Health Care Reform: Should we all go per-diem?

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I was thinking, should we all go per-diem and make more money now that the health care reform bill passed? Do nurses qualify for this universal heathcare or is it just for the poor and nurses get taxed for it? I mean if we qualify I could see employers taking benefits away in a heart beat but then not paying us the difference of a per-diem non-benefited position.

Specializes in NICU Transport/NICU.
It's an actual department. They give $100 bonuses if you keep your health "numbers" in the "good" bracket--if you're off, they will help you.

We have our "own" employee health--ARNPs staff if, if we're sick we can go there instead of our PCP for minor things.

Our daycare as aftercare for children and ELDERLY people...the system pays for part of it--to help the employees with stressful fam situations.

We have an onsite hair salon, nail salon, dry cleaners--we're waiting for the grocery store--that's all we need..lol...

That is Awesome! I'm very impressed.

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Under the new bill, your taxes (one portion of taxes) will rise approximately $40 per month if you are an individual making $200,000 or over or couple making $250,000 per year or over. If you are, I am envious of you!!! You will also in the future be taxed more on profits from dividends and stocks. The only ones that will see tax increases will be the upper middle class and wealthy. If you are in this category, I don't think you will get much sympathy from all us working class, whose taxes will NOT be increased at all. I don't make any money on stocks and dividends and I think if my husband and I were making over $250,000 per year, an extra $40 a month would not hurt us. Please get the details correct before making blanket statements. Also, instead of the WORKING poor waiting to go to the emergency room because they can't afford insurance or have some type of pre-existing illness (which the majority of us have by a certain age even if we are healthy), they will be able to buy insurance by being included in a large pool of people, which will enable them to buy insurance much cheaper, which will in turn get them to the doctor before having to go to the emergency room in many cases. I see this bill as a win-win for everyone and it won't hurt people in higher income tax brackets such as 200-250 to pay a small amount of taxes and for the wealthy to be taxed on their dividends and stocks, do you? It seems humane to me.love.png

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Under the new bill, your taxes (one portion of taxes) will rise approximately $40 per month if you are an individual making $200,000 or over or couple making $250,000 per year or over. If you are, I am envious of you!!! You will also in the future be taxed more on profits from dividends and stocks. The only ones that will see tax increases will be the upper middle class and wealthy. If you are in this category, I don't think you will get much sympathy from all us working class, whose taxes will NOT be increased at all. I don't make any money on stocks and dividends and I think if my husband and I were making over $250,000 per year, an extra $40 a month would not hurt us. Please get the details correct before making blanket statements. Also, instead of the WORKING poor waiting to go to the emergency room because they can't afford insurance or have some type of pre-existing illness (which the majority of us have by a certain age even if we are healthy), they will be able to buy insurance by being included in a large pool of people, which will enable them to buy insurance much cheaper, which will in turn get them to the doctor before having to go to the emergency room in many cases. I see this bill as a win-win for everyone and it won't hurt people in higher income tax brackets such as 200-250 to pay a small amount of taxes and for the wealthy to be taxed on their dividends and stocks, do you? It seems humane to me.love.png

It does sound humane at this point...BUT I think it will turn out different. In the long run premiums will increase to compensate for the added population, that includes those with pre-existing conditions. Also dividends and stocks are not exclusive to the rich. The ATM has come back to bite a lot of middle class people in the butt when it came to tax time. I hope everything turns out as it is supposed too, but I've been around too long to hold hope for that. ;)

Don't get me wrong, I do think everyone should have basic health insurance...but as I've said before, I think this reform is going to add more burden to the middle class.

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Oh look someone who supports the HC bill is upset again. Quick, call the OP a racist!

Talk about getting "ones panties in a knot." Geeze.

I didn't call the OP a racist. I said they should learn a little bit about the bill before they comment on it. I don't understand why people can't have disagreements without bringing race into the discussion.

Personally, I dont have enough information about the bill to make a judgement. I think that's the Administration's fault, they are not doing enough to educate the public about it. Instead, they are allowing republicans to use the bill to scare people just like they did after 911.

I'm guessing you are not a supporter of the bill, what exactly do you not like about it?

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Under the new bill, your taxes (one portion of taxes) will rise approximately $40 per month if you are an individual making $200,000 or over or couple making $250,000 per year or over. If you are, I am envious of you!!! You will also in the future be taxed more on profits from dividends and stocks. The only ones that will see tax increases will be the upper middle class and wealthy. If you are in this category, I don't think you will get much sympathy from all us working class, whose taxes will NOT be increased at all. I don't make any money on stocks and dividends and I think if my husband and I were making over $250,000 per year, an extra $40 a month would not hurt us. Please get the details correct before making blanket statements. Also, instead of the WORKING poor waiting to go to the emergency room because they can't afford insurance or have some type of pre-existing illness (which the majority of us have by a certain age even if we are healthy), they will be able to buy insurance by being included in a large pool of people, which will enable them to buy insurance much cheaper, which will in turn get them to the doctor before having to go to the emergency room in many cases. I see this bill as a win-win for everyone and it won't hurt people in higher income tax brackets such as 200-250 to pay a small amount of taxes and for the wealthy to be taxed on their dividends and stocks, do you? It seems humane to me.

Sheesh! Its funny to me when people try to act like they've read the WHOLE bill, so they can educate others. I think that it is ignorant to say "if I made $250,000/year an extra $40 a month wouldn't hurt me". Those families that do make that much a year have bills too! Those families have more than likely worked their butts off to make the salaries they make. For most families, it takes whatever you make to live. So, if you make $50,000 thats how much it takes to live and ditto for someone making $250,000. I don't think there is anything humane when you want to punish someone b/c they have done well for themselves. I agree with parts of the bill, such as the pre-existing clause and the insurance caps...........but those rules and regulations could have been enforced without the Government running our healthcare. Taking away our "right" to choose whether or not to have healthcare is inhumane to me. Anyway, these are just my opinions. But if anyone wants to say that they know ALL the ins/outs of this new bill/law, then you are not being honest.

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Specializes in NICU Transport/NICU.
I didn't call the OP a racist. I said they should learn a little bit about the bill before they comment on it. I don't understand why people can't have disagreements without bringing race into the discussion.

Personally, I dont have enough information about the bill to make a judgement. I think that's the Administration's fault, they are not doing enough to educate the public about it. Instead, they are allowing republicans to use the bill to scare people just like they did after 911.

I'm guessing you are not a supporter of the bill, what exactly do you not like about it?

I didn't say you called the OP a racist. That just tends to be the next step in the Democratic book of attacking people who don't support their agenda. Just wanted to give you a hand. That's all. And no, I don't support the healthcare bill. But that's only because I believe in personally liberty and freedom and all that crap......

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Specializes in Public Health, TB.

So how about all those other things that are paid through via taxes? Your are "forced" to have a fire department, whether you want it or not. Same with roads and clean water.

And how do you figure you are not paying for health care, whether you have insurance or not?

Hospitals lose money on every Medicare and Medicaid patient they treat (paid for with taxes). That leaves the insured and private pay. There are very few private pay, and that leaves the insured to pick up any short falls through insurance premiums and co-pays.

And I gotta believe its cheaper to go to a PCP to treat an ear infection than the ED.

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So I guess Medicare for the elderly and Social Security when you retire (which everyone also pays taxes on) is unAmerican and takes away our liberties. That is what was said when those 2 bills were passed. In fact, people have said this current bill was the worst since the passage of Medicare. My parents worked very hard all their lives and did not make a lot of money. I am very glad they had SS and Medicare for their medical bills, since I helped take care of them their last several years until their deaths. I am happy to pay for the SS and Medicare of elderly and retired people now. It is more humane than letting people starve and die because they can't work anymore. These same arguments were used against those bills. Everyone pays for higher gas, higher clothing, housing, etc., because these are necessities. Basic care, food, housing and medical care are also necessities for those who cannot provide for themselves. How many people worrying about the well-off paying a small amount more for taxes worried about the money we spent on subsidies for oil companies, the war, social security or Medicare? I know most people who are upper middle class or even wealthy have worked for it and we need those people. We need janitors and CEO's, we need everyone. But going by percents, the wealthy have paid less of their income than working people and poor people the last 8 years. They got a big break. We have had an extremely hard time financially the last 5 years because of illness and death in the family. But how could I say no to less than 2% of my final income for the year going toward healthcare? On $50,000 that would be less than $10; $100,000 less than $20. For those making $250,000 or more (that is after deductions which means their income after deductions so they could be making $300-350 or more) $40 a month is not that much. That is why we pay taxes for roads, bridges, etc., for our cities and country. Everyone pitches in (and it should be according to income) to have a good country to live in. I am not trying to sound like I read the entire bill, I am sure that there is much I don't know. But I have looked at the main facts of the bill. Everyone is not going to be taxed. The insurance used will be private coverage but people will be pooled together; it helps in insurer because they have more business and it helps the insuree because they can get insurance cheaper. Does it infringe on our rights to be required to have driver's license, passports, birth certificates, etc.? The uninsured end up in getting the medical care anyway, usually then the conditions are more severe, and the taxpayers end up paying for it eventually. And by the way, why would anyone NOT want to have insurance? Why would you want a simple operation to completely take all your money? Why would you want to worry about an emergency? I guess I just don't understand that type of thinking. I think if a lot of people would look at the actual facts of the bill, it has a lot of good things. I'm not saying it is perfect but it is a start. Maybe some things will have to be changed if they don't work. Usually any bills that are written to help those people with basic needs who cannot do it themselves works out to be a good thing. This is my opinion and I'm not saying I'm an expert or anything, but please no name calling and discuss with facts, not things you have "heard" are in the bill.

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Sure it is definately cheaper to see a PCP than go to the ED. Thats why we need some reform in that area. Lets attack it from that area. Lets provide incentives to make PCP more attractive, help with med school costs, better pay etc. A large portion of the folks that go to the ED for a "cough" HAVE some form of insurance, they just don't have a PCP b/c they can't get in to see one OR they don't see one anyway. I, personally, have a problem with "stealing from the rich and giving to the poor". I am not saying that we should not help the vulnerable (such as medicaid and medicare and Tricare etc). But I really would prefer that I not have to assist in paying someone insurance that CHOOSES to hang out on the couch all day. Of course, like I said, NONE of us know what is going to come of this bill. There are so many things that have been hidden in it and/or taken out of it. We will not know what is going to happen until it happens. Its too bad that the people we elected into office to represent us, are NOT doing what we want them to. 64% of Americans polled also, do not agree with the current reform.

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Specializes in ER, OR, PACU, TELE, CATH LAB, OPEN HEART.
www.baptisthealth.net

It's so ahead of the game when it comes to reform--a lot of the stuff they're suggesting we're already doing.

We're #32 on the list--I meant to type 3 in front of the 2... =)

JO....your organization is the "ROLE MODEL" on many fronts. My organization also has a wellness program, and we have phenomenal benefits. Also, self insured, and we are the largest employer in our state.

Girl, I knew I liked your outlook. Now I know we are in similar nurturing work environments, that is why.

Let's not PANIC yet about healthcare reform, still isn't finalized how everything will work.

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So I guess Medicare for the elderly and Social Security when you retire (which everyone also pays taxes on) is unAmerican and takes away our liberties. That is what was said when those 2 bills were passed. In fact, people have said this current bill was the worst since the passage of Medicare. My parents worked very hard all their lives and did not make a lot of money. I am very glad they had SS and Medicare for their medical bills, since I helped take care of them their last several years until their deaths. I am happy to pay for the SS and Medicare of elderly and retired people now. It is more humane than letting people starve and die because they can't work anymore. These same arguments were used against those bills. Everyone pays for higher gas, higher clothing, housing, etc., because these are necessities. .

Social security is broke and I have no idea if it will be there when I retire. I have worked 30 years so far (including the military) and I may not have any SS for myself. So I would choose some other example to use if I were you. ;) Actually it would have been fine had the gov't not used the excess for other things. Even as they speak about it going broke they continue to use the excess.

Medicare has it own issues too.

The fact is that we really don't know what this bill is going to cost us in the long run, since it is 2,000 pages long. And we really don't know if it will fix the problem. There will still be uninsured because the fine is cheaper than health insurance. Only time will tell and I wish for the best.

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When people who make a lot of money are just asked to pay their fair share like the rest of us working people, it is not stealing from the rich. And the WORKING poor (who sometimes work more than 1 job) who do not have insurance are not "laying on the couch" all day. There are quite a few people at the church I attend that have been laid off after working at a job for many years that are in their mid 50's and are on unemployment. Some can get on their spouses insurance but some have no insurance now and are really scared. This is not the poor lazy people who don't want to work and want the "rich" to support them, this is more a case of the insurance and big business getting out of hand and taking advantage of people. I believe that if the insurance companies are more regulated, they can profit a lot but also be fair. Why not have business working with government to provide something good for the country when it is a business who is providing a service that can result in life or death. We all disagree on how tax money should be spent and that is what is great about America is that we can have discussions, vote, agree or disagree. But we are all taxed and for good reason, to provide services, military protection, etc., for the American people. I am sure 99% of the people on this forum, myself included, have insurance. Why begrudge working families who cannot afford insurance or who are denied because they have once been sick or their baby is born ill to have the same thing we have? The POOR LAZY PEOPLE WHO LAY ON THE COUCH ALL DAY LONG already have Medicaid, so this doesn't even pertain to them. We are talking about everyday American families who work or who have been laid off through no fault of their own. So I think it sounds a little mean-spirited to say that slightly raising taxes on the upper income Americans who had their taxes slashed 9 years ago and who are paying less income tax proportionately that we blue collar or regular workers (under $200,000 a year) is stealing from the rich to GIVE to the poor when it is actually given insurance to WORKERS who cannot afford it or who are ill.

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