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ADVANCE Perspective: Nurses

Campaigning for You?

Published May 15, 2008 2:18 PM by Katie Hartner

Recently, I was privileged to attend events with leading presidential candidates, or their surrogates. I say "privileged" because I was able to hear a pointed, whole message from these candidates. Not the fragmented sound bites or curtailed answers to debate questions. Despite the proliferation of political cable talk shows (which I admit I am a fan of for their entertainment value), I find it harder and harder to get a true picture of political "news."

So much gets lost in rhetoric and partisanship that it's easy to forget that, for the most part, politicians - even those you may oppose - are trying to improve the township, state or country where they live. Thing is, they all have different viewpoints and approaches. And since they are essentially expounding on their own values, each is passionate about their plans for political change.

When it comes to healthcare, the voices get even louder.

Some - like Republican presidential candidate John McCain adamantly oppose government control of healthcare, calling instead for the free market to bring down prices. The theory is that if Americans can see the full costs of healthcare and have options, they will shop for the best rate - like car insurance. This, in turn, will create competition and lower rates overall.

On the other hand, Democrats Hillary Clinton and BarackObama have proposed something closer to universal healthcare, but not quite there. While Clinton's plan includes a mandate for all Americans to obtain healthcare (some with government assistance), Obama's plan is to lower costs by negotiating with insurance companies, believing that if premiums are lower, more will buy insurance.

I know which way I lean based on my personal beliefs, but are any of these plans (lacking much detail at this point) realistic in the healthcare world?

Should we just bite the bullet and go to universal coverage? If so, what would that look like?

For continued coverage, go to the ADVANCE for Nurses Web site for video on the Candidates' Health Care Positions and more.

2 comments

Citizens forced in to government health care programs or socialized medicine systems do have terrible problems. I have spoken directly to many of them. Bedsides long waits, their basic rights to make decisions about their bodies are hijacked. Many well-meaning people are pushing us toward a cliff in my opinion. A fifty percent tax rate, the egress of the best and the brightest from the fields of medicine, and the handcuffing of research and innovation are not my idea of excellence. As a critical care nurse of 28 years, I interact daily as cog in our current health care wheel. There are problems, but they won't be solved by more government intervention. They will be solved in the same ways that have made our country the place to which millions want to  immigrate. Capitalism is not a dirty word. We need to remove employers from the insurance loop and give all individuals the access to insurance plans at rates currently offered to companies.  I have talked to many people who don't have a basic understanding of economics or our government. They choose to buy manicures and fancy cell phones rather than health insurance or prescriptions. They think "free healthcare" just falls out of the sky. The proponents of taxing all of those who work hard enough to earn a taxable income to pay for the healthcare of those who prioritize life style over health are touting health care as a "right". Well, I have a right to be responsible for myself and my family. And I have a right to decide where my hard-earned money will be spent. And I have a right to an American way of life where an individual who works hard and takes responsibility for themselves can excel. I along with many others in this country consider it my personal responsiblity to assist the truly needy in our society to help themselves. We are a melting pot nation. Each citizen is an individual serving from that pot from which an amazing recipe can be created- or the person can just choose to be served up as a bowl of basic broth. Socialists want to remove that creative self-determination by confiscating all of the available ingredients and throwing it into one gigantic pot from which we all have to be served. The menu then consists of only one bland choice...runny gruel. I want to create my own recipe. Please don't encourage a system that will take away that option.

Karen Tweedy July 11, 2008 10:38 AM

Nurses owe it to their patients to be knowledgeable about the differences between the candidates.  The powerful lobbies of the healthcare, pharmaceutical and insurance industries are profit oriented and continue to malign single payer programs, and suggest that Canada and the UK and other countries where government provides healthcare have terrible problems. Go to the website for Physicians for a National Health Plan to see more objective data presented in the powerpoints and articles.

The US spends much more on healthcare than any of these countries, yet we rank 19th in preventing amenable deaths!  Healthcare, like police and fire protection should be available and provided to everyone as an issue of social justice and in order to protect all of society.  Prevention needs to become a priority in order to improve health outcomes, contain costs, and reduce suffering and morbidity.  The plan to create a National Nurse for prevention has much merit (www.nationalnurse.org) and would begin a shift in that direction.  I encourage nurses to become activists for the National Nurse and generate constructive change to our current healthcare systems.  

Susan  PHN x 30 years.

SUSAN, PUBLIC HEALTH - PHN EDUC COORD June 26, 2008 1:29 PM
CA

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