I am overbooked by two patients on Monday, only one of which I approved.
The thing is, I probably would have approved the other one, if I had been asked. But I wasn’t asked. And you know, it’s nice to be asked, just for form’s sake, and so that I can continue to sustain the delusion that I am actually here to provide quality patient care and not just to generate revenue, which the folks in the corporate office can then use to purchase a pharmacy we don’t need. Or to pay the wages of the absolutely pointless committee which was the pet project of our former CEO while they play boardgames.
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Tweet by Mohamad Safa.
[Text ID: “What we learned from COVID? That oil is worthless in a society without consumption. That healthcare has to be public because health is public. That 50% of jobs can be done from home while the other 50% deserve more than they're being paid. That we live in a society not an economy“ /End ID]
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How is a girl supposed to react at monumental phannie moments in a normal manner at work when all she wants to do is this
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I checked in on a patient pretty early this morning and she was still waking up so I told her I'd give her some time to wake up and check back
So I make it back to her room and she still looks pretty tired and not super enthusiastic to see me
Patient: oh, it's you again
Me: yeah, I just keep turning up like a bad penny don't I?
Her: no, no, you're a good penny
Me: I'm a good penny??? 🥹
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I am on government insurance (Medicaid). Out of pocket, my psychologist's rate is $225 an hour. He went through a decade or more of school, obtained a PhD, and graduated with student loan debt. He didn't state how much, but I can imagine it's likely in the hundreds of thousands considering he still has this debt and graduated with his PhD in the early 2000s.
He shared with me that out of that $225 rate, he obtains about $25 from one Medicaid client's insurance company. The insurance company pockets the rest. My friend, another therapist, has a similar story. She makes $75 off of Medicaid clients usually when her rate out of pocket is $200.
Most therapists, psychologists, and psychiatrists are no longer accepting Medicaid/Medicare insurances because of this reason, which people who are poor are on. Over half of mental health professionals are no longer accepting insurance, period. I think we all understand that low-income people and low-income communities struggle the most with mental health issues, and if you are a person of color in the US you are more likely to be low-income. If you are a domestic violence survivor turned homeless because you left your significant other, you are also more likely to be on Medicaid. If you are a first generation student, you are most likely on Medicaid. If you are formerly incarcerated, you are most likely on Medicaid. And so on.
Additionally, if you are a human being of the female sex, you are far more likely to seek out therapy than someone of the male sex. Overwhelmingly men don't seek out therapy unless their female significant partner pleads with them, pressures them, or gives them an ultimatum which influences them to make an appointment. What does this mean when the vast majority of mass shooters, rapists, pedophiles, and domestic violence abusers are male?
Figure 2. Percentage of adults aged 18 and over who had received any mental health treatment, taken medication for their mental health, or received counseling or therapy from a mental health professional in the past 12 months, by sex: United States, 2019
Pair all of these details with the fact that mental health professionals are in such high demand right now, that even with private insurance the wait list is anywhere from three to six months out. Insurance agencies are business, and the corruption inherent. Many focus on prioritizing coverage for acute crisis rather than treating long term underlying conditions (which in turn prevents acute crises), don't provide coverage for co-occurring conditions, are advertising that more providers are accepting their insurance than there actually are, and are solely driven by financial interest.
I wonder how much domestic violence, sexual violence, child abuse, poverty, hate crimes, generational trauma, and overall suffering within individuals and in their societies can be reduced by valuing mental health and holding insurance companies accountable for their financial exploitation.
We talk about the US healthcare crisis without talking about the US mental health crisis.
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What's stopping the possibility of a ceasefire is pretty simple. Hamas is holding 239 Israeli civilians hostage including children and the elderly. What's happening in Palestine is a travesty and horrendous. But Israel can't initiate a ceasefire from the position they're in, so we need to be agitating for Hamas to release the hostages and call for a ceasefire instead.
NO GENOCIDE IS JUSTIFIABLE
HOW DOES THE KILLING OF INNOCENT PEOPLE ON THIS EXTREME LEVEL FORCE HAMAS TO RETURN HOSTAGES??
ISRAEL'S BOMBARDMENT AND INDISCRIMINATE SHOOTING IN GAZA THREATEN EVERYONE THERE INCLUDING DOCTORS JOURNALISTS CHILDREN ENTIRE FAMILIES AND THE HOSTAGES
EVERYONE IS TARGETED
YOU HAVE HOSPITALS BOMBED HOW ANY OF THIS IS JUSTIFIED
@sarroora @fairuzfan @palipunk @wearenotjustnumbers2
You know more about this than I do.
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how does the institute management (read. elias bouchard) feel about unions.
[excerpt from company-wide email sent by Elias Bouchard, 19th February 20–, pinned on the fridge in the staff kitchen]
‘For the last time, STOP asking me about starting a union, I’m going through a divorce and it’s incredibly distressing to hear that word.’
This email was sent over five years ago and nobody has followed up on it. Rumour has it that one of the Archival Assistants disappeared after asking about worker’s rights.
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