TRichter

HI. There are a lot of opinions here. The Accountable Care Act is trying to make medical care available for everyone, regardless of age or pre-existing conditions. As it stands, many people who have chronic illnesses cannot afford the insurance to help them recieve much needed treatment to prevent them from having to visit ER, and admissions. Currently, Medicare has chosen large organizations and hospitals as Accountable Care Organizations. Their role is to try to "manage" and control cost for medicare patients who have straight medicare, which allows them to see any specialist any time they choose. Accountable Care Organizations (ACO) need to find ways to educate these patients on managing their care better and on their illnesses, allowing patients to manage their health much better than they are currently. IN so doing this, the thought is it will lower costs of care for these patients because they will learn how to stay healthy, and how to limit the tests and procedures they have. THis program is in it's infancy stage, so the ACOs are still trying to figure out the best way to help the Medicare patients. If they do figure it out, and lower the yearly costs spent on Health Care for these patients, this could "bench mark" new standards of care for all patients. In no part of the ACA is there any stipulations on limiting care patients receive. It is limiting unnecessary items, or repeating things unnecessarily. I have friends who live in England, and their health care is in no way limited. They recieve great care, they just pay higher taxes. So instead of higher taxes, which AMerican's have voted against, the government has found a way to make insurance affordable for everyone. I believe it is a win/win situation if we all work together. From what I understand, the only way Health Care providers, nurses and such will be directly effected would be in salary. We need to think about why we entered into this line of work.

Regular insulin would work almost immediatly, so yes, glucoseglycogen would occur faster than the liver can convert glycogen back to glucose. That said, if the patient is not receiving insulin, and is relying on the body to regulate, the hypoglycemia occurs a little slower.

When you have low blood sugar, the pancreas secretes the hormone glucagon, which stimulates the liver to turn some glycogen back to glucose for use in the body and brain. Glycogen is stored in the liver and the muscles. Glycogen stored in the muscles cannot be converted back to glucose for use, glycogen in the muscles can only be used by the muscle for energy. Hope this helps:nurse:

California pays $28-40 and up, depending on experience, education, position you are in.