Thứ Sáu, 29 tháng 4, 2022
Can someone please explain this in simpler terms?
NPR News: Your dog is a good boy, but that's not necessarily because of its breed
A new study based on thousands of DNA sequences and owner surveys finds that less than 10% of a dog's behavior — like howling, herding or retrieving — can be explained by its breed.
Read more on NPR
President Joe Biden's administration just temporarily saved health care for 15 million, Congress still needs to act
NPR News: Is sucking carbon from the air the key to stop climate change? Some scientists say so
With the climate getting hotter, scientists are finding that cutting fossil fuels may not be enough. Carbon dioxide emissions may need to be vacuumed right out of the air.
Read more on NPR
Are there any government programs that exist that subsidize the cost of health insurance for lower income individuals that exceed the minimum income threshold to qualify for Medicaid ( ~$18,000/year) ? I live in Illinois.
Couldn’t find anything online and of course any help would be greatly appreciated.
Thứ Năm, 28 tháng 4, 2022
WHO Says 170 Cases Of Unexplained Severe Hepatitis Have Been Found In Children In 11 Countries
NPR News: Moderna asks FDA to authorize first COVID-19 vaccine for very young children
The company says a low-dose version of its vaccine triggers an immune response in children ages 6 months to less than 6 years equivalent to what has protected older children and adults.
Read more on NPR
Medical Debt Forgiveness with Charity Care (ACA)
I'm a volunteer for an organization that I think a lot of people in this sub could benefit from. It's called DollarFor and they're all about using the Charity Care requirement in the Affordable Care Act to get medical debt forgiven. All non-profit hospitals have to have a program set up for this and most people have no idea it exists or how to navigate it.
You can find out if they qualify for this type of medical debt forgiveness here: https://dollarfor.org/help
If you do qualify, they'll give you the option to be guided through the process DIY style or full service where they work closely with you to get the info and submit the claim for you. Either option is totally free.
At the moment, DollarFor is able to help people with medical debt from non-profit hospitals but they're hoping to be able to expand in the future. I see tens of thousands getting forgiven on our internal Slack channel and not enough people know about this.
You can find out all about them at https://dollarfor.org/. If you don't have any medical debt, share this resource with someone else who does! Everyone who falls within the criteria their hospital has put together for their Charity Care program (and it varies by hospital) is legally entitled to either total forgiveness or reduction of their debt.
Diary of a striking Stanford nurse: What’s the plan to win our strike?
Extremely displeased with my health insurance. How can I get a new policy through a new company this time of year?
Self employed, BCBS HMO is a fucking scam. I want to never pay them another cent and find a PPO plan with one of their competitors. How would I do this? I was told on the pay with them that I can cancel any time, but can’t sign back up until open enrollment in November. Do I have any options?
Now I know why Bernie ran on Medicare for all. Private insurance is an unbelievable scam, I can’t believe this is how the system works.
Thứ Tư, 27 tháng 4, 2022
I have written several letters to my local hospital asking for financial assistance.
that fkn Asshole doctor said it wasn't broken, I walked around thinking to was a muscular issue for a MONTH! then I got another x-ray and it turned out it was a broken radial head around the elbow. anyway I cannot pay the extra 80$ they want on top of what insurance paid so I've written many letters saying that I cannot pay and I need them to dip into their charity fund( my dad says that all hospitals have one.) They have not acknowledged receipt of these letters and the most recent letter says it's a final letter and that if I don't pay by may 5 they will go to a collection agency. Has anyone sent one of these letters successfully?
California nurses press for statewide action: “Everyone is stressed out. Everything is more expensive. It can’t continue like this.”
Lack of Covid testing leaves researchers blind to evolution patterns, WHO warns
Your Opinion on Generic Drugs
How do you feel about generic drugs in the place of a brand name one?
In your opinion, do they work the same? Are you pro or con on generic meds? Why? Since there are sometimes multiple generics for the same brand would it make a difference as to which generic you are given. Can one switch from generic to generic without any adverse conditions?
Your opinion can be knowledge-based or life based or anything in between.
Generic drugs are chemically based meds which are close to the chemically based brand. Don't confuse generic drugs with biosimilars which attempt to mimic biologic drugs.
Healthcare Shoe Survey: Taking 5 minutes to share your insights would be greatly appreciated!
Access to EMR?
I was going to an independent clinic. This clinic has a patient portal. This portal allows for you to contact your doctor or nurse practitioners, see lab results, write ups on your visits, medication requests, and refills. Typical EMR stuff.
I recently requested some labs that were not on this portal for whatever reason. I requested said labs because due to an insurance issue I needed to find another provider under my group or pay out of pocket.
I was greeted an hour later with an email telling me to log into the portal to get those labs. When I tried to log in I was given a generic message saying I could not log in and to call the clinic.
When I called the clinic I spoke with someone in the portal IT office. I later found out she is in charge of all the portal for this clinic. She was very short with me. She explained that my access to my EMR was denied, and I quote "because you can not have two active charts at two different providers." Thus, "Your chart was wiped and access to the patient portal was removed."
On this online portal was 2 years of extensive notes from my doctor. She used the term "wiped" three times. I asked for copies and she said she would send a disk. Here is my issue, my new doctor can not see me until August, and I need refills. I called the office and asked if they could get to my doctor and let them know I need refills. She asked my name and date of birth then said, "We don't have a chart for you, which doctor were you seeing?" So I went to the pharmacy, they sent in a request and it has been several days with no reply from the clinic.
Can they deny access to their online portal? Any ideas on how to get refills? This is all a huge mess.
TLDR; Clinic denied access to EMR after telling them I was going to move to another provider.
Leaving my job (with great health insurance) - does health insurance generally stop covering me the day I’m terminated?
Leaving my job and there will be a week off between my old job and new job. Having shoulder issues and have an appointment with a specialist on one of my last days at this job. If i go to this doctors appointment while I’m still employed at my old company will it be covered? Is there ever any carry over? I’ll check my plan too but any experience here would be helpful!
Thứ Ba, 26 tháng 4, 2022
Where to start [insurance]
Hi everyone, I'm a 26m and I'm being tasked with trying to find health insurance for my 59m uncle, who is not considered disabled by the government, but certainly is disabled. He has asthma, COPD, and severe allergies, as well as some sort of developmental disorder. He has no income either and his parents have been moved into an assisted living home. My mother plans to pay for it, I'm just trying to figure out the best avenue to get this started. We live in Texas also. Any input is greatly appreciated
Thousands of Stanford nurses strike over burnout, exhaustion issues
NPR News: Brain scan studies need to get much bigger to offer insight into mental illness
Researchers say most brain scan studies are too small to explain complex human traits like intelligence or mental health. Meaningful insights will require studies of thousands of brains, not dozens.
Read more on NPR
How much would you pay to attend a virtual conference on Black Women's Healthcare and why?
Short Term Health Insurance
(Please pardon me, I'm on mobile and in pain rn)
I don't get any benefits from my job. I don't have health insurance from the Marketplace or anything right now either. But I really need my shoulder looked at, and I don't have the money to pay for it without insurance.
Please, what are my options? I make too much for Medicaid (still going to try to apply) and from my research short-term insurance doesn't cover "preexisting" conditions.
I plan on contacting the Marketplace tonight or tomorrow.
I'm in Indiana in the USA. Please, I'm desperate for advice.
Thứ Hai, 25 tháng 4, 2022
Received two bills after ER visit
Hello, I received two bills after ER visit, one for the ER room and tests done, the other is a physician bill. Is it a normal thing in the U.S.?
I assumed since the fee for the “ER room” is so expensive that it included the paying for the hospital’s employees, like the physician for example.
Chủ Nhật, 24 tháng 4, 2022
My dad had a motorcycle accident and broke his arm and leg.
But the problem is that he has been there for 3 weeks now... He got the operations done but they won't release him. Oh, we're in Italy btw.
What's going on? Is my dad's immune system weak, even tho he had little blood leak? Or that Italian hospitals are lazy?
Plus my dad is getting angry too. He has recently started to fight with the nurses. Not sure if i can relate. Is such behavior common?
Thứ Bảy, 23 tháng 4, 2022
In Search of a Neurotologic Profile in COVID-19 — A Study in Health Care Workers
If you wanted a complete screening to see if there are any undiscovered chronic illnesses, what tests would you get? Where would you find that list?
Any thoughts on how I can get health insurance?
I lost my job back in December. I genuinely thought that I’d get a job quickly so when my husband’s job renewed their health insurance, I said not to sign me up. Well, here we are and I don’t have a job or health insurance. I can’t get on his until next February, I don’t qualify under special circumstances through ACA because I’m also outside of the window, and my husband makes just a bit too much for Medicaid. I have an autoimmune disease that requires maintenance, but so far the lab and medication fees have been minimal. However, there’s something wrong with my leg. It’s affecting my mobility and I need to get seen. Are there any other options? Is sliding scale my only choice? I really screwed up on this.
DROP KICK YOUR MASKS AND GO FOR A FREAKIN' RUN.
Current Causes of Death in Children and Adolescents in the United States | NEJM
Thứ Sáu, 22 tháng 4, 2022
NPR News: How young people are taking action against climate change
Xiye Bastida was raised in the highlands of Mexico with an understanding that she had to thank the Earth for everything it provided. Now, she's dedicated her entire life to the issue of protecting it.
Read more on NPR
Lindsay Polega’s two-year odyssey with long covid shows how the medical system fails many patients
NPR News: This Earth Day, one book presents global warming and climate justice as inseparable
It's still an open question to what degree our planet will remain habitable in the coming years. Elizabeth Cripps offers an urgent message in What Climate Justice Means and Why We Should Care.
Read more on NPR
Is it acceptable to redact bank statements before mailing them to my healthcare provider? (Applying for financial assistance)
is it acceptable to redact bank statements when applying for financial assistance from a healthcare provider?
I’m applying for financial assistance through the FAP (Financial Assistance Program) offered by WellStar, my healthcare provider in Georgia. However, they require me to mail bank statements to help demonstrate need for financial assistance, as outlined in this paragraph from their website:
To be considered for the FAP, uninsured or underinsured patients must complete an application and disclose any sources of insurance and/or means of payment to establish proof of need. A completed FAP application includes all required supporting documents such as bank statements, tax returns and other income verification information to help Wellstar determine eligibility for full financial assistance (indigent care) or partial financial assistance (charity care).
Would blacking out the names of vendors/companies and leaving the dates/charges visible be acceptable, or would that increase my chances of getting denied assistance? There’s not anything nefarious in my statements, but I feel like it’s really none of their business what I spend my money on.
what surgery is needed and is it under insurance?
Study on the Effects of COVID-19 on Mental Health
Thứ Năm, 21 tháng 4, 2022
NPR News: Wildfires are increasingly contributing to unhealthy air
The rising number of fires hamper decades of environmental efforts, and over 40% of Americans — more than 137 million people — live in places with poor air quality, a new report says.
Read more on NPR
Where can I report a doctor who refuses to bill my insurance?
Long story short, decided to try some online therapy. I was told and confirmed that they were in my network as far as insurance goes. Did there sessions. One intake and two sessions. I was billed $800. Problem is they never billed or submitted a claim to my insurance. They don’t answer the phone and there’s no way to reach them by email.
Can I report them for insurance fraud?
NPR News: The DOJ will appeal the recent mask ruling by a federal judge
This decision to appeal comes just two days after U.S. District Judge Kathryn Kimball Mizelle ruled against the federal mask mandate.
Read more on NPR
Alabama ICU nurse describes his front-line pandemic experience to the Global Workers’ Inquest
Is this genuine?
A rant about neurogical care.
Sorry all, I just need to let off steam. Our "local" (they cover about 15% of the state) Healthcare system is bullshit when it comes to any neurological care. 4 years ago, when I was 31, I had 3 strokes in a day. I spent 6 hours in the er waiting room because they thought I needed to sober up. After I didn't sober up, they spent 2 hours treating me for vertigo. When that didn't do anything for me, they finally looked and saw I was having a stroke. For the record, I was there with my wife who is an LPN at the same facility that repeatedly told them I was failing every portion of my fast screen. Once they finally concluded I was having a stroke, I was shoved off in a little side room and essentially ignored. I know this because my wife didn't leave my room while I was there, and my doctor was a personal friend of hers. He never saw me once. When she called him out on it, his response was "If I had known it was your husband, I would have stopped in." Nice to know they care about their patients. A couple years later, I was having major issues with bad vitamin levels, my primary sent me directly to the er to get scanned in a hurry, because my symptoms were showing as another stroke. Er refused to scan and treated me for vertigo, because I am too young to have a stroke, even though a) I've already had a stroke and b) one of their doctors had said that I may be having another stroke.
Now to the part of the story that really pisses me off. Yesterday, my wife had an appointment with her neurologist at 2pm because she's had a migraine for 3 weeks and lost vision in her left eye. Her neurologist sent her to ER to get scans done because she was afraid my wife was having a stroke. We finally left the ER at 2am, her scans were done at 1245. We sat in the ER waiting room until midnight. Of the people that were a bigger priority than us was 1) a woman with a sore tooth 2) a woman who had a stomach ache that ranked 5 on the pain scale and took a tums, 3) a man that was going through alcohol withdrawals and wanted pain meds, and 4) a man who missed his appointment with his probation officer. There were others who actually had major issues that we could see and we understand. The first 3 I mention, I can see how they may point to a larger issue, but I would argue that if a doctor sent someone there with signs of a stroke, that would rank higher than a toothache or a sore stomach. For the record, we were put low on the triage list because a pca that can't look at her record checked her in with the reason being "requested scans from primary". We're now at home, waiting for someone with a brain to read the scans.
We'll still be stuck with the (rough guess, based on my stroke) $5,000 bill. I'm beyond pissed off. I don't know how this is legal, for a hospital to basically say "we hope you die, so long as you leave someone to pay the bill." I'm sorry for the long rant. It just bothers me how people in a profession that's supposed to be about caring for others simply don't. It also bothers me how hospital systems are getting so corporate that only the paperwork matters (at a higher level), and they seem to get monopolies, in that we could drive an hour and a half to get another hospital to do the testing, but they'd start from the beginning, because they wouldn't have the system to see the note from the neurologist.
TL;DR when can Americans have Healthcare, instead of just a money pit that doesn't help anything?
Thứ Tư, 20 tháng 4, 2022
Turns our Work from Home has a positive effect on our Mental Health
NPR News: The judge who tossed mask mandate misunderstood public health law, legal experts say
Judge Kathryn Kimball Mizelle's decision hinged on a definition of the word 'sanitation' that public health experts and legal scholars say missed the mark.
Read more on NPR
NPR News: Climate change fueled extreme rainfall during the record 2020 hurricane reason
Human-induced climate change fueled one of the most active hurricane seasons on record in 2020, with rainfall totals up to 10% higher than in the pre-industrial era, according to a new study.
Read more on NPR
Here's a good one regarding Cologuard
What I learned about how absurd health insurance companies are (yet again) today..
After my annual physical (came back with flying colors btw) my doc said, You're due for your first colonoscopy (even though I'm turning 30 in June) 😉
Kidding, I'm obviously at the age where it's time to get a colonoscopy.
So I said well, instead of enduring that ordeal, what about Cologuard? He said you can try, but insurance won't cover it.
I was baffled, REALLY?? So wait, you're saying insurance will pay for you to have a colonoscope shoved deep up into the business end of you, by total strangers (in an involved procedure at a facility), but if you'd rather just mail your poo in a box then sorry, we won't cover that (as if that isn't way cheaper & you can do it from home)??
(BTW on a side note, I REALLY feel for whoever has the job of opening all those boxes, and I hope they're paid REALLY well).
But then it made sense why my insurance company would rather bend me over & violate me in ways I would never normally consent to even if I was drunk..
It's basically what they do to us every single day
My new book has a title: “Building A Unified American Health Care System: A Blueprint for Comprehensive Reform”
I am excited to announce that John Hopkins University Press will be publishing my (Gil Lancaster) new book on comprehensive (rather than piecemeal) healthcare system reform. It is tentatively scheduled to come out in February 2023.
The book will highlight the need to protect patients and the practice of medicine from the political and financial pressures that have become entrenched in our current system- an issue that has become more acute since the onset of the COVID-19 pandemic.
It will examine parallels between important issues in our current healthcare system and those of the American banking/financial system at the turn of the 20th century, and will make the argument to create a Federal Reserve-like system to help insulate healthcare from political and insurance-industry pressures. Along with other innovations, the book will outline how we can create an evidence-based healthcare system in the US that would offer universal coverage, universal access, effectiveness, efficiency and relative protection from political and financial pressures.
You can read more about the plan (called EMBRACE) here.
My PP is charging me $225 for 5 minutes of telecall to go over the results of my yearly checkup.
I recently went to a new PP and did my yearly checkup which is supposed to be 100% paid by the insurance.
After the results were posted, we had a very quick call to go over the results. He told me he will prescribe the meds (which we already knew as I was prescribed those meds earlier.)
Shouldn't going over the results of the primary care be PART OF the PRIMARY CARE VISIT?
Thứ Ba, 19 tháng 4, 2022
Need Rx eyeglasses ASAP in Portland, Oregon. Any suggestions? Covered by VSP
Lost my only pair last weekend. Visionworks says 2-4 weeks to have them made and shipped but i need them sooner. Lenscrafters can do them same day but don’t take my insurance (VSP) and I can’t afford that. Any help would be very much appreciated.
Sad COVID-19 numbers
According to the latest data form the CDC since the beginning of the pandemic:
1) 80,341,159 people in the US tested postive for COVID-19 (24% of the US population)
2) 4,612,454 people were hospitalized (1.4% of the population).
3) 984,744 deaths have been atributed to COVID-19 infections
4) We still don't know how many have/will have long COVID
Anyone know what these marks are?
Federal judge voids U.S. mask mandate for planes, other travel
Where do insurance payments go?
When your exam is covered by insurance, where do those funds go? Say exam is $100 w/ $10 co-pay. Does the office collect that $100 the same as if it were paid out of pocket by the patient? Or do they only get a cut? And who does the co-pay go to?
Thứ Hai, 18 tháng 4, 2022
racism in the Healthcare system
How bad does this look on me?
How bad does it look to leave a job after only a month of being there?
Some background: I’ve been a nurse for a little over a year, worked at a level 3 ER in my town since I graduated up until I was let go in February of this year (which I would prefer not to go in to).
I got a job working in the small critical access ER that I did my senior year internship in. Back in my senior year, it was super nice here, I loved it, and was happy to be here, now it’s horrible, I’m not being trained properly, and the staff I’m working with are easily 40 years older than me so I’m having a hard time relating to anyone.
I’m also struggling with the fact that this ER is so much smaller and slower than what I’m used to. Truthfully, everything together just makes me want to quit and not be a nurse anymore - which I truly cannot imagine doing anything else.
I’ve applied and interviewed at another hospital about half an hour south of my home and am waiting to hear back.
I’m just wondering how bad it will look for me to leave this current job after only being here for a little over a month. I could ask my manger about transferring to another department, but the problem with that is that the current company has a policy of no transfer within 6 months of hire date unless mutual agreement between the managers.
The other issue I have with leaving is that the current hospital I’m at is owned by a national company which could complicate me getting a job in another state with this hospital system if I choose to do that at some point, assuming my manger tells HR I shouldn’t be rehired.
Idk what to do. The pay is comparable between the two places so I don’t even have that as a deciding factor in this. Help me friends!!
Chủ Nhật, 17 tháng 4, 2022
Residents In Shanghai Are Running Out Of Food Amidst CoViD-19 Lockdown
Don’t Cut Nurse Health Benefits During Strike @ Stanford Hospital
African Americans: how can US doctors (like general practioners) be more culturally sensitive?
My retail job at the mall just gave me another yearly raise...meanwhile I just graduated as a Medical Assistant making $16. I feel so hurt getting scammed it just hit me..
Thứ Bảy, 16 tháng 4, 2022
HPV shot question
I recently changed insurance and I won't be getting a new insurance card for almost a month, but I have my second HPV shot scheduled for a few days from now. Since I don't have insurance at the moment, I'd have to pay for it out of pocket, which I would prefer not to do. Is there any problem with me waiting a month for my second shot, or is it a time based thing where I *NEED* to get my second shot as soon as possible?