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Rising insurance premiums through work

Nurses   (2,630 Views 38 Comments)
by Emergent Emergent (Member)

Emergent has 25 years experience and works as a Emergency Room RN.

1,217 Likes; 6 Followers; 62,506 Visitors; 2,570 Posts

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Elektra6 has 13 years experience as a BSN and works as a Home Health RN.

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I think prolonged and futile care is the norm. A man I know passed away last spring with heart failure. His wife told me they wanted to do invasive surgery on him even though he would not survive? She placed him on inpatient hospice instead. The final bill for everything (without surgery) was $214,000. Crazy

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CharleeFoxtrot has 7 years experience as a ADN, RN.

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Huh? You can't have medicaid with having a PCP.

That's incorrect sir, I work in a PCP office and we have lots of medicaid folks.

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That's incorrect sir, I work in a PCP office and we have lots of medicaid folks.

I think he may have meant to say WITHOUT having a PCP? In my state at one time that was true, they required you to see a PCP as part of setting up a Medicaid account and they were named on your medicaid card. I do not believe my state has this as a requirement anymore although they do strongly encourage it.

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Hoosier_RN has 20 years experience as a MSN and works as a Dialysis.

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some PCPs do not accept Medicaid anymore. The local urgent cares are all owned by the local hospital and do not accept Medicaid either. Makes it hard for MCD pts to be seen at an urgent care in our area. The local MCD clinic also takes sliding scale payments for those without MCD. Problem, they are booked solid for 9-12 weeks, if you have a non life threatening illness, you are SOL, unless you use the local ER services!

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Things have become essentially more financially unmanageable for the middle class in the past few years in the United States.

Add to that the out of control housing costs, a lot of which is being fueled by the real estate speculation by the more well to do segment of the population, and I think we'll be seeing the middle class squeezed out of existence.

We're gonna have a much better health care plan at much less money.

-Donald Trump

::where's my soapbox?::

It doesn't matter. All I have to say is this administration and the party in power passed a tax cut this year for the absolute richest Americans and cut the corporate rate by 14%. Raise your hand if you're seeing any of those corporate savings trickle down for you? I didn't think so.

Also, one side of the political system could have stepped up sometime in the last eight years to improve the Affordable Care Act to actually make it affordable for the middle class instead of attempting to repeal it and replace it with nothing over 70 times. Just sayin'.

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OldDude works as a School Nurse.

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That's incorrect sir, I work in a PCP office and we have lots of medicaid folks.

You have to identify a PCP on the medicaid application.

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CelticGoddess has 6 years experience.

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You have to identify a PCP on the medicaid application.

Your original comment wasn't 100% clear.

As far as having to ID a PCP on a medicaid application, we didn't have to do that when we applied for my son. He has one, has seen the same pediatrician for the past 10 years but not one question about who he saw.

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OldDude works as a School Nurse.

876 Likes; 5 Followers; 1 Article; 27,710 Visitors; 4,543 Posts

Your original comment wasn't 100% clear.

As far as having to ID a PCP on a medicaid application, we didn't have to do that when we applied for my son. He has one, has seen the same pediatrician for the past 10 years but not one question about who he saw.

I'm guessing I stand corrected...It's been several years since I applied for medicaid for a cousin's child who ended up in our custody. The application required the designation of a PCP.

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LibraSunCNM has 10 years experience and works as a CNM.

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When I cared for a largely Medicaid population in NYC as a midwife, the patients got assigned a PCP at our facility by Medicaid when they enrolled but there was no requirement that they actually be seen by them or ever go to them. Perhaps it's different state to state?

You're correct that income inequality in the U.S. grows more extreme by the day, it's been increasing for decades.

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Hoosier_RN has 20 years experience as a MSN and works as a Dialysis.

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You have to identify a PCP on the medicaid application.

Depends on the state

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AnnieOaklyRN works as a RN, Paramedic.

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Thank Obama care for this!! We now have to subsidize insurance for people who do not get it through work, but who are required to have it. The private insurance companies have to make up for this loss of revenue somewhere, so guess who gets to pay! "Affordable Healthcare" is why we have a deductible as well, they are trying to make it so people think more before they get testing they may not really need. I think this more or less backfires since people who don't have the money will wait to get seen for potentially serious issues, and when they do get seen, usually in the ER when it becomes an emergency it become far more expensive then it would have if they just went to the doctor early on.

Annie

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Hoosier_RN has 20 years experience as a MSN and works as a Dialysis.

184 Likes; 3 Followers; 2,033 Visitors; 1,163 Posts

I'm tired of the blaming of both parties. If anyone thinks that these politicians cares about any of us little guys, you are delusional. Healthcare access has been an issue for years, probably since Nixon (if I'm not mistaken) made it ok for healthcare companies and hospitals to be for profit. Obamacare ramped it up a few notches, Trump and his cronies have done zip to improve the situation. Grrrr....

Edited by Hoosier_RN

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