Wal-Mart to open 400 in-store clinics

  1. Wal-Mart to open 400 in-store clinics. Isn't CVS doing the same? The article didn't say whether they were going to employ doctors or nurse practitioners, or what services they will offer.
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  2. 59 Comments

  3. by   Medic/Nurse
    well, it is official. wal-mart is taking over the universe.

    the cnn morning news just reported that wal-mart is going to open health clinics in (???) 100 locations in cooperation with local hospitals.

    they report that this will benefit their shoppers, many that self reported no health insurance and that they use the er because of no money.

    i understand the $4 prescription program that they started in recently in many markets - but, a clinic.

    i want to be hopeful and optimistic that this will have a positive impact on ed overuse in these "markets" - but, it seems a bit reaching to me.

    wanting to provide the "uninsured" with an option for healthcare at falling prices is a great idea - in theory.

    color me jaded but, where will they get the $$$ to pay for the clinic visit after they have shopped for their snack cakes, soda pop and cigarettes? i know, i know ... that was a cheap shot. sure, there will be some that will pay - but, really?

    well, at least they will be able to have healthcare onsite for their uninsured workers (there are lots of them, part timers with 32 hours - no bennies - ) which if i remember correctly make up a large # of the "working uninsured" in many areas.

    imagine telling folks that:

    "i am a wal-mart nurse."

    well, it might pay better than being a greeter!

    .
  4. by   crissrn27
    I have heard these "doc-in-a-box" places are turning up everywhere. Guess we will have to wait and see if they are good or bad. Wonder if wal-mart employees will be seen at no charge?
  5. by   queenjean
    ARGH! I HATE WALMART!

    Okay, I had to get that out of my system.

    While my inclination is to think that this is a bad idea; I will withhold judgment for now. I wonder if maybe, for things that are little like ear aches, etc, this would be a good thing. Like an urgent care center. And for employees. But for people who have ongoing issues that need to be followed by a doc; will they also treat these people?

    I dont' know, maybe it will work out well. Some people don't go to the doc out of inconvenience, I know. In out town, the bus system stinks. But the bus stops at walbuttmart; you could get there more easily, that's for sure. And you can't beat the prices at their pharmacy.

    Who knows, maybe this will be a good thing? I'll wait and see. I hadn't hear of this, though; thanks for the heads up.
  6. by   carolinapooh
    One of my instructors is an NP at a CVS MinuteClinic.

    What's wrong with them? Isn't this the same idea?

    I go see her there, my insurance covers it, and I don't have to wait a week for an appointment to be seen for bronchitis (I get it all the time - I know what I need and what treats it best) that could be pneumonia by the time I can get to the Dr. If you don't have insurance, I'm sure seeing an NP for fifty bucks is a heck of a lot easier than going to a doc for $150.

    She has told me she sees A LOT of people who can pay fifty bucks to see her, but can't pay Dr. fees and DO NOT WANT to use EDs for medical tx. Not everyone sitting in the ED is a freeloader.

    I understand we're all a bit jaded (and I have my own opinions about some of these folks myself) but let's not tar everyone with the same brush. I've been without health insurance before and I'd dare say it's not really something people CHOOSE. It's also scary as h*ll.

    Stick a clinic like this in a Wal-Mart, which, by its own admission, has a customer base primarily in lower-middle to low-income families, and some of these folks will see an alternative that they've never known about before. Even CVS is a bit highbrow in some neighborhoods - Wal-Mart, well, heck, pretty much everyone goes there at some point.

    I don't like the culture Wal-Mart creates, and I try not to shop there for a multitude of reasons. But I think this is more positive than what some seem to be thinking. People are just that - people - humans - and most folks are simply doing the best they can. Most people are horribly uninformed and miseducated regarding their health and/or see themselves trapped in patterns they cannot undue on their own. Perhaps they don't know how to change. Most of them don't see or understand the effects until it's too late.

    Go easy on the uninsured. Not everyone's a freeloader. Let's just wait and see what happens with this before we go slandering an entire group of fellow Americans.
  7. by   debthern
    I don't know about this but I know that CVS has clinics and they are run by nurse practioners under the guidance of a doctor, seems like a good idea to me.
  8. by   NikkiRN_BSN
    We have them here in WI. The NP is an employee of the affiliated hospital not Wal-mart. I think it's a good idea. I am a student and can't afford health insurance working casual call.
  9. by   sirI
    Threads merged.
  10. by   pickledpepperRN
    Whether CVS, Target, or Wal*Mart what is the NP to do when a patient is discovered to have asthma, diabetes, hypertension, possible cancer, or other chronis illness that is not on the list of conditions treated?

    Funny it is always "located in a convenient location next to the pharmacy".

    Yes for a busy working person with insurance the convenience could prevent sick days.
  11. by   Kyrshamarks
    Yep gee...everyone that shops at walmart is just there for the sodas and snack cakes and chips...and everyone that shops there is low income. Give me a brrak people. everyone loves to take a swipe at the giant corporation of Wal Mart but people forget they started out as a small one store business/country store who under careful and smart business have acheived the American Dream of becoming a SUCESSFUL BUSINESS. My wife and i love to shop at walmart because yes we do like their low prices on everyday things that we use and it is convienent for us to be able to go into the store 24 hours a day if we need something. Also we are far form being poor people who go there to buy the snak cakes and such.. between my wife and I we make over 300k a year.

    Furthermore if Wal Mart wants to open clinics let them. It may just well serve people who are chronically underserved. There are populations that have an easier access to a walmart than a doctor and this may just allow them now to have access to a healthcare provider that they did not have before.
  12. by   NURSE1987
    I personally think this is a good idea, for several reasons. First off, medical care today is for either the wealthy or the extremely poor in society. Someone that goes out 5 days a week to their mill job, and is doing their best to put food on the table and a roof over their family's head has a tough time paying for major medical expenses if their insurance doesn't cover it. They also have to be drug screened in order to be able to work at their job. On the other hand, the person who sits/lays on their backside all day long and DOES NOT TAKE A DRUG SCREEN has all of their medical bills payed by the government which is funded by that mill worker. Why should the mill worker have to have a drug screen to give the government money, but the recipient doesn't have to take a screening to receive the money? Secondly, so what if wal-mart is populated by low-income people? That means nothing, other than the fact that they have low prices. What makes any of the more expensive supermarkets any better than wal mart? The fact that they rip their customers off? My take on all this is, if wal mart wants to open health clinics to help their customers, then they should go for it. Perhaps it will direct some of the governments money toward the people that really deserve it, and not the medicaid patient that sits in the ED on friday night with a sore finger or a runny nose.
  13. by   pickledpepperRN
    I am concerned that chronic and severe illnesses are not cared for.
    What is the licensed practitioner to do when someone is an untreated diabetic, hypertensive, asthmatic, or has another possibly serious illness?
    Does anyone know?

    Advertisement - http://www.minuteclinic.com/en/USA/T...-and-Cost.aspx

    Article - http://www.washingtonpost.com/wp-dyn...101202168.html
  14. by   Indy
    I think they should also staff a social worker in order to direct new patients who need long term followup for disease, to a doc that can help them and also to agencies that can help them. It wouldn't make sense to refer without making sure that the referral is appropriate and doable for the patient.

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