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So what's going to happen to health care now?

Rocknurse specializes in Critical Care and ED.

So, for better or worse, we have a new President. What do you think will be the future of health care and the future of nursing as a profession? Will we be better off as nurses or worse? Will we be better off as patients or worse?

Not looking for a political argument....god knows we've had enough of those in the past few days. Emotions are running high and we all have opinions. I'm just curious as to what we can expect.

With the republicans sweeping everything, we're going to see something change for sure. And it won't be healthcare as an unalienable right for everyone.

The ACA will be..changed. It can't be repealed without a supermajority in Congress - which they don't have. Chances are the pieces that they tried to repeal before will disappear such as the tax penalty and the financial help in getting insurance. The additional medicaid funds from the government might also vanish.. but likely not until the next budget cycle.

It will probably look a lot like 10 years ago but insurance will be more expensive now. The insurance companies know how far they can push and what they can get away with, after all.

I see some democrats jumping off of the ACA ship after seeing the how much support Trump received.

My opinion is that insurance will be much more expensive for those who can cough up the extra funds and much less attainable for those who can't. The Haves will keep on getting and there will be a greater group of Have Nots. Healthcare costs will continue to rise along with everything else that becomes more expensive as the economy struggles. That's what I expect.

I hope we can get something more affordable. We kept BCBS we had prior to Obamacare and it is going up to $900 a month in Jan. Mine is $10k deductible and hubbys is 3.5 k

Checked into Obama care this yeat and mine alone was going to be 900. Not eligiblefor subsidy as our income is aprox 80k

TheCommuter specializes in Case mgmt., rehab, (CRRN), LTC & psych.

I may be affected in two ways. Firstly, I am a case manager in the Medicaid MCO division of a major health insurance company. My job exists due to Medicaid expansions that occurred a couple of years ago. If Medicaid is targeted for budgetary cuts, my job could be in limbo.

Secondly, I was uninsured from 2010 to late 2013. Due to the ACA, I was able to obtain insurance in December 2013 spite of my pre-existing health conditions. Depending on what happens, I may rejoin the ranks of the uninsured in a few years. At this point we can only speculate.

heron specializes in Hospice.

Get ready for ongoing pay cuts and general penny-pinching in the workplace. What do you think those insurance and medicare/medicaid tax dollars pay for? US!

nothing good can possibly come of this election result. especially in health care. reduced patient care, let them die, it costs less, and of course fewer jobs d/t first thought.

I would hope that the ACA would not be repealed entirely, but I feel like certain aspects were in trouble regardless of the election results (companies taking themselves out of the insurance exchanges, requiring insurance despite climbing premiums, not seeing the cost savings that was anticipated). I would anticipate thrse aspects to be gone without a replacement in this political climate.

kbrn2002 specializes in Geriatrics, Dialysis.

I have always had insurance through my employer at a fairly reasonable rate, I hope that continues. But the ACA has been anything but affordable in my state. I was truly shocked at the insurance quotes with the sky high premiums and ridiculously high deductibles my daughter was getting. I actually advised her to just take the tax penalty that first year because it was much less than the insurance would have cost her. Not to mention unless something truly catastrophic happened there is no way a reasonably healthy individual would ever see a penny from the policy as the deductibles are impossible to meet.

I am not at all certain what changes will eventually be made with a republican majority congress and a republican president but I do hope that somehow, some way the affordable part actually happens. But I fear that is an empty hope as the states with the highest premiums and deductibles on the open market have been the states that so wholly disagreed with the ACA that they refused any federal government funds in the first place. It probably won't be long before those federal funds go away for every state.

The ACA will be..changed. It can't be repealed without a supermajority in Congress - which they don't have.

Nope, the Senate can use the reconciliation process, which only requires a simple majority, which the GOP will have.

Congress demonstrated in January that it could use the Senate's reconciliation process — requiring just 50 votes — to send a repeal bill to the White House. Although GOP lawmakers understood that Obama would veto that legislation, it was a strategic move,” said Tevi Troy, an ACA critic who is a former deputy health secretary and the chief executive of the American Health Policy Institute. Congress intentionally set it up so they could demonstrate a legislative pathway.”

Obamacare's future in critical condition after Trump's victory - The Washington Post

I'm conflicted because on the whole, this is going to be a disaster for patients and everyone who might possibly need healthcare. But most of my family works in healthcare (nursing/PT/OT) and they all claim they were making more money in the early to mid-2000's. Even thinking about this and hoping the pay and job opportunities go up makes me feel like a jerk, but currently I'm working in healthcare and I can't even afford health insurance! Several older co-workers who have been in the field for longer than I have say the same thing - they hated Bush for so many reasons and it makes them feel dirty to admit that their pay was much better and working conditions easier under his regime! Or maybe declining reimbursement, increased burdensome Medicare regulations, etc. have nothing to do with the ACA and the drop in pay is from the recession a few years ago?

Edited by kpk11

I guess me and my husband are among the few unlucky ones. Our healthcare premiums went from $600/ month to $1200/month this January do to the ACA. He works for a large company almost 100,000 employees and they claim they can't keep up with the rising cost if insurance..well neither can we!! God, help us all!

The middle class working folks will be hit the hardest, the cost of living will increase, pay won't increase and insurance will get more expensive. Thnx to the high heavens my husband works for the federal government so healthcare is affordable. Such is life.

kbrn2002 specializes in Geriatrics, Dialysis.

The middle class working folks will be hit the hardest, the cost of living will increase, pay won't increase and insurance will get more expensive. Thnx to the high heavens my husband works for the federal government so healthcare is affordable. Such is life.

This has already been my reality for the past several years. Cost of living up but no COLA, insurance premiums rising [though admittedly not as much as some people's have]. I recently used this as part of my argument to justify getting a raise as I bring home less money now than I did five years ago thanks to insurance and taxes going up while my wages stayed the same.

From what I understand Trump wants to focus on the cost of health care and not so much the insurance companies. He wants to create more price transparency with providers to give the consumer more power and financial awareness when making healthcare decision. I think he also wants to allow for the sale of health insurance across state lines. Might level the playing field and give customers more options. He also wants to make it so individuals can use health insurance costs as a tax deduction on their taxes. Medicaid and Medicare administration will be given to the States with little federal overhead with incentives to weed out fraud, waste, and abuse of the system to ensure the people who truly need to coverage get it.

Let's be honest, insurance premiums were rising long before Trump announced he was even running. While the ACA made health insurance easier to get, it did not address the issue of the bloated costs of equipment, medications, etc. I've had people tell me that they hesitated to get life saving treatments and medications, because their insurance companies refused to pay it and it was too expensive to cover out of pocket. Trump isn't even in power yet and people across the board have noticed their premiums and deductibles skyrocketing and that honestly has nothing to do with Trump and everything to do with the fact that insurance companies have no incentive to offer us affordable premiums. There is little competition in the current market. Insurance companies know they will retain their customers regardless, because there is really nowhere else to go. Most people have insurance through their employers, but those who don't really don't have many options and don't qualify for federal aid, because they make too much money. Many of them are self employed or are small business owners. So they are stuck with crappy Market Place insurance that really doesn't cover much outside of preventative care and health care in the event of something catastrophic and even then you are still responsible for thousands before the plan even kicks in.

As far as insurance, there might be some changes to the ACA. I do hope some things are kept, such as letting young adults stay on their parents' insurance until 26, disallowing denial of insurance for those with pre-existing conditions, and federal dollars for Medicaid expansion. For reimbursement by CMS, I don't think that will change so much. Value-based purchasing is the new thing, and I don't think it will go away. I am curious how gutting the ACA will affect our employment. Will census go down? Will there by massive layoffs?

I really feel for those who barely had insurance for 3 years and now they will lose it again.


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