nurse

Dear President Obama, I have been supporting my daughter for the past 3 yrs. and can no longer do so.  She is a nurse that cannot find a job.  When she was just out of nursing school, she took a job with a Hospital in Midland Texas.  I am sure you have heard the saying "----eat their young".  This happended to my daughter on her first job.  Her license was taken away.  This was due to  nurses who happened not to like her, or the way she looked.  Since that time, she has struggled.  She is cleaning homes for a living, has no car, and I can no longer pay her rent, utilities, food, etc.  PLEASE help my daughter find a job.  She has taken all the necessary courses and worked hard to have her license reinstated in order to resume her career.  No one give her the oppertunity.  She has suffered from deep drepression, fatigue,  in the past, all because she cannot find employment in the field she so looked forward to working in the rest of her life.  She is a wonderful person, and her patients have loved her. She has so much to offer. Can someone with your admistration please contact her and help her find a job.  Within a month, I am afraid she will be homeless and it is killing me.  Please contact her at the following address: Sarah K. Lieberenz, 2649 Hazel Court, Denver Colorado  80211, her phone number is 303-906-9704. While I am typing this e-mail letter, I am watching the Nightly News.  I see you are vacationing with your lovely daughters, while I sit here worried about my daughter becoming homeless.  She just wants a job as a nurse.  She made a couple of mistakes that should have not had the consequences they did.  PLEASE, we need your help. Sincerely, Anita L. Wood Read more about My Daughter Needs a Job

Mr. Presidnt, As a construction worker in Connecticut it is hopeless finding a job. Today the CT Labor Dept has said Connnecticut lost another 3,800 jobs in construction. Do I become a nurse after 22 years as a carpenter. I can't even do that because I would loose everything and everything is what I'm trying a save.We need help and it is not coming. Everyone needs help . A tier 5 must be passed. Hundreds of thousands of people have no jobs and no unemployment. When people can't feed there families they do bad things . Mr president do not let it get to that point.   Sincerly Drew Takas

Dear Barack Obama: As a registered nurse for over 20 years, I am outraged by the healthcare plan. I see physicans dropping medicare, and beginning to close their doors all together, as they do not wish to have their personal relationship with their patients interfered with and controlled. My son has now given up his pre-med college dream. I see small business owner friends laying off people becasue of the increase taxes and costs of this health care plan. How could you fail to address the core issue of health care reform and creat this socialist hostile take-over of our country?  

I work in healthcare as nurse.  95% of what I do is patient advocacy.  I fight every day to help uninsured and underinsured people get the care that they desperately need.  Daily I write appeal letters to insurance companies, put people in touch with patient assistance programs, and educate about being proactive when choosing an insurance policy.  You were right when you said “the system is broken”.  The only thing worse than telling a person and their families that they will not be receiving treatment, is being the patient.   It is my opinion that the one’s making the most noise about the bill, are  the ones that can not only afford health care, but can afford the air time to broadcast their opinion to the mass population. The underinsured and uninsured don’t have the means to appeal to the nation, that they too deserve to live healthily in America. You are that voice.  I am ashamed of all the people that do not support such an important step in the right direction.  This bill is not perfect, but it’s a start.  I commend and support you for all that you do.  You are the beginning of the change that we so desperately need in the country.   Thank you for all that you do.

I have been a nurse for 15yrs. I presently am an Administrator for a great healthcare company named Davita. I have seen the discrimination in healthcare firsthand. Prior to doing what I am presently doing I worked in the ICU and ER in all of the systems. Federal (The New Orleans VA), the State (Charity Hospital) and Private(Touro Infirmary). All systems have there advantages and disadvantages. The VA in New Orleans gave first class care to our Vets. The problem? No continuity. Teaching hospital with no processes in place. Tons of unneccessary lab tests and procedures ordered by inexperienced MD's with no supervision. The State system the same. Then in the private system, total control, pt's not receiving tests or tests because of cost or not enough man-power to fight to get the pt what is needed. Authorizations and red-tape from bureacy. MD's governed by non-medical entities deciding more about financials than what is right! MD's who are more business men than they practice the art of medicine. Yes I said art. Medicine is special in the fact that it is both logical and creative at the same time. That is what it takes to care of individual people. First, we do the logical, then we get creative. The problem is there are either no processes in place and we get creative before it is necessary or our processes are so un-flexible that they won't allow any creativity when it is needed. I believe I have a solution to all these problems. First, we need a committe, not made up of congress, made up of the Countries foremost leaders in healthcare. Doctors, Nurses and CEO's that run hospitals, clinics, and dialysis centers that have track records of balancing both clinical outcomes and financial success. Also, this committee needs Doctor's, Nurses and CEO's who are not successful balancing both clinical outcomes and financial security. This committee needs to sit down and find out what makes success and what are barriers to succes? What can be controlled? And What can't? Then, Legislation can be made around what can be controlled. Processes that make sense. In all my years of being a nurse. I have never been so impressed than the company I work for now. Davita receives a majority of money for services from medicare. Truth be told, are profit solely comes from our commercial patients. Which are a very small percentage of the patients we take care of, yet we are a fortune 500 company? Not only are we a fortune 500 company, but we lead the world in pt outcomes. Why? Because we have processes in place that make sense. Davita cuts all waste that has nothing to do with pt outcomes. We count supplies. We do not draw up medications until the patient is present. We use protocols that work on over 70% of patients. Leaving only 30% in which we need to be creative. 70% using the least amount of resources, 30% costing more money, but who cares because that what it takes to get 100% of patients to have great clinical outcomes and 40% savings. When a nephrologist orders something that is creative, it is reviewed by our Office of Chief Medical Office, other nephrologist review the neccessity. It is nephrologist to nephrologist making decisions. This is were financials vs need should be made. I will have you know, I have never seen them deny, no matter how much Davita will lose in financials, something an individual patient needs!! They are able to do this because of all the processes in place to cut out waste. Now do not get me wrong. We do one specialty, a hospital does a thousand. However, I believe what we do at Davita can be done in a hospital. Standard ordering for initial onset of pt complaint. However, having a MD that does not work for an insurance company or hospital, available to agree or disagree with being creative because of the patient's individual needs. Lastly, if all standards of care are done per protocol, lawsuits need to be restricted. Most waste in healthcare comes from over-ordering tests because of fear. I believe lawsuits in healthcare should be restricted to negligance only. Negligance meaning, we did not follow the acceptable standards of care for the pt's compaint. Basicaly, Best Demonstrated Practices need to be followed. They have already been written, they just need to be followed. In conclusion, I support Healthcare Reform, however, I do not want my government to make the rules. I want medical professionals to tell my government what is needed in health care reform and my government to respond to those needs. I feel you would succeed if the committe I proposed to you, told the American people the facts, then you all. No offense, but what do you know about healthcare and working with sick people? The 23 yr old that has medicaid(and has no health issues keeping them from work), the $10.00 and hr warehouse worker(who works but has no healthcare and qualifies for nothing or it is too expensive), my personal favorite, the 55yr old(who has worked all there life, they have some savings, maybe a 401k, private insurance, then then they come down with rheumatoid arthritis, can't work, can't afford cobra, don't qualify for anything and when you call Charity there is no room for this person in there program. On top of that they have to wait a whole year for disability) I don't mind paying for the less fortunate, however, I think most middle class americans are sick and tired of nothing being available to them when they are in need. We need to get are priorities straight. We need to start spending money with some priority. Just like social security, those who put in the most, should get the most! The government should start taking care of people who are deserving of this support. Then whatever is left, take care of who we can. Trust me when I tell you that no matter how cruel everyone thinks it is, we need to stop paying for nonsense. A 23yr old male with no health issues who has medicaid? An 18 yr old who gets medicaid because she has a child? I will gladly pay for the child, but the mother?? Personally, I agreed with George Bush on this one subject. We should just pay for all children until they are 18, extend it to 23 if they are in college. This alone might help the 10 dollar an hour worker, he would just have to pay for 2? How about legislation to make insurance companies charge what is fair in comparison with the person's salary? Anyway, I have gone on and on and on. I am very passionate about what you are doing. If you ever want to talk my name is Heidi Cambiotti RN and my phone number is 1-504-228-1075. Many of my RN friends encouraged me to write this letter.

Dear Mr. President, I am a retired RN and have worked in health care for over 45 years. I am now a senior citizen and have time to actually read the proposed Health Care Reform Bill if I could find it. I know it is many pages long and I'm sure boring but I would like to try. If you can tell me where I can get a copy I will read it, then be able to really tell you how I feel If you can also assure me the plan will be the same for all current and future elected officials it would be a more credible sell to the citizens of our nation. We do need health care reform but we need to take the time to do it right so it will not bankrupt the country and be fair to all. Respectfully, Ann DaSilva