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Why our hospitals are close to total failure/modern day patients/ obamacare

 
Anonymous Coward
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05/03/2014 12:58 PM
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Re: Why our hospitals are close to total failure/modern day patients/ obamacare
The truth will set you free , doctors and drugs will only enslave you
Anonymous Coward
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05/03/2014 12:59 PM
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Re: Why our hospitals are close to total failure/modern day patients/ obamacare
EMTALA should be cancelled because we now have Obamacare. Hospitals should no longer be forced to treat those without insurance. Illegals should be denied service. Years ago, there were "charity hospitals" to treat those who could not pay. This would bring healthcare costs way down.
 Quoting: Anonymous Coward 23436250


Yeah, that's right, leave our newest citizens to born on the
sidewalk and grandma rotting to the bone in her own juices.

Perfect solution

Oh and by the way those "Charity Hospitals" were ANY
hospital receiving federal funds.

As of a couple of months ago NO MORE CHARITY CARE.
Public hospitals are now Medicaid/Obamacare kiosks.
 Quoting: American Zombie


That is why there will most likely be a single payer system where people get basic care. Then there will be the care the rich receive which I have no problem with. If you want something better then you have to pay for it. However, basic care should be available to everyone.
Anonymous Coward
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Re: Why our hospitals are close to total failure/modern day patients/ obamacare
The truth will set you free , doctors and drugs will only enslave you
 Quoting: Anonymous Coward 38168562

The interesting thing is some people actually like being enslaved.
No Name Today
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Re: Why our hospitals are close to total failure/modern day patients/ obamacare
50 years ago most of our current patients would be dead as a result of their conditions. Now they survive with chronic illness that need management with expensive meds and treatments. Those that devised social security could never have anticipated this.

As a nurse I admit patients in the hospital with past medical histories a mile long. You just wouldnt't believe it :something like 30 medical and 10 psyche conditions listed per patient. They take 20 different meds three times a day. They are miserable, non compliant with treatment plans(fluid restrictions and low salt diets, diabetic diets) but they are obsessed with all their medications and want drug after drug, most are addicted to narcotics too.

That heart attack that would have killed a diabetic, kidney failure patient in 1940 is now survivable. He survives it but he is left with congestive cardiac failure. He is not compliant with controlling his fluid intake and gets readmitted to hospital ever other week. Patients with congestive failure cannot drink to much fluid or they get overloaded and have to come into hospital. He also has emphysema that flairs up and causes him to be readmitted because he still smokes. His diabetes is a problem and he is non compliant with his diet. His family sneak Pepsi, doritos and mcdonalds into his room. His kidneys are shot and that alone should kill him but he gets dialysis. He is supposed to eat a kidney safe diet and gets a lot of education as to why this is important. His response to this education is "fuck off doc, fuck off nurse, I can do what I want." But then he wants the taxpayer to fund millions worth of medications, treatments, and hospitalizations.

When he isn't getting admitted constantly for his congestive cardiac failure flare ups he is getting admitted at least monthly for cellulitis (skin infections) under his skin folds because he is so obese. This requires expensive IV antibiotics on top of his 50 million other medications plus more narcotics for pain control. Then every 5 minutes he is on the call bell, he wants Benadryl, something for anxiety, a pill for nausea, something for indigestion and then more pain meds. He will do this 5 times an hour for 12 hours.
In past decades the heart attack or the diabetes or the kidney failure alone would have killed the guy. Now this train wreck just keeps surviving as a miserable, nasty, hot mess. They are beyond salvation.

What I am describing is all we see in the hospital these days. And when a patient like this finally crashes his family wants ICU, ventilators, tube feedings, ($$$$$$$) and they want to sue everyone. These are the same people who were smuggling cigs, drugs, pepsi, and burger king to the guy.

These patients are also nasty, demanding, and stupid. They cost the system more money than they ever paid in BY MILLIONS. The hospitals are cutting staffing levels to try and deal with the cost. I work at a top American hospital and there was one medical doctor to over 200 medical patients last night. One nurse to every 10 on my ward. And man oh man do these patients get nasty when they don't get what they want when they want it.

Two things to keep in mind about Obamacare:

It hits hospitals with financial penalties when patients like I am describing above are readmitted more than twice a year. According to the government the fault lies with the doctors and nurses for not educating these people about a healthy lifestyle. It is clearly set up to fail.

It hits hospitals with financial penalties when patients complain on press gainey surveys. The complaint can be total bullshit, it doesn't matter. Hospital gets fined if an 800 pound patient complains that two nurses wouldn't lift him up by themselves.

The patient I am describing is readmitted constantly to the hospital due to his life style and conditions. He complains on every survey about the fact that he "couldn't get the food he wanted" (his hospital doctor put him on a diabetic kidney safe diet with restricted fluids because of his heart). He complains that his call bell didn't get answered fast enough when he wanted more narcotics (his nurse had 9 other patients sicker than him). etc etc.

Epic fucking fail.

The staffing level cuts that are being made in our hospitals are nuts. The hospital financial managers know that the budget is really going to get a kicking because of lack of reimbursement from obamacare. We have to admit and take care of people but not only will the government not reimburse for provided care, they are going to constantly fine the hospitals for issues that cannot be helped. The patients think they are in a goddamn hospital and often complaint about "service" not actually grasping that their doc and nurse are overwhelmed with an unreasonable patient load.

It isn't just older people. We get people in their 20s that are obese, addicted to narcotics, already suffering from diabetes and kidney failure, and completely non compliant. They get re-admitted all the time because of wounds under their fat skin folds that require surgery and antibiotics to fix. They are on disability but have ipads, Iphones, marlboros, etc. These high cost non compliant patients (whether young or old) cost so much more than what they ever paid or will pay in taxes

I reckon the hospitals are just going to crash out in the next 10 years. Management is telling us that not even the privately insured patients money can make a dent, so high is the cost of the rest. This is completely unsustainable.

This is what I am seeing. Discuss.
 Quoting: The Registered Nurse 7191620


Hi Registered Nurse,

I am in the medical field, although due to the nature of this forum, I will not share any more information than that.

I believe many of us in our respective disciplines share an opinion similar to yours. This is my prediction. Soon, there will be two standards of care in this country; exceptional quality care readily available on a fee-for-service basis, and 'care' for everybody else. Since insurance companies and their lobbyists are driving the changes in the Affordable Care Act, rest assured what will eventually happen will greatly benefit them at the expense of everyone else. Physicians, hospitals, and the patient will suffer.

What to do? STAY FOCUSED ON THE BASIC TENETS OF MEDICINE. Primarily, Do No Harm. Secondarily, Do Not Be Judgmental. Thirdly, look for like-minded practitioners concentrating on exceptional patient care, and talk to them about alternative options that could work inside current regulatory structures. Tall order, I know. But after all, nothing is easy, particularly in this line of work.

Help people because you can.
Anonymous Coward
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05/03/2014 01:01 PM
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Re: Why our hospitals are close to total failure/modern day patients/ obamacare
And without these sick people you would not have a job. People who live healthy lifestyles and take care of themselves get treated like crap when something does happen say an injury and get told "well you don't come here often enough." The medical community is not interested in them since they can't make a ton of money off them.
gnomonist

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05/03/2014 01:02 PM
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Re: Why our hospitals are close to total failure/modern day patients/ obamacare
........


Look, I'm all for freedom of choice in regards to how you treat your body. Believe me, nobody who actually works on the floor of these facilities gives a single half a shit what you do to yourself. But we are ALL sick and tired of being FORCED to treat you, when the only treatment you need a radical attitude adjustment. You're wasting time, money, and not to mention a whole boat load of our patience and good will.

The system as it is now WILL fail, because only one half of the caregiver/patient relationship is actually interested in getting better and truly being healthy. The other half just wants to watch Judge Judy and eat junk food and expect you to make them better.

The second the money quits being good (government finally has to take over or let everything go to shit and these bums riot) I am out. A great many others are too.
 Quoting: Anonymous Coward 35992722


Well, then, get used to being forced to treat people, because that's what Obamacare is going to do. I would not be surprised if it's mandated medication for everyone, yet I hear in this thread that those of you who work in hospitals rather give LESS. That's not what I am seeing, at least if I go to the doctors. I go for a bad cold once in a blue moon or something to that effect, and they want to prescribe everything else and their brother to you claiming you are sicker than you really are. And it usually comes down to some "numbers lowering" bullspit like for BP, cholesterol, diabetes or some other do-nothing drug that does not extend life one cubit as Christ would say. Look at TV commercials. Probably I'm on the low end if I say 20% were to advertise drugs. I refuse to take them, but highly offended that if I don't take them I'm classified as the big fat slobs who come to hospitals demanding dope to cure their problems. I don't want any of that.

I'm not sure who is to blame in this endless cycle. The lazy people who agree to eat these GMO and junk foods they provide, or drug companies that perpetuate the idea we all need more medications. It's the chicken or the egg question. I have a feeling that if everyone woke up tomorrow, the governemnt would "mandate" we eat the very things making us ill "for our own good" of course. but now that we are voluntarily eating this garbage, then when we do get sick, of course the blame goes on the little guy like he started all of this. I only blame him for being duped into it.
I like prophecy, conspiracies, mathematics, astronomy, anything relating to time, and I am a gnomonist (look that one up!)
Anonymous Coward
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05/03/2014 01:08 PM
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Re: Why our hospitals are close to total failure/modern day patients/ obamacare
Great post OP. I work at a major philadelphia health system as a Financial Analyst and everything you speak of is true. I woiod.say the crash will come sooner than ten yrs. Im thinking 5 max.

One major issue is that insurances will now only pay roughly 105% of what medicaid would pay. It used to be based on 145% of medicare.

Unsustainable failure
Anonymous Coward
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05/03/2014 01:10 PM
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Re: Why our hospitals are close to total failure/modern day patients/ obamacare
The truth will set you free , doctors and drugs will only enslave you
 Quoting: Anonymous Coward 38168562

The interesting thing is some people actually like being enslaved.
 Quoting: Anonymous Coward 1550123


Truth!!!! wtf is up with that? Explain if able?
Anonymous Coward
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05/03/2014 01:10 PM
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Re: Why our hospitals are close to total failure/modern day patients/ obamacare
OBAMA CARE WAS NEVER MEANT TO SUCCEED...

IT WAS MEANT TO DISTROY AMERICA!!!
allisaMI

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05/03/2014 01:11 PM
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Re: Why our hospitals are close to total failure/modern day patients/ obamacare
bump for later. Thanks OP looks like an interesting thread.

Last Edited by allisaMI on 05/03/2014 01:11 PM
formerly allisaTX
Hardwired

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05/03/2014 01:15 PM
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Re: Why our hospitals are close to total failure/modern day patients/ obamacare
Dad's a retired doc who likes to complain about fat people. I tell him not to be so bitter and cynical, as without fat people, doctors would have nothing to do all day.

I've had the same fitness instructor for over 20 years. Guy is now in his late 60s and an avid mountain biker. Still fits into his prom pants.

He told me back in the 90s, that within 20 years, the health care system would "collapse under the weight of these fat fucks." We are here now, and the problem is worse.

Now, I'll probably get negative karma with my fat people comments, but they are the victims of their own choices, and the cost gets passed to everyone who does the right thing. No personal accountability.
Anonymous Coward
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05/03/2014 01:17 PM
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Re: Why our hospitals are close to total failure/modern day patients/ obamacare
50 years ago most of our current patients would be dead as a result of their conditions. Now they survive with chronic illness that need management with expensive meds and treatments. Those that devised social security could never have anticipated this.

As a nurse I admit patients in the hospital with past medical histories a mile long. You just wouldnt't believe it :something like 30 medical and 10 psyche conditions listed per patient. They take 20 different meds three times a day. They are miserable, non compliant with treatment plans(fluid restrictions and low salt diets, diabetic diets) but they are obsessed with all their medications and want drug after drug, most are addicted to narcotics too.

That heart attack that would have killed a diabetic, kidney failure patient in 1940 is now survivable. He survives it but he is left with congestive cardiac failure. He is not compliant with controlling his fluid intake and gets readmitted to hospital ever other week. Patients with congestive failure cannot drink to much fluid or they get overloaded and have to come into hospital. He also has emphysema that flairs up and causes him to be readmitted because he still smokes. His diabetes is a problem and he is non compliant with his diet. His family sneak Pepsi, doritos and mcdonalds into his room. His kidneys are shot and that alone should kill him but he gets dialysis. He is supposed to eat a kidney safe diet and gets a lot of education as to why this is important. His response to this education is "fuck off doc, fuck off nurse, I can do what I want." But then he wants the taxpayer to fund millions worth of medications, treatments, and hospitalizations.

When he isn't getting admitted constantly for his congestive cardiac failure flare ups he is getting admitted at least monthly for cellulitis (skin infections) under his skin folds because he is so obese. This requires expensive IV antibiotics on top of his 50 million other medications plus more narcotics for pain control. Then every 5 minutes he is on the call bell, he wants Benadryl, something for anxiety, a pill for nausea, something for indigestion and then more pain meds. He will do this 5 times an hour for 12 hours.
In past decades the heart attack or the diabetes or the kidney failure alone would have killed the guy. Now this train wreck just keeps surviving as a miserable, nasty, hot mess. They are beyond salvation.

What I am describing is all we see in the hospital these days. And when a patient like this finally crashes his family wants ICU, ventilators, tube feedings, ($$$$$$$) and they want to sue everyone. These are the same people who were smuggling cigs, drugs, pepsi, and burger king to the guy.

These patients are also nasty, demanding, and stupid. They cost the system more money than they ever paid in BY MILLIONS. The hospitals are cutting staffing levels to try and deal with the cost. I work at a top American hospital and there was one medical doctor to over 200 medical patients last night. One nurse to every 10 on my ward. And man oh man do these patients get nasty when they don't get what they want when they want it.

Two things to keep in mind about Obamacare:

It hits hospitals with financial penalties when patients like I am describing above are readmitted more than twice a year. According to the government the fault lies with the doctors and nurses for not educating these people about a healthy lifestyle. It is clearly set up to fail.

It hits hospitals with financial penalties when patients complain on press gainey surveys. The complaint can be total bullshit, it doesn't matter. Hospital gets fined if an 800 pound patient complains that two nurses wouldn't lift him up by themselves.

The patient I am describing is readmitted constantly to the hospital due to his life style and conditions. He complains on every survey about the fact that he "couldn't get the food he wanted" (his hospital doctor put him on a diabetic kidney safe diet with restricted fluids because of his heart). He complains that his call bell didn't get answered fast enough when he wanted more narcotics (his nurse had 9 other patients sicker than him). etc etc.

Epic fucking fail.

The staffing level cuts that are being made in our hospitals are nuts. The hospital financial managers know that the budget is really going to get a kicking because of lack of reimbursement from obamacare. We have to admit and take care of people but not only will the government not reimburse for provided care, they are going to constantly fine the hospitals for issues that cannot be helped. The patients think they are in a goddamn hospital and often complaint about "service" not actually grasping that their doc and nurse are overwhelmed with an unreasonable patient load.

It isn't just older people. We get people in their 20s that are obese, addicted to narcotics, already suffering from diabetes and kidney failure, and completely non compliant. They get re-admitted all the time because of wounds under their fat skin folds that require surgery and antibiotics to fix. They are on disability but have ipads, Iphones, marlboros, etc. These high cost non compliant patients (whether young or old) cost so much more than what they ever paid or will pay in taxes

I reckon the hospitals are just going to crash out in the next 10 years. Management is telling us that not even the privately insured patients money can make a dent, so high is the cost of the rest. This is completely unsustainable.

This is what I am seeing. Discuss.
 Quoting: The Registered Nurse 7191620


I seen this very scenario play out with a step sister.

Life long drug addicted woman, preferred meth and ended up with brain cancer.

Gets on medicaid, has brain surgery, is put on this drug avastin, becomes diabetic, doesn't change diet, etc, etc etc..

Ends up in a care home, her son sneaks in burgers and sodas when she couldn't even wipe her own ass. All of this on the tax payer's dime.

I don't know how much money all that cost when she ended up dieing anyways. She refused to take care of herself and demanded that she got the best of everything for "free".

If people have lifestyle based sickness, they need and SHOULD be required to change their lifestyles as a matter of fact.

None of this woe is me shit, fucking improve your lifestyle and stop excepting society to bale you out when you get sick.
Anonymous Coward
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05/03/2014 01:18 PM
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Re: Why our hospitals are close to total failure/modern day patients/ obamacare
Thank you OP and other's for testifying to the awful truth in this area of our lives. Just add another unsustainable situation to the list. Someone smarter than me should make a list of all these areas...the real status of our health and care...the real reason the workforce is so empty...the real reason adult Johnny won't work and waits for mommy to feed and clothe him...the real reason nuclear war will happen...the real truth about how we are all dead from fukashima already....it is me or is it just EVERYTHING ending and non sustainable? When it all ends then what? Golly I hope my theology is right and a wonderful thing is fixing to happen to us and light is just around the corner.
inIreland
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05/03/2014 01:18 PM
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Re: Why our hospitals are close to total failure/modern day patients/ obamacare
Yes. Does this not prove that Obama, and ALL of the USA govt leadership, are the enemies of the American People? It should.

Name anything that has improved since 9-11.

It can't be done.

America is under attack by the very people who claim to be the govt. Why do people continue to obey these people?

I am not calling for violence or protests in the streets. I'm asking why people obey? Peaceful non-compliance to "laws and rules" that harm us, is a good thing.

Why do people obey?
 Quoting: Anonymous Coward 57655025


A lot don't. Most are quiet about it. More and more are speaking out.
Anonymous Coward
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05/03/2014 01:19 PM
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Re: Why our hospitals are close to total failure/modern day patients/ obamacare
Well, now we know. obumercare is a weapon of mass financial destruction. it is designed to crash the economy,
 Quoting: Anonymous Coward 56309597


Was it? Or are they just that passionately incompetent? I'm leaning toward the latter...
 Quoting: Anonymous Coward 56574829


Obamacare is a total success - if you take into consideration their plan for Agenda 21.
Harmony814

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05/03/2014 01:20 PM

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Re: Why our hospitals are close to total failure/modern day patients/ obamacare
50 years ago most of our current patients would be dead as a result of their conditions. Now they survive with chronic illness that need management with expensive meds and treatments. Those that devised social security could never have anticipated this.

As a nurse I admit patients in the hospital with past medical histories a mile long. You just wouldnt't believe it :something like 30 medical and 10 psyche conditions listed per patient. They take 20 different meds three times a day. They are miserable, non compliant with treatment plans(fluid restrictions and low salt diets, diabetic diets) but they are obsessed with all their medications and want drug after drug, most are addicted to narcotics too.

That heart attack that would have killed a diabetic, kidney failure patient in 1940 is now survivable. He survives it but he is left with congestive cardiac failure. He is not compliant with controlling his fluid intake and gets readmitted to hospital ever other week. Patients with congestive failure cannot drink to much fluid or they get overloaded and have to come into hospital. He also has emphysema that flairs up and causes him to be readmitted because he still smokes. His diabetes is a problem and he is non compliant with his diet. His family sneak Pepsi, doritos and mcdonalds into his room. His kidneys are shot and that alone should kill him but he gets dialysis. He is supposed to eat a kidney safe diet and gets a lot of education as to why this is important. His response to this education is "fuck off doc, fuck off nurse, I can do what I want." But then he wants the taxpayer to fund millions worth of medications, treatments, and hospitalizations.

When he isn't getting admitted constantly for his congestive cardiac failure flare ups he is getting admitted at least monthly for cellulitis (skin infections) under his skin folds because he is so obese. This requires expensive IV antibiotics on top of his 50 million other medications plus more narcotics for pain control. Then every 5 minutes he is on the call bell, he wants Benadryl, something for anxiety, a pill for nausea, something for indigestion and then more pain meds. He will do this 5 times an hour for 12 hours.
In past decades the heart attack or the diabetes or the kidney failure alone would have killed the guy. Now this train wreck just keeps surviving as a miserable, nasty, hot mess. They are beyond salvation.

What I am describing is all we see in the hospital these days. And when a patient like this finally crashes his family wants ICU, ventilators, tube feedings, ($$$$$$$) and they want to sue everyone. These are the same people who were smuggling cigs, drugs, pepsi, and burger king to the guy.

These patients are also nasty, demanding, and stupid. They cost the system more money than they ever paid in BY MILLIONS. The hospitals are cutting staffing levels to try and deal with the cost. I work at a top American hospital and there was one medical doctor to over 200 medical patients last night. One nurse to every 10 on my ward. And man oh man do these patients get nasty when they don't get what they want when they want it.

Two things to keep in mind about Obamacare:

It hits hospitals with financial penalties when patients like I am describing above are readmitted more than twice a year. According to the government the fault lies with the doctors and nurses for not educating these people about a healthy lifestyle. It is clearly set up to fail.

It hits hospitals with financial penalties when patients complain on press gainey surveys. The complaint can be total bullshit, it doesn't matter. Hospital gets fined if an 800 pound patient complains that two nurses wouldn't lift him up by themselves.

The patient I am describing is readmitted constantly to the hospital due to his life style and conditions. He complains on every survey about the fact that he "couldn't get the food he wanted" (his hospital doctor put him on a diabetic kidney safe diet with restricted fluids because of his heart). He complains that his call bell didn't get answered fast enough when he wanted more narcotics (his nurse had 9 other patients sicker than him). etc etc.

Epic fucking fail.

The staffing level cuts that are being made in our hospitals are nuts. The hospital financial managers know that the budget is really going to get a kicking because of lack of reimbursement from obamacare. We have to admit and take care of people but not only will the government not reimburse for provided care, they are going to constantly fine the hospitals for issues that cannot be helped. The patients think they are in a goddamn hospital and often complaint about "service" not actually grasping that their doc and nurse are overwhelmed with an unreasonable patient load.

It isn't just older people. We get people in their 20s that are obese, addicted to narcotics, already suffering from diabetes and kidney failure, and completely non compliant. They get re-admitted all the time because of wounds under their fat skin folds that require surgery and antibiotics to fix. They are on disability but have ipads, Iphones, marlboros, etc. These high cost non compliant patients (whether young or old) cost so much more than what they ever paid or will pay in taxes

I reckon the hospitals are just going to crash out in the next 10 years. Management is telling us that not even the privately insured patients money can make a dent, so high is the cost of the rest. This is completely unsustainable.

This is what I am seeing. Discuss.
 Quoting: The Registered Nurse 7191620





Well written and accurate. Your experience reflects my own (8 years critical care, 2 years psych/Rehab) and I appreciate your courage in stating the truth. I may comment more in this thread when I have time later... iamwith
Patricia

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05/03/2014 01:28 PM
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Re: Why our hospitals are close to total failure/modern day patients/ obamacare
Why don't doctors speak up about these issue? You never hear anything in the press.
 Quoting: Anonymous Coward 56844832


Because greed.
"When you do things right, people won't be sure you've done anything at all." ~God
Anonymous Coward
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05/03/2014 01:32 PM
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Re: Why our hospitals are close to total failure/modern day patients/ obamacare
Why don't doctors speak up about these issue? You never hear anything in the press.
 Quoting: Anonymous Coward 56844832


Because greed.
 Quoting: Patricia


Exactly-no money in healthy people.
Fret Wiz
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05/03/2014 01:34 PM

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Re: Why our hospitals are close to total failure/modern day patients/ obamacare
OP, I believe I just saw one of your patients waddling into the grocery store where she proceeded to throw a fit to the poor shopping cart kiddo because there were no electric scooters left for her to putt around in.

Thank you for sharing your post and shedding light on an industry I know far too little about!

hf

Last Edited by Fret Wiz on 05/03/2014 01:34 PM
Fret Wiz

fw_calvin_sig

Believe those who are seeking the truth; doubt those who find it.
Anonymous Coward
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05/03/2014 01:34 PM
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Re: Why our hospitals are close to total failure/modern day patients/ obamacare
I'm a health care worker too.

And yes, those patients are the norm nowadays.

But remember they're conditioned sheep with feelings of helplessness. No one taught them how to take care of themselves at a young age.

I had an inpatient once tell me that he didn't want to leave the hospital because he was getting such great service and nurturing care, that he loved it too much to leave.

But we all know what happens if you're in a rush...those same aliens are the first to complain and can ruin your career.

The government has planned on towing over the medical field for the past few decades. And we are watching it happen right now.
Anonymous Coward
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05/03/2014 01:35 PM
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Re: Why our hospitals are close to total failure/modern day patients/ obamacare
Why don't doctors speak up about these issue? You never hear anything in the press.
 Quoting: Anonymous Coward 56844832


Many of them are foriegn. They'll just go practice somewhere else. Most medical students will not touch primary care with a 100 foot pole and the ones that are already out there will just not do hospital care(unless they are employed and forced to)
Anonymous Coward
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05/03/2014 01:37 PM
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Re: Why our hospitals are close to total failure/modern day patients/ obamacare
Why would a doctor want to put up with those pieces of shit and crazy obamacare laws made by imbeciles? They don't owe anybody shit. They just won't be there.
Anonymous Coward
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05/03/2014 01:38 PM
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Re: Why our hospitals are close to total failure/modern day patients/ obamacare
This was the plan. And they have succeeded in almost all parts of it so far:



[link to www.sweetliberty.org]

...
These would come about more gradually, but all health care delivery would come under tight control. Medical care would be closely connected to work. If you don't work or can't work, you won't have access to medical care. The days of hospitals giving away free care would gradually wind down, to where it was virtually non-existent. Costs would be forced up so that people won't be able to afford to go without insurance. People pay... you pay for it, you're entitled to it.




The term HMO was not used at that time, but as you look at HMOs you see this is the way that medical care is being taken over since the National Health Insurance approach did not get through the Congress. A few die-hard doctors may try to make a go of it; remaining in solo practice, remaining independent, which, parenthetically, is me. But they would suffer a great loss of income. They'd be able to scrape by, maybe, but never really live comfortably as would those who were willing to become employees of the system. Ultimately, there would be no room at all for the solo practitioner, after the system is entrenched.
Hardwired

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05/03/2014 01:38 PM
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Re: Why our hospitals are close to total failure/modern day patients/ obamacare
Well, now we know. obumercare is a weapon of mass financial destruction. it is designed to crash the economy,
 Quoting: Anonymous Coward 56309597


Was it? Or are they just that passionately incompetent? I'm leaning toward the latter...
 Quoting: Anonymous Coward 56574829


I'd go with passionately incompetent. When the economy crashes, the Demonratas will be face forward in the shitstorm. sfan It will devastate their cities and their credit-based lifestyle.

Most of the Handout Crowd also is in areas which are heavily Blue. They will turn on their goobmit enablers and chomp the hand that fed them, now that the goodies have run out.

Health care will eventually reform on a local basis, as the bankrupt goobmit will no longer be able to enforce its rules and mandates, and health providers ignore them.

Likely result of economic collapse for the Amerifats describe by OP is that most of them die, as treatments end up being curtailed in an interim period before clinicians begin ignoring goobmit mandates.
Anonymous Coward
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05/03/2014 01:39 PM
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Re: Why our hospitals are close to total failure/modern day patients/ obamacare
Why would a doctor want to put up with those pieces of shit and crazy obamacare laws made by imbeciles? They don't owe anybody shit. They just won't be there.
 Quoting: Anonymous Coward 57660598


I imagine most of them owe the government plenty in the form of student loans.

Another thing we just refuse to change, paying for college.
Anonymous Coward
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05/03/2014 01:40 PM
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Re: Why our hospitals are close to total failure/modern day patients/ obamacare
New order of barbarians


INDUCING HEART ATTACKS AS A FORM OF ASSASSINATION
Another very interesting thing was heart attacks. He said, "There is now a way to simulate a real heart attack. It can be used as a means of assassinates."

Only a very skilled pathologist who knew exactly what to look for at an autopsy, could distinguish this from the real thing. I thought that was a very surprising and shocking thing to hear from this particular man at that particular time. This, and the business of the cancer cure, really still stand out sharply in my memory, because they were so shocking and, a that time, seemed to me out of character.

He then went on to talk about nutrition and exercise, sort of in the same framework. People would not have to... people would have to eat right and exercise right to live as long as before. Most won't. This, in the connection of nutrition, there was no specific statement that I can recall as to particular nutrients that would be either inadequate or in excess. In retrospect, I tend to think he meant high salt diets and high fat diets would predispose toward high blood pressure and premature arteriosclerotic heart disease. And that if people who were too dumb or too lazy to exercise as they should then their dietary... their circulating fats go up and predispose to disease.

And he said something about diet information — about proper diet — would be widely available, but most people – particularly stupid people, who had no right to continue living anyway – they would ignore the advice and just go on and eat what was convenient and tasted good. There were some other unpleasant things said about food. I just can't recall what they were. But I do remember of... having reflections about wanting to plant a garden in the backyard to get around whatever these contaminated foods would be. I regret I don't remember the details... the rest of this... about nutrition and hazardous nutrition.

With regard to Exercise. He went on to say that more people would be exercising more, especially running, because everybody can run. You don't need any special equipment or place. You can run wherever you are. As he put it, "people will be running all over the place." And in this vein, he pointed out how supply produces demand. And this was in reference to athletic clothing and equipment. As this would be made more widely available and glamorized, particularly as regards running shoes, this would stimulate people to develop an interest in running and – as part of a whole sort of public propaganda campaign – people would be encouraged then to buy the attractive sports equipment and to get into exercise.

Again... well in connection with nutrition he also mentioned that public eating places would rapidly increase. That... this had a connection with the family too. As more and more people eat out, eating at home would become less important. People would be less dependent on their kitchens at home. And then this also connected to convenience foods being made widely available – things like you could pop into the microwave. Whole meals would be available pre-fixed. And of course, we've now seen this... and some pretty good ones.

But this whole different approach to eating out and to previously prepared meals being eaten in the home was predicted at that time to be brought about – convenience foods. The convenience foods would be part of the hazards. Anybody who was lazy enough to want the convenience foods rather than fixing his own also had better be energetic enough to exercise. Because if he was too lazy to exercise and too lazy to fix his own food, then he didn't deserve to live very long.

This was all presented as sort of a moral judgment about people and what they should do with their energies. People who are smart, who would learn about nutrition, and who are disciplined enough to eat right and exercise right are better people – and the kind you want to live longer.
Copperhead

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05/03/2014 01:40 PM
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Re: Why our hospitals are close to total failure/modern day patients/ obamacare
You are spot on OP. I have been saying for years that with the current medical tech. there are literally millions of people who should not have lived past their first year. This in turn, introduces weak DNA into the human bloodlines thereby weakening the entire human population. This produces less and less viable offspring that in turn require constant medical attention to maintain a "normal" resemblance of health.....
 Quoting: CHL2T


clappa

As cold hearted as some will say this is it as absolutely true.
Anonymous Mom
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05/03/2014 01:46 PM
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Re: Why our hospitals are close to total failure/modern day patients/ obamacare
I can confirm OP's description.

I have current knowledge/experience in ER. I believe the main problem is that patients have no/limited financial responsibility (due to private insurance, Medicare, Medicaid, etc.) for medical care. As a result, a $5,0000 trip to the ER has no cost.

The same people come in over and over, seeking (and even demanding) drugs, attention, etc. We cannot refuse treatment.

The icing on the cake is that the hospital's reimbursement from Medicare is tied to patient satisfaction. Unfortunately, the survey from the patient with the massive MI (heart attack) is given the same weight as the patient with unexplained pain requesting narcotics by brand name.
Anonymous Coward
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05/03/2014 01:51 PM
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Re: Why our hospitals are close to total failure/modern day patients/ obamacare
my spell check for obamacare suggests...


macabre
  Use Macabre in a sentence
ma·ca·bre
[muh-kah-bruh, -kahb, -kah-ber] Show IPA
adjective
1.
gruesome and horrifying; ghastly; horrible.
2.
of, pertaining to, dealing with, or representing death, especially its grimmer or uglier aspect.
3.
of or suggestive of the allegorical dance of death.
Also, ma·ca·ber.

Origin:
1400–50; < French; compare late Middle English Macabrees daunce < Middle French danse ( de ) Macabré, of uncertain origin; perhaps to be identified with Medieval Latin chor&#275;a Machabae&#333;rum a representation of the deaths of Judas Maccabaeus and his brothers, but evidence is lacking; the French pronunciation with mute e is a misreading of the Middle French forms
Anonymous Coward
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05/03/2014 01:55 PM
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Re: Why our hospitals are close to total failure/modern day patients/ obamacare
Seems to me that the population as a whole is going insane with their demands and the costs are going wayyyyyyy up to try to meet their demands, while at the same time, the healthy working class is going wayyyyyy down. No jobs. No future. What the health insurance lobbyists and health insurance companies have devised with aca is an attempt to force the remaining young healthy population that still have jobs to pay for fatty sitting in the hospital ordering dominos pizza while he gets an insulin drip.

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