I'm scheduled to start in a private ED hospital next month. I started at a VA on a PCU unit as a new grad, but I feel like I'm depriving myself of the experience I desire.
As I consider transitioning from a highly political, but stable federal hospital (VA) to a private hospital in order to gain the ED experience that I desire (a broader pt population-not just older vets in for pain med refills and jock itch), I ask myself how the ACA has affected your employer (hospital, school, prison, etc.). Have budgets been cut? Have layoffs taken place (specifically nurses being laid off)? Are you called off less or more? Have PRN positions been eliminated or increased? Is agency/travel used more? Have your benefits been affected? Have your employers anticipated any forthcoming changes?
whats not fair is im paying 900. with insurance N while others pay nothing.. try to wrap your head around that..
p.s. btw the insurance did cut back on reimbursement meaning less money for employees.. for example, if an agency bills for a visit 60 and pays the nurses 30.00 the other 30 goes towards the agency cost. so,if they cut back on reimbursement means less money to go around.. its easy to point fingers lets talk about the facts....
no.. what i said was basically from my understanding the system was created so that the young healthy pay in to the system to help cover the cost of those who are chronically ill and when those youngster become older the next generation will pay for them....
P.s no body actually knows what the law is b/c we hear bits and peices of it.. who has the time to read a few thousand pages.. no body will tell us the truth...
P.s no body actually knows what the law is b/c we hear bits and peices of it.. who has the time to read a few thousand pages.. no body will tell us the truth...
Its actually less than a thousand pages, it's about as long as two harry potter books.
whats not fair is im paying 900. with insurance N while others pay nothing.. try to wrap your head around that..
p.s. btw the insurance did cut back on reimbursement meaning less money for employees.. for example, if an agency bills for a visit 60 and pays the nurses 30.00 the other 30 goes towards the agency cost. so,if they cut back on reimbursement means less money to go around.. its easy to point fingers lets talk about the facts....
These are people who by definition don't have $900 to pay, so what would you suggest we do about these people who simply don't have and won't have the money?
Let me start off by saying our system is rigged on both sides. by having a D or R doesnt make your ideas no good.. the system needs to be stripped from the top and give each state its own power so they can do as they see attending to the needs of the state...For example, since no two states are alike, our current system, the affordable care act is so lengthy and the last time i heard it consists of a few thousand pages and i'm sure no one who actually voted on it read the whole bill. most just follow party lines...
Just imagine if the states were given the Opportunity on a local level to assist those who truly need it we all will be in a better place and give incentives to those who need an extra push.... but instead we have one hat that fits all... from my understanding, the current system forces the younger people to pay more to compensate for those who cant afford it or chronic problems where in the past they would be denied coverage... I'm not no economist, but as my mother would always say money doesn't grow on trees. you cant just print more money and throw more money at a problem in hopes of fixing it...
Medicaid is already a state run program, and the various systems for getting these folks jobs, job training, etc is already managed at local community levels.
Specializes in NICU, PICU, Transport, L&D, Hospice.
P.s no body actually knows what the law is b/c we hear bits and peices of it.. who has the time to read a few thousand pages.. no body will tell us the truth...
Many people, including participants here have read the law.
The fact that the media has been inundated with lies about the ACA doesn't mean that there are not truths available about it, it mostly means that you must look for the truth.
This discussion has turned into a ridiculous political debate. I had responded to this question about how the ACA has affected me personally with a personal story and an opinion. No one is jealous of poor people. I walk into their homes daily. Some live in one room, cockroach and bedbug infested boarding homes with little food and clothing. Some are homeless. I think what people are angry about is that in terms of healthcare is that the "haves" have become the "have nots". That population is often referred to as the "working class." Now just from personal experience, I have seen several of my patients going for multiple sleep studies yet they refuse to wear their masks at night. Many of my patients are 10 or so years younger than I am with less cardiac risk. My insurance will not pay for me to have one despite my cardiac risk, family history of sleep apnea, and long history of sleep problems. I am not paying out of pocket for this because I already pay enough for other more pressing medical expenses. Also I was prescribed fenofibrate a little over a year ago. After the prior Auth I paid my 75 dollar copay for it and my triglycerides and cardiac risk index improved. Now my insurance will not pay for it anymore. I have a patient who was prescribed the same medication with a lower triglyceride level and lower cardiac risk index to begin with and it was paid for. I am not jealous of their living conditions or their personal struggles, I am jealous of that access to care that I think everyone should have, because whatever inanimate objects are around me; house, car, etc, the physical health and well being of my family comes first.
Its actually less than a thousand pages, it's about as long as two harry potter books.
I don't think it is so much the length of this document that makes it a daunting task to read, rather the language used to write it. The average person who has passed the 5th grade can easily read two Harry potter books. I don't think the average college graduate could get through that convoluted mess and fully understand it.
they do that for a reason !! the media tells us what they want us to know.. an average person doesnt have the rime of day to research the real truth !!
dixieyid305
101 Posts
whats not fair is im paying 900. with insurance N while others pay nothing.. try to wrap your head around that..
p.s. btw the insurance did cut back on reimbursement meaning less money for employees.. for example, if an agency bills for a visit 60 and pays the nurses 30.00 the other 30 goes towards the agency cost. so,if they cut back on reimbursement means less money to go around.. its easy to point fingers lets talk about the facts....