The Health Care Evolution

Nurses are at the forefront of an evolutionary wave in health care. Whether we take leadership or not will determine nursing’s future.

These ten trends can revitalize nursing if nurses break free from the confines of the medical model and use their education and skills to become wave riders.

1. Aging Boomers
Boomers are living longer. Quantity of life is driving a desire for better quality of life. This generation wants to learn how to stay vital, mobile, healthy and productive. They are looking for guidance in health promotion and wellness, not only disease prevention and treatment.

2. A 2nd Boom
Boomers Grandchildren are driving a huge demand for family health information and support for new and working moms. From birthing to family health education and sick child care, family systems need and want professional advice and innovative strategies to raise a brighter, stronger next generation.

3. Information explosion
Internet access provides health consumers with tons of information, but not the knowledge or wisdom to know how to use it without getting confused. They need knowledgeable health professionals as gatekeepers, trusted advisors, or health system navigators.

4. Holism
People are increasingly spending out of pocket dollars for alternative and complementary health care. Nursing education focuses on systems, whole person, life cycle perspectives that can guide in selecting appropriate options along a continuum of care.

5. Consumer driven health care
As consumers rely less on employer health coverage and more on personal health spending, they are seeking innovative and home based solutions for care including advanced home monitoring, telephone consultation, personalized care, and individualized treatment.

6. High Tech – High Touch
The need for personal connection, listening, and caring has never been higher. Nurses consistently rank first in every consumer poll for most trusted professional.

7. Shortages and Cost Containment
Professional shortages and a drive to contain costs, creates a push to use mid-level and low-level providers for technical care. Nurses will continue to be driven away from the institutional bed side. With decreasing numbers of people in institutional care, face to face professional health care will be delivered in the home and community.

8. Accessibility
Health information and care will be delivered on a global, mobile, remote, phone and internet basis. Nursing phone advice lines are increasingly popular with consumers.

9. Back to Basics
With increased interest in information and coaching on proper food and nutrition, supplements, stretching, meditation, simplicity, life balance, joy in work, and relationships wellness and health coaching is a growing field.

10. Self-Care/Self-Responsibility
People are realizing that doctors, medication and illness care are not going to keep them well. Employers, third party payers and common sense are driving consumers to take health care into their own hands. This trend will continue to drive an increase in self care information and reduction in in-patient and long term care.

Home Health Care Employment

Home health care workers are people in charge of caring for the sick, disabled and elderly in their communities. The work is usually performed within the homes or residential facilities of the people receiving care. The positions are widely available in every city, town, and suburb around the country. In fact, wherever there are people, home health care workers are and will continue to be in demand.

There are a number of reasons that people choose to seek employment in the home health care industry. Some people are attracted by the chance to help others in a very direct, even intimate way. Other health workers like the idea that you can get a well-paying job even without having a high school diploma. And, some like the flexible work hours that the position entails.

It is a good thing that many people are interested in working in this industry. The demand for health care workers continues to grow, given that the population continues to age. There will always be elderly people who need care. And, there will always be people who are mentally or physically unable to care for themselves.

If you are considering working in this field, here are 5 things you should know:

1. Know the difference between home health aides and home care aides

There are various types of positions within this industry. However, in general terms, the two primary types of jobs you can get are that of home health aide and home (or personal) care aide.

Home health aides usually work for certified health agencies that receive government funding and therefore must comply with certain rules in order to continue to receive that funding. These workers are under the management of a nurse or other medical professional, and they provide some limited health services.

Meanwhile, home care aides work for various private and public agencies. They are supervised by a social worker or other non-medical managers. While they do receive supervision from time to time, most of the work they perform on a day to day basis is done on their own.

2. Understand the benefits

People who appreciate flexible, non-standard work hours will often choose this type of position: in fact, you may care for the same person for months or years. But, it is more likely that you will travel around town each day, caring for 2, 3 or more people on any given day. The other, most obvious, benefit is the ability to really make a difference in someone’s life in a way that you cannot do with many other types of jobs.

3. Know that this type of work is not for everyone

Working in this industry can be very physically and mentally demanding. For example, you can find yourself heading home each day with a sore back due to having to lift the person you care for into bed. Also, the people for whom you care may not always be friendly or in a good mood.

4. You must receive training

You must receive training and pass a test to prove that you are competent to work in this field. Most training is “on the job training” and is conducted by registered nurses or other medical practitioners. Training does not exceed 75 hours in most cases.

5. You do not need a high school diploma to get a job

Never got your high school diploma? No worries! Working as a home health aide or home care aide does not require that you have one. Just complete the training and pass the competency test and you will be on your way!

Reorganize the Health Care System

All citizens of our country deserve the security of universal health care that guarantees access based on needs rather than income.

It is a fundamental human right and an important measure of social justice. The government should play the central role of regulating, financing, and providing health care. Everyone faces the possibility of poor health.

The risk should be shared broadly to ensure fair treatment and equitable rates, and everyone should share responsibility for contributing to the system through progressive financing.

The cost of health care is rising. Over the past years its expenditure have risen faster than the cost increases reported in other sectors of the economy. As a matter of fact, the free market doesn’t work for the health care system.

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There are two ways of financing health care:

The first is a private method of financing, by means of using workers’ and corporations’ money as premiums for acquisition of private insurance, which provides medical care. The established order leaves far behind 47 million people without health insurance.

The second way, which is used by all developed countries of the world, is by taxing the workers for health care, which generates a pool of money, financing it through the budgets of the countries. The people of our country prefer private medical insurance and private health care. Getting accustomed, in the course of time to the existing system, our people reject all other proposals independent of their merits.

An analysis of the acting system of private health insurance shows that this in essence is a social method of distribution of collected premiums. The insurance companies collect premiums from all insured workers and spend a part of them for health care of needy patients. As we see, private stays only the misappropriation of profits. Social distribution is carried out not on the scale of the full country, but is only limited by every medical insurance company.

Medical insurance companies use as the basis of their operations an unfair practice. They select for medical insurance only relatively young, healthy, working people, which rarely are sick. They constantly increase the premium rates, excluding retirees who need substantially more care. Thus, the health insurance companies established for themselves hothouse conditions. They make billions of dollars in profits, which in essence is a simple misappropriation of unused means of healthy people, that don’t need medical services. Justifiably these means should be set aside in a special fund and used for care when these workers retire.

Under the existing system, medical insurance companies have every reason to limit our care and increase our co-payments and deductibles. HMOs are famous for refusing to cover necessary hospital stay, denying people coverage for emergency room visits and balking at medically necessary procedures and therapy. The main reason our system is so expensive is that it has to support profit-hungry HMOs. In the U.S. thirty percent of each premium dollar goes to pay for administrative expenses and profits.

HMOs stand as a useless obstacle in between doctors and their patients. A question occurs. It is necessary to have HMOs in the system?The answer is clear. There is no need for HMOs. This is an unnecessary link and it need to be abolished. It is necessary to establish a system that allows providers to concentrate on care, not on profit margins.

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The health care system needs a fundamental change and improvement. It consists precisely that is necessary to decide a ripe task about improvement of medical care, simultaneous lowering the expenditures and providing all citizens of our country with goo care. This major problem brooks no further delay. It is generally known that health care in our country equates with small business, and all participants are interested, like every business, in receiving the highest possible profits.

Breaking up the medical care into small medical offices don’t favor the development in this field and the fundamental medical tasks of lowering the cost of medical care by following reasons:

advanced medical technology can’t be used in these offices;conditions don’t exist for a high level of organized health services;doctors prefer to minimize the time for medical examination of patients;fee for service is not the best idea in this field.

The enumerated shortcomings in its turn lead to:

the growth of serving medical staff and administrative expenses;deterioration of efficacy of outpatient treatment, increases visits of patients and needless referrals to hospitals;aggregate increase of expenditures on medical care.

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Under existing circumstances of irrational organization of medical care in our country, it is necessary to look for new structures to satisfy the requirements of contemporary reality.

Inevitably comes to mind a conclusion of advisability to reorganize the whole structure of medical care. Instead of great numbers of small unproductive medical offices it is preferable to organize large-scale multi profile medical clinics, each of them to be attached to a near hospital and working in two shifts.

These outpatients’ clinics should be equipped with modern medical and information – computer technology, as well as contemporary laboratories, and carry out in them all necessary medical examinations, tests, procedures etc., considerably raising the quality of medical care and labor productivity of all medical staff.

Another important measure – fundamental change of existing payment system for medical doctors care. We offer the introduction of pay by the hour remuneration system in the form of rate of salaries. Salaries for doctors should be established in dependence with the qualification, confirmed every five years, exemplary 150-200-250 thousand dollars yearly. Besides that should be established a distribution of bonuses for successfully carried out surgeries and excellent medical treatments of patients. This undoubtedly will switch over the attention of medical doctors to quality health services for patients. In essence, only such radical changes can be called medical care reform.

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It is advisable to set up a public, non-profit organization for medical care of the population of the whole country, with branches in all states. The leadership of the non-profit organization should be carried out by the best experts in medicine, science, economics, finances and public relationship. They must take full responsibility for the medical care of the entire population and the use of means for financing it. It must include effective mechanisms for controlling costs of medical care. All controversial questions should be decided between medical doctors-experts from this organization and treating doctors. This will be a managed health care system. Managed care reflects the country’s distinctive approach to a universal human challenge. The cost of medical care must be contained. The rational for limit setting policies must be explicit and readily available to the public. The rational must show how the policy promotes good care for individuals and optimal use of available resources for the large population.

It is advisable to free the medical doctors from the necessity of insurance against cases of committing medical errors, lifting of them the heavy burden of unnecessary wasted expenses. Medical doctors, undoubted should carry the responsibility for committing criminal negligence in the performance of their duties, causing irreparable harm to the health of treating patients.

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It arises a question. How to carry out the financing of health care in the new term?

The main thing and the only source of financing should be the use of a special tax for these purposes. It should be worked out a scientifically grounded percent of tax for the income of workers and profits of corporations and businesses, generating a fund, which should defray expenses on health care. To this fund should be directed the means from Medicare and Medicaid. Thus, all the means for financing medical care should be directed from the budgets to the public non-profit organization. This organization, in a proper way, should work out in detail an estimate expenditure of its budget. Within reasonable limits of this budget will be maintained the full medical care system.

A scientific institution of appropriate profile should work out such a budget. If one may put it that way, undoubtedly we can assume that the maintenance cost of medical care under the new favorable conditions will be considerably lower than at present time. It seems to us, that the proposed perfected system sets a shield to uncontrolled expenditures of medical care, which under the system of unlimited presentation of bills to Insurance companies, Medicare and Medicaid becomes similar to a snowball, uninterruptedly going downhill on the verge of disaster.

How to Get Free Medical Care

In this article today I’d like to give you several tips, tricks, and tactics to help you find free or very low cost medical care; yes it’s out there!

“Universal health care”

Unless you’ve been living on Mars for the last few years you probably have noticed that medical costs have skyrocketed through the roof, and that includes health insurance as well. Within the last two or three years many people have noticed their health insurance premiums doubling or even tripling in cost with no end in sight.

“Health care tips”

It doesn’t matter which side of the aisle you fall into when it comes to congressional health care reform, one thing is for sure… anything we can do to lower our medical costs personally is a great thing.

Fortunately for all of us there are several things you can do to find cheap or even free medical care and that’s what I’m going to talk about in this article today.

The first thing you can do is visit a government health clinic. Clinics are often operated by state and local governments and very often offer free checkups as well as free vaccinations. Sometimes you can find clinics that offer free prenatal child care as well. To find out more information about government health clinics call your state public health department or look them up online.

The drawback for places like these is that it may take an incredibly long time to be seen by a doctor and while you are waiting you can expect to be sitting in a very noisy crowded room so you should really expect to sit there for half a day or longer.

The next way to get free or low-cost health care is by using a dental school. There are around 50 dental schools all across the United States and most of these schools operate clinics that allow their students to perform their newly learned skills on live people. You can expect basic services such as checkups, cleanings, and maybe fillings for free or low-cost. Don’t worry, the students are closely supervised by professionals.

Finally you can often get free medications from most pharmaceutical companies. Many of them offer indigent programs that give free pills to people underneath a certain annual household income, sometimes around $50,000 a year. Unfortunately many of these programs require the request of your personal doctor but if you can get your doctor to sign off it can be a great deal.

So there you have several ways to get free and low-cost medical care. Like I said earlier, medical cost just keep skyrocketing and anything we can do to lower those prices is beneficial to everyone. There are many other ways to get free medical care as well, you just have to put in the leg work to do the research to find them. Good luck!