Apparently we can't criticize the government.
Forums › General Discussion › Apparently we can't criticize the government.-
🔰Superyan🔰 wrote:
I don't give a shit about you if you don't give a shit about yourself. Plain and simple.Ojibwe wrote:
Who cares about the poor? Who cares about the disabled people? Meh, they could have been injuried protecting your country but who cares about that!Sales taxes disproportionally affect the poor. But fuck them, right? You got yours. You expect them to climb out if poverty while putting additional barriers in their way.
As someone said previously, just ditch the welfare system completely! Who cares how many will starve or die. We are only going back to Victorian times. Phfft, welfare is stupid for sure.
Honestly don't know how most people on this forum are considered human beings. So selfish and greedy. No consideration for anyone but themselves. Should be ashamed.
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😡ҝعყʂعཞ😈Տȫƶع😡 wrote:
🔰Superyan🔰 wrote:
I don't give a shit about you if you don't give a shit about yourself. Plain and simple.Ojibwe wrote:
Who cares about the poor? Who cares about the disabled people? Meh, they could have been injuried protecting your country but who cares about that!Sales taxes disproportionally affect the poor. But fuck them, right? You got yours. You expect them to climb out if poverty while putting additional barriers in their way.
As someone said previously, just ditch the welfare system completely! Who cares how many will starve or die. We are only going back to Victorian times. Phfft, welfare is stupid for sure.
Honestly don't know how most people on this forum are considered human beings. So selfish and greedy. No consideration for anyone but themselves. Should be ashamed.
Amen.
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ᎷᎪᏟᏦᎷᎬᏟᎻ ᎪᎠᎠ ᏦᎷ wrote: ✂I just personally don't believe that the government should take what they are taking. Got this weeks check today. ✂That's almost 8 hours if overtime that was taken from me to pay for BS.
"Sorry if u were an idiot and decided dropping out of school to persue a career as a stunt double didn't work, but don't tax me for your stupidity."
"I'm an orphaned, drop out, convicted felon."
These two statements seem to be at odds. Your past stupidity was a substantial unwanted burden to other taxpayers, yet you shouldn't be made to pay for someone else's same stupidity. Was your rehabilitation more worthwhile than those your taxes are helping now? Just seems a bit self centered and hypocritical, what am I missing?
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It's easy to think this way, especially if you deal with it on a different level than most people. You are in a field where the exceptions to the rule are much more glaring and look bigger than the actual rule. Sure, we all sometimes want to renege on our safety nets when they are abused. But the reality is that the abuse is miniscule in comparison to the gain for the society as a whole. You cant get rid of everything because .00001 of people abuse said thing. Health care is meant to better our quality of lives as individuals and as a society. It's intent was never a money making scheme; therefore, we expect to bite the bullet with certain things. Or we certainly should.
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@ 😡ҝعყʂعཞ😈Տȫƶع😡
You said earlier that you would literally refuse care to a patient in order to preserve your payroll tax cut. I don't doubt that you like helping people, but you obviously like money a bit more. Obamacare doesn't prevent Medicare from reimbursing for readmissions BTW, Medicare fines the hospital and those fines are limited to a percentage of total Medicare reimbursements. Consumer advocates are all for the new rules, you're siding with industry lobbyists. Patients that can't pay are a bummer, but healthcare for profit is kind of a bummer too.
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★Λddi★ wrote:
Try again addi. I've been on my unit for 14 months and can't tell you the number of people that are readmitted inside the 30 day window. Had a CHF patient who was discharged at 1700 and was back by 2200. AFTER GOING EAT A CHINESE BUFFET MEAL. And chugging down 2 liters of soda. Guess what were part of his discharge instructions he disregarded? Want me to continue? I have many more than your claimed .00001 percent.✂✂✂✂
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😡ҝعყʂعཞ😈Տȫƶع😡 wrote:
I don't have to try again. How many people in your town were not admitted to the hospital that month let alone at all that year? Like I said, the ones you come across are the few. You just see so much of it that you forget they are the few.★Λddi★ wrote:
Try again addi. I've been on my unit for 14 months and can't tell you the number of people that are readmitted inside the 30 day window. Had a CHF patient who was discharged at 1700 and was back by 2200. AFTER GOING EAT A CHINESE BUFFET MEAL. And chugging down 2 liters of soda. Guess what were part of his discharge instructions he disregarded? Want me to continue? I have many more than your claimed .00001 percent.✂✂✂✂
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★fnord★ wrote:
I'm not sure how the readmission shit works as I'm not a case manager, however, it's commonly reinforced that we don't want patients returning within 30 days because the hospital doesn't get reimbursed. Wether it's fines or whatever, it amounts to patients getting free care when most of the time it's the patients noncompliant behaviors that cause the problem. You claim to want to help people but if this continues to happen, jobs will be lost because of it. Where is your bleeding heart for those who will lose jobs because of that?@ 😡ҝعყʂعཞ😈Տȫƶع😡
.
Also I work at nonprofit hospitals and they still need income to run so people not paying bills directly affects the care of all patients, noncompliant or compliant.
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★fnord★ wrote:
ᎷᎪᏟᏦᎷᎬᏟᎻ ᎪᎠᎠ ᏦᎷ wrote: ✂I just personally don't believe that the government should take what they are taking. Got this weeks check today. ✂That's almost 8 hours if overtime that was taken from me to pay for BS.
"Sorry if u were an idiot
✂
don't tax me for your stupidity.""I'm an orphaned, drop out, convicted felon."
These two statements seem
✂
missing?Awesome point. What you're missing (in my mind) is that I used that time to pay my debt. I got out and went to work. You have a very valid point. Maybe it's because all I saw there was the very worst people. The ones that will anise the system every chance they get. If I saw my case on paper, I would have said to never let me out. I hurt a lot of people and it cost me 3 years of my life. But if it was my call, I wouldn't have let me out.
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★Λddi★ wrote:
Seeing so much of the few makes the more than the many. If someone is readmitted 5 times in a month for COPD, and another person is admitted 5 times in a year, and a third is admitted once, we will know the person who is admitted 5 times in a month. But each admit counts for census as 1 person. There for that person is actually 5 people over the course of a month. So, of those 3 actual people, 1 counts for a lot more and takes a lot more resources that will never be paid for.😡ҝعყʂعཞ😈Տȫƶع😡 wrote:
I don't have to try again. How many people in your town were not admitted to the hospital that month let alone at all that year? Like I said, the ones you come across are the few. You just see so much of it that you forget they are the few.★Λddi★ wrote:
✂✂✂✂
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ᎷᎪᏟᏦᎷᎬᏟᎻ ᎪᎠᎠ ᏦᎷ wrote:
Maybe your own words should encourage you to start looking at the big picture a bit more and remember that when you are looking at these things, all you are seeing is a snapshot. Generally speaking we are all givers AND takers at some point in our lives. You were a taker for many years, unintentionally as an orphan and intentionally as a felon. But maybe you will give back more to society than the guy that had the perfect suburban life and no parole officer to visit. The American dream is that we can all pull ourselves up by our bootstraps BECAUSE OF the society we have to help us, not in spite of.★fnord★ wrote:
ᎷᎪᏟᏦᎷᎬᏟᎻ ᎪᎠᎠ ᏦᎷ wrote: ✂I just personally don't believe Got this weeks check today. ✂
✂
"I'm an orphaned, drop out, convicted felon."
✂?
...
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ᎷᎪᏟᏦᎷᎬᏟᎻ ᎪᎠᎠ ᏦᎷ wrote: ✂
I think it's great that you turned your life around and I don't claim to understand your situation. You may have done your time but you still cost the rest of us a lot of money. I am guessing that your arrest, trial, incarceration and parole cost the taxpayers at least $100,000 if it occurred in the last 20 years. I gathered from your earlier figures that you probably contribute about $10,000 a year in income taxes. That's 10 years at your current income level just to break even. I'm not about keeping score or anything, but it's clear your rehabilitation was a wise use of tax dollars. What you seem to be missing is that other seemingly bad investments like welfare recipients will most likely go on to pay it back many times over, or they have already paid in and fell on hard times.Awesome point. What you're missing (in my mind) is that I used that time to pay my debt. ✂
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@ 😡ҝعყʂعཞ😈Տȫƶع😡
The new Medicare reimbursement provision went into effect three months ago. The maximum penalty for hospitals with higher than average re-admissions is 1% of the hospital's TOTAL Medicare reimbursements. Half of what you've been saying is simply incorrect. It's for-profit health industry propaganda. I don't know what to say about your false dilemma of jobs being in danger if you don't start denying coverage. Since you care about people so much, perhaps you should be the first to put your hand up?
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I think the point we are all missing is that the suck ass is federal bullshit government bails out banks, and Wall Street, and auto manufacturers but hostess goes out of business and I can't get a damn raspberry zinger??!?!?
Aaarrrrrrrrrrrtgggghhhhh!!!!
7⃣1⃣😡🚌 -
★fnord★ wrote:
Take the 1% in a hospital that does VAST MAJORITY of Medicare patients. That will be millions of dollars they don't get back. It's not a false dilemma. Jobs will be lost if hospitals lose millions of dollars every year because some fucking turds refuse to change and just repeatedly get admitted. Denying care is one way (albeit the most extreme). Another way I could think to get these people's attention, in the case of COPDers who smoke, is to cause an Antabuse type reaction.@ 😡ҝعყʂعཞ😈Տȫƶع😡
The new Medicare reimbursement provision went
And last, I'm not putting my hand up for anything except to volunteer to be your nurse when you come to the hospital (don't worry, your meds will be on time no matter what I have to deny myself). Perhaps you should volunteer a few times in a hospital to see what it's like. Or corrections since that has a nice revolving door too. -
😡ҝعყʂعཞ😈Տȫƶع😡 wrote: ✂
I volunteered at a hospital for an entire summer, it changed my life. Since we're trading advice here, let me give you some. Having contempt and disgust for some of the people in your care, as you obviously do, is a bad road to go down. Especially in a field where their lives are in your hands. Focus on doing your job instead of judging people and sticking your nose into shit above your pay grade. Better yet, do your part to prevent readmissions instead of complaining when they happen. It sounds from what you've said that when you see the word "Medicare" on that chart, a part of your brain sees the words "Keyser's wasted taxes" and in a way that person becomes your property like cattle. This will end badly for you or one of your patients if you don't change your attitude. You obviously didn't arrive at this on your own, find whatever is feeding this resentment and cut it out of your life. -
I find it amusing that this thread started about paying too much in taxes aka asking for cuts. Well the way I see it you're already getting your cuts and have been with Medicare for a couple years now. So what's the problem? You want to cut these safety nets or not, keyser? Do you think the cuts aren't suppose to hurt or only suppose to effect all those other people out there? Complaining about giving too much and not getting enough in one breathe. Can't have it both ways!
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@★fnord★ I don't look at what form of payment a patient is using. I don't need to know it. I do education EVERY SHIFT as that is part of my job. So I do my part to prevent the readmissions. However, it's hard to not be pissed off when some of these asswads just laugh about the fact that the meal they just ate and the 2 liters of soda put them right back in. They don't feel any blow back so they don't care. How about you stop thinking your shit don't stink and open your eyes to reality. A lot of people in this country think they are entitled to everything when the healthcare they receive should be a PRIVLEDGE instead of a RIGHT.
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★Λddi★ wrote:
I don't use Medicare. I get my insurance by working full time. I am saying that people who suck at the public tit all the damned time aren't the productive members of our society. I'M SAYING WE NEED TO BE MORE "SURVIVAL OF THE FITTEST" INSTEAD OF "NO MAN LEFT BEHIND". Cut away the cancer so society can thrive.I find it amusing that this thread started about paying too much in taxes aka asking for cuts. Well the way I see it you're already getting your cuts and have been with Medicare for a couple years now. So what's the problem? You want to cut these safety nets or not, keyser? Do you think the cuts aren't suppose to hurt or only suppose to effect all those other people out there? Complaining about giving too much and not getting enough in one breathe. Can't have it both ways!
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Why do the States have one of the most unhealthy population out of developed nations Keyser? What do you think the States should do to lower these statistics, you think the rest of the developed nations are just letting their fat people die?
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★MΛΥΗΞΜ★ wrote:
Who won the olympics again?Why do the States have one of the most unhealthy population out of developed nations Keyser? What do you think the States should do to lower these statistics, you think the rest of the developed nations are just letting their fat people die?
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😡ҝعყʂعཞ😈Տȫƶع😡 wrote:
You gave the impression earlier that you are well informed of your patient's billing info and judge them accordingly. If these patients were less flippant would they then be worthy of care? What if they begged you, would that make you feel better? You are talking about denial of essential health care based on ability to pay, just to save some money. That's tantamount to negligent homicide. That's not my America, that's 3rd world crap. Here we take care of the least among us, that's what makes us great. You should know this by now.@★fnord★ I don't look at what form of payment a patient is using. I don't need to know it. ✂ A lot of people in this country think they are entitled to everything when the healthcare they receive should be a PRIVLEDGE instead of a RIGHT.
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😡ҝعყʂعཞ😈Տȫƶع😡 wrote:
Guess you'd need to find a new job then since most of the hospitals income comes from Medicare. Considering the state that's on the table here it's really no surprise. One of those states that the rest of the country has to carry due to their lack of revenue funding preventative medicine and education. Maybe the rest of the united states should cut off places like Mississippi and Louisiana since they are as a state sucking on the tit of the Fed. Always in the red, never contributing anything but need. Yep, sounds good.★Λddi★ wrote:
I don't use Medicare. I get my insurance by working full time. I am saying that people who suck at the public tit all the damned time aren't the productive members of our society. I'M SAYING WE NEED TO BE MORE "SURVIVAL OF THE FITTEST" INSTEAD OF "NO MAN LEFT BEHIND". Cut away the cancer so society can thrive. -
@★fnord★ You can pick up on method of payment by certain tidbits of info. Probably didn't pick up on that during you summer of volunteering. They could beg all they want, if they are a frequent flyer and noncompliant, I would still think they don't deserve the limited resources of patients who are compliant w/ care.
It's not "tantamount to negligent homicide". I'd say its more like assisted suicide.
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༺☪ℐʊͣʀͩѧͩƨƨɪƈ☪༻ wrote:
Seriously? No one gives a fuck about the olympics.★MΛΥΗΞΜ★ wrote:
Who won the olympics again?Why do the States have one of the most unhealthy population out of developed nations Keyser? What do you think the States should do to lower these statistics, you think the rest of the developed nations are just letting their fat people die?
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The Florence Nightingale Pledge
"I solemnly pledge myself before God and the presence of this assembly; To pass my life in purity and to practice my profession faithfully.
I will abstain from whatever is deleterious and mischievous and will not take or knowingly administer any harmful drug.
I will do all in my power to maintain and elevate the standard of my profession and will hold in confidence all personal matters committed to my keeping and family affairs coming to my knowledge in the practice of my calling.
With loyalty, will I endeavor to aid the physician in his work, and devote myself to the welfare of those committed to my care."That's weird. It doesn't say anything about withholding treatment based on your personal suppositions and imaginings. Actually it kind of says the opposite.
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@ fnord I had you pegged as an idealist. You still believe in Santa and the Easter Bunny? Florence Nightingale died in 1910. A lot has changed since then. How about you get off that high horse and experience the real world.
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The thing you fail to realize is that, as was said elsewhere, you are viewing a single frame of a movie that is someone's entire life and passing judgement based on that. What's worst is that, in your line of work, you are likely seeing them in possibly the lowest point in their lives. By saying that they are taking advantage, you presume that they have never paid into the system in the past or will not go on to pay into it in the future. Not that it's about keeping score to most of us, but obviously it matters to you. How dare you judge people as unworthy in their hour of need based on a handful of encounters? It's disgusting behavior and unbecoming of a public servant. Maybe it's not the sickness that is surrounding you, but rather it is you.
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Fnord, have you ever gotten a complete medical work up done? All the questions asked? Every time you admit someone, you ask a shit ton of questions, put all the meds into a computer and all that. You know how you can tell if someone is taking the meds they are prescribed correctly? Most meds are daily or twice a day. So a bottle with 60 pills should last a month when taken BID. We call pharmacies and check records to see when people fill Rxs. So if they filled in September and have 20 pills left, and they haven't filled since but are supposed to be taking it twice a day, SURPRISE YOU JACKASS, that patient is noncompliant. When we mark someone as non compliant, they get MORE EDUCATION in an attempt to get them to become COMPLIANT. They don't change 99.9% of the time. So I'm not looking at a frame. I'm looking at a pattern that is presented w/ a PLETHORA of info. Your next point please?
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Wow, medical records have come a long way. Apparently they now include past earnings and payments into Medicare/Medicaid as well as projections of future earnings and payments. Not to mention complete detailed medical records going all the way back to birth as well as projections of future medical expenses. My point isn't that non-compliant patients don't exist. My point is that you are quite unfairly extrapolating their non-compliance to presuppose an entire life wasted and not worthy of saving. Apparently forgetting to take some pills should condemn someone to death in your mind. Seriously, why are you even in nursing? What oath do nursing students take at graduation? Did you have some fantasy that everyone you treated would be appreciative and compliant and there would be no frustrations? In Louisiana? Welcome to reality, it's imperfect an you're going to have to accept it for what it is. Letting them all die is not a solution, cowboy. Get your shit straight or get out of the business.
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