RE: I never really thought the Affordable health care act was perfect, but....

RE: I never really thought the Affordable health care act was perfect, but.... (Full Version)

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tazzygirl -> RE: I never really thought the Affordable health care act was perfect, but.... (6/16/2013 8:37:41 AM)
quote: People ASSume for all kinds of reasons, and are blooody ignorant 99% of the time Lucy Lucy Lucy (best Ricky voice here) How dare you and your physician decide your treatment best lays in an ER. Clogging up the system. [8D]

pahunkboy -> RE: I never really thought the Affordable health care act was perfect, but.... (6/16/2013 8:39:59 AM)
In your mind why must one have a medical degree to dispense proper medicine? Essentially knowledge is copywrited- so you need to be a debt slave via the student loan scam- to have the blessings from on high--- I think people a few generations were more reliant, made do, and did not run to the grid for every little toe stub.

tazzygirl -> RE: I never really thought the Affordable health care act was perfect, but.... (6/16/2013 8:45:31 AM)
quote: ORIGINAL: pahunkboy In your mind why must one have a medical degree to dispense proper medicine? Essentially knowledge is copywrited- so you need to be a debt slave via the student loan scam- to have the blessings from on high--- I think people a few generations were more reliant, made do, and did not run to the grid for every little toe stub. And many more died... especially from the more common ailments. Do you need stats to back that up?

tazzygirl -> RE: I never really thought the Affordable health care act was perfect, but.... (6/16/2013 8:46:45 AM)
quote: In your mind why must one have a medical degree to dispense proper medicine? For one, its the law. For another, can you see into someone's body and know for sure what exactly the problem is? I dont know a single physician who can do that without testing... or who will do that.

pahunkboy -> RE: I never really thought the Affordable health care act was perfect, but.... (6/16/2013 8:49:55 AM)
I honestly think the insurance companies make it worse. Here again- people ask permission from on high. Granted- some items you REQUIRE medical help on- but some abused items you do not. My grandfather lived to be 80- he never liked DRs and would not go--- he only went when he needed to. Same deal with my gram- who is around age 90.

pahunkboy -> RE: I never really thought the Affordable health care act was perfect, but.... (6/16/2013 8:53:49 AM)
BTW- my sister is getting her own suture kit- for stitches- she plans to do what the ER charges $600+ for.

tazzygirl -> RE: I never really thought the Affordable health care act was perfect, but.... (6/16/2013 8:55:01 AM)
quote: ORIGINAL: pahunkboy I honestly think the insurance companies make it worse. Here again- people ask permission from on high. Granted- some items you REQUIRE medical help on- but some abused items you do not. My grandfather lived to be 80- he never liked DRs and would not go--- he only went when he needed to. Same deal with my gram- who is around age 90. Who determined when he needed too? You? or him?

tazzygirl -> RE: I never really thought the Affordable health care act was perfect, but.... (6/16/2013 8:56:32 AM)
quote: ORIGINAL: pahunkboy BTW- my sister is getting her own suture kit- for stitches- she plans to do what the ER charges $600+ for. And if she does it to anyone who sues her for it, she will be charged with practicing medicine without a license if she doesnt hold one. Its her risk if she wants to take it. Not all cuts can be simply sutured.

pahunkboy -> RE: I never really thought the Affordable health care act was perfect, but.... (6/16/2013 9:01:07 AM)
My grandfather determined it- not me- I dont know his body-- he does. On my sister- I doubt her biker acrobatic husband is going to sue her next time he takes a spill in his bike...

tazzygirl -> RE: I never really thought the Affordable health care act was perfect, but.... (6/16/2013 9:06:16 AM)
And all those people in the ER determined they needed to be seen as well. Just like your grandfather did.

pahunkboy -> RE: I never really thought the Affordable health care act was perfect, but.... (6/16/2013 9:11:12 AM)
Not quite- most ER visits here could be done at an immediate care office. Which they could even built right into CVS or pharmacies or even walmart if they wanted to. As a nurse- I am sure you seen people abusing the system. That costs money AND TAKES from those whom truly need it. We need to use our resources in a wiser manner.

Phoenixpower -> RE: I never really thought the Affordable health care act was perfect, but.... (6/16/2013 9:20:29 AM)
quote: ORIGINAL: tazzygirl quote: I agree with hunk (god forgive me) if you are awake, breathing, have the blood loss under control, not running a fever over 103, (infants not over 101) then you do not need to go to the ER. ... Now, please, show me where in your opinion he should not have gone? He didnt fit in your qualifying check list. But a bad appendix can kill. Have to agree with tazzygirl... Back in 2005 I worked for a short period of time as a care staff....and I worked with an elderly man in his end 70s or early 80s...he has had no fever, has been awake, was breathing normally, did not lose any blood....and yet, call me weird, but I called the ambulance for him... And why....simply because he dreamed to be dying and felt rotten... And as I am a big believer in taking dreams seriously, I was not taking any chance... Beginning of November they took him with them....and I did not see him anymore until I left that employer beginning of march... Now...he did not die back then (at least not instantly and I don't know how it continued with him) but just before christmas, roughly 6-7 weeks later, I got a call from the agency, telling me to go back and visit him again from christmas onwards as he will get discharged....then they called again the next day that he won't get discharged after all... So quite frankly, something obviously was very wrong with him when they kept him for many weeks in hospital...and yet you are saying on here, that he would not have needed urgent medical attention....silly me [sm=gaah.gif] did everything wrong, obviously [sm=Groaner.gif]

tazzygirl -> RE: I never really thought the Affordable health care act was perfect, but.... (6/16/2013 9:29:53 AM)
quote: ORIGINAL: pahunkboy Not quite- most ER visits here could be done at an immediate care office. Which they could even built right into CVS or pharmacies or even walmart if they wanted to. As a nurse- I am sure you seen people abusing the system. That costs money AND TAKES from those whom truly need it. We need to use our resources in a wiser manner. Yes, we do need to use our resources wiser. Tell me, what is that thought doing for all those people in the ER at this moment? What are they supposed to do, wait until they can afford it or until our government decides to straighten out our health care system?

pahunkboy -> RE: I never really thought the Affordable health care act was perfect, but.... (6/16/2013 9:36:33 AM)
with k-street and corporate greed, when congress does not read the laws the pass- written by corporations- it is my opinion that we could do better. With the ratio of lobbysts- this does not bode well for humans. More red tape- likely wont solve todays mess. For instance- medical tourism is a growing industry- if that was my best choice I would do so.

tazzygirl -> RE: I never really thought the Affordable health care act was perfect, but.... (6/16/2013 9:39:16 AM)
But how does all that help the people in the ER's now? Could some be seen by a PCP? sure...if they could afford it.

pahunkboy -> RE: I never really thought the Affordable health care act was perfect, but.... (6/16/2013 9:43:30 AM)
10 years ago- waiting time in local ERs was about an hour. Now it is 5-6 hours. Something is very wrong with that.

Raiikun -> RE: I never really thought the Affordable health care act was perfect, but.... (6/16/2013 9:43:58 AM)
quote: ORIGINAL: Phoenixpower quote: ORIGINAL: tazzygirl quote: I agree with hunk (god forgive me) if you are awake, breathing, have the blood loss under control, not running a fever over 103, (infants not over 101) then you do not need to go to the ER. ... Now, please, show me where in your opinion he should not have gone? He didnt fit in your qualifying check list. But a bad appendix can kill. Have to agree with tazzygirl... Back in 2005 I worked for a short period of time as a care staff....and I worked with an elderly man in his end 70s or early 80s...he has had no fever, has been awake, was breathing normally, did not lose any blood....and yet, call me weird, but I called the ambulance for him... And why....simply because he dreamed to be dying and felt rotten... And as I am a big believer in taking dreams seriously, I was not taking any chance... Beginning of November they took him with them....and I did not see him anymore until I left that employer beginning of march... Now...he did not die back then (at least not instantly and I don't know how it continued with him) but just before christmas, roughly 6-7 weeks later, I got a call from the agency, telling me to go back and visit him again from christmas onwards as he will get discharged....then they called again the next day that he won't get discharged after all... So quite frankly, something obviously was very wrong with him when they kept him for many weeks in hospital...and yet you are saying on here, that he would not have needed urgent medical attention....silly me [sm=gaah.gif] did everything wrong, obviously [sm=Groaner.gif] I think you are misunderstanding his point. (Not that I entirely agree with it, IMO it is a little too general.) He didn't say that without those symptoms, it is not serious. If you have reason to believe there might be an actual emergency, that is what the Emergency Room is for, and better safe than sorry. I've had pneumonia before though, and didn't need the ER. It was serious... and entirely treatable with a visit to the Doctor's Office. Same with my fractured wrist, countless colds and URIs, etc. A bump on the head for instance, is some ice and OTC pills... uh unless there is disorientation, vomiting, or an effect on consciousness, etc. Then I would go to the ER to be safe. A fever of 102 would have me calling a doctor...105 would have me going to the ER. The last time I went to the ER, was when I had serious head pains, dizziness, and vomiting, bad enough I couldn't stand. It turned out to be a nonemergency, (though serious; I was out of work for months), but in the same situation, I wouldn't hesitate to go again.

tazzygirl -> RE: I never really thought the Affordable health care act was perfect, but.... (6/16/2013 9:45:34 AM)
ER's closing, less doctors/ less staff, more legal loopholes... longer tests.... also depends on emergency arrivals through the backdoor that you may never know about.

erieangel -> RE: I never really thought the Affordable health care act was perfect, but.... (6/16/2013 9:48:21 AM)
quote: ORIGINAL: pahunkboy Not quite- most ER visits here could be done at an immediate care office. Which they could even built right into CVS or pharmacies or even walmart if they wanted to. As a nurse- I am sure you seen people abusing the system. That costs money AND TAKES from those whom truly need it. We need to use our resources in a wiser manner. Actually, its very few people who ABUSE the system. The problem is how the system has been set up in the first place. It was set up years ago to send people who do not have medical insurance would go to the emergency rooms for primary care, many hospitals even had "clinics" attached to their emergency rooms in the '70s and '80s but with recent budget cuts the last 20 years those clinics have closed and now they just run right through the main ER. Despite having Medicaid and Medicare, my son has had problems finding and keeping a PCP. His problems come from his overall health. He has 3 slipped disks in his lower back and 2 slipped disks in his neck. He is on the waiting list to get into the local pain clinic. Many PCPs do not want a young patient who complains about chronic pain because PA has been monitoring and cracking down on doctors who prescribe large amounts of narcotics. My own doctor has refused to see my son simply because of the neighborhood in which we live--it is a known high drug traffic neighborhood. But my son has MRIs to back up his claims of pain. And he needs a PCP to refer him to Cleveland Clinic to so that he can see about surgery because no surgeon in our area will touch him. My son Medicare provider is Highmark and he's had them assign him a PCP, and those PCPs have dropped him after 1 or 2 visits. So my son goes to the emergency room whenever he is in unbearable pain, where he almost always asks for a non-narcotic. He has no addiction issues and he doesn't want any. However, the last time he was in the emergency room, he saw a doctor who also works at the pain clinic. That doctor did insist on giving him a narcotic and told him that if he does get into the pain clinic (he should be going) he'd probably be put on a morphine pump. The doctor also told us that there are people at the pain clinic with much minor ailments than my son's and he'd see what he could do to move my son up on the waiting list. That was more than a month ago.

pahunkboy -> RE: I never really thought the Affordable health care act was perfect, but.... (6/16/2013 9:51:10 AM)
my gall bladder had gang green starting- the ER pretty much told me not to throw up- and sent me home. I had to go back 2 days later- they admitted me- I was in for a week to take the infection down, and to remove the gall bladder. It seems they make you jump thru hoops that are not always necessary. Some time ago- I flat out asked the DR if he would himself get the tests he was going to send me for- he candidly told me no. I appreciate that.- and let him know. We did not waste my time, and valuable resources on a non issue. Uundertand that I have had 14 months of physical therapy. While the medical establishment has some use- there is also over use and diminishing returns.

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