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

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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.

Specializes in LTC Management, Community Nursing, HHC.
Don't forget that the reason the ACA was imperfect was because Obama was blocked at nearly every turn by the Republicans! If they had been able to implement it properly it would have been much more successful.

Obamacare was blocked by Republicans because they didn't believe what the taxpayer was being told, i.e. you can keep your same doctor and hospital, get better healthcare benefits AND pay less in premiums every year, among many other lies.

Republicans weren't the only ones who blocked Obamacare from being implemented, Democrats did too, and that's why President Obama made an executive order and signed it into law anyway. It's not the fault of the Republicans for being against Obamacare, that didn't make Obamacare much worse than anyone thought it would ever be.

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Specializes in Vents, Telemetry, Home Care, Home infusion.

Found at ABC news:

Trump Willing to Keep Parts of Obamacare...

In an interview with the Wall Street Journal, Trump acknowledged there are aspects of President Obama's signature health care plan that he wants to maintain, like protecting patients with pre-existing conditions and allowing parents to keep their children on their own plans until age 26.

I like those very much,” he said, according to the newspaper.

Most congressional Republicans would agree that in order to craft a viable alternative to the president's law, they need to include at least those two aspects, which appear to be very popular with participants in the Affordable Care Act.

Both of the items Trump mentioned are included in House Speaker Paul Ryan's Better Way” health care agenda, although he has not yet offered actionable legislation to achieve them.

More than 100,000 people selected ACA plans on Wednesday per news reports.

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Specializes in geriatrics.
And who would those people be? So far (throughout the campaign) he's surrounded himself with right wing kooks, hacks, and sycophants.

Not sure, but trying to be positive (at least here on AN) regarding Trump and his advisors. I have little hope, but his politics will affect Canada as well. Maybe Trump will react in haste and find himself impeached.

For now, we can only speculate on health care reform.

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Specializes in Pediatric Critical Care.
Republicans weren't the only ones who blocked Obamacare from being implemented, Democrats did too, and that's why President Obama made an executive order and signed it into law anyway. It's not the fault of the Republicans for being against Obamacare, that didn't make Obamacare much worse than anyone thought it would ever be.

Correct me if I'm wrong (and I might be), but I thought it went more like this:

1- Lots of debating and stuff in the House, but then the bill was passed.

2- Lots of debating and stuff in the senate, and some holdout democrats who were concerned with the use of tax dollars for abortion.

3- So then Obama issued an executive order that didnt actually do a new thing, but just reaffirmed that tax dollars, indeed, would NOT be used for abortion, which satisfied the holdout democrats, and then the bill was passed.

4- And then Obama signed it into law, because it was passed by congress.

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Correct me if I'm wrong (and I might be), but I thought it went more like this:

1- Lots of debating and stuff in the House, but then the bill was passed.

2- Lots of debating and stuff in the senate, and some holdout democrats who were concerned with the use of tax dollars for abortion.

3- So then Obama issued an executive order that didnt actually do a new thing, but just reaffirmed that tax dollars, indeed, would NOT be used for abortion, which satisfied the holdout democrats, and then the bill was passed.

4- And then Obama signed it into law, because it was passed by congress.

You left out the part where the Dems in Congress took out all the stuff that Democrats really wanted and cared about, and made the bill comport as much as possible with what the Republicans had been proposing for healthcare reform all these years, and were demanding be included in the bill, in an attempt to create a bipartisan bill that Republicans could also support (the universal mandate was originally a Republican proposal that they all supported, until the Dems put it in the bill, at which point it suddenly became unacceptable to the Republicans), and then all the Republicans still refused to vote for it.

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Specializes in Mental Health, Gerontology, Palliative.
I see some democrats jumping off of the ACA ship after seeing the how much support Trump received.

Given at almost 47% of registered voters didnt vote hardly

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Specializes in Psych (25 years), Medical (15 years).
At this point we can only speculate.

Bottom line.

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Specializes in Psych (25 years), Medical (15 years).
My tiny girl needs her mama to not lose the house over her hospital bills.

The other bottom line, which is probably the reason for the mass hysteria: Fear of loss for ours and our own.

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"WASHINGTON (AP) — President-elect Donald Trump has said he may keep some parts of his predecessor's signature health care overhaul. No final decisions have been made. Based on interviews with congressional Republicans, here's a general idea of what goes, what may stay, and what's in doubt:"

Access Denied

(The link works fine for me, even though it says "access denied.")

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Question#1:

The republican plan in a nutshell for healthcare insurance which is the cornerstone of all "health care" in the U.S. will be to dismantle "the affordable care act" and replace it with "the dopey act."

Their free market Adam Smith inspired plan is to let the 'free market' reign and allow the health insurance companies to compete across state lines to in effect bring down premium prices across the board.

Sounds like a good idea and in theory market competition does work on the local level for small business.

You don't like the price of peaches at Kroger, you go to Publix.

But the health care companies are not small business. Their prime directive, if you will, is to monopolize any industry that thay can. As Rockefeller said " you call it monopoly, I call it enterprize.

So at least initially interstate competition will lower prices of health insurance but not for long.

As the larger, better capitalized companies get a strangle hold on any particular region's market you will see prices go nuts. It will be even worse than before Obama Care. Than even Obama Care itself.

Look it comes down to whether you believe heath care is a right or a privledge.

Whether you believe preexising illnesses should be covered or there should be paultry lifetime hospital caps or Mary or Johnny should be insured on their parents plan till they're 26 because they can't find a job with insurance in a tepid economy.

For the providers and those forced by law to take care of folks gratis, the system will always support the out of sight out of mind approach to providing care to the broke. "As long as somebody else is paying for it it's fine with me." The problem is that 'sombody else' is all of us, the taxpayers and the patients who show up at death's door reqiuring the million doallar work-up that again we all pay for by cost shifting.

Question #2:

As far as the future of the nursing profession is concerned, most don't even know it's a "profession" until they get sick. Then you'll hear I had no idea you people did anything more than order out pizza. Thank you for saving my hisband's life."

So with the" Commander in Hair" newly elected, we are in trouble. The health of nursing is proportionately related to the health of nursing education.

With the legacy of sham schools like "Trump University" and most of the for-profit loan mills recruiting the desperate, impatient and ill-prepared, this absolute rapine on nursing education and nurses will not only continue but most likely be encouraged and continued by among others, the silent majority of nursing leaders and educators that either participate in the scam or hide under a rock.

And, of course, the Wall Street money lenders.

Hail to the Hair!!!

Politics aside, what you are saying is going to happen as far as a monopoly goes can't happen because of anti-trust laws. Your example of the grocery store is true, but Kroger will not be allowed to buy Publix and raise the price. Existing legislation prohibits that, and neither side wants to change it.

If anything government is resp. for the Epi-Pen monopoly. Because of government regulation there was no competition for the Epi-Pen so they overcharged for it. Had the government stayed out of it the whole thing would have been avoided.

The poster who was originally from England made the best point about this kind of thing. Anyone here who wants a single payer system that is fine, but understand what that means. YOU will be paying for it with decreased wages as well as the other things she mentioned. If your position on that is unchanged than that is fine, and you are entitled to your opinion. But there is a finite amount of resources, and when they want to spread around those resources they are going to be using your paycheck as one of the ways of doing it.

The other argument is for TORT reform. But that is another argument.

And health insurance is neither a right or a privilege, it is a responsibility. Even Obama recognizes that because if it weren't he would not have included a "penalty" (or tax if you prefer) if you don't have it.

As far as pre-existing conditions. If you want to make the argument that they should be covered than fine. My biggest issue are people waiting until they get sick to get health insurance. Why should I keep paying my health insurance every month if I know that I can pick it up any time after I get sick?

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Specializes in Pediatric Critical Care.
"WASHINGTON (AP) — President-elect Donald Trump has said he may keep some parts of his predecessor's signature health care overhaul. No final decisions have been made. Based on interviews with congressional Republicans, here's a general idea of what goes, what may stay, and what's in doubt:"

Access Denied

(The link works fine for me, even though it says "access denied.")

Without offering an opinion either way, I just want to say that I really enjoy the irony of "access denied" as a link title for the topic of "will millions of Americans lose their access to healthcare services?"

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