Obamacare, what could go wrong?

Nurses Activism

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"Let me get this straight . . .

We're going to be "gifted" with a health care plan we are forced to purchase and fined if we don't, which purportedly covers at least ten million more people, without adding a single new doctor, but provides for 16,000 new IRS agents, written by a committee whose chairman says he doesn't understand it, passed by a Congress that didn't read it but exempted themselves from it, and signed by a... President who smokes, with funding administered by a treasury chief who didn't pay his taxes, for which we'll be taxed for four years before any benefits take effect, by a government which has already bankrupted Social Security and Medicare, all to be overseen by a surgeon general who is obese, and financed by a country that's broke!!!!

What the hell could possibly go wrong?'"

-Donald Trump

Ah yes, Donald Trump.....such a wise sage........

I live in a state that has mandatory health coverage and as a (recently) former primary care provider, I saw the difference it made. People started getting routine preventative care, ER visits for minor complaints declined. And....jobs were created for NPs and PAs who are more than capable of delivering quality primary care to adults and children.

Obamacare is far from perfect, but I think it's an improvement over what we have now.

I believe you to be correct, and that long-term NP's and PA's will be the ones providing preventative and routine care. However, I think Trump's point was that it seems rediculous that a healthcare bill doesn't do much to ensure that we have enough care providers while at the same time has money allotted for a army of IRS agents.

I do agree the law and the government has flaws...at least this bill is a step toward socialized medicine...maybe we can start to catch up to the rest of the civilized world...remember..first do no harm...that's FIRST...not after the profits have all been counted.

:yeah::yeah::yeah:

Specializes in ICU.

I worked with Dr. Regina Benjamin years ago, when she was just a mere doctor. She was one of the few doctors that actually cared about her patients, and saw many, many patients free, simply because they were poor and could not pay. I have nothing to add to this; I just wanted to say that she is a great person. I agree "who is to say who is obese or not." Females have 30% more fat cells than men, plus menopause, and many do gain weight in middle-age. I would rather have a plump doctor who cares about me, rather than a skinny one who does not!

Specializes in Emergency.

You know what I'd like to see? Some people working on improving the laws, and finding solutions for the perceived flaws in Obama Care, rather than just predicting doom and pointing fingers.... I know that would be a lot to ask.

Specializes in Med-Surg/ Tele/ DOU.

Cut and pasted this from the White House website. I'm planning on applying at UCSF GERO NP next year and work in primary care . I'm a little bummed however that there aren't as many programs up in the bay area for NP programs. San Jose State is moving forward with a DNP program and can't fund a NP program at the same time. I got excepted to Long Beach State's program, but moving up to NorCal to be close to family..

Rebuilding the Primary Care Workforce. To strengthen the primary care workforce, new incentives in the law to expand the number of primary care doctors, nurses and physician assistants include funding for scholarships and loan repayments for primary care doctors and nurses working in underserved areas. Doctors and nurses with student loans will also receive tax relief if they practice in communities with a shortage of health care providers. Effective 2010.

The Affordable Care Act - Implementation Timeline | The White House

There's a volunteer clinic in my area that treats the working uninsured, which is ran by a local (but large) health system, which gets it's funding from various sources (private and GOVT grants). The docs and MA's all work voluntarily, most hold full time positions and have their own practices. This clinic was created to meet a dire need, for a large population who are working, but who themselves cannot afford insurance or whose employers cannot. Healthcare reform was created in part for these people, this particular population which has increased due to the recession, and I'm sure the kindhearted docs who volunteer their services will gladly welcome these patients into their practices once they have insurance.

BTW I'm considered "obese" according to that stupid BMI, but am otherwise strong and healthy as an ox....

Specializes in ER.

Demand for healthcare isn't going to "Magically Increase "= All of these ppl ARE seeking healthcare. In EDs- at 800.00 bls cab rides..The DIFFERENCE is....NOW they will be able to get in to see an MD...and get a script for Lisinopril...INSTEAD of waiting 15 years and get put on dialysis. 8$ a month for Lisionpril now vs 3000.00 a month for dialysis in 10 years. You decide. PLEASE do some educated research into this before you run screaming a one direction.Politics be damned, show some common darned sense....

Specializes in Emergency.
This was a quote from Doanld Trump, not Fox News.

You are right. It is a tax, not a fine. I didn't really "tackle" it, just pasted his quote.

The quote didn't say doctor's were going away (although some believe they will). It said we weren't adding additional doctors. The point is the demand for healthcare is going to increase, but supply is not. Does the new law provide for your community to get additional doctors? Is it going to build you a new hospital?

Interesting you stated doctor's wouldn't want to practice somewhere where there is socialized medicine, but at the same time you like the law because it is a step toward socialized medicine. I'm not smart enough to understand that. I also don't get that if profit is taken out of healthcare like you would like, who is going to develop new medicines, build hospitals, become a doctor, etc.?

It was widely reported at the time that many members of congress didn't read the bill, including those who wrote parts of it. To me, it's not really a stretch to beleive that most if not all didn't read it. You weren't paying attention back then, but you can find many articles online about this.

I stated I didn't really pay attention to what he said about the surgeon general and about Obama smoking.

And yes, some benefits are in place but most are not even though we have already been paying for them and will be for awhile longer before they are in place. This also is not a secret.

"Try again"? Why so snippy?

I apologize...the "snippiness" was not meant to be directed at you personally. Trump is essentially foxnewscorp.

Cut and pasted this from the White House website. I'm planning on applying at UCSF GERO NP next year and work in primary care . I'm a little bummed however that there aren't as many programs up in the bay area for NP programs. San Jose State is moving forward with a DNP program and can't fund a NP program at the same time. I got excepted to Long Beach State's program, but moving up to NorCal to be close to family..

Rebuilding the Primary Care Workforce. To strengthen the primary care workforce, new incentives in the law to expand the number of primary care doctors, nurses and physician assistants include funding for scholarships and loan repayments for primary care doctors and nurses working in underserved areas. Doctors and nurses with student loans will also receive tax relief if they practice in communities with a shortage of health care providers. Effective 2010.

The Affordable Care Act - Implementation Timeline | The White House

Thanks for pointing this out. However, I know something similar was in place before, so this may or may not be an improvement.

Demand for healthcare isn't going to "Magically Increase "= All of these ppl ARE seeking healthcare. In EDs- at 800.00 bls cab rides..The DIFFERENCE is....NOW they will be able to get in to see an MD...and get a script for Lisinopril...INSTEAD of waiting 15 years and get put on dialysis. 8$ a month for Lisionpril now vs 3000.00 a month for dialysis in 10 years. You decide. PLEASE do some educated research into this before you run screaming a one direction.Politics be damned, show some common darned sense....

This isn't politics, this is basic economics. I believe you are the one who needs to do some research. Go get out a high school economics book and look up "supply vs demand". When I spoke of increased demand earlier, I wasn't speaking of the number of people wanting or needing a primary care provider, I was speaking of the number of people who are going to actually go see a PCP.

In your own words: "NOW they will be able to get in to see an MD". This implies that they were not seeing the MD before. In your example, the "demand", or people who will be going to see the MD now is increasing, while the "supply", or quantity of primary care providers is remaining the same (many people believe the supply of PCP's is actually going to decrease). Unless PCP's are currently sitting around waiting for more patients, more needs to be done to increase supply to meet demand.

Specializes in Adult ICU.

We have gone on to many years complaining about health care to the government. SOMETHING needed to change and I give OBAMA props for having the guts to finally do that SOMETHING. NOTHING is perfect but this is a start. We cannot keep living this way. Not everyone is going to be happy about the changes but we have to do something different.

No one liked the New Deal when it came out but SOMETHING needed to happen because the economy like our health care now is falling apart but the change created some good things we still have today.

Specializes in Oncology; medical specialty website.
this was a quote from doanld trump, not fox news.

you are right. it is a tax, not a fine. i didn't really "tackle" it, just pasted his quote.

the quote didn't say doctor's were going away (although some believe they will). it said we weren't adding additional doctors. the point is the demand for healthcare is going to increase, but supply is not. does the new law provide for your community to get additional doctors? is it going to build you a new hospital?

interesting you stated doctor's wouldn't want to practice somewhere where there is socialized medicine, but at the same time you like the law because it is a step toward socialized medicine. i'm not smart enough to understand that. i also don't get that if profit is taken out of healthcare like you would like, who is going to develop new medicines, build hospitals, become a doctor, etc.?

it was widely reported at the time that many members of congress didn't read the bill, including those who wrote parts of it. to me, it's not really a stretch to beleive that most if not all didn't read it. you weren't paying attention back then, but you can find many articles online about this.

i stated i didn't really pay attention to what he said about the surgeon general and about obama smoking.

and yes, some benefits are in place but most are not even though we have already been paying for them and will be for awhile longer before they are in place. this also is not a secret.

"try again"? why so snippy?

claiming you didn't pay attention to something you read doesn't excuse you from making inaccurate statements.

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