the "55%" that don't pay taxes. No one knows every story. I haven't worked in 2 years because I'm a single mother and I was in college through a program that assists us in getting our degree. (Family Scholar House, look it up). I am now a registerd nurse working at a large hospital in my community. Im pursuing a BSN (which the hospital is helping pay for) and I pay taxes AND have health insurance now. Bam! Out of the 55%! Of course there will be loopholes. Like any other system (welfare for example, which im saying goodbye to) there is the potential for abuse. I think there are other ways to fix some of these issues. I am choosing to keep an open mind and although I an a nurse, my second passion is the fight to end poverty. A fight that will aid in bringing our country back to where we want it. The more people we can get into the professional world, the lesser the strain on our money, yes? We're not all "dead-beats." Excuse me while I dive off my soapbox! =)
- 0Jul 4, '12 by grubb250How is paying all the doctors the same amount going to help the health care system?? I must say that most people that can't afford health insurance get a tax refund of 5000 every year at least.I want to know how this will affect nurses? Please answer that, not just give your feelings....
- 2Jul 4, '12 by qdiva411What does a 5000 tax return have to do with what physicians get paid? I'm not seeing a correlation.The first few posts clarify a lot. There are still a lot of unanswered questions related to these changes. No one can answer as to how a certain career field will be affected because no one knows. There are too many variables to make a prediction. Stay involved in your community and you'll find out.
- 6Jul 4, '12 by wildbooTHAT is what "assistance" is for - to assist you to get off of welfare. Most people who go to college receive some form of assistance. The difference is, we are required to pay it back. I also paid for nursing school - through my JOB. That was one of the benefits of working there. I too, come from a single parent home, and a mother who worked 3 jobs so we were never on welfare. I also spent most of my 20s without health insurance, even though I had a job. I just paid cash for my appointments and meds if needed. Don't think it didn't kill me to pay $100 for PenVK, because it did. I didn't buy groceries that month. What I resent is the fact that I have 3 degrees (for which I paid and am still paying) and still have to work 3 jobs (to pay for my education and just to live) and and able bodied 25 y/o gets to benefit with his medical, rent, food, cell phone (yes, they get them free now) and I (and everyone else who has a J O B pays for it. You, my friend, are in the minority I'm afraid. You have pride and drive, and many of these people don't. And when you work in the ER and see your medicaid pt with their bedazzled cell phone and their mani/pedis with the fake nails on their toes, and you're working your 5th 12 in a row, you'll get a little resentful too. I believe in society taking care of their elderly, infirm and those who truly cannot fend for themselves, and there are scores out there. I also believe what God said in 2 Thessalonians 3:10 "If a man does not work, neither shall he eat." Not true for those unable, SO true when I hear you talking about how you spend $300 on your Coach purse and you pull out a medicaid card!
- 4Jul 4, '12 by wildbooPaying doctors the same amount doesn't help, it hurts. Doctors will leave practice, and people will become generalists instead of specialists, which hurts all of us. Tell me, when you have chest pain or are in labor, do you go to a podiatrist? Of course not. If you had to go to med school and then 10 years of surgical training to be a cardiothrocic surgeon amd earn $100,000, or go to medical school and 3 years of training to be a family practitioner and earn a $100,000 which would you choose? Assuming you're a nurse, would you work your butt off to go through nursing school, clinicals, boards and assuming the legal responsibility that you do if you and the CNA or the housekeeper made the same $7/hr? Absurd? Well, so is paying each doctor regardless of training, speciality or liability. OB and ER docs have some of the highest malpractice insurance (our ER doc pays over $100,000 year for his) and OB is even higher. Podiatry probably has some of the lowest. Why would I assume the same risk for so much less reward? What starts with docs will filter to nurses. Also, when docs leave, why do you need nurses? No clinic, no nurse. If nursing starts to pay that way, I'm out. Presumably you go into nursing not just to help people, but as a career move, better pay. I like my job, but I have to eat too.
- 2Jul 5, '12 by qdiva411I see. I had not thought if it that way. Thank you for clarifying!! That's the kind of abuse that tax payers DON'T want to pay for, nor do I. I had heard a rumor that if things head that way, physicians would leave their practices, as would I. I would hope physicians would fight such a concept. Do you think nursing would shift from majority bedside care to more claims and insurance?
- 1Jul 5, '12 by wildbooHonestly, I don't know. Possibly in clinics. MDs in clinics have reams of paperwork that they do every day just to deal with insurance issues. One thing that has started changing in med schools is the addition of business classes. There used to be little need for those types of skills, as office managers dealt with the day-to-day running of things. Now doctors must deal with many aspects of insurance and billing. I work (and have always worked) in a hospital, so that's a good question. I would think that would be impractical. But, in dialysis clinics I have covered, RNs do coding and billing as part of their daily charting, so, who knows. As of yet, I haven't seen any shift, but then these big changes are just getting started, so who knows what extra "duties as assigned" will be given to us? Maybe billing and coding will be part of the RN pre-reqs!
- 2Jul 5, '12 by withasmilelpnIt bothers me that some practioners would drop patients if Medicare reimbursements are lower. Thank goodness for those that choose to serve communities. When my husband and I didn't have health insurance for a short (bad) time - my OB GYN made it clear that she would work with me. Another time in our lives, free clinics are what helped us through when we were traveling because of my husband's job. We paid based on what we made. (Had insurance but found out the hard way we weren't covered out of the state we had purchased it in for anything other than Emergency care.)
I realize health care is a business, we all need to eat, but it's also caring for people. Even lawyers provide Pro Bono work.
I guess most likely it will be the Free Clinics that will end up accepting those medicare patients.