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	<title>Comments on: California: Home of the Nanny State</title>
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	<link>http://www.kevinmd.com/blog/2007/08/california-home-of-nanny-state.html</link>
	<description>medical blog</description>
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		<title>By: emmy</title>
		<link>http://www.kevinmd.com/blog/2007/08/california-home-of-nanny-state.html/comment-page-1#comment-78870</link>
		<dc:creator>emmy</dc:creator>
		<pubDate>Sat, 11 Aug 2007 19:21:00 +0000</pubDate>
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		<description>I don&#039;t agree that it has to be a nurse, but if my daughter was diabetic I would want someone trained in diabetic care in her school at all times.</description>
		<content:encoded><![CDATA[<p>I don&#8217;t agree that it has to be a nurse, but if my daughter was diabetic I would want someone trained in diabetic care in her school at all times.</p>
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		<title>By: Kathleen Weaver</title>
		<link>http://www.kevinmd.com/blog/2007/08/california-home-of-nanny-state.html/comment-page-1#comment-78865</link>
		<dc:creator>Kathleen Weaver</dc:creator>
		<pubDate>Sat, 11 Aug 2007 13:39:00 +0000</pubDate>
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		<description>You haven&#039;t gotten the whole point of the legislation.&lt;br/&gt;&lt;br/&gt;The federal law requires that there be someone at the school to provide medical care for diabetic children.  &lt;br/&gt;&lt;br/&gt;However, few school districts can afford the trained medical staff to provide for the students.&lt;br/&gt;&lt;br/&gt;In the past, school districts would try to send all the students needing trained medical care to the same school, but parents did not like the solution.&lt;br/&gt;&lt;br/&gt;The compromise is to allowed trained, non-medical personnel to provide the care at the individual schools -- in other words, train teachers or clerical staff to care for these students rather than nurses.&lt;br/&gt;&lt;br/&gt;This is what many states are doing.&lt;br/&gt;&lt;br/&gt;The education unions are against it because they want more nurses in the schools.</description>
		<content:encoded><![CDATA[<p>You haven&#8217;t gotten the whole point of the legislation.</p>
<p>The federal law requires that there be someone at the school to provide medical care for diabetic children.  </p>
<p>However, few school districts can afford the trained medical staff to provide for the students.</p>
<p>In the past, school districts would try to send all the students needing trained medical care to the same school, but parents did not like the solution.</p>
<p>The compromise is to allowed trained, non-medical personnel to provide the care at the individual schools &#8212; in other words, train teachers or clerical staff to care for these students rather than nurses.</p>
<p>This is what many states are doing.</p>
<p>The education unions are against it because they want more nurses in the schools.</p>
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		<title>By: Nurse K</title>
		<link>http://www.kevinmd.com/blog/2007/08/california-home-of-nanny-state.html/comment-page-1#comment-78858</link>
		<dc:creator>Nurse K</dc:creator>
		<pubDate>Sat, 11 Aug 2007 06:14:00 +0000</pubDate>
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		<description>As a person who used to be a diabetic kid, I can attest to the fact that it is not hard to poke my finger and give me sugar cubes if my blood sugar is under a certain number.  However, this was back when no one had lunchtime shots and lunch was covered by NPH.&lt;br/&gt;&lt;br/&gt;Most school districts around here anyway have a school nurse come a certain # of hours per week; otherwise the health aid is there.  The nurse is available by phone if there is a question on what to do for a certain child&#039;s treatment.  Also, I noticed in my nurses&#039; training (we had to go to schools) that the aids or nurses would basically take verbal orders from mom or dad if they were reliably informed.  &quot;Your son&#039;s blood sugar is 65, how many lunchtime units of humalog would you like him to take?&quot; etc.</description>
		<content:encoded><![CDATA[<p>As a person who used to be a diabetic kid, I can attest to the fact that it is not hard to poke my finger and give me sugar cubes if my blood sugar is under a certain number.  However, this was back when no one had lunchtime shots and lunch was covered by NPH.</p>
<p>Most school districts around here anyway have a school nurse come a certain # of hours per week; otherwise the health aid is there.  The nurse is available by phone if there is a question on what to do for a certain child&#8217;s treatment.  Also, I noticed in my nurses&#8217; training (we had to go to schools) that the aids or nurses would basically take verbal orders from mom or dad if they were reliably informed.  &#8220;Your son&#8217;s blood sugar is 65, how many lunchtime units of humalog would you like him to take?&#8221; etc.</p>
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		<title>By: RoseAG</title>
		<link>http://www.kevinmd.com/blog/2007/08/california-home-of-nanny-state.html/comment-page-1#comment-78849</link>
		<dc:creator>RoseAG</dc:creator>
		<pubDate>Sat, 11 Aug 2007 00:00:00 +0000</pubDate>
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		<description>I agree that you missed it on this one. &lt;br/&gt;&lt;br/&gt;Should the Mom or Dad of diabetic child quit work so they can show up at school to do the diabetes monitoring? Wouldn&#039;t you like to hire a nurse or receptionist who had to leave a couple of times a day to monitor her child? &lt;br/&gt;&lt;br/&gt;Heck, they hand out tons of pills at schools every morning for ADD and the like, and those aren&#039;t nearly as life threatening as diabetes.</description>
		<content:encoded><![CDATA[<p>I agree that you missed it on this one. </p>
<p>Should the Mom or Dad of diabetic child quit work so they can show up at school to do the diabetes monitoring? Wouldn&#8217;t you like to hire a nurse or receptionist who had to leave a couple of times a day to monitor her child? </p>
<p>Heck, they hand out tons of pills at schools every morning for ADD and the like, and those aren&#8217;t nearly as life threatening as diabetes.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2007/08/california-home-of-nanny-state.html/comment-page-1#comment-78847</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Fri, 10 Aug 2007 22:57:00 +0000</pubDate>
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		<description>This isn&#039;t an nanny state issue. Nanny state is the government telling you have to wear a seat belt, you can&#039;t ride 4-wheeled ATVs and you can&#039;t have a black bottomed pool--good advice in those circumstances.&lt;br/&gt;&lt;br/&gt;As anon 3:15 pointed out, there is no way a parent can monitor a kid&#039;s blood sugar while they are in school. This is about another government service offered to help kids--and it certainly will.&lt;br/&gt;&lt;br/&gt;You can argue that the government shouldn&#039;t offer this service but you can&#039;t argue that it is an example of a &quot;nanny state&quot;--you misunderstand the term.</description>
		<content:encoded><![CDATA[<p>This isn&#8217;t an nanny state issue. Nanny state is the government telling you have to wear a seat belt, you can&#8217;t ride 4-wheeled ATVs and you can&#8217;t have a black bottomed pool&#8211;good advice in those circumstances.</p>
<p>As anon 3:15 pointed out, there is no way a parent can monitor a kid&#8217;s blood sugar while they are in school. This is about another government service offered to help kids&#8211;and it certainly will.</p>
<p>You can argue that the government shouldn&#8217;t offer this service but you can&#8217;t argue that it is an example of a &#8220;nanny state&#8221;&#8211;you misunderstand the term.</p>
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		<title>By: Zagreus Ammon</title>
		<link>http://www.kevinmd.com/blog/2007/08/california-home-of-nanny-state.html/comment-page-1#comment-78845</link>
		<dc:creator>Zagreus Ammon</dc:creator>
		<pubDate>Fri, 10 Aug 2007 22:13:00 +0000</pubDate>
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		<description>Off base, out-to-lunch...</description>
		<content:encoded><![CDATA[<p>Off base, out-to-lunch&#8230;</p>
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		<title>By: ER doctor</title>
		<link>http://www.kevinmd.com/blog/2007/08/california-home-of-nanny-state.html/comment-page-1#comment-78843</link>
		<dc:creator>ER doctor</dc:creator>
		<pubDate>Fri, 10 Aug 2007 21:44:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/08/california-home-of-the-nanny-state.html#comment-78843</guid>
		<description>I agree, there needs to be someone at the school to help children who need help. It&#039;s the state that&#039;s requiring it be a nurse. Perhaps an &quot;all-purpose&quot; aid would be just as good.  Afterall, we send our blind diabetics home with the expectation that they will be able to monitor their sugar, and administer insulin - surely any responsible adult &quot;aid&quot; can do the same.  Nurses are expensive and in short supply...that&#039;s the problem.  Allow someone else to do the job...afterall, it&#039;s not a difficult job nor does it require a degree or a medical background.</description>
		<content:encoded><![CDATA[<p>I agree, there needs to be someone at the school to help children who need help. It&#8217;s the state that&#8217;s requiring it be a nurse. Perhaps an &#8220;all-purpose&#8221; aid would be just as good.  Afterall, we send our blind diabetics home with the expectation that they will be able to monitor their sugar, and administer insulin &#8211; surely any responsible adult &#8220;aid&#8221; can do the same.  Nurses are expensive and in short supply&#8230;that&#8217;s the problem.  Allow someone else to do the job&#8230;afterall, it&#8217;s not a difficult job nor does it require a degree or a medical background.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2007/08/california-home-of-nanny-state.html/comment-page-1#comment-78833</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Fri, 10 Aug 2007 20:15:00 +0000</pubDate>
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		<description>I think  you&#039;re being a bit too hard on the schools -- even the most responsible parent can&#039;t monitor a 7-year old&#039;s blood suguar while the kid&#039;s in school. &lt;br/&gt;&lt;br/&gt;This isn&#039;t a nanny-state issue at all.</description>
		<content:encoded><![CDATA[<p>I think  you&#8217;re being a bit too hard on the schools &#8212; even the most responsible parent can&#8217;t monitor a 7-year old&#8217;s blood suguar while the kid&#8217;s in school. </p>
<p>This isn&#8217;t a nanny-state issue at all.</p>
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