CHATTERBOX

Monday, September 24, 2007

California's Broken Health Care System

NURSING SHORTAGE:

Based on California's projected population growth, researchers from the UCSF Center for California Health Workforce Studies estimate an additional 43,000 registered nurses (RNs) will be needed by 2010 and an additional 74,000 by 2020 to maintain a stable ratio of RNs to population.

"Demand for RNs will rise rapidly over the next two decades as the population in California grows. Improvements in wages and working conditions might lead to modest increases in the number of California RNs working in the field and in migration from other states and countries but will not be adequate to meet the state's long range requirements," said Coffman.



Governor Arnold Schwarzenegger plan:


1. Guarantees that every Californian can get insurance. Under the Governor's plan, insurers will be required to sell insurance to anyone who wants to buy it on the individual market. "Guarantee Issue" will give Californians who are currently denied coverage because of their medical history or age the ability to purchase insurance.

2. Provides coverage for all and requires that every Californian have insurance. Whether they get it through their employer, buy it on the individual market, or enroll in subsidized coverage, every Californian must carry a minimum level of insurance under the Governor's plan. This will reduce the hidden tax that insured individuals and families -- and employers who provide insurance -- now pay to cover the uninsured.

3. Increases Medi-Cal reimbursements to doctors and hospitals. The Governor's proposal significantly increases Medi-Cal reimbursements by the government to doctors and hospitals, reducing their need to shift costs onto insured individuals, families and employers.

4. Promotes balanced financing for health care. Health care reform should not come by requiring employers to pay the entire cost.

5. Rewards healthy choices and contains costs. The Governor's plan outlines a comprehensive prevention policy that encourages and rewards healthy behaviors; supports new efforts to fight chronic conditions including diabetes and obesity; reduces smoking; promotes more efficient service delivery and will help prevent medical errors.


No comments:

Purpose


Nurses have four fundamental responsibilities: to promote health, to prevent illness, to restore health and to alleviate suffering. The need for nursing is universal. (Preamble, The ICN Code of Ethics for Nurses, 2003).

A nurse must maintain utmost ability and capacity to provide proper care to a client. It is therefore necessary to update, if not learn, new ideas, concepts, developments, and even opinions. Let us create new avenues in the name of the nursing practice. Let us not be limited to nursing seminars/training that often leave us hanging and begging for more knowledge and skill-building.

Let us, ourselves, be an avenue towards our own personal development. This blog is dedicated to such rare nurses. Welcome everyone and may spur a better nurse in you.