SC_RNDude

And in the future it’ll be muchbeasuito go from ER to anywhere else then from the OR.

Yep. Look outside the hospitals. And, if you think you may want additional options down the road, work on getting that BSN.

Fair enough. There are places like yours, and mine, that don't need mandated ratios. What those places do is more in line with the bill that the ANA is supporting.

Who actually read the ANA's position on this? Where do you disagree? "To explore the clinical case for the effect of nurse staffing models, we collaborated with health care insight leaders Avalere and a panel of top nurse researchers, thought leaders and managers. The white paper concludes that staffing levels in a value-based health care system should not be fixed, as day-to-day hospital requirements are constantly in flux. " Nurse Staffing

With mandated ratios, the bedside nurse wouldn't have any say either. They are going to get the max allowed, regardless of the complexity and need of the patients.

So, It sounds like it is agreed then that the ideas in regards to HSA's that were previously discussed are NOT similar to what Obamacare offers.

Help me out then. How is this similar to the ACA? "In a free-market based plan, employers would be getting out of the management of your healthcare. And insurance companies would as well. Health insurance would be for emergency care and for lack of a better term, "catastrophic" situations only, much like your car, home, life, etc. insurance. For example, you get a cancer diagnosis, the insurance company would give YOU a payout. You then decide on the treatment. YOU are in control of your care, not the insurance company. This insurance would not be tied to your employment. You would buy this as an individual, and and long as you keep paying premiums, they can't drop you. Insurance companies will set rates by your risk factors, again much like car, home, and life insurance. Instead of doing everything they can to keep unhealthy people away like they do now, now they will be competing for all types of customers. The consumer will be responsible to pay for routine exams, RX's, diagnostics, etc. They will do this with tax-free Health Savings Accounts. As an employee benefit, employers will contribute to these accounts as well. Your care will be managed by YOU, not your employer and not your insurance company."

Above, you just said I was a propagandist because I float ideas without participating in discussion. As for how the discussed ideas would be different? Here is a link to just one if those discussions. If you think these ideas are similar to what we have now, I don't think I can help you understand any better. https://allnurses.com/nursing-activism-healthcare/health-care-law-793268-page2.html

https://allnurses.com/nursing-activism-healthcare/obamacare-and-hospitals-949373-page7.html#post8208678 You can go to posts #82 and #85, and then go from there if you want. You may not think the ideas are good, but please don't pretend there hasn't been discussion. And have you not heard of these ideas and possibilities other places?

Here is what I said: "You are thinking of HSA's in today's context. A healthcare system with HSA's as it's foundation would be much different then what we have today." Propaganda? Seems like a pretty benign post. You obviously didn't read the conversation. Just saw that one of your buddies (Muno) replied to someone (me) who in the past has had differing views then you and decided to take a cheap shot. Kind of pathetic if you ask me. Thanks for the reminder as to why I don't waste my time here as often as I used to.

Really? Aren't you bored with going back and forth with me on this over the past few years?

You are correct. When you said, "HSA's exclude people who are NOT WEALTHY ENOUGH TO BUY AN INDIVIDUAL HIGH DEDUCTIBLE PLAN", I did infer that "only the wealthy can afford a high deductible plan". Boy, do I feel silly. And I agree with you. The high-deductable, HSA plans that the Obamacare has forced onto many people has not done enough to improve accessability and affordability.

OK then. Let's discuss how HSA's work today. I guess I am the one who is misinformed. Going back to your post a few back (#642), how is it that you figure that only the wealthy can afford a high-deductable plan? I thought it was the opposite. I was under the impression that the high-deductable plans were the cheapest? Can you (elkpark and not_a_hat feel free to help out) show me where I'm wrong? There is much more where I must be misinformed, but let's start there.

You are thinking of HSA's in today's context. A healthcare system with HSA's as it's foundation would be much different then what we have today. There has been much discussion about this over the past few years if you look outside the liberal press. There has been much discussion about it on AN. I can't fault you for not being knowledgable about it, many aren't. But, you may wish to refrain from labeling people "misinformed".

Me neither. But the OP and others believe it should be.