I feel like we are rapidly reaching jump ship level. My own sister (in her 40s with 4 kids and natural born Texas/US citizen) is actively migrating her family to Canada next year. Her daughter with a clef pallet cost her family 90K last year WITH insurance. Her husband makes $150K a year, so they managed...but Christ! My sister is so serious that she already submitted all her immigration papers and is waiting to hear back.
I work in a clinic. The ER at the hospital I work for has sent critical patients to our clinic because they 1) apparently have no staff that know how to evaluate for a emergency (I say this having 8 years ER experience under my belt). I had a patient go to the ER twice in 24 hours for urinary pain, bleeding 1 week post op. They sent him to the clinic pale AF, orthostatic blood pressure 80/40, bladder scan showed 330 after voiding (ended up being a giant number of clots that I got to try to hand irrigate in the OFFICE!). The ER did a UA at both visits and NOTHING ELSE.
You might want to say this is my institution in particular...however I haven't held a job at 1 institution for more than 3 years. I've traveled. So, yes, there are better and worse.....but they are ALL getting worse. Process improvement usually involve trying to make up care gaps with unlicensed, under educated, unqualified people OR have one qualified person do the work of 3-4 people (both of which create gross care gaps).
I wish I could go with my sister. This has only gotten worse in the 15 years I've been a nurse. I'm not proud of my field.
Our current congressional members appear incapable of undertaking such a task. They are too busy.
Or bought off by lobbyists! Sad situation when 2% of the population holds the majority of the wealth. (Don't know the statistics of the latter) Sad to say but those with the most money, have the most power.
Specializes in Surgical Specialty Clinic - Ambulatory Care.
Hoosier_RN said:
Or into a crock pot and let cook overnight. I just woke up to the smell of the roast that I picked up in the meat sale bin at the grocery. I have family coming to visit, and this, with some potatoes and carrots, will feed us decently. Or I could have ordered pizza at 3x cost to feed us
My cousin was trying to show her niece how to make homemade noodles a few weeks ago. Niece is in section 8 housing, $1100 a month in food stamps (way more than my food budget remotely allows for), has 3 kids ages 9-12. Doesn't work. Told cousin to make plenty and pack them separately and freeze for her. Cousin said "I'm trying to teach you how to make them, so you'll always know how, and can teach your kids". Niece and kids all told her they were not interested in learning, they have a social life to maintain, other things to do. All 3 kids think that they're going to be social media influencers ? and want junky quick food all of the time. Cousin made 1 batch, left it at that.
I know quite a few, of all ages, that are just like that. I also know quite a few that truly struggle. We can't pretend all fit into the latter mold. Sorry, not sorry
Sorry, not sorry. 3 kids not interested in making noodles because they plan to grow up and be famous.....wow, your right, everyone is lazy! Eyeroll like a teenager.
Also just because they weren't interested in the moment doesn't mean they won't remember it when they are older. I know far fewer in the situation you describe. I also know a waitress who was going to college and quit because her daughter had scoliosis. She was actually told by medical staff she would do better to continue to be a waitress and let the state pay for her daughter's needs. And I believe that, because my sister has a daughter with a cleft palate, she and her husband paid 90K out of pocket after insurance for her care last year. They make 150K a year and have decided to take a pay cut and move to Canada so they can have some sort of financial future for their kids. Otherwise they will go broke taking care of 1. The wealthy have to much, tax the hell out of them.
Specializes in NICU, PICU, Transport, L&D, Hospice.
KalipsoRed21 said:
Sorry, not sorry. 3 kids not interested in making noodles because they plan to grow up and be famous.....wow, your right, everyone is lazy! Eyeroll like a teenager.
Also just because they weren't interested in the moment doesn't mean they won't remember it when they are older. I know far fewer in the situation you describe. I also know a waitress who was going to college and quit because her daughter had scoliosis. She was actually told by medical staff she would do better to continue to be a waitress and let the state pay for her daughter's needs. And I believe that, because my sister has a daughter with a cleft palate, she and her husband paid 90K out of pocket after insurance for her care last year. They make 150K a year and have decided to take a pay cut and move to Canada so they can have some sort of financial future for their kids. Otherwise they will go broke taking care of 1. The wealthy have to much, tax the hell out of them.
Let's start legislating tax policy based upon the anecdotal stories of the indifferent privilege and dishonesty of the wealthiest rather than negative anecdote about the working masses. There are so many well known examples of corruption and cheating from the wealthiest, we won't have to depend upon anecdote about unknown individuals with zero influence or power.
Sorry, not sorry. 3 kids not interested in making noodles because they plan to grow up and be famous.....wow, your right, everyone is lazy! Eyeroll like a teenager.
Also just because they weren't interested in the moment doesn't mean they won't remember it when they are older. I know far fewer in the situation you describe.
My patients in my clinic are of the opposite situation, so I know quite a few in the opposing camp. But if you can honestly tell me that you haven't met some that abuse the system as well, I'll call you fortunate or naive, whichever applies. As far as the kids remembering in a few years, nope, they all, mother included, left the room to my cousin to make the noodles. That's why she left 1 batch only, frustrated that she used her time, materials, etc, at their request, and then was met with indifference. The mother in this case has been busted more than once for selling her food stamps, only to get a slap on the wrists, while those that could truly use them or a higher amount, can't get them. It's abusers who make it hard for those truly in need. No one begrudges assistance to those in need. And we all agree that our medical system needs to be better. Unfortunately, the wealthy own the system at this time, and until someone with as much power is willing to stand up to TPTB, not much will change
Let's start legislating tax policy based upon the anecdotal stories of the indifferent privilege and dishonesty of the wealthiest rather than negative anecdote about the working masses. There are so many well known examples of corruption and cheating from the wealthiest, we won't have to depend upon anecdote about unknown individuals with zero influence or power.
Until our legislators, all of them, not just the guy from another state, rewrite tax code, not much will change. Sadly, most folks like the elected officials for their state and blame the other states elected officials. The wealthy simply use existing tax codes and write offs to their advantage, which isn't a crime in and of itself. The crime is continuously electing and re-electing these bozos, who keep the status quo for their buddies with money
I have an off topic, but connected thought. What happens to those who have 401ks that are deeply entrenched in healthcare? Many older nurses, and retired nurses, in the US have pensions. Those younger have the 401ks that are heavily invested in healthcare related entities. What becomes of those who would lose most, if not all, of their retirement savings? I'm lucky enough that I'll get a moderate pension, plus have some 401k and IRA savings. When we have the "switch to socialized medicine" talk at work, those in the 40-55 year age range have voiced this concern. I can understand, because at the higher end of the age range, not much time to start saving again. Just pondering...
Until our legislators, all of them, not just the guy from another state, rewrite tax code, not much will change. Sadly, most folks like the elected officials for their state and blame the other states elected officials. The wealthy simply use existing tax codes and write offs to their advantage, which isn't a crime in and of itself. The crime is continuously electing and re-electing these bozos, who keep the status quo for their buddies with money
I have an off topic, but connected thought. What happens to those who have 401ks that are deeply entrenched in healthcare? Many older nurses, and retired nurses, in the US have pensions. Those younger have the 401ks that are heavily invested in healthcare related entities. What becomes of those who would lose most, if not all, of their retirement savings? I'm lucky enough that I'll get a moderate pension, plus have some 401k and IRA savings. When we have the "switch to socialized medicine" talk at work, those in the 40-55 year age range have voiced this concern. I can understand, because at the higher end of the age range, not much time to start saving again. Just pondering...
Aren't the employees choosing their own investments in their 401K's?
Aren't the employees choosing their own investments in their 401K's?
No, some companies have the group things that if you plan to retire in x year range, you get x stock mix, next group range gets x stock mix, so on and so forth. At least how it's been at my last 3 or 4 employers. I'd love to have that option! I know some companies do have that, around here, it's mainly the factories, though.
This was in the NY Times this morning. I agree with a lot of his takes, while recognizing there is no perfect system anywhere and overhauling the U.S. system in particular would be monumental, if not impossible:
This was in the NY Times this morning. I agree with a lot of his takes, while recognizing there is no perfect system anywhere and overhauling the U.S. system in particular would be monumental, if not impossible:
Specializes in NICU, PICU, Transport, L&D, Hospice.
LibraSunCNM said:
This was in the NY Times this morning. I agree with a lot of his takes, while recognizing there is no perfect system anywhere and overhauling the U.S. system in particular would be monumental, if not impossible:
There was a time when we thought nothing was impossible for this country. The attitude of austerity, animosity, and angst marketed to us has certainly taken a toll.
This was in the NY Times this morning. I agree with a lot of his takes, while recognizing there is no perfect system anywhere and overhauling the U.S. system in particular would be monumental, if not impossible:
That's the problem of the next couple of generations. Maybe the psychology of living in more crowded circumstances will force people to realize that we need to take better care of each other. Otherwise the really nasty rats in the overcrowded cage will eat the rest.
BeenThere2012, ASN, RN
863 Posts
Or bought off by lobbyists! Sad situation when 2% of the population holds the majority of the wealth. (Don't know the statistics of the latter) Sad to say but those with the most money, have the most power.