Wisconsin has gutted Medicaid, no mandated ratios!

Nurses Activism

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So with all the craziness befuddling many Wisconsinites lately a new tightly kept secret was finally brought to light. Governor Scott Walker has not only gutted Badgercare (Wisconsin's Medicaid) which many farmers rely on as well as low income and buy ins by people who have two part time jobs for instance, Seniorcare which is an RX drug program for low income Seniors (which had a $20mil surplus), cut the end-stage chronic renal program, and Familycare which helps to pay for long term care for disabled and poor elderly individuals. Also, there is absolutely no nurse to patient mandated ratio in Wisconsin (let alone hourly mandates).

Many of our hospitals that give care to Medicaid patients are already overburdened as we have had hospitals close, not to mention the many who have lost insurance only going in when they catastrophically need emergency care. This is going to shift the costs to hospitals who will then do two things, raise rates on cash paying patients, and cut staff to the smallest possible amount even if that means 12 patients to a nurse, as I see it anyway.

Most hospital systems are non-profit but having worked for one that is supposedly religious in nature, I can assure you it is a farce in some cases as I worked on the "for-profit" side. It is hard enough as a new RN to find a job but with hospitals tightening their belts not only do I fear it hard to find a job (even at a nursing home), I fear the patient safety aspect of this.

It has been well documented that not only hourly mandates over 12 hours but high nurse to patient ratios can be directly tied to medical error and patient mortality. Is it going to even be safe to practice nursing in my state?

I love my state so dearly and if what I fear happens, I fear our world-class award winning health care system will look like one of a third-world country, little supplies, rationing care, deciding monetarily if a life is worth saving because "we cannot afford it".

What are your thoughts?

Three issues I'd like to address on this thread:

1) "Tax cuts for corporations". This is oft-cited as horribly unfair, but I need to point out one thing: businesses do not pay taxes, period. To any business that sells a product or service, any tax is just another overhead expense that they cover, or attempt to cover, in the price of their product or service. They don't pay tax - you do, when you purchase their product.

2) Patient/nurse ratios: clearly this is an important topic that affects patient safety. As such, this rightfully should be handled as a regulatory issue, not as a club for unions to wield. Put it up to public debate and get legislation out there to mandate minimum staffing levels for various levels of care. Let the patients - the public - decide what cost-benefit ratio they want in their nursing care via their votes. More nurses = better care = more expensive. Fewer nurses = worse care = lower cost. Giving unions control of this issue with collective bargaining does nothing but hide these simple mathematical realities from the patient population.

3) Charity. As has already been mentioned here, social safety net programs such as medicaid are pretty much wholesale charity, where the donors have no choice in the matter. Abuse of these systems is rampant, and I know we all see it. I'm an EMT, and I see these abuses every day in the back of my ambulance. But since the money comes from a big anonymous government agency, people have no qualms whatsoever receiving this charity in perpetuity. It's an entitlement. There is no sense of personal (or social) responsibility anymore, because "the government" will always be there to provide. Ask yourself this: how many of the health problems that we see every day are the direct cause of intentional behavior?

3) Charity. As has already been mentioned here, social safety net programs such as medicaid are pretty much wholesale charity, where the donors have no choice in the matter. Abuse of these systems is rampant, and I know we all see it. I'm an EMT, and I see these abuses every day in the back of my ambulance. But since the money comes from a big anonymous government agency, people have no qualms whatsoever receiving this charity in perpetuity. It's an entitlement. There is no sense of personal (or social) responsibility anymore, because "the government" will always be there to provide. Ask yourself this: how many of the health problems that we see every day are the direct cause of intentional behavior?

That big anonymous govrenment agency is the TAXPAYER!!!!:idea:

That big anonymous govrenment agency is the TAXPAYER!!!!:idea:
Yeah, that was my point! When charity is depersonalized by government, the recipients no longer even see it as charity. And it's not charity from the perspective of the taxpayer "donors" either, since they have no choice in the matter.

I'm sorry, but if people are still buying luxuries such as cigarettes, beer, cell phones, and cable TV, they shouldn't be expecting "charity" to pay for necessities such as food (food stamps), housing (subsidized/public housing), and health care (medicaid).

I really don't see why it's fair for taxpayers to be expected to pay for the "free" support and care of someone who chooses to destroy their heart, lungs, liver, or kidneys with tobacco, alcohol, drugs, and excessive eating. That's not charity, that's theft. It is functionally no different than someone stealing your purse off your arm and using the money in your wallet to go buy cheeseburgers, drugs, and vodka. The result is the same.

Specializes in PICU, NICU, L&D, Public Health, Hospice.

Comparing use of food stamps or a medicaid health benefit to petty theft is pretty harsh...IMHO

Comparing use of food stamps or a medicaid health benefit to petty theft is pretty harsh...IMHO

Context is everything; please reread my post.

I have no problem with charity whatsoever; I think it is noble to help people truly in need. But I ask again; it is fair to confiscate people's earnings (which is what taxation is), to give to someone else in order to pay for their housing, food, and healthcare, when that recipient won't reciprocate the social responsibility by simply taking care of their own health?

I'm talking about those that choose through intentional behavior to destroy their own major organ systems. We pay for this on both ends - we subsidize the destructive behavior up front, then we pay on the back end for all the health related costs. Meanwhile, all this does is drain the meager resources away from those that truly need it, and came by that unfortunate need through no fault of their own. How is this fair to anybody?

I have trouble discerning charitable need when people still somehow have the money for cigarettes, alcohol, cell phones, and cable TV. Or has our society decayed so much that these frivolities are now considered a need worthy of redistribution of income in order to provide, at the expense of others?

This is what we do repeatedly in this country. We ignore the pitfalls when things are going well, do nothing about the abuse of the system for years, and then have a knee jerk reaction when the system is broke, and take a battle ax to it. It is very sad, and someone somewhere will fall through the cracks. I wish I had an answer.

Specializes in Psych , Peds ,Nicu.

I'm talking about those that choose through intentional behavior to destroy their own major organ systems. We pay for this on both ends - we subsidize the destructive behavior up front, then we pay on the back end for all the health related costs. Meanwhile, all this does is drain the meager resources away from those that truly need it, and came by that unfortunate need through no fault of their own. How is this fair to anybody?

I have trouble discerning charitable need when people still somehow have the money for cigarettes, alcohol, cell phones, and cable TV. Or has our society decayed so much that these frivolities are now considered a need worthy of redistribution of income in order to provide, at the expense of others?

You failed to mention those who who choose through intentional behavior not to purchase healthcare insurance , just because they are healthy at present . That is not the reason we buy insurance , it is bought to cover the risk that an unexpected event will cause a financial liability . If you ( NB. not directed at any poster on thread ) don't have insurance you are pushing the risk onto the rest of us and will be only too pleased when others take the responsibility for picking up the tab and covering your irresponsibility .

Specializes in Psych , Peds ,Nicu.
Three issues I'd like to address on this thread:

2) Patient/nurse ratios: clearly this is an important topic that affects patient safety. As such, this rightfully should be handled as a regulatory issue, not as a club for unions to wield. Put it up to public debate and get legislation out there to mandate minimum staffing levels for various levels of care. Let the patients - the public - decide what cost-benefit ratio they want in their nursing care via their votes. More nurses = better care = more expensive. Fewer nurses = worse care = lower cost. Giving unions control of this issue with collective bargaining does nothing but hide these simple mathematical realities from the patient population.

"Giving unions control of this isuue " that statement is nonsense . Unions TOOK on this isuue because NOBODY else was taking on this issue .Indeed ratios are a regulatory issue , for which the unions are lobbying , but in the meantime rather than wait for legislatures to pluck up the courage to face off against the vested interests that do not want ratios , they will try to bargain ratios through collective bargaining .

Specializes in PICU, NICU, L&D, Public Health, Hospice.

many people choose not to purchase health insurance because it is too expensive if they do not have an employer which shares the cost...

and lots of people have trouble discerning charitable need...just watch the well meaning folks at church food pantries trying to decide who really needs the food and who doesn't based upon the car the people drive or the clothes they are wearing...

Specializes in med surg home care PEDS.

Wow we have some really hard people on this board, I was horrified when I read the OP but it seems I am in the minority, I have little hope for the future of healthcare or the future of this Country for that matter. I guess people like Gov Walker are much more popular than I thought. People forget it was the Big Banks and Investment houses that manipulate the stock market and bank rates that caused the recession, not poor people or old people. In a few years when the economy turns it self around and the tax revenue is rising, we will be left with what type of country. This is the oldest trick in the book, turn the working man against each other and the richest people reap all the benefits. I am glad the nurses I work with are not so harsh. What amazes me even more is these people wrap themselves in the bible and the flag. Walker also did not let out of the bag that he lower the tax rates considerably for the richest people in Wisconsin.

Specializes in Critical Care,Recovery, ED.

Taxation is the confiscation of wages (theft) according to one poster and some members of the body politic. I prefer a Justice of the US Supreme Court (who I will paraphrase) when he stated. Taxation is the cost of civilization. Do you want less civilization? Because that is what you get when taxation is below the requirements/cost of civilization.

Specializes in everything.
This has nothing to do with the "far right" as you call it. The country is broke. States have no choice but to cut their budgets. We can not continue to rack up massive debt in this country. We are bankrupting our children's futures.

There is money for an illegal war, policing the world, mega prisons and the failing war on drugs but nothing for healthcare? That makes no sense.

The far right got you into this mess.How do you expect the country to grow if you have no investments in the basics such as healthcare and education. Do you not wonder why the united states has such a high illiteracy rate and why you are the ONLY first world country without universal healthcare for all of your citizens yet you have the most expensive healthcare system in the world?

Stop following FOX "news" so much and try thinking on your own

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