USA Ranks Last In Health Care - Again

Err... my bad, ignore my last post.

I looked it up, NPs and PAs can prescribe independently as it stands right now. Most just work under a physician (well I think PAs are required to work under medical direction, but I now know NPs can work independently).

I really don't know how to fix the prescription issue then. Lower the time frame a medication can stay proprietary so that generics can be more readily available is the only thing I can think of.

It varies by state. Which is also why many are foreseeing the requirement that up-and-coming NP's will be required to now hold a PhD by 2015 or 2016.

DNP Requirement 2015

Physician's are heavily threatened by NP's because of the fact that they can work independently.

Australia 23,526,400
Canada 35,344,962
France 65,906,000
Germany 80,716,000
Netherlands 16,855,100
New Zealand 4,535,340
Norway 5,124,383
Sweden 9,675,885
Switzerland 8,136,700
United Kingdom 63,705,000
--------------------------
Total 310,525,770

United States 318,224,000

I didn't even know there was a big push for DNP until now... which seems a little redundant honestly, because wouldn't a Doctor of Nursing Practice be the exact same thing as a General Practitioner with a different title?

Forcing NPs to obtain a doctorate to give them no additional power would do nothing but hurt efforts to expand the already hurting primary care market.

In some ways yes in other ways no. I mean RNs and NPs get trained with different medical models than MDs. PAs and MDs get trained with the same physician-medical model, which heavily focuses on the study of disease. Whereas NPs and RNs get trained with this nursing-medical model, which is heavily based on the study of "patient care."

The nursing-medical model is a lot more patient oriented in every aspect. This is why you typically see nursing programs in the school of public health sciences of most universities and not the medical school.

I know a lot of MDs will cringe when I say this but NPs(especially DNPs) overall are better medical technicians because of their diverse background. They are better at health education and prevention than physicians, because that's what their study encompasses.

That may or may not be true. The DNP shift might be exactly what the American healthcare system needs, better over-all equipped medical technicians that are more cost-effective. There is already a pretty large lobby arguing that NPs shouldn't require ANY physician supervision, the DNP shift might finally allow a NP to operate a primary-care health facility independently at a much more cost-effective option for both the patient and provider.

i gotta disagree with all this. Not only was i a victim of a shity system, but everything happened when i was working at a multi million dollar a year pharmaceutical warehouse.

I learned there computer system and saw first hand a main reason for such high costs in the medical field. GREED. Pure and simple. Ive used this example a million times, and ill continue to use it here.

Real Life Example: A case of Enfamil (baby formula of some kind). Our ware house BOUGHT this case for $50. - Now you know the manufacturer was making a profit to. So there marked up price to sell to us was $50. So you know the actual cost to make this was much lower.

Our warehouse sold it out to a local store for $350~ for that same case. Who knows what those stores were selling it to the ppl for. - The long chain and drastic mark up for profit. By the time it gets to the ppl, the prices are beyond belief.

And that's just Enfamil. Imagine the actual medication and medical items they sell. They have little bottles that they sell for over $10,000 a vial.

Ive watch them ship out meds that HAVE TO BE TEMPERATURE CONTROLLED. (In this case, they have to be kept cold.) Ive seen them left in the containers when we get them back. By the time they arrive back to us its not only been a long time, but trucks get hot as hell. That means the meds are destroyed/contaminated/unusable. - What did they do? Did they inform their customers that they left some product in there? NO. What they did do was take this unusable med and put it back on the shelf to sell again.

Ive seen them sell meds to hospitals that have expired (on a regular basis.) Same with damaged product.

There was even a headline case here, where our warehouse (which is understaffed and over worked because they don't want to pay for more employes despite being a multi million dollar warehouse) Sent out the wrong meds to a hospital and it ended up killing a group of newborns/infants.

GREED. Pure and simple. They will screw over anyone to make a dollar.

And hospitals arnt much better. Anyone that's been to one knows the drastic cost of going there. Not only are you dealing with all the marked up med prices at that point, but the doctor fees and hospital fees (since they bill each separately) are insane as well. Combined with the fact that half the ppl working there are incompetent.

Just a few months before my dad died he was at the local ER. He got into an argument with the tech, or who ever they were, that was trying to take his blood pressure. He was military and cop so hes a big guy. They kept trying to used a child's cup to take his blood pressure. They wouldn't listen to him when he tried to tell them. So they took it with a child's cup and his blood pressure read that he was dead. And they still couldn't figure it out! - Then the doc came over. A whole 5 minutes he was there. Gave him one antibiotic and one Ibuprofen and left. Sent him a $700 bill for it. And rejected the insurance and sent my dad the full bill. Plus the hospital bill. (Which i had to deal with after he died. They still didnt care.)

There is so much greed driving up the prices. So much stupidity caused problem after problem, potentially fatal. So much corruption, doctors being paid off to say ppl are fine and not give them proper treatment. So many ppl denied proper care because they cant afford it. (say what you want about 'everyone can get treated' if you cant pay, you don't get treated well/if at all). There is item after item, reason after reason, fault after fault. Our health care system can not be defended. It is horrific. And because of what we do to it.

The PA that furthered my injury to full blown disability operated alone.
Illegal but no lawyer would touch it. Even the state medical board said they dont see anything wrong with it.

Yeah they operate on you alone, but there is an MD "somewhere" on the floor or on call lol

No. There was no MD in the building. She operated ALONE.

Our current form of government, as in the way it was set up, cannot fight greed. Not only that, but it relies on greed to function.

never scared,love that skit

I wasn't being entirely literal.

But that phrase more or less comes from the mouth of a doctor with whom I work. Too many doctors hand out narcotics inappropriately, even though they're technically within proper guidelines.

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Troll/Profit

One of the biggest hurdles the US faces to preventative care is that is costs money (or a claim to your HMO) to go and see the doctor. When you know there is a cost associated with going to the doctor, people are less likely to see their physician for minor ailments that can become major if left untreated. That pain in your side is a $10 bottle of antibiotics now, but a $30000 surgery when your appendix is ready to explode.

But even if you compare the US to the rest of the world, the overall costs are far lower per person in other developed nations. One thing that they have under control that the US needs to reign in are administrative costs. 37 cents of every dollar spent on healthcare in the US goes to paperwork, administration, Insurance processing, hospitals seeking to get payment etc. For comparison, in Canada only 1 cent of every dollar spent on healthcare goes to administrative costs. That's money being sucked up bureaucracy that could be going into patient care.

Yep and when they know they are guaranteed to get paid by insurance companies they are free to charge whatever they want, no matter how ridiculous for : drugs, hospital rooms, tests etc. Same thing applies to colleges and how absurd their tuition rates have become. When they are guaranteed to get paid they will have no shame in jacking up the costs. This is where health care reform needed to start, piece by piece looking into every element that drives the costs to these astronomical numbers. If the American people cannot afford to pay for health care then the American government which is the American people cannot afford to pay for health care.

Oh baby you. You got the Obama care that I need but you say she's just a friend.

This is pretty spot on.

Sounds a little too 'Rand Paul 2016' for my tastes, not that it doesn't make sense superficially. I just think the ideology behind for-profit Health care creates a doomed system from the start. Emphasizing profit over the care creates a system built downward.

But if ideology ever solved anything, we'd all have unlimited puppies and sunshine with an extra day of the week devoted to milkshakes and fornication.

This does not suprize me. in a world cures for disease like cancer are hidden to make money. and vaccinations are pushed on you even though they have damaging effects. The GMO in foods and the unhealthy farming practices leading to unsafe foods. There is one guy on youtube I like watching his video's because he really goes in to detail about what he is talking about. Look up John Bergman. He has a full video series on health and how in today's world it is just messed up. He is a Chiropractor in Huntington beach California. He has been cureing people of Arthritis and Fibromyalgia when in the crazy pharmaceutical world says those are not cureable. pharmaceuticals give a ton of money to the med schools and because of this everything is pushed for a drug based approach.

Just pretend Obama said it then and you'll love it.

I don't get it.

??

Tantric impromptu male breast exam. Jeeze, it's so obvious.

Laugh, we rank lowest in health care, among lowest for infostructure, and overall in the bottom for educatiin. Excluding a few high end schools.

But hey we rank first for most overweight country in the worls, highest divorace rate, and the highest for school gun killings.

Take pride in your country.

We are America. We sell high cost cheap products to sheep all in order to make a profit. These priducts are wirth pennies or worthless but the money you give up kay as well be your blood in profits for our greed.

I'm still trying to figure out that ? ? ? part.

Yes sir Mr. President!

This is correct, but a co-pay to check your cholesterol is going to be a lot less expensive for both the patient and the insurance company than a bypass surgery.


Pharmaceutical companies are abig culprit here. Gilead Sciences has been in the news several times over the past few years because of how much they are charging for their medications.

At $1,000 A Pill, Hepatitis C Drug Sovaldi Rattles Medicaid Programs

Gilead under fire for AIDS drugs price rises

We can point the finger at hospitals and physicians, but the medications are astronomical now a days.

Forcing everyone to buy into the ACA hasn't fixed the problem yet? Guess we should just up the fine, charge more for hospital procedures, prescriptions and while we are at it lets up the insurance rates some more.. Its gotta work sooner or later right... RIGHT??

Why did you let yourself be subjected to these "doctors" to begin with? Only one hospital in your county/state?