Wal-Mart to open 400 in-store clinics - page 2

Wal-Mart to open 400 in-store clinics. Isn't CVS doing the same? The article didn't say whether they were going to employ doctors or nurse practitioners, or what services they will offer.... Read More

  1. by   Jolie
    Quote from spacenurse
    I am concerned that chronic and severe illnesses are not cared for.
    What is the licensed practitioner to do when someone is an untreated diabetic, hypertensive, asthmatic, or has another possibly serious illness?
    Does anyone know?
    Refer the patient to a qualified practitioner, just as your family physician would do if you needed care that was out of his/her scope. We have an NP-staffed clinic in our local supermarket operated by a reputable healthcare system. Their signage clearly states what they will and will not treat.

    I don't really understand your concern that these clinics will not treat chronic and severe illnesses. They clearly state that they will not address healthcare issues that are out of their scope of practice, and direct patients to more appropriate settings. Just as your family doc would send you to the ER, rather than manage your MI in his office.
  2. by   Boston-RN
    I think this is a GREAT idea. As the other posters have said....it might free up some of the ED resources for actual emergencies and people that would otherwise go untreated all together would get SOMEONE to see them even if they are seen and referred to someone else...it's better than not being seen at all

    I hope it works

    That and as of July 1st, all Mass residents are REQUIRED to have health insurance. The two combined may start moving toward bridging the gap of health disparities
  3. by   Blackcat99
    My mother has alzheimer's disease. When I take her to her doctor, we usually have to wait 1-2 hours before she is seen. It is pure hell to be stuck with Mom in that waiting room for so long. If Wal-mart can see Mom right away then I'm all for it.
  4. by   Cmariehart
    I worked at walmart for 5 years!! (which included my time in nursing school) and it was horrible!!!! They're insurance policies for their workers sucks and is super expensive!!!!!! I can't imagine them opening up clinics... OMG this is scarier than anything I could have ever imagined!!!!!!
  5. by   lovejana22
    Quote from nremt-p/rn
    well, it is official. wal-mart is taking over the universe.

    color me jaded but, where will they get the $$$ to pay for the clinic visit after they have shopped for their snack cakes, soda pop and cigarettes? i know, i know ... that was a cheap shot. sure, there will be some that will pay - but, really?

    imagine telling folks that:

    "i am a wal-mart nurse."

    well, it might pay better than being a greeter!


    i totally agree with you....didn't wal-mart just get turned down or drop a bid to let them also become there own bank or something?? i would be a little afraid to go to a wal-mart doc. my mother-in-law went to a wal-mart for her glasses once she heard it was cheaper....big mistake after wearing glasses her entire life she told the doc. that she though she needed stronger glasses b/c she was not seeing well and was getting head aches he then replied are you sure it is not just allergies??!! she said you know what never mind i will go back to my regular doc.
  6. by   dria
    give me a break!!! these are independently trained, independently licensed nps (unless walmart has opened a school of nursing that i'm not aware of)
    scan the forums on allnurses and note the large # of forums decrying the lack of affordable, accessible healthcare and the need for np autonomy. now that someone is actually improving access to timely affordable healthcare, reducing unnecessary er utilization, and acknowledged the ability of nps to function without an md looking over their shoulder, are we as nurses really going to sit and wring our hands and wonder if its a good idea? puh-leeze!!!! i also see no conflict of interest regarding their location near a pharmacy...that's kind of like saying that it's a conflict of interest for a hospital to have a pharmacy in house....i don't see the difference. if you really want to get rid of conflicts of interest in prescribing medications.....get rid of the drug reps.
  7. by   allantiques4me
    I think its a great idea.We dont have anything like this or the CVS minute clinics here.But they are building a new mall nearby that includes Walmart.I hope they do it here.
  8. by   HM2VikingRN
    as a union member i would not take a job there unless they agreed to bargain in good faith with their employees (including nurses and np's working at the clinics.) i do think that working for the beast from bentonville runs contrary to the nursing core value of social justice.

    wal-mart also has used an arsenal of tactics that violate us law and workers’ internationally protected right to freedom of association. according to human rights watch research and the decisions of us labor law authorities, the company has discriminated against union supporters and coercively interfered in worker efforts to organize. the tactics vary and range from restricting the dissemination and discussion of pro-union views to, in extreme cases, firing key union supporters.10
    both nlrb rulings and our investigation have found that wal-mart has selectively enforced company policies with the effect of limiting workers’ access to information about the benefits of union formation. although us law prohibits employers from engaging in such selective censorship of information, wal-mart has banned union representatives from handbilling outside its stores and even called the police to enforce the ban, while allowing representatives of non-union organizations to remain. the company has confiscated union literature that found its way into workers’ hands or onto break room tables and prohibited employees from distributing union flyers, while permitting non-union information. wal-mart managers have prohibited discussions of the union or even talking with co-workers about wages and working conditions, while allowing conversations on non-union issues.11
    wal-mart has also illegally threatened workers with serious consequences if they form a union, including loss of benefits, such as raises. in the midst of organizing drives, it has also violated us law by suddenly addressing complaints that previously had been ignored and making workplace improvements to undermine union drives.12 while improving conditions is obviously desirable, us law prohibits employers from doing so to send an anti-union message. the danger is that such a response to organizing will carry the implicit message that if a union forms against the employer’s wishes, the employer will retaliate by taking away what it has just granted and by making those or similar benefits harder to obtain in the future.
    Last edit by HM2VikingRN on May 1, '07
  9. by   HM2VikingRN
    workers claim that the overtime ban was so strictly enforced that managers would modify workers’ time sheets to avoid going over forty hours a week. for example, julie rebai, a former department manager at wal-mart’s kingman, arizona, store, explained to human rights watch that managers would “take thirty minutes off my sheet [even] when i hadn’t taken lunch.”87 in a lawsuit involving an iowa wal-mart facility, one worker claimed that there were no time clocks available when her store first opened in 2001 and that she was instructed to sign in at 8:00 a.m. and out at 5:00 p.m., regardless of her actual arrival and departure times. when she informed a manager that her time sheet needed to be adjusted to reflect her true work hours, she was reportedly told that “she should be a ‘team player’” and that it “‘won’t hurt you to give a little.’”88 she claimed she was never paid for the additional work.89
    lawsuits charge that workers who recorded paid overtime to finish their work were often disciplined and, in some cases, even fired.90 according to current and former workers, the ban on overtime and the consequences for violating it exacerbated the pressure to work off the clock to finish their jobs. rebai explained that working off the clock was “just a normal thing” because “if you don’t get this done by such and such a time, you’ll get written up, but you can’t have overtime. just get it done.”91 vicki wood, rebai’s co-worker, likewise told human rights watch, “you either work it [a break] or take it, but you had to have freight off the floor. . . . you had to be out on time, but no one would come help you get out on time. . . . [they’d] expect us to get through impossible things.”92
    according to the legal claims against the company and current and former wal-mart workers who spoke to human rights watch, pre-2004 corporate policies fostered wage and hour violations. such policies included deliberate and systematic understaffing of stores; pressure on store managers to keep labor costs below the annual labor budget proposed for their stores by headquarters; expectations that store managers increase sales each year while reducing labor costs from the year before; and the general ban on overtime. in addition, store managers reportedly had financial incentives to keep store expenses low. managers were reportedly not disciplined for permitting or even encouraging workers to miss or shorten breaks and work off the clock. instead, wal-mart allegedly based performance incentives, such as bonuses and raises, on individual store profit; whether the profit targets were met in part due to wage and hour violations that helped keep payroll costs low did not appear to be a relevant factor.
    carol anderson, who worked at wal-mart’s kingman, arizona, store from november 2000 through january 2003, told human rights watch, “as customer service managers, we were instructed to ask cashiers to . . . skip breaks because there were not enough cashiers to keep lines down. . . . higher managers would suggest having associates skip breaks. . . . we were so busy and understaffed.”93 angie griego, a las vegas, nevada, wal-mart worker between 1999 and early 2001, explained, “there were times when they didn’t give us breaks or meals. you had to get approval from the department manager, and if there was too much work, you just didn’t get it. that happened often, especially since [i was a] cashier at the pharmacy. there was no one to cover for me, no break, lunch. i was it.”94

    do you really think that walmart will treat health professionals well?

    Last edit by HM2VikingRN on May 1, '07
  10. by   HM2VikingRN

    disability discrimination: equal employment opportunity commission cases138

    by the end of june 2001, the eeoc had filed sixteen suits against wal-mart for violating title i of the americans with disabilities act (ada), the most against any company since the law went into effect in july 1992.139 by september 2005, that number had risen to nineteen.140 the eeoc cases against wal-mart have charged the company with discriminating against qualified disabled workers and job applicants with cerebral palsy, diabetes, hearing loss and deafness, partial paralysis, renal failure, and other disabilities by, among other allegations, firing them for disability-related reasons, failing to ensure that reasonable accommodations were made for their disabilities, refusing to hire them also for disability-related reasons, and unlawfully requesting disability-related information through a pre-employment questionnaire entitled “matrix of essential job functions.”141

    specifically, our coverage is expensive for
    low-income families, and wal-mart has a significant percentage of associates
    and their children on public assistance. consider the following:

    on average, associates spend 8 percent of their income on healthcare
    (premiums plus deductibles plus out-of-pocket expenses) for themselves
    and their families, nearly twice the national average. the number varies
    significantly by plan type, rising to 13 percent for those on the associate
    and spouse plan. in 2004, 38 percent of enrolled associates spent
    more than 16 percent of the average wal-mart income on healthcare.


    we also have a significant number of associates and their children who
    receive health insurance through public-assistance programs. five
    percent of our associates are on medicaid compared to an average for
    national employers of 4 percent. twenty-seven percent of associates’
    children are on such programs, compared to a national average of 22
    percent (exhibit 5). in total, 46 percent of associates’ children are either
    on medicaid or are uninsured.

    Last edit by HM2VikingRN on May 1, '07
  11. by   HM2VikingRN
    Your tax dollars pay for Wal-Mart's greed
    • The estimated total amount of federal assistance for which Wal-Mart employees were eligible in 2004 was $2.5 billion. [The Hidden Price We All Pay For Wal-Mart, A Report By The Democratic Staff Of The Committee On Education And The Workforce, 2/16/04]
    • One 200-employee Wal-Mart store may cost federal taxpayers $420,750 per year. This cost comes from the following, on average:
      • $36,000 a year for free and reduced lunches for just 50 qualifying Wal-Mart families.
      • $42,000 a year for low-income housing assistance.
      • $125,000 a year for federal tax credits and deductions for low-income families.
      • $100,000 a year for the additional expenses for programs for students.
      • $108,000 a year for the additional federal health care costs of moving into state children's health insurance programs (S-CHIP)
      • $9,750 a year for the additional costs for low income energy assistance.
      [The Hidden Price We All Pay For Wal-Mart, A Report By The Democratic Staff Of The Committee On Education And The Workforce, 2/16/04]

    Health care subsidies compared to executive compensation
    • Excluding his salary of $1.2 million, in 2004 Wal-Mart CEO Lee Scott made around $22 million in bonuses, stock awards, and stock options in 2004.
    • This $22 million could reimburse taxpayers in 3 states where Wal-Mart topped the list of users of state-sponsored health care programs, covering more than 15,000 Wal-Mart employees and dependents. [Wal-Mart Proxy Statement and News Articles GA, CT, AL].
  12. by   RN4NICU
    Quote from HM2Viking

    Do you really think that WalMart will treat health professionals well?
    The health professionals would not be working for Wal-Mart, they would be working for the company that contracts with Wal-Mart. Just like Minute Clinic health professionals inside CVS stores do not work for CVS, they work for Minute Clinic. Wal-Mart's employment practices are largely irrelevant as they are not the employer.
  13. by   HM2VikingRN
    Quote from cmariehart
    i worked at walmart for 5 years!! (which included my time in nursing school) and it was horrible!!!! they're insurance policies for their workers sucks and is super expensive!!!!!! i can't imagine them opening up clinics... omg this is scarier than anything i could have ever imagined!!!!!!
    and you are not alone:

    so influential is this stridently anti-union corporation, says mary, who is president of the san miguel teachers association, that she fears wal-mart standards are exerting a downward pull on contract bargaining for educators and furthering the "erosion of the middle class" in america. "my own local and district are now stuck on the health care issue in bargaining, and only health care," she says. "why do we have to settle for inferior benefits because minimum-wage workers do?"
    that view is shared by the california teachers association (cta), which has offered unwavering support to the supermarket strikers. "teachers have been wonderful in not crossing the picket lines," says strobridge, "and many cta local chapters have 'adopted' struck stores by supplying picketers with water and snacks and walking the lines."
    "solidarity can't just apply to one group, like teachers," she stresses. "it has to stretch out to all unions, from retail clerks to electricians." and in the case of wal-mart, she and other california activists say, the more activism, the better.
    in fact, they say, if you're concerned about growing out-of-pocket costs for your medical care, worried about kids who arrive in your school without health coverage, or alarmed over the power of the pro-voucher lobby in this country, you might seriously consider mouthing off every time you walk through a wal-mart door.
    "the company's size and obsession with shaving costs have made it a global economic force. its decisions affect wages, working conditions, and manufacturing practices--even the price of a yard of denim--around the world." but in the view of many, not in ways that are healthy to workers.
    "as we're seeing in the california grocery strike, the mere presence of wal-mart is like a huge neon sign announcing the way to the low road and blocking the entrance to the high road," says jared bernstein, a senior economist at the economic policy institute, which researches economic issues facing working families. "firms that operate under a model based on higher quality jobs, unions, and low turnover--and higher prices--will be hard-pressed to compete, and thus the quality of those jobs will either deteriorate, or they could even disappear."
    wal-mart's non-union workforce of nearly 1.2 million employees helps subsidize bargain basement store prices through pitifully low wages; a bare-bones health plan (with family coverage costing $139 to $277 a month, depending on deductibles); a six-month waiting period for full-timer health care (and a two-year wait for part-timers); and an annual turnover rate of at least 45 percent.
    and a federal judge has found that wal-mart illegally refused to bargain over job function changes it imposed after meat department workers in a texas store voted for ufcw in a 2000 nlrb representation election. the company demoted these skilled meatcutters to "sales associates" and eliminated meatcutting from all of its stores in favor of prepackaged meat.
    zack also recommends that nea local affiliates let wal-mart managers know they're being watched for illegal anti-union activities. david turner likes the sound of that. "i think as educators we should tell the managers of wal-mart stores that we won't shop there until their workers have the right to organize, to health care, and to a decent living wage," he says, "and i think our locals should encourage our members to shop elsewhere."

    walmart will not bargain in good faith with employees who want to form a union. why would anyone think that they would treat health care providers well as employees?