Could Obamacare cause a shortage in nursing again

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I would really like to know how you believe Obama care will affect the medical field and be honest. I would expect that it would create more jobs but the work would be very tiring. There would be no 3/12 but 4/12 or 3/15 with rooming/bedding at hospital.

Specializes in Critical Care.
Nancy Pelosi said we had to pass the bill so we can find out what's in it. Obama said he would hold the hearings on the bill open to the public on C-span, but he did NOT make that happen. Everything waS done behind closed doors.

Who knows what is in the Law? Congress didn't when they voted for it. The devil is in the details, and I think we are in for a rude awakening. Of course, nurses pay and everything else will be dictated by the government.

You can watch the full video of all 17 bipartisan hearings on the ACA here. The full text of the ACA was actually released 3 months before the Senate voted on it and 6 months before the House voted on it. As per Republican wishes, healthcare is still run by, and provided by, private entities, the government was not given the ability to dictate healthcare. You might watch too much Fox News.

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You can watch the full video of all 17 bipartisan hearings on the ACA here. The full text of the ACA was actually released 3 months before the Senate voted on it and 6 months before the House voted on it. As per Republican wishes, healthcare is still run by, and provided by, private entities, the government was not given the ability to dictate healthcare. You might watch too much Fox News.

Thank you for this info. I am very interested in how the ACA will effect health care. As you can tell from my previous posts that I'm optimistic about the ACA. My fears are not with the law itself, but the fact that parts of congress seem so bent on making sure this law fails that they are trying to defund it before it can even go into effect. It's just seems so petty and self-serving. I'm just so tired of feel like a child stuck between two angry parents using me (the public) as a pawn against each other. It's just so dysfunctional.

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You can watch the full video of all 17 bipartisan hearings on the ACA here. The full text of the ACA was actually released 3 months before the Senate voted on it and 6 months before the House voted on it. As per Republican wishes, healthcare is still run by, and provided by, private entities, the government was not given the ability to dictate healthcare. You might watch too much Fox News.

Ha ha, I rarely watch any TV news, so your little FOX news jab is oh so cute!

Did you read the full text of the ACA? Kudos to you. Good luck with your government run healthcare. Yes, it is dictated from the government now. And by the way, CNN also reported on the fact that the full negotiations were not open to the public (as candidate Obama had promised us) and was, in fact, behind closed doors with only select members of congress. I just did a websearch, and found the facts for myself. You should do the same.

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Thank you for this info. I am very interested in how the ACA will effect health care. As you can tell from my previous posts that I'm optimistic about the ACA. My fears are not with the law itself, but the fact that parts of congress seem so bent on making sure this law fails that they are trying to defund it before it can even go into effect. It's just seems so petty and self-serving. I'm just so tired of feel like a child stuck between two angry parents using me (the public) as a pawn against each other. It's just so dysfunctional.

I, for one, have been paying for my own insurance for years now. Due to the ACA, my insurance company has already doubled my premiums (with highter deductibles and co-pays) as well as notifying as of Oct. 1, I will learn of my next increase and choices under ACA. Maybe those of you who have been insured through your employers have not yet personally felt the impact of this law.

I will be impacted to the point that I will no longer be able to afford health insurance, and because of family income, will NOT be subsidized by fellow taxpayers. Maybe those voices in Congress are representing people like me??? Maybe??? Please be open to the possibility that there are, in reality, major flaws with this law and that what you call being "bent on making sure this law fails" is about more than that.

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Specializes in FNP, ONP.

What many people arguing about "death panels" do not realize, is that they already exist, but the people sitting on said panels have a personal motivation for denying care (i.e. increased profitability and all that goes with that). That represents a direct conflict of interest. The largest insurer in the US, BC/BS actively rations care. Do the words "prior authorization" ring a bell. lol? They ration care to increase profits and thereby increase financial returns to stakeholders. Capitated health care is clearly rationing; BC Advantage is the most popular medicare supplement plan in America and considered to be the "Cadillac plan." It is strongly motivated to deny care, not approve it. Ask any provider. you are better off with medicaid in most places, because the government entities are less restrictive since they aren't looking at profit.

The ACA with regard to rationing is not new or significantly different, excpet that hopefully by creating/utilizing some national standards QALY scores or the like) the decisions are made objectively and with overall public health initiatives in mind vs profitability. For example, withholding CABG from octogenarians knowing that statistically, it will not improve their life expectancy and that those dollars are better directed toward primary vs. tertiary care. Such as mammograms for every 45 year old female in America regardless of ability to pay, or expanding free immunizations to the adult population, free cholesterol and fasting glucose screening for all adults age 20-70etc.

For the record, I am in favor of rationing. I don't think we do enough of it. However, even those opposed to the ACA must acknowledge that rationing is going on. The difference is care is being rationed for fiduciary motives, vs. aggregate public health consciousness. The fundamental question is who should be deciding? Objective policy makers/public health experts, or biased private sector for-profit organizations.

The burden should fall to us as individuals to optimize our own health, with assistance to measure basic metrics and access acute care services prn. The collective cannot afford to keep everyone alive indefinitely, and some people are just going to have to learn to accept their own responsibility as well as their own mortality. This is a very libertarian position, so it is really odd that conservative groups oppose it. It makes me question their motives and rationale. In other words it comes across as only people like them deserve health care.

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I, for one, have been paying for my own insurance for years now. Due to the ACA, my insurance company has already doubled my premiums (with highter deductibles and co-pays) as well as notifying as of Oct. 1, I will learn of my next increase and choices under ACA. Maybe those of you who have been insured through your employers have not yet personally felt the impact of this law.

I will be impacted to the point that I will no longer be able to afford health insurance, and because of family income, will NOT be subsidized by fellow taxpayers. Maybe those voices in Congress are representing people like me??? Maybe??? Please be open to the possibility that there are, in reality, major flaws with this law and that what you call being "bent on making sure this law fails" is about more than that.

My heart and sympathy goes out to people like you. I do realize that insurance will go up for some. I also believe that this will be on the short run. Over all more people will be investing in the insurance pools and competing for such a large pool will drive prices down. I do hope that you will find a cheaper policy and can continue to have adequate coverage, but the percentage of people who just couldn't access insurance at all, that it was just unattainable was much higher than it will be in October. I don't like hearing that you have been priced out of your insurance. Unfortunately, you were going to be priced out of you health insurance under the old plan. When insurance holders are paying for the costs of people without insurance then prices are going to go up. So now at least, more people will have the ability to get health care before their health costs for their issues cost 3 times as much. They no longer will have to use the ER as their PCP.

I am open and aware to the flaws of the ACA. I do feel that the 1st few years are going to be shaky as corrections are going to need to be made. I also wonder if Corporate America isn't going to try to milk the ACA for all it's worth to excuse their bad behavior.

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Specializes in Pediatrics, Emergency, Trauma.
What many people arguing about "death panels" do not realize, is that they already exist, but the people sitting on said panels have a personal motivation for denying care (i.e. increased profitability and all that goes with that). That represents a direct conflict of interest. The largest insurer in the US, BC/BS actively rations care. Do the words "prior authorization" ring a bell. lol? They ration care to increase profits and thereby increase financial returns to stakeholders. Capitated health care is clearly rationing; BC Advantage is the most popular medicare supplement plan in America and considered to be the "Cadillac plan." It is strongly motivated to deny care, not approve it. Ask any provider. you are better off with medicaid in most places, because the government entities are less restrictive since they aren't looking at profit.

The ACA with regard to rationing is not new or significantly different, excpet that hopefully by creating/utilizing some national standards QALY scores or the like) the decisions are made objectively and with overall public health initiatives in mind vs profitability. For example, withholding CABG from octogenarians knowing that statistically, it will not improve their life expectancy and that those dollars are better directed toward primary vs. tertiary care. Such as mammograms for every 45 year old female in America regardless of ability to pay, or expanding free immunizations to the adult population, free cholesterol and fasting glucose screening for all adults age 20-70etc.

For the record, I am in favor of rationing. I don't think we do enough of it. However, even those opposed to the ACA must acknowledge that rationing is going on. The difference is care is being rationed for fiduciary motives, vs. aggregate public health consciousness. The fundamental question is who should be deciding? Objective policy makers/public health experts, or biased private sector for-profit organizations.

The burden should fall to us as individuals to optimize our own health, with assistance to measure basic metrics and access acute care services prn. The collective cannot afford to keep everyone alive indefinitely, and some people are just going to have to learn to accept their own responsibility as well as their own mortality. This is a very libertarian position, so it is really odd that conservative groups oppose it. It makes me question their motives and rationale. In other words it comes across as only people like them deserve health care.

:yes:

....and I'll take objective policy makers for the win. :yes:

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Specializes in Pediatrics, Emergency, Trauma.

My heart and sympathy goes out to people like you. I do realize that insurance will go up for some. I also believe that this will be on the short run. Over all more people will be investing in the insurance pools and competing for such a large pool will drive prices down. I do hope that you will find a cheaper policy and can continue to have adequate coverage, but the percentage of people who just couldn't access insurance at all, that it was just unattainable was much higher than it will be in October. I don't like hearing that you have been priced out of your insurance. Unfortunately, you were going to be priced out of you health insurance under the old plan. When insurance holders are paying for the costs of people without insurance then prices are going to go up. So now at least, more people will have the ability to get health care before their health costs for their issues cost 3 times as much. They no longer will have to use the ER as their PCP.

I am open and aware to the flaws of the ACA. I do feel that the 1st few years are going to be shaky as corrections are going to need to be made. I also wonder if Corporate America isn't going to try to milk the ACA for all it's worth to excuse their bad behavior.

THIS. :yes:

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I, for one, have been paying for my own insurance for years now. Due to the ACA, my insurance company has already doubled my premiums (with highter deductibles and co-pays) as well as notifying as of Oct. 1, I will learn of my next increase and choices under ACA. Maybe those of you who have been insured through your employers have not yet personally felt the impact of this law.

I will be impacted to the point that I will no longer be able to afford health insurance, and because of family income, will NOT be subsidized by fellow taxpayers. Maybe those voices in Congress are representing people like me??? Maybe??? Please be open to the possibility that there are, in reality, major flaws with this law and that what you call being "bent on making sure this law fails" is about more than that.

Maybe they increased your premiums to get all the money they can out of you before ACA comes into effect. At least that's what my grandfather says, he is retired and his premiums doubled too. I have no insurance.

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Specializes in Going to Peds!.

Maybe they increased your premiums to get all the money they can out of you before ACA comes into effect. At least that's what my grandfather says, he is retired and his premiums doubled too. I have no insurance.

They tried to sell us that line when Alabama passed its mandatory law. Yeah. What really happened is that everyone's insurance coverage got more expensive.

Sent from my HTC One X using allnurses.com

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Specializes in burn ICU, SICU, ER, Trauma Rapid Response.
I am not saying do not go in to Nursing which is a wonderful profession. All I am saying is things will get harder under Obamacare for everyone. Doctors and Nurses and patients. Want to know what it will look like ? Check out VA hospitals.

*** I Have experienced as both a patient and a nurse in VA hospitals. Sounds GREAT to me!

The Best Care Anywhere - Phillip Longman

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