How Will Universal Health Care Change Nursing? - page 2

How will universal health care change the Nursing profession? Will we finally get ratios? Will our pay go up, or down? What about benefits? Will the quality of care improve, slide, or stay the... Read More

  1. by   UKPedsRN
    1rrrn - what if doctors and nurses got control of the system instead of the insurance companies trying to ram people through the production line? what if drug companies had fair prices and fewer side effects? it is going to get better for patients and therefore nurses! but, i wouldn't count on 1000 bed hospitals being there forever.

    what planet are you on? universal healthcare will mean the government trying to ram people trhough the production line - i know i work in the nhs. doctors and nurses have very little say in anything here- government targets must be met at all costs, and if the illness/diagnosis you have doesnt have a target - well you may as well forget quality care.
    the drug companies will continue to make their money, irregardless of who is paying them, the drug companies extract billions out of our government every day.
    having worked in the nhs and in the us, i can tell you where i would prefer to have my insurance and my health care and it is not the nhs!! and i can also say that my worst employer in the us was 50 times better than any of my employers in the uk.
  2. by   UM Review RN
    Quote from Spidey's mom
    More myth-busting and this has been said for years but people are still not getting it.

    [FONT=Arial,Helvetica,Geneva,Sans-serif,sans-serif]And of the remaining uninsured, 6 million lack insurance for only a few months.

    [FONT=Arial,Helvetica,Geneva,Sans-serif,sans-serif]The bottom line: About 8.2 million Americans, not 45 million, are chronically uninsured and low-income. And they are the working poor. They have jobs but, because of the high cost of insurance, no coverage. ... "

    I get it just fine. It's just my opion that lacking insurance "for only a few months" is unacceptable and "only" 8.2 million uninsured is unacceptable.

    What I don't get is how we can afford to go to war, but we can't afford to take care of our own. Most of us get our insurance through our workplace. Yet how many actual work -years do we have? We will all be unemployed at some point. If you're lucky that point will be after age 65 when you're covered. If lose everything. It's not right.

    I'm only offering my opinion, and have no wish to argue with anyone with a different opinion, so please don't get upset and try to change my mind. I've been around for a long time and I've seen all sorts of good people fall through the huge cracks in our so-called system. It's not right for us to choose to do that to all those people. And we do choose--every single time we hit that voting booth and pull that lever. We choose. So far, we've chosen to bankrupt families with a devastating illness / trauma, and we've chosen to support greedy insurance companies who don't want to pay for livesaving therapies.

    It's not right. It's just not right. There has to be a better way than this. Those who don't want to go with universal healthcare need to think up something really really quick, because the rest of us need solutions now.
    Last edit by UM Review RN on Jun 19, '09
  3. by   FireStarterRN
    One thing it will do is allow many nurses to go to per diem instead of clinging to full time jobs merely for the health insurance.

    We'd have to ask our Canadian colleagues as far as wages. Their nation is fairly equivalent to the U.S. in lifestyle and standard of living, yet they have universal coverage.
  4. by   looking4wrd
    Spidey's mom, thank you for all of the information you posted. I hope everyone reads it. We all need to do our own investigating of this issue and not take for granted everything coming out of the White House. This is a HUGE political issue with lots of emotion on both sides and for us to believe everything we are "fed" is ridiculous. If you do your own investigating, like Spidey's mom did, you will find more accurate statistics and information. Unfortunately, since this is a HUGE policital issue, if you sit around blelieving everything that comes out of the White House you will be seeing everything through rose colored glasses.
  5. by   amjowens
    At first, I was thinking that universal health coverage meant something like Canada/Europe...a socialist-type system, and imagined long lines, etc. After reading what I can about the FACTS..the actual proposed plan, I am shocked at how much it does make sense, well as the numbers of businesses that are limited due to health care costs/the number of hard-working Americans who are struggling. Politically, I try to stay in the middle, so I can see both sides, but I'm seeing more and more the scare tactics of the right. My boyfriend and I have differing views on the health care issue (he's a physician), and he's not even looking at the facts of what Obama is insurance requirements (kind of like auto requirements) for all so that the system flows again and we're not paying for the HUGE number of uninsured, KEEPING competition by utilizing current private health insurance systems (but ridding of the greeeed/unfair practices), minimizing the GOV'T run Medicare/caid which have been a flop overall, and yeah, making sure those who can't afford health coverage get it. Not exactly government-run hospitals..It's so scary to me how the media/untrue scare tactics, and especially, concern for oneself over the concern of the whole "neighborhood" can lead people to think to a point that they turn off their hearing to the facts...if we're going to talk history, now that's some scary stuff.
  6. by   WannaBeNrse
    Universal healthcare means less cost, more choices, and better care and outcomes for everybody. If you don't believe this, do some research regarding different healthcare systems. No system is as expensive as ours, yet the care we get is still mediocre at best. Worldwide, we are only #23 in life expectancy. We are the only developed country except for south africa that does not grant health insurance for all of it's citizens. Our infant mortality rates are much higher than they should be in such a great country.

    I honestly do not know what everybody is so afraid of. Obviously, something needs to be done. Yeah, I know, some of you are gonna tell me about big government and how "they" are pretty soon gonna control everything. But you know what, at this time, the control is in the hands of the private insurance companies, and there motivation is and always will be money. Healthcare should be primarily about helping people and saving lives, as idealistic as this may sound, it should never, ever be about money first.

    Yes, it may affect our pay. But if it means healthcare for everybody, I gladly take a pay cut. There simply is no excuse for leaving people without healthcare in this country, the richest nation on the planet. And if it means we all need to sacrifice a little, I am fine with this.

    By the way, medicare is a government program, and most people gladly accept their medicare coverage once eligible.

    To quote Martin Luther King Jr.: "Of all the forms of inequility, injustice in healthcare is the most shocking and inhumane."
  7. by   Fiona59
    Quote from FireStarterRN
    One thing it will do is allow many nurses to go to per diem instead of clinging to full time jobs merely for the health insurance.

    We'd have to ask our Canadian colleagues as far as wages. Their nation is fairly equivalent to the U.S. in lifestyle and standard of living, yet they have universal coverage.

    Thanks for asking BUT whenever we explain our system we get shouted by down by some very vocal poster. Whenever we post something we have the nightmare scenarios posted that every system will unfortunately run into, we get "but that would never happen here in the US" or "they sent the patient to the US"(but fail to understand that the taxpayer paid for it all).

    Yes, we have universal healthcare and a similar standard of living BUT we are also a very unionized workforce which is something that seems to be an abomination to US posters.

    So, I don't think you'll get to many Cdns. wanting to enter this debate.
  8. by   TheCommuter
    Quote from markuskristian
    Perhaps not the end of healthcare, but definitely the beginning of a crappy healthcare system. As unfortunate as it is, the US doesn't have enough staff, all staff (MD, nurse, techs, ect.) to support universal healthcare. Just my humble opinion.
    In my honest opinion, the healthcare system in the U.S. has already been crappy for the past twenty-something years.
  9. by   fuzzywuzzy
    I don't know why people are so afraid of the government "controlling their health" when right now the insurance companies are doing it.
  10. by   looking4wrd
    I would LOVE to hear Canadian's perspectives about their plans, as it is true that I hear a lot of nightmarish stories. It would be nice to hear the GOOD things about it. Anyhow, back to the OP's will it affect nursing??
  11. by   TheCommuter
    Here are two personal examples of my troubles with employer-sponsored healthcare.

    I had a pelvic/abdominal MRI in 2005. Although I had coverage from two different insurance companies at the time the procedure was performed, both entities refused to pay the bill because they deemed the MRI "experimental." I was stuck with the $4,900 bill.

    I had an overnight hospital stay last year. My employer-sponsored health plan provided 80/20 coverage, meaning that I was responsible for 20 percent of all covered medical expenses. The overnight hospital stay cost $20,000 and I had to pay $4,000 out of my own pocket. I am still making small monthly payments to the hospital so that the medical bills don't destroy my credit rating.

    I would absolutely love having a system similar to Canada's, where citizens pay $49 monthly for their healthcare regardless of pre-existing conditions. Taxes might increase, but my medical bills will be nonexistent. This is a trade-off that I am willing to settle for.
  12. by   TheCommuter
    Quote from looking4wrd
    I would LOVE to hear Canadian's perspectives about their plans, as it is true that I hear a lot of nightmarish stories. It would be nice to hear the GOOD things about it. Anyhow, back to the OP's will it affect nursing??
    Click on the blue link below to read the article.

    Pros and Cons of Canadian Healthcare
  13. by   MAISY, RN-ER
    Universal Healthcare....such a sticky but pertinent subject. Our ER visits have increased 100%, how much does everyone think that costs the system? As Americans the tendency to say "show me the money TODAY" creates poor planning and deficits, shortfalls tomorrow.

    It's funny, I am taking a Master's class in Nursing, government and politics and a class in Morality and ethics in healthcare, a very interesting duo at this time in our government's history. After really looking at all sides and comparing, there are several facts which stand out. As a country we spend the most money. Canada spends 1/2 of what we do and has better outcomes all the way around. Other countries provide primary care keeping the overall cost the same but provided BEFORE THERE ARE MAJOR PROBLEMS therefore, it isn't only end of life care costing ALL for A FEW, but primary, preventive care for ALL (including dental). Mental health care is not stigmatized or specialized and is treated like any other medical condition (a proven fact that depression and stress breaks down the immune system leaving us open to illness).

    We have the latest and greatest on every corner, but who can really use it? HOWEVER, even those countries are looking at some privatization. They wait for procedures and tests, and some facilities are not even comparable to our worst. YET their outcomes are BETTER!

    So, perhaps we could start providing base care for all-a safety net. Perhaps we could require all healthcare personnel-doctors who are notorious for not paying back their student loans to either take a percentage of medicaid or assistance patients, or volunteer at clinics and facilities for lowered malpractice or delayed payments. Perhaps this should be applied to all medical disciplines and teachers in education-required 3-6 months internships to maintain patient health. There are lots of ideas, someone has to be willing to do it.

    Will Americans wait for hours, will they be told what to do? I am sure if you ask the ones with nothing, they will say yes. Until you've been turned away, you cannot possibly know how that feels. Until you've seen a father of four beg to be seen by an orthopedist in the ER because no one will see him on the outside without insurance and his leg fracture is still in the temporary splint, he can't work, pay his bills or get a clinic appointment for 1 month-You don't know! There is no easy answer, but the one truth is if nurses don't get involved in Washington during this important time in history our voice will not be heard and counted. The AMA and insurance companies are there. Why aren't you?