If healthcare reform resulted in salary caps of $40k for nurses would you stay?

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I'm not asking for a debate about wether or not healthcare reform would result in salary caps, I just want to know would you stay in nursing if your salary was capped at $45k? what about $35k? where would you draw the line? for arguments sake lets say advanced practice nurses got a $10k premium.

Specializes in M/S, MICU, CVICU, SICU, ER, Trauma, NICU.
General summary by a House committee. http://edlabor.house.gov/documents/111/pdf/publications/AAHCA-BILLSUMMARY-071409.pdf

The links at the bottom further explains parts of the summary, again by the same House committee.

http://www.speaker.gov/newsroom/legislation?id=0327

Oh, and the bill is available on the above site, but since it's 1000 pages it would take too much space up on my hard drive to download.

EXACTLY what I've been looking for. Thank you; I will peruse and get back to you all.

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Specializes in mostly in the basement.
all you people claim that if the salary cap would really go into effect you would drop nursing with the speed of the light,,,,if you had no choice you would have to accept what you have and feed your family,thank you!!!!!!!!

........I really would pay to see who would be the first to just walk out of their job first thing in the morning.Haha.

Hmmm....now that is funny. Definitely something to ponder.

I can think of one group who realistically should be able to do so w/a reasonable likelihood of being able to start over and find success in many other professional fields.

I can also think of others who wouldn't find it 'quite' as simple to do the same.

I would imagine that to some of those people it could, truly, feel as if they had no choice and they were, indeed, stuck.

And that would suck.

But that's just me, BS'n again...

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greetings jopacurn,

here is a link to the entire healthcare bill that is currently in the house for a vote..it's long but detailed...

pyle

http://frwebgate.access.gpo.gov/cgi-bin/getdoc.cgi?dbname=111_cong_bills&docid=f:h3200ih.pdf

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a special thanks goes out to peter fleckstein (aka fleckman) who researched the entire healthcare bill and came up with these rather eye-opening provisions and posted them on twitter. all these are verifiable via the bill...read for yourself...

pyle

pg 22 of the hc bill mandates the gov't will audit books of all employers that self insure!!

pg 30 sec 123 of hc bill - there will be a gov't committee that decides what treatments/benefits you get

pg 29 lines 4-16 in the hc bill - your healthcare is rationed!!!

pg 42 of hc bill - the health choices commissioner will choose your hc benefits for you. you have no choice!

pg 50 section 152 in hc bill - hc will be provided to all non us citizens, illegal or otherwise

pg 58hc bill - gov't will have real-time access to individual finances & a national id healthcard will be issued!

pg 59 hc bill lines 21-24 gov't will have direct access to your bank acctounts for electronic funds transfer

pg 65 sec 164 is a payoff subsidized plan for retirees and their families in unions & community orgs (acorn).

pg 72 lines 8-14 gov't is creating an hc exchange to bring private hc plans under gov't control.

pg 84 sec 203 hc bill - gov't mandates all benefit pkgs for private hc plans in the exchange

pg 85 line 7 hc bill - specs for of benefit levels for plans = the gov't will ration your healthcare!

pg 91 lines 4-7 hc bill - gov't mandates linguistic approp svcs. example - translation for illegal aliens

pg 95 hc bill lines 8-18 the gov't will use groups i.e., acorn & americorps to sign up individuals. for gov't hc plan

pg 85 line 7 hc bill - specs of benefit levels for plans. #aarp members - your health care will be rationed

-pg 102 lines 12-18 hc bill - medicaid eligible individual will be automatically enrolled in medicaid. no choice

pg 124 lines 24-25 hc no company can sue gov't on price fixing. no "judicial review" against gov't monopoly.

pg 127 lines 1-16 hc bill - doctors/ #ama - the gov't will tell you what you can make.

pg 145 line 15-17 an employer must auto enroll employees into public option plan. no choice

pg 126 lines 22-25 employers must pay for hc for part time employees and their families.

pg 149 lines 16-24 any employer with payroll 400k & above who does not provide public option pays 8% tax on all payroll

pg 150 lines 9-13 biz w payroll btw 251k & 400k who doesn't provide public option pays 2-6% tax on all payroll

pg 167 lines 18-23 any individual who doesn't have acceptable hc according to gov't will be taxed 2.5% of income

pg 170 lines 1-3 hc bill any nonresident alien is exempt from indiv. taxes. (americans will pay)

pg 195 hc bill -officers & employees of hc admin (gov't) will have access 2 all americans financial/personal records

pg 203 line 14-15 hc - "the tax imposed under this section shall not be treated as tax" yes, it says that

pg 239 line 14-24 hc bill gov't will reduce physician svcs for medicaid. seniors, low income, poor affected

pg 241 line 6-8 hc bill - doctors, doesnt matter what specialty you have, you'll all be paid the same

pg 253 line 10-18 gov't sets value of dr's time, professional judgement, etc. literally value of humans.

pg 265 sec 1131 gov't mandates & controls productivity for private hc industries

pg 268 sec 1141 fed gov't regulates rental & purchase of power driven wheelchairs

pg 272 sec. 1145. treatment of certain cancer hospitals - cancer patients - welcome to rationing!

page 280 sec 1151 the gov't will penalize hospitals for what gov't deems preventable readmissions.

pg 298 lines 9-11 drs, treat a patient during initial admission that results in a readmiss-gov't will penalize you.

pg 317 l 13-20 omg!! prohibition on ownership/investment. gov't tells drs. what/how much they can own.

pg 317-318 lines 21-25,1-3 prohibition on expansion- gov't is mandating hospitals cannot expand

pg 321 2-13 hospitals have oppt to apply for exception but community input required. can you say acorn?!!

pg335 l 16-25 pg 336-339 - gov't mandates estab. of outcome based measures. hc the way they want. rationing

pg 341 lines 3-9 gov't has authority 2 disqual medicare adv plans, hmos, etc. forcing peeps in2 govt plan

pg 354 sec 1177 - gov't will restrict enrollment of special needs persons! ???. my sister has down syndrome!!

pg 379 sec 1191 gov't creates more bureaucracy - telehealth advisory cmtte. can you say hc by phone?

pg 425 lines 4-12 gov't mandates advance care planning consult. think senior citizens end of life

pg 425 lines 17-19 govt will instruct & consult regarding living wills, durable powers of atty. mandatory!

pg 425 lines 22-25, 426 lines 1-3 gov't provides apprv'd list of end of life resources, guiding you in death

pg 427 lines 15-24 gov't mandates program for orders for end of life. the gov't has a say in how your life ends

pg 429 lines 1-9 an "adv. care planning consult" will be used frequently as patients health deteriorates

pg 429 lines 10-12 "adv. care consultation" may include an order for end of life plans. an order from gov

pg 429 lines 13-25 - the gov't will specify which doctors can write an end of life order.

pg 430 lines 11-15 the gov't will decide what level of treatment you will have at end of life

pg 469 - community based home medical services=non profit orgs. hello, acorn medical svcs here!!?

page 472 lines 14-17 payment to community-based org. 1 monthly payment to a community-based org. like acorn?

pg 489 sec 1308 the gov't will cover marriage & family therapy. which means they will insert gov't into your marriage

pg 494-498 gov't will cover mental health svcs including defining, creating, rationing those svcs

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'

That's dizzying. All I can say is that a government big enough to give you everything is big enough to take it all away.

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Specializes in Trauma ICU, Peds ICU.

40k would be almost a 60% pay cut for me.

I'd be gone so fast people's heads would spin.

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GomerPyle,

All I can say is OMG!!!!!!!!!

This is why we should all look more closely to the bill.

otessa

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Specializes in Psych , Peds ,Nicu.

I looked up the healthcare bill to check out what Gomerpyle had brought to our attention from Fleckman blog , below is page 58 0f healthcare bill.

"58

•

HR 3200 IH

1 © be comprehensive, efficient and ro

2bust, requiring minimal augmentation by paper

3 transactions or clarification by further commu

4nications;

5(D) enable the real-time (or near real

6time) determination of an individual’s financial

7 responsibility at the point of service and, to the

8 extent possible, prior to service, including

9 whether the individual is eligible for a specific

10 service with a specific physician at a specific fa

11cility, which may include utilization of a ma

12chine-readable health plan beneficiary identi

13fication card;

14(E) enable, where feasible, near real-time

15 adjudication of claims;

16 (F) provide for timely acknowledgment,

17 response, and status reporting applicable to any

18 electronic transaction deemed appropriate by

19 the Secretary;

20(G) describe all data elements (such as

21 reason and remark codes) in unambiguous

22 terms, not permit optional fields, require that

23 data elements be either required or conditioned

24 upon set values in other fields, and prohibit ad

25ditional conditions; and"

I cannot see anywhere there anything about access to your finances , there is reference to "determination of an individual’s financial 7 responsibility ", which already happens when we seek services from our private insurers.

I am but a simple RN ,so if I can check out the HC bill and a biased bloggers interpretation of it , to show the bias in their portrayal , I wouldn't trust the veracity of this particular source a great deal .As contributors to these thread on both sides of the political spectrum keep saying check out the background of the source , to see if they are unbiased .

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Specializes in Clinical Research, Outpt Women's Health.

If you pay the nurses 40 grand you can bet you will get exactly what you paid for.

On the good side I am pretty sure the nurses would take all the pee breaks they wanted for a change and the sound of unanswered call lights would drown out most of the noise from everyone congregating at the nurses station........:smokin::smokin::smokin:

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i looked up the healthcare bill to check out what gomerpyle had brought to our attention from fleckman blog , below is page 58 0f healthcare bill.

"58

*

hr 3200 ih

1 © be comprehensive, efficient and ro

2bust, requiring minimal augmentation by paper

3 transactions or clarification by further commu

4nications;

5(d) enable the real-time (or near real

6time) determination of an individual's financial

7 responsibility at the point of service and, to the

8 extent possible, prior to service, including

9 whether the individual is eligible for a specific

10 service with a specific physician at a specific fa

11cility, which may include utilization of a ma

12chine-readable health plan beneficiary identi

13fication card;

14(e) enable, where feasible, near real-time

15 adjudication of claims;

16 (f) provide for timely acknowledgment,

17 response, and status reporting applicable to any

18 electronic transaction deemed appropriate by

19 the secretary;

20(g) describe all data elements (such as

21 reason and remark codes) in unambiguous

22 terms, not permit optional fields, require that

23 data elements be either required or conditioned

24 upon set values in other fields, and prohibit ad

25ditional conditions; and"

i cannot see anywhere there anything about access to your finances , there is reference to "determination of an individual's financial 7 responsibility ", which already happens when we seek services from our private insurers.

i am but a simple rn ,so if i can check out the hc bill and a biased bloggers interpretation of it , to show the bias in their portrayal , i wouldn't trust the veracity of this particular source a great deal .as contributors to these thread on both sides of the political spectrum keep saying check out the background of the source , to see if they are unbiased .

everyone has opinions and speaks from a bias....even simple rn's. i'm sure there is a nurse somewhere who can give an unbiased explanation....just not in this country!

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Specializes in Acute Care Cardiac, Education, Prof Practice.

I stopped by this thread ages ago, and promptly wandered back off citing it as far-fetched.

This is all I have to say about the current train of apparent discussion...

"If you can't explain a trillion dollar plan that effects hundreds of millions of people in thirty minutes or less, we should scrap it and I should get my pizza free!" -Stephen Colbert on Universal Healthcare

and as far as "Twittered" in less than 120 word reiterations of governmental jargon...oye vey

Tait

PS. My Dh made a good point...it may be Twittered, but at least people are getting involved!

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Specializes in Psych , Peds ,Nicu.
everyone has opinions and speaks from a bias....even simple rn's. i'm sure there is a nurse somewhere who can give an unbiased explanation....just not in this country!

have to agree with you on that :cheers:.asto that nurse in another country they would have to tread carefully , or they would probably be flamed from all sides !

getting back to the original point of this thread , present reimbursement to healthcare providers sets the same type of cap as any potential govenment run system would . ie. insurers / government say they will pay x amount and from that a portion goes to nurses wages . so however healthcare providers are funded it has the same end rsult for nurses . it would be risky politics ( as can be seen in the response to this thread ) to set a implicit cap , politicians in the end do what is best for their careers .

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