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?
This makes it sound like the health insurance industry was fair and balanced before the ACA was enacted.
You have an excellent point. I recently contemplated not working overtime every week and just going per diem and signing up for one of these plans. I admit that I found it difficult to understand even as a healthcare provider, but the cost appeared to be scaled according to house hold income. Naturally I am making more because I am working more. So since I work over ten every week I would pay more than someone in my position who just works full time. Also, (I admit I gave up during the process) I don't know if they even take into consideration your present family medical expenses.
Specializes in NICU, PICU, Transport, L&D, Hospice.
Do you like Obamacare?
Are you asking me?
Do I like the ACA? meh
I am an advocate of single payer resolution to our concerns.
Our legislators are cowards and so we have this Frankenstein of a conservative insurance reform which does improve some things but is not particularly loved by anyone. The biggest thing the ACA has going for it is that it actually got passed, thereby forcing the country to do MORE about the unsustainable and ineffective system of health insurance and care delivery that we were enduring.
I am an advocate of single payer resolution to our concerns.
Our legislators are cowards and so we have this Frankenstein of a conservative insurance reform which does improve some things but is not particularly loved by anyone. The biggest thing the ACA has going for it is that it actually got passed, thereby forcing the country to do MORE about the unsustainable and ineffective system of health insurance and care delivery that we were enduring.
Specializes in NICU, PICU, Transport, L&D, Hospice.
You have an excellent point. I recently contemplated not working overtime every week and just going per diem and signing up for one of these plans. I admit that I found it difficult to understand even as a healthcare provider, but the cost appeared to be scaled according to house hold income. Naturally I am making more because I am working more. So since I work over ten every week I would pay more than someone in my position who just works full time. Also, (I admit I gave up during the process) I don't know if they even take into consideration your present family medical expenses.
Because of the ACA you actually felt that you might have an option beyond an employer funded health insurance policy. For some folks that option is now a pragmatic alternative that was not previously available to people without significant financial means.
Because of the ACA you actually felt that you might have an option beyond an employer funded health insurance policy. For some folks that option is now a pragmatic alternative that was not previously available to people without significant financial means.
Yes I actually felt that, but discovered it really would not have been an affordable option. Once again, I am glad for all the people who actually benefitted from the program.
Specializes in NICU, PICU, Transport, L&D, Hospice.
Yes I actually felt that, but discovered it really would not have been an affordable option. Once again, I am glad for all the people who actually benefitted from the program.
It will be interesting to actually hear "conservative" ideas now as to how to fix, replace, or improve this system rather than simply hearing the "talking point" rhetoric of complaints. However, I am quite confident that Republican leaders will offer up little beyond REPEAL in their efforts and the POTUS will not sign that. He will, I believe, seriously entertain ideas to improve our health insurance and health delivery systems. We will wait patiently for the conservative solutions.
I agree that there are an awful lot of talking heads and media sources out there bashing the Affordable Care Act, but what the middle class is experiencing is real and I honestly don't believe that anyone has any animosity toward poor people because of it. The system is unfair and it is no one's fault but the people who organized it and implemented it.
Hopefully one day we the people will stop listening to career politicians and stop sending them back to Washington and elect people who actually care and want to make real change.
It will be interesting to actually hear "conservative" ideas now as to how to fix, replace, or improve this system rather than simply hearing the "talking point" rhetoric of complaints. However, I am quite confident that Republican leaders will offer up little beyond REPEAL in their efforts and the POTUS will not sign that. He will, I believe, seriously entertain ideas to improve our health insurance and health delivery systems. We will wait patiently for the conservative solutions.
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...
whats more disturbing is my son when to the hosp for RSV and we had to pay out of pocket for since we have insurance..but if i didnt work i would have gotten everything for free. the kid in the next room parents told me they didnt have to pay anything..
the system is screwed up, its set up to punish those who want to go to work and rewarding those who dont work or make enough money and make them dependent on the SYStem..
Medicaid does actually have cost sharing, if they fall below that income then they make somewhere less than about $20,000 (assuming they are a family of 4). I can't say I'm all that jealous of a family living on less than $20,000 or in any way feel "punished" because that's not me.
Adding co-pays or cost sharing to a family with that kind of income is basically a dry well.
Do you feel punished because their child is getting the same care your child is getting despite the fact they are poor? Would you feel less punished if their child wasn't allowed in the hospital?
Specializes in NICU, PICU, Transport, L&D, Hospice.
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...
So you haven't read the ACA?
It sounds like you think that people with cancer or COPD or diabetes or other expensive illnesses should simply be denied coverage in order to save $$ for folks who don't have expensive or chronic health concerns (yet).
Perhaps you could explain if that is not what you think or believe.
SmithRNclassof97
31 Posts
You have an excellent point. I recently contemplated not working overtime every week and just going per diem and signing up for one of these plans. I admit that I found it difficult to understand even as a healthcare provider, but the cost appeared to be scaled according to house hold income. Naturally I am making more because I am working more. So since I work over ten every week I would pay more than someone in my position who just works full time. Also, (I admit I gave up during the process) I don't know if they even take into consideration your present family medical expenses.