- Joined
- Apr 25, 2008
- Messages
- 1,176
- Reaction score
- 33
Another CRNA...
Another CRNA...
Very good point. On the one hand, many of you libertarians say you love the free market, but on the other hand you fear competition from CRNAs.
If anything, the Obama administration will deregulate CRNAs, allowing them to pick up some of the slack from the shortage of anesthesiologists, reducing costs and increasing market efficiency.
What entrenched interests hate about Obama is that he's not afraid to take them on to make the market more efficient (yes, that means less pay).
There's a reason why we pay 15% of our GDP to health care while Canada and Britain pay only 10%. And our GDP is HUGE in comparison.
I was waiting for this and there it is - "free competition with nurse anesthetists". It was easy to see from the first post your hidden agenda...I would suggest to continue your debate in the midlevel forum or on the AANA website where your "brothers" are. I see you with a great future in the nurse world, charting vitals and day dreaming at the socialist world.
Don't forget to sing:
"CRNA peasants, we are
The great party of workers
The earth belongs only to men"
or - "the OR belongs to CRNA". Get back to charting!
Very good point. On the one hand, many of you libertarians say you love the free market, but on the other hand you fear competition from CRNAs.
If anything, the Obama administration will deregulate CRNAs, allowing them to pick up some of the slack from the shortage of anesthesiologists, reducing costs and increasing market efficiency.
What entrenched interests hate about Obama is that he's not afraid to take them on to make the market more efficient (yes, that means less pay).
There's a reason why we pay 15% of our GDP to health care while Canada and Britain pay only 10%. And our GDP is HUGE in comparison.
USA doesn't negotiate with terrorists. I don't negotiate with CRNA-s.Yes. As anyone can see from my recent post history, I am obviously a left-of-center nurse anesthetist who is concerned about health care reform and Step 1.
But even if I were, why not address the issue instead of just dismissing the messenger? Do what Blade just did.
Yes. As anyone can see from my recent post history, I am obviously a left-of-center nurse anesthetist who is concerned about health care reform and Step 1.
But even if I were, why not address the issue instead of just dismissing the messenger? Do what Blade just did.
USA doesn't negotiate with terrorists. I don't negotiate with CRNA-s.
Comprendre comrade???
USA doesn't negotiate with terrorists. I don't negotiate with CRNA-s.
Comprendre comrade???
...You greedy doctors should have gone into dentistry. I don't like the idea of you treating my patients while only worrying about $$$. It's inhuman....
...plus in canada anesthesiologists barely break 100k canadian...
WOW!!
I was considering anesthesiology before, but NOW. I just don't think I'd get along with my colleagues after reading this garbage. And plus in canada anesthesiologists barely break 100k canadian...
WOW!!
I was considering anesthesiology before, but NOW. I just don't think I'd get along with my colleagues after reading this garbage. And plus in canada anesthesiologists barely break 100k canadian...
You don't understand the issue do you?
1. CRNAs are free to compete in at least 14 states. Some would say there are many more with no physician requirements. What has that done to the ACT in Milwaukee? Nothing. Anesthesiologists still run the show in the major hospitals even those with CRNA opt-out.
2. AANA Charges- The AANA lies about cost savings. The Independent CRNA doesn't save our government any money. In fact, some like myself believe it costs MORE money with Solo CRNA care because of the extra morbidity and multiple consults. CRNAs bill Medicare the EXACT same amount as MD ANesthesiologists. Cost Savings are an AANA propaganda tool.
3. In our major hospitals CRNAs need help every day. This is fact. Sure, there are a few outliers among CRNAs that can function at a very high level but the vast majority need MD Anesthesiologist assistance/input. This isn't rhetoric but fact. Now, do we need 1:4 ratios? That is another discussion. But, am I willing to bet my career we need Anesthesiologists at our major hospitals? Absolutely.
4. If Obama wants to save money how about some real cost savings by cutting Solo CRNA care by 50%? This way the AANA's propaganda will be true. How about llimiting Nurse Providers to no more than 60% of physician reimbusement? By the way, Solo CRNAs generally bill Private Insurance companies 2 times Medicare for their services. Again, Independent Nurses should never be allowed by law more than a % of Medicare rates. After all, the AANA claims CRNAs are cheaper. Obama needs to follow through with their claim.
5. Our health care industry is complex. For example, how can a Physician pay for College and Medical School on a Nursing level wage? Will the best and the brightest choose Medicine if Obama slashes reimbursement too much? If Advanced Practice Nurses are part of the solution then shouldn't those Nurses actually save the government money?
WOW!!
I was considering anesthesiology before, but NOW. I just don't think I'd get along with my colleagues after reading this garbage. And plus in canada anesthesiologists barely break 100k canadian...
That is crazy. I had no idea independent CRNAs billed at the same rate as anesthesiologists. That makes absolutely no sense.
I expect a cardiologist to be reimbursed at a greater rate than a nurse practioner for a cardiac exam because they have a greater level of expertise in cardiac care eventhough both are doing the same exam. Shouldn't the same apply to an anesthesiologist vs a CRNA?
For the reasons Blade mentioned, anesthesiologists should look forward to free market competition with CRNAs. They bill at rates equivalent to that of physicians, so where is the savings? They provide a service with lesser training and medical knowledge, so it's my honest belief they'd get smothered in a free market. The scare from PCPs with regard to NPs is real because NPs bill at a % of what a physicican bills; I believe 85%.
Assuming all this is true about CRNA, how do they get such cheap malpractice insurance? If they are such a huge risk, should insurance companies charge a bazillion dollars to insure their work? Or does the doctor who oversees the CRNA take on that liability?
Assuming all this is true about CRNA, how do they get such cheap malpractice insurance? If they are such a huge risk, should insurance companies charge a bazillion dollars to insure their work? Or does the doctor who oversees the CRNA take on that liability?
There's a reason why we pay 15% of our GDP to health care while Canada and Britain pay only 10%. And our GDP is HUGE in comparison.
That's really interesting the manipulation....So you changed the topic just to get away with the real problem - but to remember to youAssuming all this is true about CRNA, how do they get such cheap malpractice insurance? If they are such a huge risk, should insurance companies charge a bazillion dollars to insure their work? Or does the doctor who oversees the CRNA take on that liability?
That's really interesting the manipulation....So you changed the topic just to get away with the real problem - but to remember to you
OBAMA=SOCIALISM
Productivity is based to a large degree on the number of people producing.
Thus, your final comment really holds no water.
lol, quadruple that number and then get back to me...WOW!!
I was considering anesthesiology before, but NOW. I just don't think I'd get along with my colleagues after reading this garbage. And plus in canada anesthesiologists barely break 100k canadian...
lol, quadruple that number and then get back to me...
Sometimes I believe that unlabelling the sux syringe is usefull....400k
Godwin's Law...
The only difference in the German national anthem in the Third Reich was that it contained an extra verse about the conflict and protecting German lands. Not sure how you're looking to use that to support your position.
http://www.foxnews.com/politics/first100days/2009/03/03/obama-repeal-bush-abortion-regulation/
That's perfect!
http://www.foxnews.com/politics/first100days/2009/03/03/obama-repeal-bush-abortion-regulation/
"I will do nothing against my conscience in the practice of medicine ever regardless of what any law is at any time, " Sen. Tom Coburn told FOX News. "And I can tell you that there are a lot of physicians that feel exactly that same way across the country."
Federal law has long forbidden discrimination against health care professionals who refuse to perform abortions or provide referrals for them on religious or moral grounds. The Bush administration's rule adds a requirement that institutions that get federal money certify their compliance with laws protecting the rights of moral objectors. It was intended to block the flow of federal funds to hospitals and other institutions that ignore those rights.
A senior Obama administration official told FOX News the Bush regulation is too vague and could prevent some professionals from offering a full range of services to their patients.
well - we'll see....
Quoting FOX is about as useful as quoting Chuck Norris Facts... which, by the way, are really entertaining (although quite far-fetched)...
http://www.chucknorrisfacts.com/
That said, in reality who would have won? Him or Bruce Lee?
::rolls eyes::
McCain tried that line, remember? It doesn't work, as we are no longer in the 1950s.
McCain lost mainly because he cynically and transparently picked an airhead nutjob from Alaska as his running mate. He chased disgruntled and fickle Hillary supporters and drove away every moderate in the United States in the name of "energizing" a base that was going to vote for him anyway.
His criticism of Obama's promises to do everything for everybody was valid and could have been effective, if only the electorate could have heard him over the circus music that followed Palin around.
Truth is that I hate MSNBC. What I should expect from a commie like Obama, you're right. The man wants to be friendly with islamic fundamentalists so what? He forces me to kill childrens? Yes he will. He wants unions all over? Let's see who's idiot to put money in an industry ruled by unions. Let's see the economic growth - take a look at the GM and their problems. Free healthcare, free education, free daycare, free cars maybe. Maybe he will pay for that but I bet not. And I don't care to much for me - I made enough to live in Aruba the rest of my life - I care about my chidren. The one that will suffer is you - student right?
Don't blame people like me for that. Blame Obama - the non US citizen president, Pelosi and all the commnists around him.
BTW did you notice that the union leaders have bad teeth and Walmart clothes? It will be a nightmare to negociate with CRNA union in the future (if I'll stay in private practice).
I know that "you people" are scared by educated, honest, hard working, religious citizens!wow, are you really an attending? very, very scarey...
I know that "you people" are scared by educated, honest, hard working, religious citizens!
quod erat demonstrandum
2win
McCain lost mainly because he cynically and transparently picked an airhead nutjob from Alaska as his running mate. He chased disgruntled and fickle Hillary supporters and drove away every moderate in the United States in the name of "energizing" a base that was going to vote for him anyway.
His criticism of Obama's promises to do everything for everybody was valid and could have been effective, if only the electorate could have heard him over the circus music that followed Palin around.
McCain lost the moderate vote because he is an horrible old man who poisons people with his awfulness. Conservatives were ready to stay home and take one for the team rather than vote for McCain. Palin gave them someone to vote for. I think you can thank Palin for making the election as close as it was.
I had this debate on this very forum ad nauseum before the election, starting barely a couple days after he chose Palin on Aug 29th. I remember the Palin Kool Aid consumers gleefully pointing to a post RNC bump in the polls as proof that McCain was back on track thanks to Palin ... all the while carefully choosing to ignore McCains steady declines in every single swing state as she systematically alienated moderate and undecided voters. He lost the election the day he chose her; I knew it, everyone with a shred of objectivity knew it, even conservative talk show pundits knew it (and admitted it when they thought the microphones were off).
Conservatives and the moral majority fundie segment of society were going to vote for McCain no matter who he chose as his running mate. I don't know where you get the idea they were ready to stay home and take one for the team; after all, if there's one bloc of voters you can count on to actually show up on election day and vote, it ain't the young liberals.
McCain ran a horrendously inept campaign. After watching Rove the last two elections, it was simply baffling. It was one ill-conceived circus stunt after another, whether it was screeching about terrorist ties to Ayers or bigotry ties to Wright, or suspending his campaign to go back to DC to fix the economy, or naming Caribou Barbie his VP candidate.
I was simply disagreeing with econdr's assertion that McCain's loss was a result of his criticism of Obama's big spendin' plans. It wasn't - and if he'd kept consistent, rational objections to Obama's everything-for-everyone proposals at the forefront of his campaign ... and perhaps named a running mate with a hint of credibility rather than one who could only be taken seriously by SNL writers ... well, he still probably would have lost. It was a bad time to be running on the incumbent party's ticket. But I think he could have made it close without her baggage.
http://www.boston.com/news/local/ma...9/03/12/a_head_with_a_heart/?s_campaign=yahoo
"I want to run an idea by you that I think is important, and I'd like to get your reaction to it," Levy began. "I'd like to do what we can to protect the lower-wage earners - the transporters, the housekeepers, the food service people. A lot of these people work really hard, and I don't want to put an additional burden on them.
I WANT TO SEE IF MD-S ARE CUTTING THEIR INCOME TO KEEP THE FOOD WORKERS, TRANSPORTATION AND SO ON WITH THEIR JOBS. OR IF CRNA-S WILL CUT THEIR INCOME. I WOULD SAY NO - AND I THINK CRNA-S WILL SAY THE SAME.We are living in a stupid world!
no...ignorance and bigotry scare me
http://www.boston.com/news/local/ma...9/03/12/a_head_with_a_heart/?s_campaign=yahoo
"I want to run an idea by you that I think is important, and I'd like to get your reaction to it," Levy began. "I'd like to do what we can to protect the lower-wage earners - the transporters, the housekeepers, the food service people. A lot of these people work really hard, and I don't want to put an additional burden on them.
I WANT TO SEE IF MD-S ARE CUTTING THEIR INCOME TO KEEP THE FOOD WORKERS, TRANSPORTATION AND SO ON WITH THEIR JOBS. OR IF CRNA-S WILL CUT THEIR INCOME. I WOULD SAY NO - AND I THINK CRNA-S WILL SAY THE SAME.We are living in a stupid world!