Poverty Is Hazardous to Your Health - page 27

The patient, mother of a month-old baby, was crying on the phone because for the past two days she had been tormented by head lice (Pediculosis capitis, if you really want to know). A simple problem,... Read More

  1. by   HM2VikingRN
    The trustees are getting it wrong:


    Starting in 2004, the trustees began basing their estimate of future productivity on the simple average of productivity growth during the last four complete business cycles, covering the years 1966 to 2000. While looking at complete business cycles is defensible (productivity varies a lot depending on where the economy is in the cycle), focusing exclusively on the past four seems rather arbitrary. The middle two cycles in their calculation -- the '70s and the '80s -- saw dismal productivity growth of 1.2 percent and 1.3 percent per year, respectively, driving the trustees' pessimistic forecast of 1.6 percent for the future. Had they instead used, say, the simple average of productivity growth over the past 10, 20, 30, 40, or 50 years, they would have come up with a higher estimate. Had they used the simple average of all complete business cycles since 1947, they would have come up with a higher average. In short, based on past economic history, the trustees' numbers look far too pessimistic.
    http://prospect.org/cs/articles?article=sunny_forecast
  2. by   BlueRidgeHomeRN
    Quote from ingelein
    give an example of futile expensive care, are you referring to the preemie benefit, or benefits for kids in poverty, just a clarification please, i am not trying to infer anything, truly.
    [font=book antiqua]jmho-intensive therapies on the 24 week [gestation]and under crowd, chemo and radiation (except palliative) for folks with multiple mets of an aggressive cancer, ltc for a brain dead trauma victim...essentially expensive and invasive therapies with minimal to no chance of meaningful recovery. and yes..i am a dnr, even though i am, to the best of my knowledge, in perfect health at the moment. we don't know when to say when, or are afraid to do so because someone might sue.
    [font=book antiqua]
    [font=book antiqua]although you and i will always be poles apart on funding sources and care for able bodied adults, i could never condone child (or elder) neglect.
    [font=book antiqua]
    [font=book antiqua]doesn't include current types of care ( tanif, some ssdi dx's alluded to yesterday) that allow the momma to live the high life while the children are viewed as income sources, not precious lives to be nurtured. wish i didn't see it up close and personal every day, but i do, and it frosts my tailfeathers. i didn't forget about "fathers", there aren't any, just sperm donors.....
  3. by   Simplepleasures
    Quote from blueridgehomern
    [font=book antiqua]jmho-intensive therapies on the 24 week [gestation]and under crowd, chemo and radiation (except palliative) for folks with multiple mets of an aggressive cancer, ltc for a brain dead trauma victim...essentially expensive and invasive therapies with minimal to no chance of meaningful recovery. and yes..i am a dnr, even though i am, to the best of my knowledge, in perfect health at the moment. we don't know when to say when, or are afraid to do so because someone might sue.
    we agree here.
    although you and i will always be poles apart on funding sources and care for able bodied adults, i could never condone child (or elder) neglect.
    able bodied persons should not be getting ssdi or ssi, there are abuses of the system as we said yesterday.
    [font=book antiqua]doesn't include current types of care ( tanif, some ssdi dx's alluded to yesterday) that allow the momma to live the high life while the children are viewed as income sources, not precious lives to be nurtured. wish i didn't see it up close and personal every day, but i do, and it frosts my tailfeathers. i didn't forget about "fathers", there aren't any, just sperm donors.....
    i dont think anyone could live the high life on ssi or even ssdi.the children should not be punished for the parents sins.
  4. by   BlueRidgeHomeRN
    Quote from ingelein
    i dont think anyone could live the high life on ssi or even ssdi.the children should not be punished for the parents sins.

    [font=book antiqua]have to disagree respectfully here--i am an eyewitness to this daily.
    [font=book antiqua]
    [font=book antiqua] enough kids with enough "problems" + food stamps + title 10 housing + tanif + no food in house=plenty of disposable income (for cell phone, plasma tv, hair weaves, nails, and clothes) for mom and hungry, dirty children...and not a darn thing anyone can do about it.:angryfire
  5. by   Simplepleasures
    Quote from blueridgehomern
    [font=book antiqua]have to disagree respectfully here--i am an eyewitness to this daily.

    [font=book antiqua] enough kids with enough "problems" + food stamps + title 10 housing + tanif + no food in house=plenty of disposable income (for cell phone, plasma tv, hair weaves, nails, and clothes) for mom and hungry, dirty children...and not a darn thing anyone can do about it.:angryfire
    i never worked with medicaid patients in a clinic setting, my medicaid patients were old folks in the ltcs. i do know that the ssi recipients may misuse the benefits they get, but all the more reason to save the children from perpetuating this cycle, we need more mentoring, more early interventions, good nutrition away from the home setting, so many things we can do to help these poor kids out of their dismal future.
  6. by   twotrees2
    Quote from ingelein
    Give an example of futile expensive care, are you referring to the preemie benefit, or benefits for kids in poverty, just a clarification please, I am not trying to infer anything, truly.
    i can give an example unfortunately - keeping inmates in our prison system alive with dyalysis or transplants , and before anyone jumps on me - it is not that i dont think they should have it - hoever they are also rarely allowed to NOT accept that care and die as in the real world where we can choose to not take dyalysis if we so feel it will not help -
  7. by   Simplepleasures
    Quote from twotrees2
    i can give an example unfortunately - keeping inmates in our prison system alive with dyalysis or transplants , and before anyone jumps on me - it is not that i dont think they should have it - hoever they are also rarely allowed to NOT accept that care and die as in the real world where we can choose to not take dyalysis if we so feel it will not help -
    They should be ALLOWED to decline the treatment or surgery,if they dont want it. Do they want to keep them alive and use a good organ on them, in order to electrocute them later? We need a congressional investigation on health care abuses in this country.
  8. by   pickledpepperRN
    I am not joking when I say I don't think a sane person would collect SSI for a mental illness unless they are mentally ill.
    What is wrong with providing a job for people instead of a welfare check. I mean for those who can't get one.
    Or pretend they can't get one.

    Abuse of the system needs to be investigated and stopped. This will be ongoing whether it is the company chaining workers inside without a bathroom or drinking water or the person purposfully going to a job interview dirty so they can keep getting aid.

    I think that belief in the magic of the market that has never succeeded in solving all injustice is similar to my irrational belief in an unseen all knowing God.
  9. by   banditrn
    Quote from spacenurse
    Sorry.
    I want someone to find a way to ensure that all Americans have their basic needs met. With or without government assistance I think it is immoral for people, babies, children, and adults to do without.
    Why should be denied a warm place to sleep?
    Food to eat?
    Safe water to drink?
    Healthcare?
    Opportunity for education?

    What IS a practical alternative plan?

    Here is a place to start.
    http://guides.library.fullerton.edu/...ty&welfare.htm
    Spacenurse -
    It is MY job to decide what my needs are, and to see that they are met - not yours. When we lose the freedom to make those choices for ourselves, without the government or someone else looking over our shoulders, then we are no longer a free nation.
  10. by   BlueRidgeHomeRN
    Quote from ingelein
    but all the more reason to save the children from perpetuating this cycle, we need more mentoring, more early interventions, good nutrition away from the home setting, so many things we can do to help these poor kids out of their dismal future.
    too late for the eldest-she's fourteen and pregnant, very excited about getting her own check and her own apartment...
  11. by   Simplepleasures
    Quote from blueridgehomern
    too late for the eldest-she's fourteen and pregnant, very excited about getting her own check and her own apartment...
    its still not too late for this girl. i dont remember where i saw it , it may have been opra, there was a woman on who was an unwed mother of several children and a high school drop out, got help and got her life together and actually became a md. it s worth it if even only one or a few get out of the cycle.
  12. by   twotrees2
    Quote from ingelein
    They should be ALLOWED to decline the treatment or surgery,if they dont want it. Do they want to keep them alive and use a good organ on them, in order to electrocute them later? We need a congressional investigation on health care abuses in this country.
    no noot organ donation reason- we dont have death penalty persay in WI ( however we nurses belive that in some ways the sytem gives these guys a horrible deeath sentance by making em live ill and/ or the doc refusing to give dying patients pain meds letting them suffer cause "they are drug seekers" or saying " they didnt care what that kid felt when they raped and murdered em" and things like that - actual statements made by the doc those are, - last month we fought for 3 weeks to get a patient pain meds adequate for relief - you should see the documentation on it- it would make a strong man cry to hear how this guy was dying - yet doc wouldnt give it - we got it finally just a day before he died- makes US ill just knowing and thinking about it and there isnothing we can do excpet keep reporting him and nothing gets done anyways. )( i do wonder if the doc is under investigtion though cause all of a sudden all our concerns and suggestions are being taken care of by him in our presence and letting us see him evaulate pts - though he still doesnt know how to assess - patients with nursing stating he is in pain doc writes he has nausea - yeah whatever, jerk lol)

    they shoudl investigate better- these docs have all been suspended by their boards and somemore than once - they cant get a job in the comunity so why do they allow em in our state system? i dont get it - anyhow.

    i think it is a matter of fear that the family will sue " for allowing dad, etc die" " because they wre in prison for bad things - using that as an excuse to sue us anyhow. there really are a lot of folks who blame staff for inmates issues i have found out - its unbelieveable the number of lawsuits against the staff there is- every day at least one patient if not more threaten to sue bacuse they arent allowed to walk more than so many min in a day, or their ice melted and they are allowed ice three times daily- they have sink they can get water from.....- good grief - thats the rules and they shoud lhave not commited thier crimes- i dont feel bad for em locked away for 23 hours a day or how many hours it is- but they still deserve to have doc address thier issues and - on one hand i dont blame the families for wondering ( the doc i work with is really nasty and uncaring ) but then again- its no different in the real world- there are jerks for docs there to .

    we do now have a hospice program for some patients but it is a legal nightmare to get the no code status i am told , and get them on hospice - and even then they have generally been on dyalysis for yrs and yrs and it just isnt working and a transplant is not imminent. i feel so bad when i go in on dyalysis days and these guys are ten times feeling worse than usual after dyalysis - i sure as heck dont ever want to live that way.
  13. by   Simplepleasures
    WOW, I guess that even though they are bad guys and may have done some bad things, they are still human, I don't want to think "it's their just punishment", the thought did cross my mind, but as a human who cares for other humans, I do feel sorry for them and its not right to torture them in such a way.

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