Health Care

I tend to just keep my mouth shut as Health Care has become more about politics and which side you're on than about providing care to people, but seeing as this bill is happening I must say something.

Health care isn't perfect-it's far from perfect but I don't see where this bill helps correct the problem. They are "fixing" a problem and creating many, many more. I just can't see where the math adds up to make this better than what we have now.

Coming from the perspective of a nurse, this is what I see:

Many doctor's are going to leave the profession, the workload would be too great and the taxes too high to continue (see this article: http://www.cnsnews.com/news/print/62812), I've talked to a few docs at the hospital who would agree with this statement. So doctors leave and we have more patients flooding the hospitals-yes, the problems will continue in ER with people receiving their health care there because those docs that are leaving are GP's-so private physicians are gone. Where else do you go then? ER. While the Dayton area has been flooded with nurses, it is a temporary increase and the rest of the country isn't experiencing this-they are still in a nursing shortage. So now we have few doctors AND fewer nurses (and smaller paychecks for the nurses who are left, I'm sure) but MORE patients to care for. What does that mean? Well, in Advanced Care (step down ICU) we take 3-4 patient's depending on severity and work load of the patients. If we have fewer nurses then the nurse:patient ratio changes; nurses will carry a heavier team.

Nursing is a hard job, there is so much to think about and caring for 3-4 patients (and on Med Surg floors it's 5-6 patients) is difficult. We want the best for our patients. We want them to be safe, we don't want sentinel events, we don't want to miss something because we're behind and we're trying to catch up. I know for me, I like to know about my patients and their families. It's not just assess patient, pass meds, document, repeat. Not for me. I talk to my patients, I learn about them and spend time with them. I love getting to spend time with families. It's especially comforting for me to spend time with family members of someone who is critical or who is dying. And it's a great joy to take care of someone who has gotten well and comes back to tell you "thank you." It's the best part of my job. I hate to think that this will be taken away because I'll be caring for 5 or more patients on a daily basis. There won't be enough time. I know some people wouldn't think that's important but nurses treat the whole person-mind, body and soul (or mental, physical and spiritual, if you prefer) and I'll feel like such a bad nurse if I don't.

Not to mention that if you give these nurses heavier assignments that they'll get burnt out and leave the profession, giving us an even bigger shortage. And do you think many people will be waiting to become a nurse then? Sinclair won't have a waiting list for it's nursing program anymore, that's for sure.

I'm not saying we don't need changes to the way insurance companies practice and run health care. But I'm saying this is such a drastic way to change. I don't understand why we can't do little steps? Allow the purchase of insurance across state lines for starters. Don't tax people who don't have "acceptable" coverage (see house bill here: http://docs.house.gov/rules/health/111_ahcaa.pdf p 8 subpart A) {On a side note, I did hear that surrogates will be required to be covered under all insurance plans...not sure if that's a good idea or not...you'll start seeing surrogate companies pop up all over the place and a lot of people who shouldn't be doing it will be}.

Well, that's all I can post for now. Will follow up soon though. I'm still trying to read this stupid bill. It takes awhile! :D

More soon...