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I'm a conservative, and i went to an alexandria ocasio-cortez rally

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You are reading page 5 of I'm a conservative, and i went to an alexandria ocasio-cortez rally. If you want to start from the beginning Go to First Page.

I think hospitals that now cater to wealthy patients whose insurance now pays more would charge extra for the pay per view and fancy meals. After all each patient's reimbursement would be the same for the same diagnosis and treatment.

I worked registry at a large hospital that had VIP units. Those units had the same staffing as the units for other Medicare, Medicaid, and lesser paying health insurance patients.

They did offer filet mignon and lobster thermidor on English bone china with sterling silverware and lead crystal glassware. Rooms had tapestry chairs that had to be cleaned between patients,. (Not hygienic after being peed or bled on.)

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So, those hospitals who are going to lose revenue, you believe they are going to stop competing for patients and they will get rid of the pay per view and fancy meals? Or, will they make cuts in staffing and pay?

So, you don't actually have a source for your earlier statement?

You just made it up because you could?

How could things be worse?

I have worked for non-profit and for profit facilities in the past two years. Only one, wasn't understaffed. That was the non-profit teaching hospital.

If some of these places had less staff, they wouldn't be able to remain open.

If you are concerned about staffing, organize a union!

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So, you don't actually have a source for your earlier statement?

You just made it up because you could?

How could things be worse?

I have worked for non-profit and for profit facilities in the past two years. Only one, wasn't understaffed. That was the non-profit teaching hospital.

If some of these places had less staff, they wouldn't be able to remain open.

If you are concerned about staffing, organize a union!

One of the hospital chains here have been unionized for about 15 years. They just went on strike to complain about wages and better staffing. Unions aren't the easy fix.

The point, which I probably agree with, if you think staffing is bad now, just imagine if suddenly everyone got healthcare at the same time. The system might be overwhelmed. Those of us used to a certain standard of care would have to give some of that up. The question is are we willing to do that?

Look to the VA for an example. Dealing with legions of aging Vietnam Vets, they suddenly have a new influx of injured vets and vets getting "free" healthcare for their service and whom are using them as their primary health care provider after serving a few years. Has the quality of care been affected by this influx?

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How about cutting pay? Or other resources? Or you pile in additional responsibility to nurses?

The deficit had to be made up somewhere.

And, there are ways of cutting staffing without declaring you are doing so. You just don't replace people.

Currently there is a wide variation in what hospitals make for providing the same care, hospitals that currently get way more than they need to provide care would still have at least enough to continue to provide care, but not an obscene amount more. It's unlikely this would change nursing pay since they already pay based on what the market dictates, and would continue to do so.

The bigger effect on nurses would be that hospitals that are doomed to close or have already closed could get sufficient revenue to remain open and not limit services, which means those nurses would go from not getting paid at all to getting paid.

That doesn't mean there shouldn't be a profit incentive, but it should be an opportunity for all who provide care, not just those with the right demographic population.

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One of the hospital chains here have been unionized for about 15 years. They just went on strike to complain about wages and better staffing. Unions aren't the easy fix.

The point, which I probably agree with, if you think staffing is bad now, just imagine if suddenly everyone got healthcare at the same time. The system might be overwhelmed. Those of us used to a certain standard of care would have to give some of that up. The question is are we willing to do that?

Look to the VA for an example. Dealing with legions of aging Vietnam Vets, they suddenly have a new influx of injured vets and vets getting "free" healthcare for their service and whom are using them as their primary health care provider after serving a few years. Has the quality of care been affected by this influx?

I don't think the VAs problems are largely to due to a recent influx of veterans.

Rather, the VA is much like any large, bureaucratic entity, and suffers from waste and corruption.

NPR has done some excellent reporting on the troubles at the VA.

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What is your source for this bit of information?

Easy to find this out if you care to.

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I don't think the VAs problems are largely to due to a recent influx of veterans.

Rather, the VA is much like any large, bureaucratic entity, and suffers from waste and corruption.

NPR has done some excellent reporting on the troubles at the VA.

Yes, it is a large bureaucratic entity. What do you think Medicare is?

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I think we established that it is possible quality may suffer under a Medicare for all plan. Back to the question...if it would, is it worth it?

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So, you don't actually have a source for your earlier statement?

You just made it up because you could?

How could things be worse?

I have worked for non-profit and for profit facilities in the past two years. Only one, wasn't understaffed. That was the non-profit teaching hospital.

If some of these places had less staff, they wouldn't be able to remain open.

If you are concerned about staffing, organize a union!

It's easy for things to be worse.

Imagine your your understaffed unit with one less nurse, or CNA, or no unit secretary, or fewer patient transporters, fewer phlebotomists and respiratory therapists, housekeepers, etc. Or, they can pay you less. Or, both.

I work in a non-union state, worked for non-profit and for one of the top ten most profitable hospitals in the country. I'll never work there again, but it wasn't as bad as other places I hear about on AN. So, at least in my neck of the woods it good get much much worse.

Edited by SC_RNDude
Typo

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I think we established that it is possible quality may suffer under a Medicare for all plan. Back to the question...if it would, is it worth it?

I apologize. Tweety did answer. He's ok with it as he believes there will be a hit in quality of our healthcare, but only in the short-term.

Others, have indirectly answered the question. You would not be ok with Medicare for all if it means quality will suffer.

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Easy to find this out if you care to.

So you have no source? You just wrote down what seemed like a plausible idea to you, threw it out there, and waited to see if it would stick?

As the reader, it isn't my responsibility to look up sources for others ideas that I don't agree with.

You are better than that, Dude.

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Yes, it is a large bureaucratic entity. What do you think Medicare is?

Medicare is single payer health insurance, VA is a government owned and operated health delivery system.

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