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I want to know what nurses think about socialized medicine.



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No. 190
from K98
Old Jul 07, 2009, 09:22 AM

Default Re: I want to know what nurses think about socialized medicine.
Originally Posted by elkpark View Post
Healthcare reform would be putting the rest of us on the plan Congress is on.
Not likely.
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No. 191
from K98
Old Jul 07, 2009, 09:28 AM

Default Re: I want to know what nurses think about socialized medicine.
Originally Posted by GCTMT View Post
Okay then, I suppose the only alternative is to accept that all of our politicians are corrupt, and quit voting all together. If Obama does not get health reform passed, he will not get my vote in 2012. I'd be willing to bet, that the other 52% of the nation that voted for him, feels similar.
A fair number of that 52% were poorly informed college age adults (my daughter for one, as well as two of her college roommates). Now that they see where all of this hope and change is taking us (taxes, taxes, more taxes), they appear to be waking up. I am quite certain that the "awakening" will continue over the next couple of years, and the administration will continue to push it's agenda with little or no debate (or the vaunted "transparency") in a rush to implement changes before the electorate says "enough" in 2012.
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No. 192
Old Jul 07, 2009, 09:42 AM

Default Re: I want to know what nurses think about socialized medicine.
Originally Posted by elkpark View Post
Healthcare reform would be putting the rest of us on the plan Congress is on.
Oh my gosh, that would truly bankrupt America.

We really need to take them OFF that plan - I don't see them toiling for years and years. They pretty much get to party . . . on our money.

steph
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No. 193
Old Jul 07, 2009, 09:45 AM

Default Re: I want to know what nurses think about socialized medicine.
Originally Posted by tulip928 View Post
While most American citizens are listening to the "pitchmen" selling us on "reform", read here what's happening:

Hospitals agree to massive "savings" (in other words limiting services) Biden announces today
http://www.washingtonpost.com/wp-dyn...rticle/2009/07
/06/AR2009070604053.html?hpid=topnews

And behind the scenes, Rahm Emmanuel's brother Ezekial, who is a healthcare advisor, discusses in an article with two others, how to ration limited healthcare services (when it's YOUR parent, or infant, you will probably wonder how this happened):

http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(09)60137-9/fulltext

(quick subscription required at Lancet to read full article - it's for healthcare)

Healthcare coverage does not equal medical care
. Be careful what you wish for. Beware of the pitchman.
Thanks for that - it will be helpful for my health care econ paper. I needed one more journal reference.

The highlighted part needs to be a bumper sticker!


steph
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No. 194
Old Jul 07, 2009, 03:27 PM

Default Re: I want to know what nurses think about socialized medicine.
Originally Posted by Spidey's mom View Post
Oh my gosh, that would truly bankrupt America.

We really need to take them OFF that plan - I don't see them toiling for years and years. They pretty much get to party . . . on our money.

steph

Actually FEHBP has one of the lowest rates of health care inflation of any of the group insurance plans out there. We would be much better off with larger groups and consistent benefit sets......
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No. 195
Old Jul 07, 2009, 04:05 PM

Default Re: I want to know what nurses think about socialized medicine.
http://www.thelancet.com/journals/la...137-9/fulltext

I am reading the article as we speak. The principles being discussed have already been operationalized to a great degree in our health care system.





Because none of the currently used systems satisfy all ethical requirements for just allocation, we propose an alternative: the complete lives system. This system incorporates five principles (table 2): youngest-first, prognosis, save the most lives, lottery, and instrumental value.5 As such, it prioritises younger people who have not yet lived a complete life and will be unlikely to do so without aid. Many thinkers have accepted complete lives as the appropriate focus of distributive justice: “individual human lives, rather than individual experiences, [are] the units over which any distributive principle should operate.”1, 75, 76 Although there are important differences between these thinkers, they share a core commitment to consider entire lives rather than events or episodes, which is also the defining feature of the complete lives system.


Having an ethical framework to allocate resources is not a bad thing. Part of the problems we have in our health care system can be directly attributed to the have it all mentality. We have to be honest and accept that we will have some rationing of care based on clinical need instead of ability to pay. (18000 people a year are dying in the US d/t inability to pay for needed care.) No one will have a zero priority for care under the complete lives system.

y
contrast, the complete lives system combines four morally relevant principles: youngest-first, prognosis, lottery, and saving the most lives. In pandemic situations, it also allocates scarce interventions to people instrumental in realising these four principles. Importantly, it is not an algorithm, but a framework that expresses widely affirmed values: priority to the worst-off, maximising benefits, and treating people equally. To achieve a just allocation of scarce medical interventions, society must embrace the challenge of implementing a coherent multiprinciple framework rather than relying on simple principles or retreating to the status quo.
This is not a framework for denying care it is a framework to extend care to more people rather than fewer....
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No. 196
Old Jul 07, 2009, 04:08 PM

Default Re: I want to know what nurses think about socialized medicine.
http://www.thelancet.com/journals/la...137-9/fulltext

I am reading the article as we speak. The principles being discussed have already been operationalized to a great degree in our health care system.





Because none of the currently used systems satisfy all ethical requirements for just allocation, we propose an alternative: the complete lives system. This system incorporates five principles (table 2): youngest-first, prognosis, save the most lives, lottery, and instrumental value.5 As such, it prioritises younger people who have not yet lived a complete life and will be unlikely to do so without aid. Many thinkers have accepted complete lives as the appropriate focus of distributive justice: “individual human lives, rather than individual experiences, [are] the units over which any distributive principle should operate.”1, 75, 76 Although there are important differences between these thinkers, they share a core commitment to consider entire lives rather than events or episodes, which is also the defining feature of the complete lives system.


Having an ethical framework to allocate resources is not a bad thing. Part of the problems we have in our health care system can be directly attributed to the have it all mentality. We have to be honest and accept that we will have some rationing of care based on clinical need instead of ability to pay. (18000 people a year are dying in the US d/t inability to pay for needed care.) No one will have a zero priority for care under the complete lives system.

y
contrast, the complete lives system combines four morally relevant principles: youngest-first, prognosis, lottery, and saving the most lives. In pandemic situations, it also allocates scarce interventions to people instrumental in realising these four principles. Importantly, it is not an algorithm, but a framework that expresses widely affirmed values: priority to the worst-off, maximising benefits, and treating people equally. To achieve a just allocation of scarce medical interventions, society must embrace the challenge of implementing a coherent multiprinciple framework rather than relying on simple principles or retreating to the status quo.
This is not a framework for denying care it is a framework to extend care to more people rather than fewer....
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No. 197
from fetch33
Old Jul 26, 2009, 06:47 AM

Default Re: I want to know what nurses think about socialized medicine.
Just heard a horror story from Canada on a talk radio show. A woman's father needed a heart bypass at age of 59. He was denied by the medical board because he smoke and drank. The doctors gave him 5 years to live and sentenced him to die. At age 64, he began feeling unwell. Because docs only work 9-5,M-F there (according to this woman), his doctor was unavailable to him. His wife took him to the ER at 9pm on a Friday. At 10am Sat, the wife drove home for a blanket because he was cold. At 4am MONDAY morning, the man DIED in the same wheelchair he'd been sitting in for 55 HOURS having never been seen by a doctor. This woman was crying on air saying the Canadian health system killed her mother also... she was unable to elaborate on that death due to lack of time.
Universal care will result in rationing, longer waits in ERs than we have now and letting people die because their treatment may be deemed too costly. But hey, everyone will be covered... at least if you can find a doctor or be seen in an emergency.
I also read an article by a Canadian doctor who said his opinion on the Canadian Health system was changed when , as a medical student, he took a different route through the hospital by going though the ER... he said it was a war-zone that stank of urine and sweat. Some of the patients had been laying on cots in the halls for 5 DAYS. His goal in life was to make enough money to immigrate to the US so his children wouldn't have to grow up in the Canadian health system.
Even the prime minister of Sweden (I believe), had to wait 8 months until his turn to have a hip replacement.
As a college student, I had the opportunity to go to England for 4 months and study the health system there during a Community heath semester in my nursing program. I remember one elderly gentleman that I visited. He had a badly fractured patella. He was was on the waiting list to get his fracture fixed... surgery was scheduled for weeks out... meanwhile, he sat in his house at risk for all kinds of complications. In the US, he'd been operated on within 24 hrs, barring medical delays.
I can just see the problems that are going to happen. Patients and families expect immediate results and very timely service now... with private rooms, meals on demand and excellent nursing care. Everything is customer service driven. Imagine them being told they will have to wait weeks for their MRI or that they can take their elderly mother home with a broken bone while her wait on the list ticks down? Or maybe they'll be told that their loved one doesn't qualify for life-saving surgery... kind a bitter pill for those of us that have provided for our own needs for years to swallow. America is up for a rude awakening!
Yes, something needs to be done. But name one government program that isn't full of waste and run well? I don't want the government in charge of my healthcare. The insurance companys are starting to wake up and realizing if they don't do something about covering people at a lower cost they are toast. Obama's health plan will put them out of business....
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No. 198
Old Jul 26, 2009, 09:29 AM

Default Re: I want to know what nurses think about socialized medicine.
Originally Posted by fetch33 View Post
Just heard a horror story from Canada on a talk radio show.
....
Yes, something needs to be done. But name one government program that isn't full of waste and run well? I don't want the government in charge of my healthcare. The insurance companys are starting to wake up and realizing if they don't do something about covering people at a lower cost they are toast. Obama's health plan will put them out of business....
1. Don't believe anything you hear on talk radio.....

I can think of numerous programs that run well and efficiently....

SS-less than 3 cents per thousand for administrative costs....(VS 2% for your 401 k)
Medicare-3 % overhead vs 25% for "efficient" private markets.....

Markets can't cure health care....
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No. 199
Old Jul 26, 2009, 09:57 AM

Default Re: I want to know what nurses think about socialized medicine.
A rebuttal to conservative claims.....
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