GuyNurseRN

The verdict is still out on Obamacare but the writing is on the wall. If you look at how the magnet status and requirement for BSN is becoming more prevalent, the nurses are most likely to get squeezed due to the consolidation in the numbers of healthcare facilities nationwide. Business is business even in healthcare which means people will pay for these top hospitals and the non profits will service Medicaid. The have's will go to these Magnet hospitals with the most advanced tools and best doctors and will be reimbursed accordingly. ( remember if you can pay for insurance ( platinum) you're more likely to be healthier than those who can't work; hence the lower level bronze level patients will be relegated to urgi-centers and non profit hospitals). The capitalist view of medicine is how this is all headed. For RN jobs, the amount of hospitals available directly reduces the number of available positions for nurses -with a few exceptions where hospitals with funding will expand some of their available departments in order to attract the right kind of doctors and then the nurses to support the influx of patients in those departments expanded. Even with these exception for additional head count, they are far outnumbered by the closures of uncompetitive, therefore underfunded hospitals. These hospitals will ultimately be closed or reduced to more competitive urgi-centers and Medicaid patients. The lesser funded hospitals will increase ratios to stay afloat. The better funded will be very picky when selecting RNs because they are going to be looking how they can attract the more wealthy individual patients with better reimbursement. OBamacare will accent the haves and have nots. People lives will become, as it is somewhat today, where the better hospitals are the better patient outcomes will be. Capitalism vs healthcare. Obamacare vs good universal healthcare. the insurance companies will be owning these magnet corporations before long...then RNs will lose the leverage with unions they are slowly losing today. Pay will most likely go down as well as a result because there is no pressure or shortage of nurses. It's a matter of supply and demand. It's simple to some extent. guyNurse