You still haven't told me how you know Bush was trying to stick it to the people? Don't you think he thought he was doing the right thing on stem cell research, regardless if it was misguided or foolish? I was trying to say that I tend to give all Presidents the benefit of the doubt because I think at their core they are all trying to help this country prosper. Sometimes those decisions blow up, but that doesn't mean there was ill intent. As far as that comment on Bush without his dad, what is he supposed to do? Disown his family and make it on his own? He's in the lucky sperm club, so what. Good for him. Sounds like jealousy more than anything.
You still haven't told me how you know Bush was trying to stick it to the people? Don't you think he thought he was doing the right thing on stem cell research, regardless if it was misguided or foolish? I was trying to say that I tend to give all Presidents the benefit of the doubt because I think at their core they are all trying to help this country prosper. Sometimes those decisions blow up, but that doesn't mean there was ill intent. As far as that comment on Bush without his dad, what is he supposed to do? Disown his family and make it on his own? He's in the lucky sperm club, so what. Good for him. Sounds like jealousy more than anything.
No I don't think it's Bush's fault to get where he got to because of his family, I was just referencing that as I think the guy is a buffoon, a lucky one at that. Maybe he did think he was doing right, but it looks to me like he was putting the $$$$ first and I guess that's just the conservative way. I'm not going to blame the Katrina thing on him, I blame New Orleans mayor first but when he tells the Fema guy "You're doing a hell of a job!" Rubbed me the wrong way and maybe I let emotion get into my politics a little to much.
Oh and I will say sometimes politicians have to put $$$$ first unfortunately, can't help everybody or cater to everyone.
I remember a lady one day sitting next to me in the waiting room with her bag full of lipitor samples in her lap, looking at me in my suit and tie saying "you're one of those pharmaceutical reps aren't you?"
She had an attitude, and a scowl in here voice as she addressed me.
She then proceeded to spill me the "I think it's ridiculous the amount of profit your company makes and how much it costs for drugs. My prescription of Lipitor is over $100 a month."
Now this lady weighed about 300 lbs, obviously a smoker, and very, very unhealthy.
I kindly replied to her "Yes ma'am, you are correct. I am a consumer too and these drugs are expensive, I am glad I don't have to take them"
She sort of looked at me with a weird sense of resent but happiness that I was agreeing with her.
I added, "I guess ma'am you can just stop taking them."
She looked at me appalled and said "but my cholesterol is high and my doctor says I need them"
I just replied, "Well ma'am, I guess that's your choice now isn't it".
The light came on and she turned her back to me.
She had an attitude, and a scowl in here voice as she addressed me.
She then proceeded to spill me the "I think it's ridiculous the amount of profit your company makes and how much it costs for drugs. My prescription of Lipitor is over $100 a month."
Now this lady weighed about 300 lbs, obviously a smoker, and very, very unhealthy.
I kindly replied to her "Yes ma'am, you are correct. I am a consumer too and these drugs are expensive, I am glad I don't have to take them"
She sort of looked at me with a weird sense of resent but happiness that I was agreeing with her.
I added, "I guess ma'am you can just stop taking them."
She looked at me appalled and said "but my cholesterol is high and my doctor says I need them"
I just replied, "Well ma'am, I guess that's your choice now isn't it".
The light came on and she turned her back to me.
Well with all do respect I have been a registered nurse for 18 years this summer, OMG the time has flew, and pharmacies and insurance companies have been a big pain in the ass. Abruptly stopping treatment or medication to go to a less expensive often less effective treatment and even the old "fuck you" just discontinue it. I know some doctors need checks and balances but many are frustrated because as one doc put it, "I'm sick of these fuckers trying to tell me how to treat my patients." Not to mention the nursing hours they soak up.
OK how about the w/c patient who has a stage 2 coccyx pressure ulcer, once it's healed insurance calls to d/c roho cushion, then I have to call the MD or send a fax to d/c cushion then I have to hear the MD bitch about discontinuing the cushion will lead to ulcer when patient is discharged to home. So then I have to write an order to d/c it then contact social services to see what the patient can afford / not afford for alternative.
Do you know how insurance companies develop their guidelines?
That's right, they follow Medicare. Medicare makes their changes, and insurance companies fall in line.
As far as soaking up your hours, Focker, are you talking about the amount of paperwork, letters of necessity, DMERCS, etc. that have to be filled out to get pre-authorizations or approvals?
You can thank Medicare once again for setting that standard.
Please, just stick to your side of the business, taking blood pressure, temperatures, listening to the blue hairs talk about their ailments, and let the companies developing life saving medications do what they do.
You wanna blame someone? Gonna be a sad day for you when you see the final tally of destruction that Obamacare is going to lay on our health care system, once it becomes big enough. And with the rule makers in Congress supporting this disaster, it won't be long.
That's right, they follow Medicare. Medicare makes their changes, and insurance companies fall in line.
As far as soaking up your hours, Focker, are you talking about the amount of paperwork, letters of necessity, DMERCS, etc. that have to be filled out to get pre-authorizations or approvals?
You can thank Medicare once again for setting that standard.
Please, just stick to your side of the business, taking blood pressure, temperatures, listening to the blue hairs talk about their ailments, and let the companies developing life saving medications do what they do.
You wanna blame someone? Gonna be a sad day for you when you see the final tally of destruction that Obamacare is going to lay on our health care system, once it becomes big enough. And with the rule makers in Congress supporting this disaster, it won't be long.
It was a joke, I would never tell an obese woman in a waiting room to lose wait lol. I could get punched. Now if she was a patient I was caring for and her goal was to lose weight, then I have to find a tactful way of doing it. I can't say, "lose some weight." I have to reinforce the prescribed low cal diet and exercise with the benefits or desired outcomes.
When I was in training I had to do a OB rotation, about the WORST PLACE for Me. I was a bit immature the first day, I was shadowing a RN and the patient was 300 plus starting labor and her husband was probably 140. Nurse asked her how much weight have you gained during your pregnancy cause that's something we document. She said, "I lost 32 pounds." I did all I could to hold it in, I almost blurted out with a chuckle. That would of been very bad and unprofessional, but I'll never forge the nurse's facial expression and that almost had me on the ground
k....but you'd be okay, in said setting, to tell her to speak to her M.D about a possible drug switch for financial savings? really? It would eliminate the fear of getting punched, for damn sure. Candidly, if I was in Gas's shoes, fuckin right I would have spoken from my heart. She spoke out with disdain. I'd be tactful, it can be done. Delivery, choice of words. It has to hit--she can be off these meds and save thousands, she needs a lifestyle change. AND she'd be hearing from supposedly a 'big, rich pharma fuck'. If she was offended, reacted angrily ? .......have a nice day lady
