How Will Universal Health Care Change Nursing? - page 4

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   Junebugfairy
    with health insurance we have 'choices'.

    i buy my own insurance, i refuse to take an employer plan. i bought my coverage at 18 so i would have a lower rate overall.

    i have had numerous health problems, but thanks to my ins coverage they have no bankrupt me. 80/20 plans do have more out of pocket costs than a 500 ded with 100% coverage, but that is the plan you got.

    i bought a plan that covers me very well, i picked and chose which benefits i wanted.

    we need to cover those who cannot afford insurance, but at the same time i want to keep my insurance because i like it.

    it seems to me that everyone wants something for free, and i cannot understand that mindset.

  2. by   geekgolightly
    I don't want something for free. I want for people who cannot afford insurance to be able to get insurance.

    Just FYI the Obama admin health system is not going to be "free." It will be sliding scale based on income. The lower the income the lower the out-of-pocket cost. There will be a percentage who get it for free, as they have nothing.

    Also, this system as the Obama admin has set forth will not shut down free enterprise. There will still be other insurance options for those who can afford it, and want it. You can get private insurance in the UK as well.
  3. by   tmgsn
    All I can say is Wow.
  4. by   It'sMe, RN, BBA, MBA
    Quote from 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.
    on the lighter side, irregardless is not a word. in fact it contradicts itself. just a comment.
  5. by   It'sMe, RN, BBA, MBA
    Quote from geekgolightly
    I don't want something for free. I want for people who cannot afford insurance to be able to get insurance.

    Just FYI the Obama admin health system is not going to be "free." It will be sliding scale based on income. The lower the income the lower the out-of-pocket cost. There will be a percentage who get it for free, as they have nothing.

    Also, this system as the Obama admin has set forth will not shut down free enterprise. There will still be other insurance options for those who can afford it, and want it. You can get private insurance in the UK as well.
    The system of sliding scale payment for health care already exists in the US. It is the system found in the Community Health Centers. Based on your level of income you pay a certain amount. A clinic visit can cost you $5 if you are a family of 4 and below the poverty line and as much as 100% if you are a family of 4 with good income. The clinic is staffed with young physicians and NPs. Lot of Residents moonlighting. You can actually get pretty good care there.

    However, this is where "poor" people go. Middle class and up go to their private physician. Insurance pays. Their copays are anywhere from $15 to $50. The waiting room is nice and usually has a flat screen TV.

    Just like the "dumbing down of America" within the public school system perputated by the federal government and the educators unions you will see a "leveling" of the health care provision field. Eventually, under UHC, we will all go to the big building in town, sit in an overcrowded waiting room for hours, be seen by a "physician extender" and treated for our ailement. This is the promise of health care reform.
  6. by   ghillbert
    What rubbish. I have lived most of my life in a country with UHC (and also private insurance, if you want) and we don't even have "physician extenders". We certainly are not loaded into trucks going to some drab government health building haha. You can even choose your doctor and make appointments so you don't have to wait!!
  7. by   It'sMe, RN, BBA, MBA
    Quote from arelle68
    I wonder if the US government is driving private medicine out of business so that they can take over everything. Look at the reductions in what they will pay for medicaid and medicare. If they aren't doing it on purpose, then their doing it on accident. They are obviously bankrupting the private health care system for some reason. Anyone know?
    Yes, it is quite obvious why they are doing it. We, in our fear of electing a female to the highest office in the land that represented a far left leaning small population of citizens accidentally elected an extreme left wing socialist into the white house. The socialist are doing exactly what they have always wanted to do, obtain power and control over the productive resources of this nation so they can control everything. Control equals power. Health care represents between 16% to 22% of our GNP. Huge slice of the pie. They want it, they are in power and they are going to do it quickly before the sheeple figure it out. We are going to wake up in 24 months and find that our economy is worse than Spains, Germany's and France's. And the socialist are pushing us even harder to become more European. Very few people can tell you what is going on with the bill but lots of folks can tell you the top three winners of American Idol. It is easy to take over a country when no one is paying attention.
  8. by   It'sMe, RN, BBA, MBA
    The up side of UHC for nurses? We will be able to finally get a national union that represents all of us and our issues. Since the government now owns GM it is not much of a leap of intelligence to consider that we all join the UAW and the Federal Employees Union, AFGE. If the government becomes successful in taking over the telecommunications industry we could combine the UAW, AFEG and CWA and then we would have some considerable weight in pay, benefits and staffing ratios. Could be a good thing!
  9. by   It'sMe, RN, BBA, MBA
    Quote from ghillbert
    What rubbish. I have lived most of my life in a country with UHC (and also private insurance, if you want) and we don't even have "physician extenders". We certainly are not loaded into trucks going to some drab government health building haha. You can even choose your doctor and make appointments so you don't have to wait!!
    LOL! And you certainly didn't get your health care in a country as big as the USA. Our leadership (Obama) cut its teeth in the community organizing arena and community health care clinics. This is the model they will follow because it is all they know. The current bill, in it's design, will provide an option to join the public program but it will tax the private insurance provided by employers. Being a smart business man, I will put my employees in the public program. Hence the end of private insurance. No need for it. Few will pay for it. With private doctors dropping out of Medicare/Medicaid in droves do you really think they will stay in it under the government plan? No way. It will be better to join a clinic and work your hours, take your government paycheck and go play golf or spend time with your family. Private insurance in the USA will die because no one will pay for it when it is cheaper to be in the government plan.

    Oh, and don't forget, our wonderful 28% combined income tax rate is now going to soar to 54% or more, just like in European countries. So who is going to have money to pay for private health care or private health care insurance anyway?

    The socialist this week are in full fear of having the bill costed out by the CBO. $2,000,000,000,000.00? And there is no money to pay this bill. This on top of an unfunded stimulus package and financial and industrial bailouts? Unemployment at double digits?

    Rubbish? Garbage, I say... LOL!
  10. by   geekgolightly
    Quote from It'sMe, RN, BBA, MBA
    The system of sliding scale payment for health care already exists in the US. It is the system found in the Community Health Centers. Based on your level of income you pay a certain amount. A clinic visit can cost you $5 if you are a family of 4 and below the poverty line and as much as 100% if you are a family of 4 with good income. The clinic is staffed with young physicians and NPs. Lot of Residents moonlighting. You can actually get pretty good care there.

    However, this is where "poor" people go. Middle class and up go to their private physician. Insurance pays. Their copays are anywhere from $15 to $50. The waiting room is nice and usually has a flat screen TV.

    Just like the "dumbing down of America" within the public school system perputated by the federal government and the educators unions you will see a "leveling" of the health care provision field. Eventually, under UHC, we will all go to the big building in town, sit in an overcrowded waiting room for hours, be seen by a "physician extender" and treated for our ailement. This is the promise of health care reform.
    That's very very city/region dependent. I would have to drive three and a half hours to have a hope of finding somehting like that. Now, when I lived in Houston, I didn;t think it was that big of a deal to be without insurance, because there were many free/low cost services, but after living in numerous towns and cities in the US, I have come to find out that most places are not so "rich" in funded clinics for the poor.
  11. by   It'sMe, RN, BBA, MBA
    Very true. Little towns will have to have travel to bigger towns to receive treatment. Little hospitals, defined as anything under 120 beds will be turned into urgent care centers. There is already a model being tested here in Atlanta where a community of considerable size will not have a hospital but they will have an urgent care center that replaces the hospital. Consolidation of hospitals and the closing of "excess" beds will continue. Just look at what happened in Philadelphia.
  12. by   ghillbert
    Your "these terrible things will happen" theories are just that, theories - not based on fact. You do not show any basis for your theories.

    Perhaps under this plan, something like an MRI won't be able to charged at several thousand dollars, when it costs nothing like that to provide. The amounts charged and reimbursed are ridiculously inflated - who's getting all the bonus?

    My home country has both UHC and private insurance. Why would anyone take private insurance? Because you get to skip lines, and choose your surgeon, and go to fancier facilities. Why else? Because you get a tax break - you pay a lower medicare levy. Plus, tax rates are NOwhere like 54%.

    I think it's interesting that the people who are most against UHC are the people with no actual experience of it.
  13. by   It'sMe, RN, BBA, MBA
    Interesting. My MBA is in Health Care Administration. I have a Post Graduate certificate in managed health care. I was the President of an HMO. What qualifications do you have other than "I worked in UHC?"

    I have studied other systems of health care including UHC in depth for over 25 years. So, how do you dispute all of the evidence that UHC has rationing and endless horror stories? The evidence was given to us by previous posters, no need for me to repeat it.

    You are also underestimating the American people. Americans don't walk into a hospital and say "give me only what I need, I will take a Yugo instead of a Cadillac if it is available." Everybody wants the absolute best no matter what the cost will be. Rationing of health care in the USA will not be tolerated. It is not tolerated by the lowest class, just go to an any ER and you will see it, and the middle and upper class certainly will not stand for it.

    Frankly, I doubt we will see UHC in the next 25 years. The democrats do not have the backing on the hill to ram it through. And they run the risk of having the sheeple that follow them wake up and turn on them. Their opinion polls are coming in and telling them this. They will back off because it is politically expedient to do so.

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