A Cure for the Nursing Shortage

Category : Region I

A Cure for the Nursing Shortage

Erickson Column: A cure for the nursing shortage

 

Jerry Erickson
Published: April 29, 2009

Although some nurse job seekers are finding that a tough economy means less job options, this appears to be temporary. Currently, as hospitals and other medical providers experience the same economic downturn as the rest of us, the national nursing crisis may be on a hiatus.  However, as a recent Washington Post article explained, “The economic downturn has put a Band-Aid on one of the most vexing problems in health care, a shortage of nurses that has slowed care at some hospitals and forced others to turn away the ill.” 

Once the economy picks up steam and rights itself, it appears likely that we and our aging baby boom population in particular will face a nursing shortage that is more severe than ever. Hopefully, we’ll have more citizens deciding that nursing is the field for them, especially given the demand. One other solution involves the reform of our immigration system so that U.S. employers can hire foreign-born nurses in a timelier manner.

Due to increased population growth in recent decades, Prince William County and the rest of Northern Virginia have suffered acutely from this dearth of health care professionals. A shortage of nurses means higher costs to patients and a lowered standard of care. Not having enough nurses also constricts economic growth, as businesses must locate in areas that can provide adequate medical staffing and other services for their employees. In 2005, the Northern Virginia Health Care Workforce Alliance (NVHCWA), a coalition of private sector, business, government, community, health care and
educational leaders, published a study finding that there is a current shortage of 2,763 health care workers in Northern Virginia that is expected to grow to 7,791 by 2010 and to 16,595 by 2020.

As the baby boomer population slides into its mid-60s and the growth of the U.S. population outpaces projections, the resources of our health care industry are becoming increasingly strained. Federal experts forecast that the nursing shortage will grow to 275,000 by 2010 and to 1 million in the following decade.  This shortage is not solely linked to a lack of interest in nursing, but also the lack of instructors to teach the necessary skills to become a nurse. 

These statistics should come as no surprise. Studies discussing the baby boomer burden on nursing were published as early as 2000 in the Journal of the American Medical Association.

To ease the shortage of nurses in the U.S., hospitals and nonprofit groups are turning to innovative recruitment and retention programs for nurses. Locally, Potomac Hospital in Woodbridge offers full scholarships to area nursing students who agree to work for the hospital after graduation. INOVA Fairfax Hospital sponsors a children’s summer camp to promote interest in the nursing field and has created programs to improve the overall quality of life for nurse employees. The NVHCWA works to implement programs that recruit and retain health care professionals, including promoting careers in health care to middle school-, high school- and college-age students. These programs and other education initiatives should help cultivate more American-born nurses in the long run, but a change in immigration regulations would ease the more acute nursing shortage that has been predicted.

Under current immigration laws, it’s difficult for U.S. hospitals to turn to the international nursing population to fill the shortage. The most recent “relief” offered in response to the nursing shortage was the Nursing Relief for Disadvantaged Areas Reauthorization Act of 2005. The 2005 Act expires in December 2009.  Under the Act, a nurse can only qualify for an H-1C non-immigrant visa if he or she is going to work for one of the 14 qualified sponsor hospitals, none of which are in the Northern Virginia area. Other types of visas for nurses are extremely limited as well. With the expiration of the 2005 Act coming later this year, a proposal for immigration relief has yet to be considered.

Additionally, the Obama administration has made it clear that health care reform is a key agenda item. In order for health care reform to even be viable, an increased medical work force will be required. So relaxing the restrictive immigration rules for foreign nurses will accomplish more than one goal. Not only would this help to relieve the nursing shortage and provide care to those in need under our current health care system, but it would also set the groundwork for the much-needed reform in the health care industry.  And as a practical matter, foreign nurses create a more diverse nursing workforce, where multi-cultural and multi-lingual skills have proven necessary and are invaluable. 

The above information is provided for informational purposes only.  The information should not be construed as legal advice and does not constitute an engagement of the Szabo, Zelnick & Erickson, P.C. law firm or establish an attorney-client relationship with any of its attorneys.  An attorney-client relationship with our firm is only created by signing a written agreement with our firm.

Jerry Erickson is the managing partner of Szabo, Zelnick, & Erickson, P.C. www.szelaw.com and the senior attorney in the firm’s Business Immigration Section. He has practiced law for over twenty years and represents clients in numerous complex areas of immigration law. He can be reached at jerickson@szelaw.com.

Jerry has been a partner with the firm since 1989. Prior to joining the firm, Jerry was selected for a Judicial Clerkship in 1984 to work for the Judges of the Circuit Court of Prince William County.

The Prince William County Bar Association has previously elected Jerry to serve as one of its members on the Judicial Selection Committee. He has also been selected to lecture on behalf of the Virginia State Bar on issues related to ethics and professionalism.

Jerry received his Bachelor’s Degree from George Mason University in 1981 and his Juris Doctor from George Mason School of Law in 1984. He has been a member of the Virginia State Bar Association since 1984 and is a member of the American Immigration Lawyers Association, the International Business Committee and the Virginia State Bar International Practice Section. He is admitted to practice in the U. S. District Courts and the U.S. Court of Appeals for the Fourth Circuit as well as the U.S. Supreme Court.


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An Alternative Promise of Cancer Cure

Category : Region V

An Alternative Promise of Cancer Cure

Despite all the medical research work and therapeutic advances behind the treatment of cancer, from surgery, chemical to radiation solutions, the cellular anomaly remains a deadly disease that, in 2007 alone, killed 7.6 million people worldwide.  Once detected, cancer patients often have little prognosis to a remission and the cancer’s inevitable progressive malignancy is certain to cause death.  But detected early, the chance for a cure increases.

Curing Cancer

Recognizing the cause of any disease is always the best place to start in treating it.  But because cancer is a class of disease that can affect any part of the body, there is no single panacea any more than there is a singular cure for all infectious diseases. While cancerous cells can be traced to DNA mutations that cause abnormal cell growth, there is really no known cure in the sense of reversing the cause.

Surgery can excise the malignant body tissue or organ, chemotherapy and radiotherapy can attack and destroy anomalous malignant cells, but they all work to treat the metastatic condition in the hope of arresting the spread, not the cause. Hence, it is not unusual the patients in remission can develop cancer anew after a few years.

But in most cases, especially in either radiation or chemotherapy, destroying malignant cells also destroy the healthy adjacent cells which cause the patient to suffer diminished health in the process.

Alternative Treatment

One promise in cancer treatment belongs in the province of alternative medicine and surrounded with controversy. Specifically categorized as a bioelectronic therapy, it’s the Royal Rife machine. Its therapeutic efficacy is premised on the theory that diseases like cancer are caused by viral and bacterial infection which can be treated by radio frequencies precisely tuned to the intrinsic resonant or signature frequency of the offending virus or bacteria to destroy them.

Its efficacy is bolstered by the fact that adjacent healthy cells are not destroyed.  It’s essentially a soprano sustaining the right note to shatter a crystal glass and nothing else.  The scientific phenomenon is simply brought to cellular dimensions and medical application.

Developed by Royal Raymond Rife (1888 – 1971) during the 1930s, the frequency generating machine has been tested on cancer patients with a startling 100% recovery rate as witnessed and documented by a few peers form the University of Southern California in 1934.  The book “The Cancer Cure That Worked” by Barry Lynes published in 1993 has revived interest in the invention and spawned various devices that promise to the deliver the same cancer-curing quality of the original.

It is commonly claimed that the advances in modern medicine and surgery and other FDA approved therapies have increased the survival rates in cancer patients to about 61% over the last 30 years.  In the US alone, about 1.5 million have been diagnosed with cancer every year with a mortality rate of 1 out of 4 patients.

But had the Royal Rife machine been given the rigors of independent verification and testing at the time it was revealed, it is not unthinkable that the mortality rates could disappear entirely.

Visit our site today at http://www.cancertreatmentstoday.com

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Globalhcf and Medical Tourism: a Cure for the High Price of Medical and Dental Costs

Category : Region II

Globalhcf and Medical Tourism: a Cure for the High Price of Medical and Dental Costs

GlobalHCF and Medical Tourism: A Cure for the High Price of Medical and Dental Costs.

Did you know that over 47 million people have no medical insurance in the United States? Yes, 47 million people! The entire United States population is estimated at close to 300 million people. To give you a perspective of that number – it is more than the estimated aggregate populations of Tennessee, Georgia, Alabama, Florida, Mississippi and South Carolina. The number of people without dental insurance is estimated at 120 million. And, we have not started to talk about the under insured of our population. But I suppose these numbers will do. They are so large that it’s hard enough for most of us to grasp anyway.

When we talk about the uninsured many think that we are talking about the poorest of poor in our country. And while that is partially true, it does not make up the majority. Approximately 80% of the United States is made up of small to medium size enterprises or businesses – called SME’s. Many of these SME’s can not afford the cost of providing insurance coverage to their employees any more than the employees can cover the cost of premiums on their own. Many of these uninsured and underinsured are the working population, the retired, the elderly, those on fixed incomes, single parents, and yes, the working poor. But these folks are not the only people who can not afford medical and dental insurance. The owners of the SME’s can not afford insurance for their own families as they struggle to compete in today’s increasingly competitive global market. Even people who have jobs that help cover some of the cost of insurance premiums find they are being asked to assume more and more of the cost yearly. Even big business is struggling under the cost of health insurance in the United States.

Increasing medical costs and decreasing health benefits, is taking a heavy toll on those with either no insurance or a limited coverage. At an age when health benefits are most sought, people struggle to stay healthy instead, for fear of rising medical bills. But an accident or a major illness can completely wipe out a lifetime of savings and quickly put either a person or a business into bankruptcy. We also increasingly see in the news of large health insurance providers systematically dropping those who have paid their premiums religiously just when they need it the most. For a business it’s difficult to hire and then keep good employees when they are seeking medical and dental benefits for their family.

I guess all of us can see why this problem has been given so much coverage in politics today. And while it is a worthy banner to fly at election time – it is one illness that is going to be very hard to cure. And if there is a cure it will be slow arriving.

One of those SME’s of the Upper Cumberland’s is addressing this issue of health care for businesses and individuals alike. Global Health Care Facilitators (GlobalHCF) of Nashville and Cookeville Tennessee have for the past year been trying to help businesses and individuals obtain medical and dental care for at realistic and affordable prices.

An interview with Dr. Bill Thomas explained the practice and interest that global health care facilitating is producing. He explains that global travel to receive the best medical has been around for centuries. Many people travel to Canada, Germany, the U.S. and the U.K. to receive top level medical and dental care. People in Tennessee have no problems going to Vanderbilt in Nashville or the Mayo Clinic in Minnesota. Of course these hospitals come with a high price. Even a trip to a local hospital can easily cost upwards of ,000 for a 3-4 day stay. GlobalHCF offers another alternative.

Dr. Thomas explains, “GlobalHCF has contracts with most world renowned Joint Commission International (JCI) accredited hospitals and physicians worldwide.” He further explains that JCI is the accrediting body for international hospitals similar to what JCAHO is for U.S. hospitals. The primary difference is that the cost is up to 70-80% less than here in the United States.

In a recent procedure, Dr. Thomas explains that a “Birmingham Resurfacing Procedure” which costs approximately ,000 in Nashville was done for a total of 00 at the world class Wockhardt hospital in India. Recently a lady had breast augmentation for a total of 00. This is not unusual. He can tell you of procedures ranging from drug addiction assistance to heart surgery where in every case the cost was a fraction of what it would cost in the Unites States.

“Everyone read the front page of the Tennessean recently which discussed this current trend in businesses and individuals alike” he said. In fact search of the internet also shows several very positive documentaries from CBS, FOX, NBC and 20/20 concerning this practice. In fact this author had difficulty finding someone who had a negative experience with this process. Dr Thomas attributes that to the “increased standards of care a person receives at these hospitals”. Almost all of the hospitals literally cater to the foreign visitor like a dignitary. They are offered the very best care as they know their reputation depends on what is brought back to the U.S. GlobalHCF follows and tracks every customer and patient with the hospitals, Complaints of any kind must be answered and a plan put in place to prevent it from happening again. Dr. Thomas says the worst complaint is timing. So many people are taking vacations and getting treatment in the medical tourism that it’s difficult to move fast enough. “Your health is a matter we take seriously” he says. It is very important that the client talk with the doctor about their procedure, that the doctor reviews the files of the patient and that the patient checks out the hospital and physician thoroughly. “We don’t like surprises and insist on everything be perfect before you arrive” Dr. Thomas remarked. GlobalHCF not only helps partner the patient with the right doctor, GlobalHCF also makes travel arrangements, takes care of accommodation and food. In many cases 24 hour nursing is made available and the clients spouse travels and stays in the hospital suite at no extra charge.

Businesses have seen a huge potential with their service. GlobalHCF is able to offer what amounts to major medical coverage for some procedures at a fraction of the cost of current medical costs. Small businesses are signing up with GlobalHCF to provide coverage for their employees and owners alike. Dr. Thomas stated that “It’s like having coverage and your premiums never leaving your own pocket. We take care of all the paperwork for the company and individual and lead clients all the way through the process. We are definitely a value added process to any company’s benefit package and employee retention program.”

Dr. Thomas, a seasoned traveler himself says that though life-saving medical procedures like heart surgeries, cancer treatment and elective surgeries like dental implants and cosmetic surgery cost are less than the costs of a procedure in the US, it is not because of a lack of expertise. The industry see’s it as rather a lack of malpractice suits and high administrative costs, which has crippled the health industry here. A surgery which would cost 50,000 dollars and above here in hospital charges alone can be performed for as less as 10,000 dollars all inclusive of medical costs, plane fare and a holiday package, a realistic amount which can be put together with savings and loans. While medical and dental care in the U.S. is overall excellent, the U.S. does not have a monopoly on great physicians or hospitals. Many of the physicians in these foreign hospitals have received the very same training as U.S. physicians, in the very same universities, and then went home to practice their craft.

Countries like India which are actively promoting medical tourism are increasingly seeking JCI certification, to instill faith in the medical tourists coming to them, very well realizing that the publicity generated by one surgery could de-rail a burgeoning industry, expected to jump 30 percent every year. Besides the hospitals equipped with the latest medically advanced diagnostic equipments, Indian pharmaceutical companies also meet stringent requirements of the US Food and Drug administration. Medical advancements have meant that Indian doctors can now perform the hip re-surfacing surgery among others where the damaged bone is scraped away and replaced with chrome alloy, an operation which costs less and causes less post-operative trauma than the traditional hip replacement procedure done in the US. Recently, Tourette’s disease has produced a high number of people looking for the latest in curative techniques.

To those who refuse to believe that anything could surpass the medical treatment available here in the US, there are statistics to show that the doctors in these developing countries, have far more expertise and a higher success rate in handling complicated life-saving surgeries, than the doctors here in the US, thanks just to the sheer volume of surgeries they handle on a daily basis. Besides in most cases, treatment here in the US is hardly an option for those with little or no insurance. In such a scenario, if traveling to an exotic destination would mean that they can be healed and lead a productive life post-surgery, instead of wasting away for want of expensive, medical care, then it certainly seems worth taking that one chance. Dr. Thomas asks that you stop by and visit Global Health Care Facilitators on the web at www.GlobalHCF.com and see what they can do for your business, the individual, and people who need help finding an assisted living home.

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