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America, party of 2

Welp. There will be a new President soon...He has promised to "repeal and replace" Obamacare.

The real question is (as someone who will be out of school and in practice soon) what will happen with our profession? I know with Obamacare, folks were saying NPs will be in high demand. Don't get me wrong, I know NPs will still be in demand, but what do you think it will look like?

babyNP. specializes in NICU.

I have no idea what will happen. I do know that I've cried twice today.

IMO mid-levels have been in existence long before president-elect DJT came into the picture. We as NPs were needed back then and we are still needed now and in the future. The shortage of physicians didn't happen overnight and it's not going to be solved overnight either. What is important is that as community, NPs have to fine tune and promote our professional role in the healthcare industry.

Purrsx2 specializes in Operating Room.

These are my concerns:

1) Can he federally legislate supervision for all NPs by physicians regardless of how long NP had been practicing?

2) Can he change Medicare/Medicaid rules to exclude NPs from reimbursement unless care is provided "under the supervision" of MDs?

Basically, my questions is: can he turn NPs into PAs on the federal level?

PG2018 specializes in Outpatient Psychiatry.

I am proud to support President Elect Trump, my Republican party, and I have never been so excited about politics.

For those worried about the direction of healthcare, keep working. Do well, work hard, and you'll make money. We're losing money as a result of Obamacare. For my family of three, I pay $16,000/year in health insurance. I can afford it, but it's ABSURD. It's hard to gauge what a President can do with his first term, but I am definitely excited to find out.

Obama never did anything positive, productive, and lasting. We now have a business leader who will take office, and I hope this leader will run this country as a business without worrying about individual feelings and entitlements. An array of men have Trump's ear, and these are knowledgeable men with Conservative world views which is just what we need after eight years of socialism.

I no longer have a concern with global warming. I feel like it's happening, but there are far more pressing issues to concern ourselves with, and sans the transgender sharing regular bathroom thing, which I also believe is ridiculous, I support the Trump-Pence platform wholeheartedly despite knowing more nurses are liberals.

we may all be speaking Russian by then.

Well, way more Russians speak English than the other way around...

I have no idea what will happen. I do know that I've cried twice today.

Then why did you cry? I think that all of the handwringing (and rioting) is because folks don't understand what powers a POTUS has and does not have. He can cause inconveniences and annoyances, but even those are reversible (thank God). We have state constitutions and a US constitution and exist in a republic.

Anxiety is far more appropriate in light of some local elections I've seen.

I try to remain neutral and have voted both ways in the past since both parties have their downfalls but what psych guy said is truth. Most liberals I have recently talked to are emotionful bags of "da feelz " who would rather elect somebody who glorifies their minority interests and says everything is ok and tries to make you feel good about yourself while handing out food stamps to people too lazy to work. Worse off they fail to focus on any issues related to the economy or of any global importance.

Most people do not care what your sexual orientation or ethnicity is, but when you start pumping out false propaganda on how you are mistreated by the greater society and then Go riot in the streets about it..... yes, it makes us like you less and makes you look like an infidel.

Put your feels aside and focus on what matters, drop your weak sauce emotions. Toughen up and better the human race or go to some other country.

Thanks

I am hoping for change.

As the old saying goes, be careful what you wish for ...

PG2018 specializes in Outpatient Psychiatry.

I try to remain neutral and have voted both ways in the past since both parties have their downfalls but what psych guy said is truth. Most liberals I have recently talked to are emotionful bags of "da feelz " who would rather elect somebody who glorifies their minority interests and says everything is ok and tries to make you feel good about yourself while handing out food stamps to people too lazy to work. Worse off they fail to focus on any issues related to the economy or of any global importance.

Most people do not care what your sexual orientation or ethnicity is, but when you start pumping out false propaganda on how you are mistreated by the greater society and then Go riot in the streets about it..... yes, it makes us like you less and makes you look like an infidel.

Put your feels aside and focus on what matters, drop your weak sauce emotions. Toughen up and better the human race or go to some other country.

Thanks

Thanks,bud.

babyNP. specializes in NICU.

Then why did you cry? I think that all of the handwringing (and rioting) is because folks don't understand what powers a POTUS has and does not have. He can cause inconveniences and annoyances, but even those are reversible (thank God). We have state constitutions and a US constitution and exist in a republic.

Anxiety is far more appropriate in light of some local elections I've seen.

Because little girls will grow up with the knowledge that a man can sexually assault someone, brag about it, and people will still elect him to be the most powerful person in the whole world. How can they feel safe reporting sex crimes?

Because he's vowed to ban all Muslims from entering the United States. This has been used and will be continued to be used by ISIS as propaganda to rally their troops of their hate against the US

Because he's determined to build a wall along the border of Mexico and calls Mexicans rapists.

Because his running mate signed a bill to jail people who applied for a same-sex marriage license.

Because he allows himself to be easily angered and goaded which is dangerous in the international community.

Because even if he doesn't mean a single word he has said, he has still stoked people's hatred and intolerance of those different from them. Hate crimes are being reported all over the US right now, just do a google search. Even if he doesn't mean any of his rhetoric, he has allowed it to be socially acceptable.

A POTUS has enormous influence in this country. It's not the bills he signs but the culture that he influences. And yes, even despite all that, the POTUS is still the most powerful person in the world. He can send military troops to fight wherever he wants without anyone's approval for two months. He can sign executive orders. Yes, we have checks and balances in our system- but a president can still do a lot of damage.

juan de la cruz specializes in APRN, Adult Critical Care.

We're going to have to see what happens. ACA certainly had proven successes in states like California where the insurance marketplace is being run by the state. I don't know how the new administration would handle the transition from ACA to a different system but I am holding out hope that the president elect and his advisers would not be cold and heartless enough to allow millions of Americans to all of a sudden lose their insurance exchange coverage without an alternative means of obtaining coverage. Having said that, there will always be a need for providers. The question is what kind of system will be proposed as an alternative for those previously covered by ACA should it be repealed.

TheCommuter specializes in Case mgmt., rehab, (CRRN), LTC & psych.

Most liberals I have recently talked to are emotionful bags of "da feelz " who would rather elect somebody who glorifies their minority interests and says everything is ok and tries to make you feel good about yourself while handing out food stamps to people too lazy to work.
Although I am a self-described centrist, I just wanted to elucidate that the majority of food stamp recipients are employed.

The "too lazy to work" stereotype is not totally accurate. Even many enlisted military men and women qualify for food stamps due to their incomes and family sizes.

The overwhelming majority of SNAP recipients who can work do so. Among SNAP households with at least one working-age, non-disabled adult, more than half work while receiving SNAP — and more than 80 percent work in the year prior to or the year after receiving SNAP. The rates are even higher for families with children — more than 60 percent work while receiving SNAP, and almost 90 percent work in the prior or subsequent year.
The Relationship Between SNAP and Work Among Low-Income Households | Center on Budget and Policy Priorities
Because little girls will grow up with the knowledge that a man can sexually assault someone, brag about it, and people will still elect him to be the most powerful person in the whole world. How can they feel safe reporting sex crimes?

Because he's vowed to ban all Muslims from entering the United States. This has been used and will be continued to be used by ISIS as propaganda to rally their troops of their hate against the US

Because he's determined to build a wall along the border of Mexico and calls Mexicans rapists.

Because his running mate signed a bill to jail people who applied for a same-sex marriage license.

Because he allows himself to be easily angered and goaded which is dangerous in the international community.

Because even if he doesn't mean a single word he has said, he has still stoked people's hatred and intolerance of those different from them. Hate crimes are being reported all over the US right now, just do a google search. Even if he doesn't mean any of his rhetoric, he has allowed it to be socially acceptable.

A POTUS has enormous influence in this country. It's not the bills he signs but the culture that he influences. And yes, even despite all that, the POTUS is still the most powerful person in the world. He can send military troops to fight wherever he wants without anyone's approval for two months. He can sign executive orders. Yes, we have checks and balances in our system- but a president can still do a lot of damage.

again much of this can be said of either party. considering all of the celebs that are bogging on trump sing vulgar and profane music that children listen to, does it make them any better. People chose a side and often become blind to the atrocities the side they favor commits. Many dems perform hate crimes, such as the BLM movement or fragments of it. Unipolarity does nobody complete justice.

Us white folk have been demonized by the democrats, at least again, certain fragments of them. All pointing toward the same fallacies again. Of course neither candidate is probably as bad as people make them out to be, but you know, the news doesn't make any money with positivity. Self reflection is required.

As to the post by Commuter, there are many families who use food stamps as needed, with our economy as polar as it is regarding income it is a necessity, but it needs to be cracked down on since that 10-20% costs us billions per year.

Even through all of this, I still will have to stand on the same side as trump on most issues, and after looking at both sides perspective it is shocking that he only had as many votes as he did.

BCgradnurse specializes in allergy and asthma, urgent care.

Getting back on topic here, it remains to be seen how the healthcare system will evolve under a new regime. I don't see the federal government legislating NP scope of practice. It has always been left to the states and there's no reason to believe that will change.

I know, its so complex its mind boggling. I don't even understand my insurance plan completely lol or how the medical economy works. Understanding all that stuff is probably nearly as complex as patient care

Although I am a self-described centrist, I just wanted to elucidate that the majority of food stamp recipients are employed.

The "too lazy to work" stereotype is not totally accurate. Even many enlisted military men and women qualify for food stamps due to their incomes and family sizes.

I have a dear friend back in TN who was diagnosed with HIV/AIDS some 17 years ago. He now lives without any real restrictions and has been on SSI/Medicare/Medicaid for years. I asked him years back why does he just not return to work, because he appears so healthy. He explained that he would lose his prescription coverage and just one months of meds was well over $1k. He was stuck riding the system or basically die. It is sad that healthcare is just so out of reach for so many. If my friend could return to work and afford his meds then it would save the system money in the long haul.

I was able to perform clinicals in a remote clinic for a semester and it amazed me how many patients just did not have health insurance and could not afford treatments they needed all because of money. I do not know the answers, but I know we are failing as a people when we make healthcare out of reach for so many.

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