General Discussion

JDPriestly

(57,936 posts)

7. A lot of the simpler work will be done by nurse practitioners.

Mon Jul 2, 2012, 10:39 AM

Jul 2012

At Kaiser, a nurse takes my blood pressure, etc. before I see the doctor. When I see my doctor, he has all the information he needs about me -- on the computer in front of him.

If I am seeing a specialist for something wrong with my hand or my foot, he looks at the computer and says, "I note that your doctor ordered you to have your blood pressure (or some other test) taken. You need to go to the nurses station and get that done." All my prescriptions, every medication I take is listed on the computer. Every allergy, everything. The doctors verifies my history but doesn't have to discuss everything with me each time.

Visits to the doctor are very efficient, very quick.

I still have to wait to see the doctor, but things are well organized. A nurse from a European country told me that, over there, nurses do a lot more than they do here. The doctors do a lot more supervising than they used to.

Doctors' time will be used differently than it has been used in the past.
More will get done with the same number of doctors.

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Now that 40 million uninsured people will now have access to healthcare, where will they go to get [View all] Egalitariat Jul 2012 OP

That's the arguement the right wingers here in Texas are making.. snooper2 Jul 2012 #1

That's where I've heard it as well. But it does seem like a reasonable question. Egalitariat Jul 2012 #3

I schedule appointments for the morning. The office is never full then. Afternoon - screw it. HopeHoops Jul 2012 #8

that's the best time to go shanti Jul 2012 #23

You must know some lazy Doctors joeglow3 Jul 2012 #13

Did you see Fareed Zakaria's health care reform special last night on CNN? CrispyQ Jul 2012 #18

yeah but don't they have to limit their time with each patient TBMASE Jul 2012 #29

You do understand that there is more work to do after your visit, right? taught_me_patience Jul 2012 #30

K&R your response ChazII Jul 2012 #59

One of the things I'd like to see happen for our nation is LiberalLoner Jul 2012 #2

I was in East Africa goclark Jul 2012 #17

Here in rural areas, physician's assistants, liberalhistorian Jul 2012 #38

We have them in our ER for the acute care cases xmas74 Jul 2012 #95

It depends where you are, I think. MineralMan Jul 2012 #4

I wouldn't worry too much about that.. Fumesucker Jul 2012 #5

Fortunately, many who can't afford copays, etc., will likely have Medicaid where there are no, or Hoyt Jul 2012 #28

And many won't.. Fumesucker Jul 2012 #34

No doubt in my mind that there will be at least a short term shortage of providers SickOfTheOnePct Jul 2012 #6

I tend to agree, especially in regards to primary care. surrealAmerican Jul 2012 #44

A lot of the simpler work will be done by nurse practitioners. JDPriestly Jul 2012 #7

The ACA will also expedite putting our health records Fawke Em Jul 2012 #10

Yes, I was hoping that would be the next step. And infrastructure, of course. freshwest Jul 2012 #61

Simple visits will be covered by a Physician's Assistant taught_me_patience Jul 2012 #25

CNP is very common in my area. xmas74 Jul 2012 #96

Kaiser is the model we are heading toward. I've only been insured by them 7 months, but like it. Hoyt Jul 2012 #35

I saw a Kaiser specialist just this afternoon. He was wonderful. Really JDPriestly Jul 2012 #85

Everybody should read the law. Here it is and Title V is about sinkingfeeling Jul 2012 #9

Thanks... Fawke Em Jul 2012 #11

Good point. There is a lot of good stuff that seldom gets mentioned including incentives for better Hoyt Jul 2012 #37

+1 pinto Jul 2012 #51

yes but still there will be THOSE PEOPLE at the doctor's office now. Warren Stupidity Jul 2012 #67

The AMA deliberately keeps the cost of being a doctor high, djean111 Jul 2012 #12

I'm sure they would love it Sgent Jul 2012 #19

Sorry, but please explain why it's a bad thing liberalhistorian Jul 2012 #40

Some 3 year med programs...... soccer1 Jul 2012 #69

I think we might see PatSeg Jul 2012 #14

I personally think that would be so terrific. closeupready Jul 2012 #15

I had some lengthy PatSeg Jul 2012 #21

Yep SickOfTheOnePct Jul 2012 #16

True PatSeg Jul 2012 #22

at kaiser shanti Jul 2012 #26

Not my experience, but as long as they are good and give a dang -- who cares. Hoyt Jul 2012 #39

Kaiser PatSeg Jul 2012 #42

It's why we can't sit back. raouldukelives Jul 2012 #20

This concern is frequently used as a dogwhistle argument by the right. Warren Stupidity Jul 2012 #24

There are people out there that don't want other people to have health coverage because it will Renew Deal Jul 2012 #27

It's called supply and demand. Go ask a capitalist about it. cbdo2007 Jul 2012 #31

Not really. Med school has limited slots. But we can encourage the right balance pnwmom Jul 2012 #57

Med school has supply and demand as well. cbdo2007 Jul 2012 #62

Maybe no more Friday golfing for the doctors ... nt TBF Jul 2012 #32

You can't just dump Meiko Jul 2012 #33

Insurance paperwork is 40% of a doctor's time today. closeupready Jul 2012 #47

Even if some of that happens, it's better than people not having access to care. Hoyt Jul 2012 #86

I think that is a false argument hollysmom Jul 2012 #36

I agree. I darn sure haven't run out and gotten a colonoscopy because they are covered 100%. Hoyt Jul 2012 #87

Assuming that is true... Won't that just create jobs? Ohio Joe Jul 2012 #41

exactly--many new jobs for construction of clinics (in ACA) and healthcare workers to staff them librechik Jul 2012 #45

Creating jobs is great, hughee99 Jul 2012 #49

So we should not get health care because some people perceive there are not enough doctors? Ohio Joe Jul 2012 #52

I don't know where I said that, but I think telling people hughee99 Jul 2012 #53

Already done by ACA Ohio Joe Jul 2012 #55

The ACA (which most people haven't read) has a plan, hughee99 Jul 2012 #58

And... Who said that? Ohio Joe Jul 2012 #60

Who said that? I did, for one. So will many other people. hughee99 Jul 2012 #63

Well... You should stop telling people that if it is not true Ohio Joe Jul 2012 #64

I'm not "creating reasons" for people to not have health care. hughee99 Jul 2012 #68

"Is it worth it in the long run? Absolutely." Then... What is your problem? Ohio Joe Jul 2012 #71

You're not really reading what I'm writing at all, are you. hughee99 Jul 2012 #72

Non-sense, I've read every word... repeatedly. You are just not making sense. Ohio Joe Jul 2012 #74

I don't predict doom, hughee99 Jul 2012 #75

Yes, no doom Ohio Joe Jul 2012 #78

Fair enough, let me rephrase that. hughee99 Jul 2012 #80

More educational grants for those entering the medical field and 0% interest loans Incitatus Jul 2012 #90

The ACA contains provisions for training more primary care physicians frazzled Jul 2012 #43

Most the stuff I've seen a doctor for over the years could have been handled quite capably by a kestrel91316 Jul 2012 #46

You gotta have those too. Quicker to ramp up than MD's but far from trivial TheKentuckian Jul 2012 #73

ACA includes substantial funds for increasing the pool of general practitioner physicians, kestrel91316 Jul 2012 #82

I didn't indicate the issue was not addressed by the Wealthcare and Profit Protection Act TheKentuckian Jul 2012 #91

Patients will go to the doctor with problems that can be dealt with in ten minutes... hunter Jul 2012 #48

capitalism hates a void spanone Jul 2012 #50

My personal physicians office used to be standing room only and he was working 6 days a week NNN0LHI Jul 2012 #54

no more golf on Wednesdays?..... madmom Jul 2012 #56

40? ...oh sure ...out of 330 million people ...sorry I don't believe that stat. L0oniX Jul 2012 #65

It is around 50M. Warren Stupidity Jul 2012 #66

A good start would be to declare the AMA a union and regulate it. Egalitarian Thug Jul 2012 #70

The ACA also provides money for more clinics and for Motown_Johnny Jul 2012 #76

that kind of argument seems to me to say d_r Jul 2012 #77

CHCs. Bernie got 10 billion for them. cali Jul 2012 #79

So our health system is good quaker bill Jul 2012 #81

The 40 million have always had 'access' to healthcare. former9thward Jul 2012 #83

+infinity. KG Jul 2012 #84

Many will be eligible for Medicaid -- no, or very low (like $2), copays. Hoyt Jul 2012 #88

But the SC gave states the right to opt out of expanded Medicaid. former9thward Jul 2012 #92

Most of them will take it. Why not, states are paying for it now and it's almost all federal money. Hoyt Jul 2012 #93

access to health insurance does not equal access to healthcare CleanLucre Jul 2012 #89

I would think that, in the short term, it could be a bit tougher to get into a doctor. xmas74 Jul 2012 #94