They aren't getting hired because practices aren't creating new positions because they aren't getting paid enough to do so by the government or the insurance companies. The unknown of the impact of Obamacare is another reason why practices and hospitals aren't hiring. This is exactly what H was told when he was talking to his contacts regarding jobs (for which in residency, he was assured a position would be available, but never did).
Additionally, many aren't qualified to just "take contract positions." And even if they were, would you want someone who hasn't done ER work since his med school rotation (5 or more years ago) treating you, or your kid, simply because they couldn't find a job in their trained field, but simply met the bare minimum board requirements to graduate from med school? I sure as hell wouldn't. H will be the first one to tell you he has no business treating patients in the ER at this point in time, and would need a substantial amount of additional training to provide quality care.
And with government cutting funding for education across the board, I sincerely doubt that med school education will become any cheaper.
Maybe I do come across as a little hysterical, but I am pretty nervous about this whole thing. Our whole life has been planned/happened around H being able to get a good paying job at the end of his eleven effing years of post-college training. He was lucky to get one interview because people just aren't hiring due to the economy and all the uncertainty regarding this legislation. His salary will be 30% less than it would have been otherwise. So yeah, Obamacare isn't all puppies and rainbows for everyone. The post was about how Obamacare will impact me, and this is how it has. Poorly. I sincerely hope it works out, because our system is most definitely broken, but I'm not holding my breath.
As for the whole "other countries do this" argument, yes they do. And I don't see that as a viable solution to the problem.
I love how people are acting as if we are the VERY FIRST COUNTRY EVER to dip our toe in the direction of a socialized health care system. Fuck, how do we know what we're doing with no other countries doing this!!!
Oh, wait.
Other countries do this?
This is where I am. I can't even entertain the debate.
I'm worried that the healthcare we will receive will be as slow & crappy as the post office & DMV.
I'm also terrified of how much this will cost.
There is no government run healthcare so... What?
And also - the studies (all of them) have shown cost savings and DECREASE in the deficit.
WTH would you call this? It will be government run health care.
This won't be a cost savings for the taxpayer. This won't be free for those paying taxes. Everyone will get this, non tax payers & illegals. How do you think the broke government will pay the bill? It will be out of our checks.
Post by underwaterrhymes on Jun 28, 2012 17:50:29 GMT -5
What it means for me personally is very little right now as my job covers my health insurance and my husband's health insurance 100%.
I am very lucky. It wasn't always like this. At one time, my health insurance was a fifth of my salary, and if I'd had to add my husband and a child, it would have been nearly a third of my salary. Which is fucking nuts, people.
But, what the ACA means to me on a broader level is this:
It already means kids won't ever have to worry about having health insurance. If you're under 19 - there is no such thing as a pre-existing condition. But down the line it also gets rid of pre-existing conditions for people over the age of 19, too, which is huge for me and my family because cancer fucking loves us anyway and I was just diagnosed with a condition that can occasionally lead to even more cancer.
I means that the FDA will approve more generic drugs, which drives down prices.
It means chain restaurants have to tell me how many calories I'm eating if I decide to eat at one.
It means if we ever have kids, they're covered until they're 26. I would have loved this when I was 25. My parents would have loved it when I was 25.
It means insurance companies can't discriminate against people with disabilities or victims of domestic abuse.
It means health insurance companies can't cap coverage. There is no more lifetime limit. And they can't cap spending soon, either. So get all the healthcare you want in a year. They can't tell you they won't cover you.
It means if I get sick, my insurance can't drop me.
It means people in a Medicare gap get rebates for the extra money they would have to spend otherwise and eventually eliminates the Medicare gap altogether.
It means transparency! We get to know what insurers are spending their money on, and it means an appeals process when they turn down claims!
More good news for people on Medicare! - it's been expanded to smaller hospitals, and people with chronic illnesses get better monitoring.
It establishes health insurance exchanges and rebates for the lower and middle-classes, which means easier affordable medical coverage.
It means you can deduct more from your taxes for medical expenses.
It means doctors are going to be paid based on how WELL they care for people, not how MANY people they care for.
It means preventative care is covered. Mammograms. Colonoscopies. All that good stuff. No copay either.
But wait. There's more. Now, these are the parts that some people take issue with. Not me. I love these parts too.
It also means that if you - as an individual - make over $200,000, your taxes will go up. But less than 1%. If you - as an individual - do not make more than $200,000, you will not see an increase due to the ACA.
It also means if you can AFFORD health insurance, but don't get it, you are going to be charged a fee at tax time. This is the mandate piece. This piece is important because now insurers HAVE to cover you - regardless of what you have. Without this piece, EVERYONE would wait to get coverage until they got sick. The pre-existing piece cannot exist without this piece too.
People are also worried about the small business piece. It does mean that businesses over 50 people must provide a health insurance option to their employees. Small businesses, however, get some tax credits for two years.
What all of that means to me - what the ACA means to me - is that we're living in a country that claims to be a leader but is really just playing catch-up.
All I can say is it is about damn time. It's not perfect by any stretch of the imagination. I would love to see us operating like France does with medical care. But it's a good start.
And also - the studies (all of them) have shown cost savings and DECREASE in the deficit.
WTH would you call this? It will be government run health care.
This won't be a cost savings for the taxpayer. This won't be free for those paying taxes. Everyone will get this, non tax payers & illegals. How do you think the broke government will pay the bill? It will be out of our checks.
WTH would you call this? It will be government run health care.
This won't be a cost savings for the taxpayer. This won't be free for those paying taxes. Everyone will get this, non tax payers & illegals. How do you think the broke government will pay the bill? It will be out of our checks.
D&B: There is no perfect answer. But we have to start somewhere. And I think this is as good of a place as it can be. The choice to become a Dr is amazing; both from the time and dedication and sacrifice you have to put into such a choice.
But Dr's are not blameless in the reason why our healthcare costs so much. Not because of what their fees are, but in how they partner with Pharma and drive up the cost of meds (the money to cover that weekend all expense paid trip thanks to Pfizer has to be made up someplace, right?)
Of course I'm not pointing the finger at your husband. There are loads of honest Dr's out there who took the Hypocratic Oath and practice it to the full extent. At the same time, there are loads of Dr's (and other healthcare professionals) who are doing indirect "harm" that impacts the cost of healthcare.
Lastly, I am unsure what you mean by "you don't see it as a viable solution to the problem" If the problem = we control the world (tongue in cheek!) but can't provide afforable access to healthcare and the answer is = at a basic minimum at least people can't be DENIED healthcare...and we use sucessful models of other countries doing so...
I will end my diatribe with: I get the nervousness and fear. Any large scale change, especially when it impacts your family directly, will do this. But the alternative of doing nothing is what should really be scaring people. This is a good thing.
WTH would you call this? It will be government run health care.
This won't be a cost savings for the taxpayer. This won't be free for those paying taxes. Everyone will get this, non tax payers & illegals. How do you think the broke government will pay the bill? It will be out of our checks.
Look at Sweden.
I can't..
You should. My cousin is a bio chemist in Sweden. She can't afford a car, she lives in a one bedroom apt. She has about 60% of her check taken out to her government. We are on our way to join her.
I'm not saying we have a perfect system, but I don't want this healthcare reform.
We are going to see employers stop offering healthcare as an employee benefit, premiums are going to go sky high & good bye to the middle class.
This means a lot to me. I have a pre-existing condition which sucks because up until this year I could not get insurance to cover me. I have the denial letters in a drawer somewhere. This February I was able to get on the government provided plan called PCIP which was created for people like me in the ACA.
I pay a monthly premium like most people but my pre-existing condition is covered. I was finally able to have the surgery I needed and I feel much better. Essentially this law being upheld means I can keep my insurance and not have to worry about getting very sick and being a burden to the system.
I mean, its great that my fiance, with his Type 1 diabetes and seizure issues, will always be able to "get' insurance. In theory.
But at what cost? And what level of care? What good is an individual mandate if he can't afford the premiums? Or he's stuck with the crappy student health insurance we had when I was in law school which didn't cover jack shit?
I like the bill in concept. I'm concerned in execution.
Rome wasn't built in a day Sprky. Not directed at your personally, but THIS type of "glass half empty" opinion is what stalls forward progress..."eh, maybe it's good, maybe it's bad, lets just keep talking about it for YEARS."
kwim?
I really don't think I'm "glass half empty" here. I think I'm more, "ok, I like the concept. Show me how it actually helps me." I support the idea. I'm worried about the execution.
You should. My cousin is a bio chemist in Sweden. She can't afford a car, she lives in a one bedroom apt. She has about 60% of her check taken out to her government. We are on our way to join her.
I'm not saying we have a perfect system, but I don't want this healthcare reform.
We are going to see employers stop offering healthcare as an employee benefit, premiums are going to go sky high & good bye to the middle class.
Please, for the fucking love of god, go educate yourself on this bill before commenting any further.
I'll help you with the cliff notes version:
1. YOU STILL HAVE TO BUY HEALTH INSURANCE. 2. There are a lot of people who can't afford to buy a car in the US b/c of taxes and STILL DON'T HAVE HEALTH INSURANCE...because they also can't afford it. Your cousin is already winning in this scenerio. Sweden's social services are off the hook awesome.
Rome wasn't built in a day Sprky. Not directed at your personally, but THIS type of "glass half empty" opinion is what stalls forward progress..."eh, maybe it's good, maybe it's bad, lets just keep talking about it for YEARS."
kwim?
I really don't think I'm "glass half empty" here. I think I'm more, "ok, I like the concept. Show me how it actually helps me." I support the idea. I'm worried about the execution.
You should. My cousin is a bio chemist in Sweden. She can't afford a car, she lives in a one bedroom apt. She has about 60% of her check taken out to her government. We are on our way to join her.
I'm not saying we have a perfect system, but I don't want this healthcare reform.
We are going to see employers stop offering healthcare as an employee benefit, premiums are going to go sky high & good bye to the middle class.[/quote]
Also, I have to ask: Do you listen to Rush Limbaugh by any chance ? ^o)
You should. My cousin is a bio chemist in Sweden. She can't afford a car, she lives in a one bedroom apt. She has about 60% of her check taken out to her government. We are on our way to join her.
I'm not saying we have a perfect system, but I don't want this healthcare reform.
We are going to see employers stop offering healthcare as an employee benefit, premiums are going to go sky high & good bye to the middle class.
Please, for the fucking love of god, go educate yourself on this bill before commenting any further.
I'll help you with the cliff notes version:
1. YOU STILL HAVE TO BUY HEALTH INSURANCE. 2. There are a lot of people who can't afford to buy a car in the US b/c of taxes and STILL DON'T HAVE HEALTH INSURANCE...because they also can't afford it. Your cousin is already winning in this scenerio. Sweden's social services are off the hook awesome.
Now go read. All of it.
This is America & now we are being told we have to buy something. You are okay with this? Really?!?
You think my cousin is winning? She went to the University because the government told her she could. At 16 she had to take a government test & they the government told her she could go to University. She is doing a job in Sweden that if she did here she would be making 6 figures.
She earned all this & she lives without the bells & whistles I have. How exactly is this winning?
We are on a slippery slop with this. I don't want to be like Sweden or Canada. We are America. It used to be if you were a have not you could make yourselves a have. Not now. Not the way we are headed.
You should. My cousin is a bio chemist in Sweden. She can't afford a car, she lives in a one bedroom apt. She has about 60% of her check taken out to her government. We are on our way to join her.
I'm not saying we have a perfect system, but I don't want this healthcare reform.
We are going to see employers stop offering healthcare as an employee benefit, premiums are going to go sky high & good bye to the middle class.[/quote]
Also, I have to ask: Do you listen to Rush Limbaugh by any chance ?
No I don't. I don't listen to talk radio & if I do I'm with H & it's Russ Martin.
Please, for the fucking love of god, go educate yourself on this bill before commenting any further.
I'll help you with the cliff notes version:
1. YOU STILL HAVE TO BUY HEALTH INSURANCE. 2. There are a lot of people who can't afford to buy a car in the US b/c of taxes and STILL DON'T HAVE HEALTH INSURANCE...because they also can't afford it. Your cousin is already winning in this scenerio. Sweden's social services are off the hook awesome.
Now go read. All of it.
This is America & now we are being told we have to buy something. You are okay with this? Really?!?
You think my cousin is winning? She went to the University because the government told her she could. At 16 she had to take a government test & they the government told her she could go to University. She is doing a job in Sweden that if she did here she would be making 6 figures.
She earned all this & she lives without the bells & whistles I have. How exactly is this winning?
We are on a slippery slop with this. I don't want to be like Sweden or Canada. We are America. It used to be if you were a have not you could make yourselves a have. Not now. Not the way we are headed.
Serious question. Are you drunk? Also, do you have gay friends?
WAIT, I have more:
1. Do you pay taxes? Or do you refuse, because it's how the gov't makes you pay for stuff. Like the roads you drive on and shit.
2. Have you ever not had health insurance? Or had to declare bankrupcy due to medical bills b/c you couldn't affore health insurance.
3. What is this slippery slope you are speaking of?
If your cousin lived here she'd also be paying huge medical school bills. In Sweden she does not.
Right. But if at 16 she didn't score high enough she wouldn't have gone to University. She would have had to learn a trade. Because the government told her she couldn't go further.
Now our government is telling us we have to buy health insurance.
No one else is scared as to were this is headed with government telling is what to do? Really?!?
We are on a slippery slop with this. I don't want to be like Sweden or Canada. We are America. It used to be if you were a have not you could make yourselves a have. Not now. Not the way we are headed.
One of the many points you're missing here is that the ACA isn't about giving free medical care to deadbeats--it's about making healthcare accessible to those you apparently like to call "haves." Independent contractors. Small business owners and the people they employ--people who work hard and even make decent wages, but can't get medical care because they can't afford to buy it on the open market and don't have access to an employer-offered plan . Or people like my husband, who has a congenital heart defect that was FIXED 20+ years ago, but can't buy insurance on the open market no matter how much money he has.
This is America & now we are being told we have to buy something. You are okay with this? Really?!?
You think my cousin is winning? She went to the University because the government told her she could. At 16 she had to take a government test & they the government told her she could go to University. She is doing a job in Sweden that if she did here she would be making 6 figures.
She earned all this & she lives without the bells & whistles I have. How exactly is this winning?
We are on a slippery slop with this. I don't want to be like Sweden or Canada. We are America. It used to be if you were a have not you could make yourselves a have. Not now. Not the way we are headed.
Serious question. Are you drunk? Also, do you have gay friends?
Nope not drunk. And yes I have gay friends. WTH does that have to do with this? My BFF sister came out to me first because she knew I would support her.
If your cousin lived here she'd also be paying huge medical school bills. In Sweden she does not.
Right. But if at 16 she didn't score high enough she wouldn't have gone to University. She would have had to learn a trade. Because the government told her she couldn't go further.
Now our government is telling us we have to buy health insurance.
No one else is scared as to were this is headed with government telling is what to do? Really?!?
As someone with several friends who grew up in Sweden and also as someone who did tons of business IN Sweden...I think your cousin is feeding you a line of whiny bull shit. Truly.
Maybe I missed the Dateline special on all the Swedish assylum seekers coming to the US because the government steels all their money so they can't buy a car? Help me out here.
Serious question. Are you drunk? Also, do you have gay friends?
Nope not drunk. And yes I have gay friends. WTH does that have to do with this? My BFF sister came out to me first because she knew I would support her.
Not all Republicans hold the Bible to our chests.
I really take offense to that.
It would have been easier to ask you directly, but it was more fun to find out your political alliance this way.
Sorry Tulip, you are clearly spewing other peoples opinions about this bill, not your own, so I have a VERY hard time taking you seriously.
Read the bill and come back with your own opinions. And your Dad isn't always right.
This is America & now we are being told we have to buy something. You are okay with this? Really?!?
You think my cousin is winning? She went to the University because the government told her she could. At 16 she had to take a government test & they the government told her she could go to University. She is doing a job in Sweden that if she did here she would be making 6 figures.
She earned all this & she lives without the bells & whistles I have. How exactly is this winning?
We are on a slippery slop with this. I don't want to be like Sweden or Canada. We are America. It used to be if you were a have not you could make yourselves a have. Not now. Not the way we are headed.
Serious question. Are you drunk? Also, do you have gay friends?
WAIT, I have more:
1. Do you pay taxes? Or do you refuse, because it's how the gov't makes you pay for stuff. Like the roads you drive on and shit.
2. Have you ever not had health insurance? Or had to declare bankrupcy due to medical bills b/c you couldn't affore health insurance.
3. What is this slippery slope you are speaking of?
1 yes I pay taxes. This is a bizarre question.
2 I have had to pay small business health insurance at one time for 4 years. For myself I payed around 350.00 a check working in retail. Because I had to have insurance.
3 the government is telling us we have to this. This is a slippery slop in do you think it will end here? Do you think with this they will stop?
Post by underwaterrhymes on Jun 28, 2012 18:32:18 GMT -5
First, that's not true. Anyone can go to university. Just like here, you have to apply and be accepted. But you can go.
And your government tells you what to do every day. It tells you to wear a seatbelt. It tells you not to text behind the wheel. It tells you that you cannot run a red light. It tells you that you cannot kill people without going to jail. YOU FOLLOW LAWS EVERY DAY WOMAN!!
What this law does is allow for healthcare for everyone. I'm really okay with that. But, as I said before, I think it should go even further, so that's really not surprising. (Clarifying as it doesn't actually provide the healthcare.)
Nope not drunk. And yes I have gay friends. WTH does that have to do with this? My BFF sister came out to me first because she knew I would support her.
Not all Republicans hold the Bible to our chests.
I really take offense to that.
It would have been easier to ask you directly, but it was more fun to find out your political alliance this way.
Sorry Tulip, you are clearly spewing other peoples opinions about this bill, not your own, so I have a VERY hard time taking you seriously.
Read the bill and come back with your own opinions. And your Dad isn't always right.
My Dad? Lol
Umm no I don't talk to my Dad about this, he doesn't care.
Here let me tell you about my generation of Republican. I believe in pro choice, I think the gays should marry & be treated the same as other married couples.
I believe in the bottom dollar & less tax. I don't like to see people work & not keep the money they earned.