Could Obamacare cause a shortage in nursing again

CiscoNurse · Sep 15, 2013

Emory Health Care in Atlanta knows what to do to prepare for the ACA. Click on the link and wonder how it will be like a few years from now?

Healthcare Co to Lay Off Over 100 Employees, Cites Obamacare...

gayl01 · Sep 15, 2013

Correct.

gayl01 · Sep 15, 2013

What I get aggravated about being a hospital nurse is seeing a lot of ridiculous cases coming through the ER. Then, I cannot get over the cases being admitted one night and then they are discharged the next morning. A lot of people do not have a primary Dr. but they should not be coming to the ER. Go to an clinic or an urgent care clinic people. The people who feel "entitled" and do not have any sense ought to be turned down, not rewarded.

damrcngrl95 · Sep 15, 2013

Emory Health Care in Atlanta knows what to do to prepare for the ACA. Click on the link and wonder how it will be like a few years from now?
Healthcare Co to Lay Off Over 100 Employees, Cites Obamacare...

I find this to be part of the bad behavior I referred to. I see it more in areas that are very anti ACA leaning and/or won't have the Medicare support the state could have taken advantage of. I feel like the states that refuse to take the extra help are going to be the states that suffer the most. People in those states could find their premiums going up and people who should have qualified for Medicare won't qualify for subsidies. So their state really screwed them over. This is where we all need to become educated about what the ACA really is and how your state voted on whether or not to take the Medicare subsidies. I feel that these type of states have put their public at a huge disadvantage.

I also feel ( this is just my opinion) that employer insurance may be upping their premiums to push people off the employment enrollments so that they can have larger pools to work with on the market. There can be more of a chance to spread the liability on the market than just the small pool of people for that one employer.

damrcngrl95 · Sep 15, 2013

I also wanted to add this link. I will say that I don't know anything about this website, but the state by state info found in the middle of the post seemed accurate.

Beyond the pledges: Where the states stand on Medicaid | The Advisory Board Daily Briefing

So I guess my question is..... Is your state with the mass layoffs one of the states refusing medicaid expansion money to help people to receive health insurance. One of the pit-falls of the ACA is if you qualify for medicaid/medicare health insurance then you will not receive federal subsidies even if your state opted out. So basically if you fall into that catagory you will have to fund 100% of your insurance without help because your state didn't participate in the ACA. Though the federal exchange may help with cheaper insurance that you may find that you can afford. The people who will have the best advantage at getting affordable insurance are those states that will be receiving federal help and participating in some way by having exchanges at the state or federal level. If your state participates in the ACA then you can qualify for the medicare insurance.

https://www.healthcare.gov/how-does-the-affordable-care-act-affect-me/

The above is a link to see if you could qualify for the medicare insurance and if your state is even participating.

I am very curious to see how each state will be affected this next year due to their own choices of how to handle the ACA. Will the participating states have mass hospital layoffs or will the the states who refused to participate in the ACA be the ones who have the mass layoffs? I guess only time will tell, but so far the only states that I have seen people crying the "blues" are the states that have refused to use the offered money to help their state.

MunoRN, RN · Sep 15, 2013

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.

Everyone's premiums have doubled or nearly doubled over the past decade, this has nothing to do with the ACA but it is one reason why the ACA was passed.

Those buying private insurance will see costs go down significantly under the exchanges, even without a subsidy. I'm seriously considering working less to qualify for the exchanges, because even with my 'plush' employer provided plan, I can get a similar plan for less money under the exchanges without a subsidy.

People who had been purchasing a cheap "catastrophic" coverage plan will likely see their rates increase, but only because these essentially worthless plans will no longer be allowed. The problem with these plans was that they were intentionally set up to most likely never pay a claim, so even if it was only $50 a month, that's still a ripoff for something that has essentially no value.

Here's a sampling of what you'll pay purchasing as an individual;

MunoRN, RN · Sep 15, 2013

Emory Health Care in Atlanta knows what to do to prepare for the ACA. Click on the link and wonder how it will be like a few years from now?
Healthcare Co to Lay Off Over 100 Employees, Cites Obamacare...

Journalism that is this negligent should really be illegal. You'll notice that out of a full 2 minute story on the subject, they never once given a reason or provide a reliable source that the ACA is actually responsible, which is interesting since there is no reason to believe that it is.

Layoffs are nothing new, believe it or not, (bad) healthcare existed before the ACA and so did layoffs. Hospitals, including mental health which is where these layoffs were concentrated, stands to bring in MORE money, not less under the ACA. Mental Health Care Benefits Under Affordable Care Act (Obamacare) | Psych Central News

In reality, these fluctuations in healthcare delivery that have existed since long before the ACA, are thanks to the same for-profit system that opponents of the ACA typically champion. Because of the profit incentive, competing providers open up shop even though there is no demand for more services; their goal is to put other providers out of business, and when that happens there are layoffs. If you don't like that system, then I assume you are for a well regulated, more 'socialized' delivery of care.

cuhome · Sep 17, 2013

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.

Please explain rationale on this "belief". Lay it out, with specific cause and effect, so I can follow your reasoning. Your prediction is a simply a statement of opinion, without rationale.

SubSippi · Sep 17, 2013

The really irritating thing to me is not just patients coming to the ED for non-emergencies, but the fact that they are often times ADMITTED. A few weeks I had a patient whose nephew brought her to the ED because "he couldn't get her to eat." Primary diagnosis being "refusal to eat." She ended up being in the hospital for over a week, because her nephew refused to take her back home with him, so we had to wait for her to be placed in assisted living, and nothing was wrong with her. Her labs were normal, vial signs were normal, I just was giving her insulin, BP and cholesterol meds, and all of her anxiety/depression meds...and you better believe that woman stayed on the call light all day every day.

I don't feel like it's the hospital's responsibility to find her a placement, it should be her nephew's. I can understand if he abandoned her, but he was in there visiting every day.

AZ_LPN_8_26_13 · Sep 17, 2013

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.

Absolutely nothing this government does is open to public debate. Nothing. Just remember that. If it weren't for a large group of average folks saying in effect "Hey hold on here a minute" we would probably be firing rockets from drones at Syrian civilians right now. These people may still do as they please, but let's let the world know that if they do, they are not doing it with our consent. They stopped representing us long ago.

ak2190 · Sep 17, 2013

One can only hope. Looking at the state of new grads. :no:

MunoRN, RN · Sep 17, 2013

Absolutely nothing this government does is open to public debate. Nothing. Just remember that.

You proved you first statement wrong with your next statement:

If it weren't for a large group of average folks saying in effect "Hey hold on here a minute" we would probably be firing rockets from drones at Syrian civilians right now.