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Nursing Homes Seek Exemptions From Health Law

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from the sunday 15 may new york times:

nursing homes seek exemptions from health law [color=gray]by robert pear

washington-it is an oddity of american health care: many nursing homes and home care agencies do not provide health insurance to their workers, or they pay wages so low that employees cannot afford the coverage that is offered. . .

http://www.nytimes.com/2011/05/16/us/16nursing.html?_r=1&hpw

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Not_A_Hat_Person has 10 years experience as a RN and specializes in Geriatrics, Home Health.

1 Follower; 2,899 Posts; 37,764 Profile Views

I'm not surprised. Under Romneycare, Massachusetts businesses are supposed to offer employees health insurance. Of course, there are big loopholes for businesses (not so much for taxpayers). One of the state's biggest employers that doesn't offer enough employees insurance is Boston Medical Center.

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This article casts 2 more new wrinkles into the healthcare administration scammers- employees who are working in healthcare and can not afford healthcare for themselves- yes, this is scandelous- as I am one of them. As an RN for 30 years with all acute care experience, not able to get a fulltime permenant position and having to work for $25/hr when back in 2008 I was making $38/hr- no, I do not have anything left over at the end of the month for a healthcare plan. and mind you - these are temp positions- this is why there are many temp positions out there for experienced nurses- these employers know they don't have to offer benefits to a temp and that there are no rel positions out there especially for the experienced nurse that they have to pay fair market wages to, so they are subtly dragging down the entire nursing profession's wages. It's kind of like market manipulation.

Second interesting point- if these employERs don't have to offer benefits to it's employees- where all that newly saved money going. It's not in staff raises( staff getting raises in this ecomomy?? unheard of!!) and the residents don't reap the benefits of it.( are they eating pureed filet mignon- I doubt it!!) Look to the one with the biggest pocket and quietest mouth!!!!!!!!!!!!!!!! WHAT IS YOUR CEO DRIVING THESE DAYS????? LEXIS or LEER$JET??

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SummitRN has 5 years experience as a BSN, RN and specializes in ICU.

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Interesting consequence of the healthcare reform: unlicensed assistant personnel become VERY unattractive. $10/hr isn't cheap when its now $10/hr + gov mandated health benefits. Either more UAP must be hired so all or part time, or it becomes more sensible to hire fewer more advanced personnel.

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Joey_Boy, LPN has 2 years experience and specializes in LTC.

16 Posts; 1,145 Profile Views

I'm glad I don't live in a right to work for less state. Most nursing homes in NJ are union with decent health benefits.

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Mrs. SnowStormRN is a RN and specializes in Mental Health, Medical Research, Periop.

557 Posts; 8,786 Profile Views

The irony of working in healthcare and can't afford or get coverage to get health care yourself. As if you don't need to be healthy to care for those who aren't healthy. Makes no sense at all.

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Not_A_Hat_Person has 10 years experience as a RN and specializes in Geriatrics, Home Health.

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The CNA in the article is very lucky that her employer only wanted to charge $25 a month for coverage. I carry the insurance for myself and my husband. The second-cheapest plan costs me $175 a week, $5 more than the cheapest plan (80% coverage, with a $10,000 deductible).

Of course, we don't know what kind of plan the company was offering for $25 a month. If it's a high-deductable plan with a lot of exclusions, she may be better off without insurance. When I had CIGNA, I often thought I was paying $400 a month to argue.

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CrissiQ specializes in geri,acute,subacute,correctional,pysch,.

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Wow 25 dollars? I pay 600 dollars plus a month for my families benefits. That is with a 2000 dollar deductible. Something goes wrong and someone gets sick I am screwed even with insurance. Most of the nursing assistants I work with that have a family are on the state (Husky) program because there is no way they could afford the price. It is a very sad way of life to have been given the right to such an awesome medical system but not the affordability to access it.

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hope3456 is a ASN, RN and specializes in LTC, Psych, M/S.

1,262 Posts; 20,240 Profile Views

So if LTC's are granted the 'exemption'.....then what??

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drmorton2b has 2 years experience and specializes in Sub-Acute/Psychiatric/Detox.

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Its all going to suck.. to be honest.. I may stay in the setting I am in until it no longer makes sense too (closure, hour cut backs, etc.) and then if I have too take a "nursing skills review class".

Just because the benefits are so good... Why would I want to work in LTC (I would LOVE to actually... but the fear of closing the facilities and the lack of health insurance and full-time benefits in a lot of these places scare me).

When I can be where I am at now.

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