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WASHINGTON — The Obama administration and major hospital associations on Monday evening were nearing a deal for about $150 billion in cost savings to help pay for an overhaul of the nation’s health care system, with an announcement expected at the White House as early as Wednesday, officials said.
If an agreement is finalized, it would be the latest step in an on-going effort by the White House to win concessions from major health industry groups to help pay for legislation aimed at providing health insurance to all Americans. Democrats are hoping to keep the cost of the overhaul at abo
In a revamped health care system envisioned by senators, people would be required to carry health insurance just like motorists must get auto coverage now. The government would provide subsidies for the poor and many middle-class families, but those who still refuse to sign up would face fines of more than $1,000.
Originally posted by Sestias
Reply to Whitewave,kyred and jkm1864:
Health care under Obama's plan won't be "free." It will be paid for by insurance. Those who can't afford insurance will getgovernment subsidies, but the majority of people will have access to reasonably-priced insurance plans -- lower than the current rates.
Because everyone will have insurance, the insurance companies will have to compete for business and that will help keep your costs down.
The rising cost of medical care is the reason why fewer and fewer people can get insurance or decent health care. Something has to change.
And if you're a nurse or other medical worker your job won't change. Unless you get fired for some reason you'll work for the same doctor or hospital you already do.
Originally posted by whitewave
We're already seeing signs of it now. I'll have to go dig up the links (and there are a lot of them). Many hospitals are instituting an admittance criteria for those coming into the emergency departments. It's called the Glasgow coma scale. It's been around for a long time as an assessment tool but never as a admittance criteria tool. Other admittance criteria are being considered as well.
Yes. hospitals are revising their admittance criteria because many patients are not considered profitable. These are usually the uninsured or homeless. With universal health insurance hospitals and doctors will be compensated for every patient. They may not receive the astronomical rates they receive now, but they will be adequately compensated. There would be no reason to turn anyone who needed treatment away.
The unemployed and homeless will have government-subsidized health insurance so they will still be insured even though they are broke.
If I dig through my paperwork I can probably find a memo from one of the hospitals I worked stating that, contrary to our nursing oath, "nurses are not primarily patient advocates. The nurses role is to ensure corporate compliance in the delivery of care". Translated: if taking care of sick people is no longer profitable then we are relieved of our duty to continue taking care of them.
That's what they do now because hospitals care more about the bottom line than they do about treating people who are sick. If patients don't pay they don't play. Universal health care, as I explain above, means it applies to everyone. No one can be turned away because they are too expensive.
Btw, insurance companies are failing on a large scale. You'll wind up with a handful of companies that will assess your risk and charge you accordingly. On dialysis? Too expensive. Sorry we can't cover you. There are quite a few people right now that have trouble getting coverage. The elderly, those with pre-existing health issues, etc. How do you think they'll fare when having insurance becomes mandatory?
With universal health insurance coverage, the private insurance companies will have to compete with the government for quality and price. The government insurance is, again, universal. The elderly, those with pre-existing conditions, etc. will be covered if they choose it.
Yes, the big insurance companies may take some hits as far as their enormous profits are concerned. They will have to lower their prices and cover more people and more medical conditions in order to compete with the government insurance. That will keep them honest and less greedy.
Yes. hospitals are revising their admittance criteria because many patients are not considered profitable. These are usually the uninsured or homeless. With universal health insurance hospitals and doctors will be compensated for every patient. They may not receive the astronomical rates they receive now, but they will be adequately compensated. There would be no reason to turn anyone who needed treatment away.
That's what they do now because hospitals care more about the bottom line than they do about treating people who are sick. If patients don't pay they don't play. Universal health care, as I explain above, means it applies to everyone. No one can be turned away because they are too expensive.
Originally posted by Zosynspiracy
For those of us how are doctors and nurses two things WILL HAPPEN:
1) RN's will start to replaced by lower skilled and lower paid medication administration techs, paramedics and other caregivers to save costs.
2) Doctors will increasingly be replaced by Nurse practitioners and PA's. Certified nurse anesthetists already administer 90% of all anesthesia in hospitals.
LOL And you guys think this will get better with universal healthcare? You're nuts!
Originally posted by kyred
I don't believe it. I actually believe she has outlived her usefulness for society. She has offered nothing for the last 40 years. I can't even say she provided guidance for her relatives. She has done nothing. And I think, for Pete's sake, she hasn't done anything for society or her family all this time. Yet, I have a 7 year old grandson who just might be something society could prosper from, yet he has no healthcare insurance, etc.
[edit on 7-7-2009 by kyred]