Was it easier to practice as a nurse back in the day?

[guest1143647]

All of my nurse managers are nurses that had their licenses since the 70’s and 80’s. All are in different settings. One said she is counting down her days to retirement. She stated that home care visits were  so much easier to work before the government stepped in and demanded all of this paperwork.  Another manager said similar, that it’s the paperwork driving nurses away. 

[hppygr8ful, ASN, RN, EMT-I]

[hppygr8ful, ASN, RN, EMT-I]

12 hours ago, hppygr8ful said:

Did you all notice that direct patient care is not even mentioned?

 

[Guest 1152923]

On 11/17/2021 at 9:00 PM, SmilingBluEyes said:

BUT if we forgive everyone's loans, who pays? Where is the reward for those of us who did not amass 6 figure debts, but rather went the ADN and later BSN and beyond routes? Who pays? Is it "justice" for the rest of us to have to pay?

Many countries either wholly or partially subsidize college and university educations for its citizens.  Collectively, everyone profits either directly or indirectly with higher societal educational levels-I.e. lower unemployment, crime, homelessness….  The US however, favors preposterously bloated defense spending and never ending wars in the Middle East in lieu of education and much needed social programs!

[SmilingBluEyes]

2 hours ago, morelostthanfound said:

Many countries either wholly or partially subsidize college and university educations for its citizens.  Collectively, everyone profits either directly or indirectly with higher societal educational levels-I.e. lower unemployment, crime, homelessness….  The US however, favors preposterously bloated defense spending and never ending wars in the Middle East in lieu of education and much needed social programs!

I hear what you say here. But that did not answer my question.

 

Thank you.

[Orca, ADN, ASN, RN]

On 9/19/2021 at 4:39 AM, Davey Do said:

The downhill spiral began with the advent of DRGs (Diagnostic Related Groups) back in the '80's. Once insurance companies began calling the shots, excessive paperwork and jumping through hoops became the norm.

If I understand conceptually what occurred, it began with Medicare & Medicaid. Basically, the government said, "We will pay you, the provider, only x amount for any specific medical condition, and you must prove everything by this boatload of paperwork.

Private Insurers said, "Hey! If the government can do it, so can we!" and the situation snowballed.

A physician who I worked with in a hospital setting in the mid 1990s told me that he had dropped several insurance companies because of their excessive paperwork, and their refusal to pay unless every single detail was just so. Each company has its own paperwork, and sometimes they will ask the same question repeatedly but phrased in slightly different ways, to try to trip up both policyholders and practitioners. This physician said that he had one claim with an insurance company (that he had since stopped taking patients from) who had held up a claim for more than a year over paperwork technicalities. His opinion was that they were trying to frustrate him into giving up trying to deal with them, and to just bill the patient instead.

[Guest 1152923]

1 hour ago, SmilingBluEyes said:

I hear what you say here. But that did not answer my question.

 

Thank you.

Uh, yeah it does. You ask “who pays for it (education)?  My comment’s premise being that instead of spending trillions on a very bloated national defense system, we (taxpayers) instead invest in our citizens and fund education. 

[brandy1017, ASN, RN]

42 minutes ago, morelostthanfound said:

Uh, yeah it does. You ask “who pays for it (education)?  My comment’s premise being that instead of spending trillions on a very bloated national defense system, we (taxpayers) instead invest in our citizens and fund education. 

I am nervous about Russia, China and North Korea of the risk of a nuclear attack.  Both Russia and China have developed hypersonic nuclear weapons that are super fast and can elude regular missile defense systems.  Both countries have also been expanding their nuclear weapons.  It is scary.  Plus Kim Jong-Un is psycho and who knows what he is capable of.

[subee, MSN, CRNA]

2 hours ago, morelostthanfound said:

Uh, yeah it does. You ask “who pays for it (education)?  My comment’s premise being that instead of spending trillions on a very bloated national defense system, we (taxpayers) instead invest in our citizens and fund 

I disagree.  SBE is talking about present reality.  Students borrowed the money and it has to be paid back.  But, yes, the government should not renege on these contracts they made re: loan forgiveness.  Their behavior is disgraceful and the topic of a recent 60 Minutes presentation.  But you, on the other hand, are talking about the  pie in the sky (for now anyway) ideal wish for a government who believed in the power of education.  In the real world, we got Betsy DeVos, an enemy of public education .  Most people care more about not paying taxes than they do about educating future nurses and doctors, teachers and engineers.  Maybe we should rethink about how we educate nurses and allow people to anywhere for 2 years of pre nursing and then onto 24 months of a diploma like program where they can learn while they earn enough to graduate debt free.