we've been having heated - but not yet angry - discussions

Nurses General Nursing

Published

regarding the provision of medical services to undocumented residents - illegal aliens. As students, we've had the opportunity this semester to have clinical experiences that include being with community nurses as they make well-baby visits to the new parents. Seems as if we've all noticed a vast percentage have been to undocumented families.

We're a divided bunch. Some of us can't afford insurance while in school and yet see these families recieving services that they can't get. We've discussed the morals of providing health care to all/any who are in need. The ever-present problems of limited budgeting. Today it was mentioned about the helicopter crash this weekend in Texas. An undocumented mother and her ill child were being flown somewhere for treatment when the helicopter went down. Pilot, mother, baby died. The nurse was critically injured.

A long-time L&D nurse at one of the local hospitals commented when I asked her what her thoughts were (she has some interesting experiences as a Peace Corp nurse in South America, a more global view of nursing than is usually seen here in the midwest) "Well, I've never had to do a drug test on an Hispanic mother, I've never had to call in family services for suspected abuse. I have done these many, many times for 'our own white trailer trash' American residents." She'd rather see the young families have a chance at a healthy start.

It's a puzzlement to me. I'm not sure how I feel about this. Much of my concern is linked to budget. I just see a greater and greater drain on an extremely overtaxed system already. If we have to limit our services - should not our own citizens recieve the first services available?

arghhhhhhhhhhhhh - these ethical discussions make my head spin sometimes. I think I know what I believe and then someone makes a good point and I have to reconsider what I have already concluded to be true.

I feel like Eeyore.... think, think, think, think, think

Sounds like a good argument for national health care!

I'm sorry, but this makes no sense! Because you haven't had the opportunity to hear someone complain, we should raise our taxes to support them?

I don't complain much, can I have my HUMMER now?

KM

Specializes in Emergency Room.

i am glad this topic of who desreves healthcare was brought up. i am a ED nurse and i can't tell you how many times i have heard nurses make comments about patients not deserving healthcare because they have public aid. "these people make me sick with their public aid, they are the worse patients" "get a job" "public aid patients are the most demanding" yada yada yada. this attitude sickens me because you never know a person's situation and you never know when YOU may need public aid. nurses are lucky that they have secure jobs. i meet patients all the time who apologize for not having insurance because they just lost their job or they can't afford it. so what do we do? turn them away? i think not. it is not our job to judge people.the area i work in is hispanic dominated also and i personally think they get the short end of the stick when it comes to unbiased, good healthcare. i once had a patient who was having a MI who didn't have insurance and he needed to go to the cath lab. well guess what? the cardiologist decided all of a sudden that we could just monitor him and continue to give him the heparin drip and nitro. once that stabilzed just admit him to telemetry and if NECESSARY depending on his enzymes he MIGHT go to cath lab. i was floored by this. i heard the cardiologist say "he doesn't have insurance? oh @%!&^%!! well let's see what we can do" unfortuantely patients do suffer when they don't have coverage. as a healthcare advocate i see situations like this all the time and the best i can do is try to comfort people in their time of distress and show them that they will be taken care of the best to my ability.

Specializes in Geriatrics/Oncology/Psych/College Health.

All I can say is that I saw a number of illegal aliens in the course of my OB clinicals as well. Once the baby was born in this country, the parents were also permitted to stay - no longer deportable. At that point, they were also eligible for Medicaid and all the benefits available to residents of this country. So the game is if you can get across the border, you win? Doesn't seem fair. OTOH, I guess it doesn't seem fair to those who, by sheer accident, weren't born in the U.S. I have done nothing special to deserve the rights and privileges of the country but be given a lucky number in the gene lotto.

I live in a little community in central Ohio were we are having an explosion of illegal aliens from Mexico. We as a county are going in the red trying to provide equal support and services to this group. Our legal services have had to make an emergency levcy to get money in our budget just to provide an interperter to communicate with them in court. Heck even our Wal-mart is adding Spanish directions to all their products.

Just last night I was in the ER with my son and it was totally filled with mexicans.The triage nurse said most were illegal and the were in every Tueday like clockwork d/t they did not have services of a primary doctor. The ER is required to provide it and not report. She said it was best not to show up on this night as a bus from the next county's egg farm dropped them off at nine and came the next morning to pick them up.

As a nurse I can see the need for health services, as a taxpayer I am angry. I feel the egg farm whom is providing the jobs should support their healthcare.It seems a big expense for all middle income Americans to provide. :angryfire The low income employers should share some of the taxpayers expense.These employers are getting low wage labor and expecting us to provide their healthcare.

What our government needs to do is deploy our Armed forces where they were intended to be deployed on US soil to protect the US from INVASION! That's right this is an invasion, and history has shown that if you are unable or unwilling to protect you country you will lose it! Any country that is unable or unwilling to protect its borders from foreign invaders is NOT a country. Countries have borders that they protect religiously; it is borders that geographically define a country. Countries go to war to protect borders.

Should we provide healthcare to foreign invaders? Isn't this question absurd on its face?

Health cares a right? Lets see if I can remember that line, "...life, liberty, and the pursuit of happiness, and Health care." It seems different then what I remember it.

How about the folks who come for a "visit", fly in first class, have their babies through public healthcare funding, and fly home with a brand new US citizen?

This is true, I've seen it, the mothers freely admit it, and know they can't be turned in, and it's way too common. Is it right we should treat these folks who are exploiting our healthcare system for future insurance purposes?

Specializes in Registered Nurse.

Well said, cotjockey. All people deserve healthcare, but I believe many people come to this country because of the "free" services that are not really "free" to many of us. It's not a matter of not treating a person. Of course they should be treated. I am wondering how many more immigrants we can afford. I have seen prenatal clinics that care for primarily immigrants that they help to apply for Medicaid. The patients do not believe in birth control and the babies keep coming.

Illegal aliens as destroyers of the healthcare system is a red herring. There are a lot of ways to improve the health care system and decrease waste without denying care to illegals, we just don't want to deal with them cause it's easier to pretend it's unfixable and if the immigrants just stopped sucking the life out of the system we'd be ok.

I always found the biggest wasters of the healthcare system were American born. The irony comes when you get an American woman on assistance (always has a nice manicure too) who takes an ambulance to the hospital to deliver when she could have taken a bus, demands we feed her whole family while she's there ("Jimmy, tell the nurse to get you a samich!") and wants to take home hospital supplies ("don't you have any more diapers I can take home? What do you mean I can buy my own?") and then complains about those illegals wasting resources. Good times...

Illegal aliens as destroyers of the healthcare system is a red herring. There are a lot of ways to improve the health care system and decrease waste without denying care to illegals, we just don't want to deal with them cause it's easier to pretend it's unfixable and if the immigrants just stopped sucking the life out of the system we'd be ok.

I always found the biggest wasters of the healthcare system were American born. The irony comes when you get an American woman on assistance (always has a nice manicure too) who takes an ambulance to the hospital to deliver when she could have taken a bus, demands we feed her whole family while she's there ("Jimmy, tell the nurse to get you a samich!") and wants to take home hospital supplies ("don't you have any more diapers I can take home? What do you mean I can buy my own?") and then complains about those illegals wasting resources. Good times...

Agreed

You forgot the prescription for tylenol or saline bullets...

My favorite is when they put that same prescription in their wallet next to the gold credit cards and the designer lighter for their cigarrettes

But, at least in this border state, the illegal aliens will fill up any urban ER waiting room. I live this daily...

Bad times...

sean

LOL!! :D Prescriptions for tylenol!!!HA! I haven't heard that in a loooooooonnnng time! You're making me nostalgic.... Truthfully, patient as customer is the one thing I really don't miss about nursing in the US.

Why aren't the people who profit from illegal aliens required to cough up some healthcare money?

Illegal aliens as destroyers of the healthcare system is a red herring. There are a lot of ways to improve the health care system and decrease waste without denying care to illegals, we just don't want to deal with them cause it's easier to pretend it's unfixable and if the immigrants just stopped sucking the life out of the system we'd be ok.

I always found the biggest wasters of the healthcare system were American born. The irony comes when you get an American woman on assistance (always has a nice manicure too) who takes an ambulance to the hospital to deliver when she could have taken a bus, demands we feed her whole family while she's there ("Jimmy, tell the nurse to get you a samich!") and wants to take home hospital supplies ("don't you have any more diapers I can take home? What do you mean I can buy my own?") and then complains about those illegals wasting resources. Good times...

That's right people act differently when they have to pay for a service. There is no "right" to health care! If you want health care pull out your wallet and pay for it. Stop coming up with new "rights"! You don't have a "right" to health care, because I do not have no obligation to pay for someone elses health care!

Specializes in Junior Year of BSN.

I think everyone has the right to care, be it the American w/ manicure, hair done that cost over $100 (all races!), and jewelry all over there hands, w/ 5 kids and on public assitance or the immigrant who works hard (would you do the work they do with there pay so their kids can have a better chance) or just using the government. EVERYONE deserves care regardless. I hope none of the nurses treat one patient better than the other one because their status. Remember your the patient advocate not the patients judge.

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