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As an RN. It would be great if this wide world rosy picture existed. But it doesn't. About 1 out of every 4 people that come into the ER though, actually need some type of medical care that's not based around stupidity. Sure x patient needs care because he was using dirty needles to inject drugs into various body parts and one abscessed but that's based on stupid. Taking care of grandma but then dropping her off at the hospital for "COPD exacerbation" because you need a vacation. To the random dude who is dropped off from a cab with a note saying "I'm confused and have no idea who I am but I'm on the following 5 meds". All these people perpetually shit on my day and you know what they all believe.
"Obama is goin' to give me FREE health care."
Not subsidized health care, not a tax credit to purchase a high deductible plan from some state managed pool of insurers. Free unicorn magic unlimited health care. They have no idea what a deductible is, how to pick a plan, much less ever purchased something like that. They can't rummage up $20 to buy the pills much less cover a $1000 deductible. So what is it going to FIX really? The message that the administration sends out is so far off from reality that it's a joke. Private doctors are going to get copays up front and the poor are going to be shut out of care by docs with copay after copay. So what are they going to do? Go back to the same thing they've done for their whole life. Go to the ER because they must be treated.
Either create a two tier system with gov't funded docs/hospitals (VA style) and allow ER's to turn people away that are not critical to those systems or socialize the whole thing. Don't "insure" people who have never had insurance and are unable to understand the nuances of it. Many of them have a loose grasp on basic concepts such as why smoking (crack, pot, cigarettes) will cause irritation of lung diseases. They are not mentally fit enough to understand what a copay is and what determines a specialist vs a doctor and why they have to goto a specific lab. Minds will be blown.
So they'll go on medicaid roles. Great. Most people think that's a magic card for the poor for health care. No there's like 4 medicaid insurance programs each with their own copays, nuances, etc.
Now policy is coming down and busting our stones because they don't want to be held liable for anything post visit because uncle sam will not pay for it, so we have to document 2x the crap as normal.
Cliffs. It would be great if black jesus gave you free health care, but he didn't. You got more taxes, and more forms to fill out, more money out of your pocket and made my job harder. Thanks.
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Eye on the Prize
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