11/13/12

Obama is Yo Momma

Earlier it didn't look great, but then we knew the big college votes were yet to come. Then it looked better, then it was a nail bitter till the end with a slight marginal victory. The days after it was apparent the race wasn't as close as some may have thought. Obama takes popular vote (although we still remain a fragmented USA), takes presidency, and essentially propels the Republicans back to the drawing board since their 'data' pitted them in contention (there's work to be done.)

So what does it mean for nurses? Obama Care is a sure thing now and that has its pros and cons. More nurses will be hired in all sorts of different areas. ERs will start to fill up too as more people look for care, and hospitals will take the brunt of that increase since they have the greater margins and can turn a profit vs. smaller health care outlets that would have to go around cherry picking patients.

More nurses but not necessarily better healthcare, however, more accessible healthcare for millions.

Your thoughts?

2 comments:

  1. In regards to your comment "ERs will start to fill up..." that has already happened pre ACA signing. In the past four years as the recession rolled along emergency rooms across the country saw a marked increase in patients. Patients who once had insurance found themselves without and often had no alternative other than the ER.

    Unfortunately the facilities that service communities experienced increases in uninsured clients and didn't necessarily act proactively in the care of these patients, nor did they have enough charity care to cover the growing need.

    While the numbers of the insured will increase, that doesn't mean that the number of ER patients will, provided that there is adequate access to care.

    In the urban teaching hospital I work in, Newark, NJ, our ER sees upward of 300 patients a day. We have charity care clinics, as do the other hospitals. There is another large teaching hospital in the same city, but our ERs are still flooded, with uninsured and medicare/medicaid non urgent patients. Why? The problem is that historically there have not been enough providers in the community. In addition when patients would enter the charity care system and for those who later became insured with medicaid or medicare, they continued to be cared for at the hospital clinics, which clogged and overwhelmed the well meaning charity care services they provided. Now if the clinic patients could graduate out of the clinic when they were insured into a medical practice or see an off site NP this would help reduce the wait times for the charity care clinic appointments, which are generally the "follow up" care from the ER discharge. Current waits are up to 3 months, so when its time for a prescription refill back to the ER they come.
    The same problems exist at the community suburban hospital I work at because of the increase of non insured patients.

    Ultimately time will tell how things will pan out.

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