Canada's healthcare saved her; Ours won't cover her

Nurses Activism

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Canada's healthcare saved her; Ours won't cover her

Source: LA Times

If you offer health insurance as a for-profit business, it goes without saying that you'll do everything you can to avoid making payouts. That means you'll shun anyone with even a whiff of medical trouble.

But this is no way to run an insurance system, let alone to protect people from financial ruin due to catastrophic events such as being sent to the hospital by a drunk driver.

The Obama administration has already rejected the idea of a single-payer system similar to Canada's -- a mistake, in my opinion. Instead, it wants a smaller public program that would compete with private insurers and keep costs down.

Private insurers, not surprisingly, are lobbying aggressively to kill off that idea. They'd rather have a national mandate that would require all Americans to buy their product.

In return, they say, they'd stop sending rejection letters to people like Yount with preexisting conditions. But policyholders would still be subject to the companies' various terms and conditions.

I call em like I see em. If you don't want to be labeled a deadbeat then don't be a deadbeat

nurture: the sum of the environmental factors influencing the behavior and traits expressed by an organism

Think about the etymology of the word and how it applies to our profession. Establishing an environment that encourages responsible behavior is part of our professional obligation for advocacy on behalf of patients not against them.

Just how are you going to require people who pay nothing for health care to not use the emergency room for primary care? You think ERs are crowded now just wait till everyone gets free health care they will visit the ERs for everything.

If we expand access to primary care we should achieve a reduction in ER usage.

(Maybe an expansion of urgent care hours is part of the solution.)

Specializes in OB, HH, ADMIN, IC, ED, QI.
Just how are you going to require people who pay nothing for health care to not use the emergency room for primary care? You think ERs are crowded now just wait till everyone gets free health care they will visit the ERs for everything.

That started to be a problem 4 1/2 decades ago, in Canada until educational programs started up to direct people to more appropriate places for the average type of sick visit. Now conveniently located clinics are held until 9 or 10 P.M., usually in doctors' offices that are in shopping malls. (Safer parking situations and access to needed supplies.) I've gone with my sister to one of them. It's adjacent to a supermarket, "Loblaws" and an extended hours pharmacy, "Shoppers' Drug Mart" at Fairview, in Toronto. The ERs see mostly accident victims and serious reactions to drugs....... Patients referred by the open clinics, have patients admitted directly, rather than sitting in crowded waiting areas, as we do. It's a "patient first" motivated system.

Children with high fevers can be treated at home, by tepid baths and pedi tylenol, rather than being taken to ERs in warm clothes and covers, after advice is sought on a special line for that purpose. That line can also dispatch ambulances, if necessary.

Health Care availability is a matter of attitude. When those attending clinics receive respectful attention, most of them return that and cooperate with directions they're given. They appreciate their system and wouldn't live here, in fear of financial ruin by the cost of illness.

Please adopt a wait and see attitude, instead of predicting disaster! The supporters of the changes being made don't wish to see more financial reverses for our country or less efficient delivery of health care. Intelligent, knowledgeable medical care providers have been working on this for years. :yeah:

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