NVRNCCM

As a case manager who deals with the "ER frequent flyers" after they've been discharged, I have to say that I feel you've made a very generalized statement about a very large population of people. I disagree with you that they are not productive members of society. The patients I deal with are of the WWII era and they achieved a very great thing! The later generations may not have been here to enjoy their Freedom if it weren't for them. These are very hard working people who grew up in the depression and made the sacrifices they were asked to make and I feel it can hardly be said that they had no intention of bettering themselves or their country. Now they find themselves "falling through the cracks" if you were. Pray we all have the foresight to see what we need to do now to prepare ourselves for our future. Regarding the Canadian members of government who come to the US for health care . . . it's because they can; they have the financial resources; they have a choice. The people I'm talking about forego health care because they either don't have the financial resources to take advantage of the health care they do have or they don't have any health care at all. They don't have a choice. Capitalism . . . yes but in my opinion corporate greed has no place in health care.

Yes, your instructors are correct. I worked agency with 20 plus years of experience under my belt and you'd better be self-starting and self-motivated and know your stuff because most of the time the regular staff nurses are not real helpful. I think it would be professional suicide for a new grad to put themselves in that position.

What is it with Nevada and acronyms? I know what UNR is but what is WNC and TNCC

I'm not talking about working for free; I'm talking about removing the profitability from health care. I don't know how old you are but there was time when there was such a thing as a not-for-profit hospital. Everybody got care, everybody got paid; and not everybody was driving around in BMW's.

Wow, all this bickering and quoting people has my head spinning. I think we need to ask ourselves just what the bottom line is here . . .truly. It seems to be money when I think it should be our patients. The whole money equation just needs to take a back seat. When did health care become a business, anyway? If health care is no longer profitable, then the moneymongers will leave. What about that?

I do telephonic case management in Las Vegas for an MCO and I'm anything but bored! We are NCQA certified and are required to follow their guidelines. My case load is now in the 80's and I'm busy all day long.