#Contribution to Cost Reduction
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Managed Cloud Services: Panacea for Enterprises

In today’s ever-evolving and fast-paced business landscape, organizations that do not keep up with technological advancements and seek innovative solutions will be left behind. Organizations across industry verticals in this digital era are relying more and more on new-age technologies, specifically cloud computing infrastructure to stay ahead of the curve. Having existed for many decades now, cloud computing infrastructure continues to offer numerous business benefits to organizations of all sizes.
Elasticity, scalability, pay-per-use model, streamlining of operations, and other advantages it brings lead to significant improvement in the organization’s bottom line.
While cloud technology delivers several business advantages, managing and optimizing these services can be challenging and time-consuming as well. Businesses have to depend on IT expertise and 24/7 support to efficiently leverage cloud services, but not all of them have the resources to house an internal IT team that can keep pace with the constantly evolving technology landscape. This is where managed service providers or MSPs can play a crucial role in supporting organizations to effectively and efficiently navigate the cloud landscape.
Read More - https://apacnewsnetwork.com/2023/12/managed-cloud-services-panacea-for-enterprises/
#Cloud Computing Services#Cloud Managed Services#Cloud managed services market#Cloud managed services market size#cloud service providers#Contribution to Cost Reduction#IT expertise#Managed Cloud Services#Panacea for EnterprisesM#arketsand#MarketsMSPsown infrastructure and cloud computing services#Panacea for Enterprises#Resource utilization optimization is achieved#third-party cloud services
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Starkid is one of the absolute best arguments for supprting independent art. The fact that the shows you're invested in can't get canceled by Big Daddy Streaming, the quality is always amazing, the love of the cast and crew doesn't get squeezed out by surprise budget reductions, the fact that since crowd funding provides almost all costs up front (plus the presence of voluntary digital ticket/in person tickets for additional funding), the fan base can access the full material for whatever cost they can contribute (even if you can give nothing monetarily, you will still get a professionally shot version of the material eventually, without surprise fees or password crackdowns, AND with captions/completely accesible regardless of location). The same goes for Tin Can Bros, Shipwrecked, and all the other associated theater and web series companies loosely connected to Starkid. Like, I cannot believe the amazing content provided to us at the same level as Broadway or streaming services with billion dollars at hand, with almost none of the catches that come with others. Like, I cannot believe that we get all of this right at our hands.
#starkid#npmd#nerdy prudes must die#tin can bros#shipwrecked#netflix#indepedent art RULES#it is a miracle we get this level of content it's amazing#twisted#spies are forever#two of mt favorite musicals of all time came from them#hatchetfield#jon matteson#lauren lopez#joey richter#angela giarratana#mariah rose faith#accessibility#feeling burnt out by ofmd and shadow and bone news#independent art
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ISTANBUL OBESİTY CENTER

Welcome to the Istanbul Obesity Center, where transformative weight loss solutions meet world-class medical expertise. As obesity continues to be a growing concern across the globe, our center is dedicated to providing patients with effective and safe surgical options, tailored to individual needs. Whether you’re exploring gastric sleeve surgery, gastric balloon placement, or gastric bypass surgery, our skilled team in Turkey is here to guide you through every step of the process.
Gastric Sleeve Surgery in Turkey
Opting for gastric sleeve surgery in Turkey can be a transformative choice for individuals seeking effective weight loss solutions. This minimally invasive procedure involves removing a significant portion of the stomach, allowing patients to feel fuller quicker and consume fewer calories. With highly trained medical professionals and state-of-the-art facilities, Turkey has emerged as a premier destination for this type of surgery.
One of the key benefits of undergoing gastric sleeve surgery in Turkey is the affordability without compromising quality. The cost of the procedure is significantly lower than in many Western countries, allowing more patients to access this life-changing surgery. Moreover, many clinics offer comprehensive packages that include accommodation, pre-operative assessments, and post-operative care, enhancing the overall experience.
Patient reviews consistently highlight the exceptional care received during their weight loss journey in Turkey. From the initial consultations to the post-operative follow-ups, the emphasis is placed on patient comfort and outcomes, which has contributed to high satisfaction rates. This reinforces the credibility of Turkey as a leading destination for gastric sleeve surgery.
If you are considering gastric sleeve surgery, now is the perfect time to take the first step toward a healthier and happier life. Explore your options and see how this life-changing procedure can make a difference in your life today!
Gastric Balloon in İstanbul
For those seeking an effective and less invasive option for weight loss, the gastric balloon in Istanbul offers an excellent solution. This non-surgical procedure involves the temporary placement of a silicone balloon in the stomach, which helps to significantly reduce hunger pangs and promote a feeling of fullness. As a result, patients can effectively control their food intake and achieve their weight loss goals.
The gastric balloon is designed to remain in place for six months, during which time individuals often experience substantial weight reduction. Many patients report losing 15 to 30 kilograms, giving them the confidence to lead healthier lifestyles. This procedure is ideal for individuals who may not be ready for more permanent solutions like gastric sleeve surgery in Turkey or gastric bypass surgery in Turkey.
Another important aspect of the gastric balloon procedure in Istanbul is its flexibility. Patients can opt for an outpatient experience, allowing for a quick recovery and minimal disruption to their daily lives. The Istanbul Obesity Center is known for its comprehensive aftercare, ensuring that patients receive the support they need throughout their weight loss journey.
With positive weight loss surgery Turkey reviews highlighting the success and satisfaction rates, the gastric balloon has become a popular choice among those looking to kickstart their journey towards better health. If you've been considering options for weight loss, the gastric balloon in Istanbul might be the perfect step for you.
Gastric Bypass Surgery Turkey
Choosing gastric bypass surgery in Turkey can significantly change your life for the better. This advanced surgical procedure is designed to ensure effective weight loss for those who have struggled with obesity. At the Istanbul Obesity Center, we focus on providing state-of-the-art treatments combined with exceptional care, ensuring our patients have the best possible experience and outcomes.
Key Benefits of Gastric Bypass Surgery
Effective Weight Loss: Gastric bypass effectively reduces the size of your stomach and alters the digestive process, leading to substantial weight-loss results.
Improved Health Conditions: Many patients experience a reduction in obesity-related health issues, such as diabetes, hypertension, and sleep apnea.
Enhanced Quality of Life: Beyond physical benefits, patients often report improved mental health and overall life satisfaction after surgery.
Success Stories
We have countless testimonials from satisfied patients who have transformed their lives through gastric bypass surgery in Turkey. These real-life success stories showcase not only the physical changes but also the newfound confidence and active lifestyles our patients have embraced post-surgery.
If you're considering gastric bypass surgery, take the first step towards a healthier and happier life by contacting us today. Our team at the Istanbul Obesity Center is ready to assist you on your journey to weight loss and improved well-being!
Weight Loss Surgery Turkey Reviews
When considering weight loss surgery Turkey reviews play a crucial role in understanding the quality of care and the outcomes experienced by others. Many individuals who have opted for gastric sleeve surgery in Turkey, gastric balloon in Istanbul, or gastric bypass surgery in Turkey have shared their positive transformations, contributing to a growing pool of success stories.
Patients frequently highlight the professionalism and expertise of healthcare providers at Istanbul Obesity Center. From the initial consultation through the surgical procedure and post-operative care, they rave about the support and guidance received, making their journey smoother and more reassuring.
Moreover, several reviews emphasize the transformation not just in weight but also in lifestyle and confidence levels post-surgery. Many individuals report achieving their desired weight goals, leading to improved physical health and overall well-being.
For those contemplating these procedures, reading testimonials and reviews can provide valuable insights. Clients often recommend reaching out for consultations to discuss their personal goals and objectives, ensuring that weight loss surgery aligns perfectly with their expectations.
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"The UK’s greenhouse gas emissions fell by 3.6% in 2024 as coal use dropped to the lowest level since 1666, the year of the Great Fire of London, according to new Carbon Brief analysis.
Major contributions came from the closure of the UK’s last coal-fired power station in Nottinghamshire and one of its last blast furnaces at the Port Talbot steelworks in Wales.
Other factors include a nearly 40% rise in the number of electric vehicles (EVs) on the road, above-average temperatures and the UK’s electricity being the “cleanest ever” in 2024.
Carbon Brief’s analysis, based on preliminary government energy data, shows emissions fell to just 371m tonnes of carbon dioxide equivalent (MtCO2e) in 2024, the lowest level since 1872.
Other key findings from the analysis include:
The UK’s emissions are now 54% below 1990 levels, while GDP has grown by 84%.
About half of the drop in emissions in 2024 was due to a 54% reduction in UK coal demand, which fell to just 2m tonnes – the lowest level since 1666.
Another third of the drop in 2024 emissions was due to falling demand for oil and gas, with the remainder down to ongoing reductions in non-CO2 greenhouse gases.
UK coal demand fell at power stations (one-third of the reduction overall) and at industrial sites (two-thirds). In 2024, the UK closed its last coal-fired power station, as well as the final blast furnace at the Port Talbot steelworks. Furnaces at Scunthorpe paused operations. Both sites are due to convert to electric-arc furnaces that do not rely on coal.
Oil demand fell 1.4% despite increased road traffic, largely due to the rise in the number of EVs. The UK’s 1.4m EVs, 0.8m plug-in hybrids and 76,000 electric vans cut oil-related emissions by at least 5.9MtCO2e, Carbon Brief analysis finds, only slightly offset by around 0.5MtCO2e from higher electricity demand.
The UK’s EV motorists each saved around £800, on average, in 2024 – some £1.7bn in total – relative to the cost of driving petrol or diesel vehicles.
Gas demand for heating increased, despite warmer average temperatures than in 2023, as prices eased from the peaks seen after the global energy crisis.
However, gas demand fell overall due to lower gas-fired electricity generation, thanks to higher electricity imports and increased output from low-carbon sources.
The UK would need to cut its emissions by a larger amount each year than it did in 2024, to reach its international climate goal for 2035, as well as its national target to reach net-zero by 2050...
Lowest since 1872
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Apart from brief rebounds after the global financial crisis and the Covid-19 lockdowns, UK emissions have fallen every year for the past two decades."
-via CarbonBrief, March 12, 2025
#uk#united kingdom#europe#emissions#greenhouse gasses#fossil fuels#carbon emissions#coal#climate action#climate hope#good news#hope
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A Big TB Announcement
Greetings from Washington D.C., where I spent the morning meeting with senators before joining a panel that included TB survivor Shaka Brown, Dr. Phil LoBue of the CDC, and Dr. Atul Gawande of USAID. Dr. Gawande announced a major new project to bring truly comprehensive tuberculosis care to regions in Ethiopia and the Philippines. Over the next four years, this project can bring over $80,000,000 in new money to fight TB in these two high-burden countries.
Our family is committing an additional $1,000,000 a year to help fund the project in the Philippines, which has the fourth highest burden of tuberculosis globally.
Here’s how it breaks down: The Department of Health in the Philippines has made TB reduction a major priority and has provided $11,000,0000 per year in matching funds to go alongside $10,000,000 contributed by USAID and an additional $1,000,000 donated by us. This $22,000,000 per year will fund everything from X-Ray machines, medications, and GeneXpert tests to training and employing a huge surge of community health workers, nurses, and doctors who are calling themselves TB Warriors. In an area that includes nearly 3,000,000 people, these TB Warriors will screen for TB, identify cases, provide curative treatment, and offer preventative therapy to close contacts of the ill. We know this Search-Treat-Prevent model is the key to ending tuberculosis, but we hope this project will be both a beacon and a blueprint to show that It’s possible to radically reduce the burden of TB in communities quickly and permanently. It will also, we believe, save many, many lives.
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I believe we can’t end TB without these kinds of public/private partnerships. After all, that’s how we ended smallpox and radically reduced the global burden of polio. It’s also how we’ve driven down death from malaria and HIV. For too long, TB hasn’t had the kind of government or private support needed to accelerate the fight against the disease, but I really hope that’s starting to change. I’m grateful to USAID for spearheading this project, and also to the Philippine Ministry of Health for showing such commitment and prioritizing TB.
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One reason this project is even possible: Both the cost of diagnosis (through GeneXpert tests) and the cost of treatment with bedaquiline are far lower than they were a year ago, and that is due to public pressure campaigns, many of which were organized by nerdfighteria. I’m not asking you for money (yet); Hank and I will be funding this in partnership with a few people in nerdfighteria who are making major gifts. But I am asking you to continue pressuring the corporations that profit from the world’s poorest people to lower their prices. I’ve seen some of the budgets, and it’s absolutely jaw-dropping how many more tests and pills are available because of what you’ve done as a community.
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I don’t yet have the details on which region of the Philippines we’ll be working in, but it will be an area that includes millions of people–perhaps as many as 3 million. And it will include urban, suburban, and rural areas to see the different responses needed to provide comprehensive care in different communities. This will not (to start!) be a nationwide campaign, because even though $80,000,000 is a lot of money, it’s not enough to fund comprehensive care in a nation as large as the Philippines. But we hope that it will serve as a model–to the nation, to the region, and to the world–of what’s possible.
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I’m really excited (and grateful) that our community gets to have a front-row seat to see the challenges and hopefully the successes of implementing comprehensive care. Just in the planning, this project has involved so many contributors–NGOs in the Philippines, global organizations like the Partners in Health community, USAID, the national Ministry of Health in the Philippines, and regional health authorities as well. There are a lot of partners here, but they’ve been working together extremely well over the last few months to plan for this project, which will start more or less immediately thanks to their incredibly hard work.
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Global Emergency Compounded by the AIDS-like Features of SARS-CoV-2 Infection - Published Sept 1, 2024
Over a million people in the US are being infected with severe acute respiratory syndrome coronavirus type 2 (SARS-CoV-2) every day.
Originally named after the acute respiratory syndrome it can cause as a consequence of blood vessel damage in the lungs, SARS-CoV-2 is actually primarily a blood vessel virus that spreads through the airways. It causes a complex multisystem disease (1). It is airborne (2). It can persist in the body, and is detectable in body and brain tissue even at autopsy of “recovered” patients (3).
Each infection ages the body, causes damage to the blood vessels and the immune system, and affects organs including the heart, lungs, liver, kidneys, bones, etc. (4, 5, 6)
Each infection ages the brain. Specifically, it reduces gray matter and cognitive ability (7), and potentially IQ score (8). It increases the risk of psychiatric disorders (9). SARS-CoV-2 has also been identified as contributing to accelerated dementia (10).
The potential post-acute phase impacts of SARS-CoV-2 include long COVID, some manifestations of which are chronic conditions that can last a lifetime, including heart disease, diabetes, myalgic encephalomyelitis and dysautonomia (11).
The Economist has estimated excess deaths from the beginning of the Pandemic through May 2024 at up to 35 million people worldwide. (12)
In Addition, Many Scientists Are Now Issuing Warnings… SARS-CoV-2 triggers a new airborne form of Acquired Immune Deficiency Syndrome (13, 14, 15) (some are proposing specific terms such as “CoV-AIDS”).
This is not AIDS as we know it from human immunodeficiency virus (HIV) infection, it is a new type of acquired immunodeficiency syndrome with different deleterious effects on immune function (16, 17, 18, 19, 20, 21), but both resulting in increased vulnerability to infections (22). Immune system deficiency and other COVID properties also suggest a potential link to greater risk of cancers (23, 24, 25, 26, 27).
The “original” AIDS caused by HIV takes up to around 10 to 15 years to make its presence felt, with the initial infection usually barely noticed and often resembling the common cold or a flu-like disease until its damage manifests itself leading to death in the absence of treatments (28, 29).
With SARS-CoV-2, immunodeficiency develops in the weeks and months following infection. It involves reduction and functional exhaustion of T Cells (30), enhanced inhibition of MHC-I expression (31), downregulating CD19 expression in B cells (32) and other evidence of immune dysregulation (33, 34). In one study, the dysregulation persisted for 8 months following initial mild-to-moderate SARS-CoV-2 infection, the length of the study (35). There is no “cure” for any of the damage caused by SARS-CoV-2 including immune dysregulation.
Did You Know? Repeated infections are leading to prolonged immune dysregulation, and increase the risk of progressive disability and death.
Long COVID is a multisystem disease with debilitating symptoms, which has had a profound impact on society and the global economy. In the USA, economists have estimated that long COVID will incur cumulative future costs of more than US$4 trillion (36, 37).
The worldwide devastating economic consequences of this mass disabling event have been measured in terms of total work hours and GDP lost around the world (38).
It theoretically only takes a single viral particle to initiate an infection, and most infections are initiated by very few viral particles (39).
Despite current popular belief, the immune system is NOT a muscle, and does NOT benefit from being repeatedly challenged with disease-causing microbes. In fact, its finite resources are depleted with each new infection.
Herd immunity is unattainable for a rapidly mutating, immune-disrupting virus, and there is no basis to believe that a vascular infection will evolve into the common cold. Continuing to ignore SARS-CoV-2 will not make it go away. Depriving the virus of publicity does not deprive it of its continuing lethal effects.
SARS-CoV-2 is continuing to evolve and mutate – it is not running out of evolutionary space. It is not a cold or the flu, but primarily a blood vessel disease. It is damaging society as we know it.
How many repeated infections can we expect young people to endure and survive? Even if they get only 1 infection each year, that’s 10 infections in 10 school years. This is not compatible with health and a long life. Repeated infections can lead to long COVID and shortened lifespans.
How Do We Protect Ourselves, How Do We Protect Our Children, When Government Public Health Advice Has Failed?
By reducing transmission so that R0 remains less than one (meaning that each person infects less than one other), we can suppress and gradually eliminate the virus, targeting a safer return to pre-2020 normal.
Handwashing is helpful, but it is not the main way to stop the spread of this airborne virus.
Respirators can block 95% or more of virus particles through electrostatic action, and are therefore highly effective at reducing infection even if only one person in a conversation is wearing them. They are far more effective if all people are wearing them (40).
Transmission can be reduced with HEPA filtration and ventilation of indoor air.
The virus spreads more quickly in indoor settings, but also spreads outdoors.
For medical facilities, it is essential to clean the air with ventilation and filtration and require universal high-quality masking (with N-95/ FFP3 respirators or better) to protect medical staff and patients.
For workplaces, clean air will reduce transmission; and encouraging employees to test and stay home when infectious is essential. High-quality masking should be encouraged in the case of symptoms, a sick person at home, or any other suspicion that one could be carrying the virus. Remote work should be normalized and encouraged wherever possible.
For entertainment venues, events should be held outdoors when possible; and if indoors, clean air is key to protecting audiences. Audiences should also be encouraged to wear respirators to avoid getting infected and infecting others. Digital streaming options should always be offered.
For restaurants, an emphasis on outdoor dining will substantially reduce transmission. Patio service should be encouraged, and indoor dining areas should be well-ventilated with a high level of air-exchanges. Home or curbside delivery offers a safer alternative.
For schools, clean air will reduce transmission; encouraging students to test and stay home when infectious is essential to preserving their health. Masking or remote learning should be initiated whenever a case is detected or the incidence in the general population sharply increases. A permanent hybrid model / digital option can accommodate children with disabilities or those who simply do better learning from home.
Teachers and medical professionals may prefer to use transparent masks, or to wear HEPA-filtered headgear equipment that may be more universally tolerated/accepted.
To track our progress, we need sustained wastewater and population-level testing.
With just 60-70 percent of people taking mitigation measures such as masking, testing and isolating when infected, we can dramatically reduce forward transmission of the virus.
Even with very imperfect measures, as long as one infected person does not infect more than one person on average, the virus will eventually die out. The fewer people each person infects on average, the faster it will happen.
We still have a window of opportunity. Protecting ourselves and our families is in fact protecting the economy and the continued orderly functioning of our society.
#covid#mask up#pandemic#covid 19#wear a mask#coronavirus#sars cov 2#public health#still coviding#wear a respirator#long covid#AIDS
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The Czech company mmcité+ has developed an innovative noise reduction barrier, "noba," made from recycled tires. This project exemplifies sustainable engineering by transforming waste into functional infrastructure. The barriers not only reduce noise pollution along highways and railways but also engage local communities by allowing them to influence the design and aesthetics of these structures.
Each square meter of "noba" incorporates four recycled tires, leveraging the inherent sound-absorbing properties of rubber. The panels are lightweight, durable, and easy to install, making them a cost-effective alternative to traditional materials like aluminum or concrete. Moreover, the design promotes a circular economy by giving new purpose to used tires, aligning with European regulations that prohibit their disposal in landfills.
The project's budget of approximately €600,000 and three years of research highlight its commitment to sustainability. Additionally, similar efforts by other companies globally demonstrate the viability of recycled rubber in soundproofing applications, contributing to noise reduction in urban and rural environments while supporting eco-friendly waste management.
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Major June 26th Political Update!
So, Paxton vs Free Speech Coalition and Birthright Citizenship + National Injunction cases will be settled most certainly tomorrow.
Keep an eye and ear out.
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Now onto the Spending Bill news!
Here is a combined summary of all the updates from the Politico articles I checked:
The Republican-led "megabill" (also referred to as the "One Big Beautiful Bill") is facing numerous challenges and undergoing significant revisions due to rulings by Senate Parliamentarian Elizabeth MacDonough and internal disagreements within the GOP. Republicans are pushing to pass this comprehensive domestic policy bill—which includes tax, defense, energy, immigration, and health care provisions—before a self-imposed July 4 deadline, using the budget reconciliation process to bypass a Democratic filibuster.
Key Challenges and Parliamentarian Rulings:
Medicaid Provisions: The parliamentarian has dealt a major blow to the GOP's health care plans by ruling that several key Medicaid provisions cannot pass with a simple majority. This includes a plan to reduce Medicaid costs by cracking down on state provider taxes, which was expected to generate substantial savings, and proposals to exclude undocumented residents from Medicaid. These rulings have created an estimated $250 billion budgetary shortfall for Republicans.
Civil Service and Pension Reform: Initial proposals to restructure the federal workforce, such as giving federal employees an "at-will" designation and billing unions for official activities, were ruled out of order by the parliamentarian. Republicans are now exploring changes to their pension reform plan, proposing to increase federal employees' retirement contributions to 15.6 percent (from 9.4 percent) to help fund the megabill, though members of Congress, their staff, and federal law enforcement would be exempt. Democrats and unions strongly oppose these changes.
CFPB Funding: Senate Banking Republicans are proposing to cap the Consumer Financial Protection Bureau's (CFPB) funding at 6.5 percent of the Federal Reserve's operating budget, a reduction from the current 12 percent. An initial attempt to eliminate CFPB funding entirely was deemed ineligible. This new proposal awaits parliamentarian approval.
AI Moratorium: The parliamentarian has requested Senator Ted Cruz rewrite a proposed 10-year moratorium on enforcing state artificial intelligence (AI) laws, clarifying its scope of funding. While the measure is tied to a new $500 million fund for AI infrastructure, concerns remain that it could implicitly affect the entire $42 billion broadband program. The AI moratorium has also created divisions within the Republican party.
"Revenge Tax": Treasury Secretary Scott Bessent has asked lawmakers to remove a projected $52 billion "revenge tax" from the megabill, stating it is no longer necessary due to a "new understanding" with other developed countries regarding a global tax agreement, where central taxes will not apply to U.S. companies.
Overruling Parliamentarian: Despite calls from some conservative Republicans to do so, Senate Majority Leader John Thune has stated that the Senate will not move to overrule Parliamentarian Elizabeth MacDonough, emphasizing the importance of preserving Senate norms.
Approved Provisions:
SNAP Plan: The parliamentarian has approved a modified version of the Republican plan to shift some costs of the Supplemental Nutrition Assistance Program (SNAP) onto states. This is a significant win for Republicans, as it allows them to maintain a crucial $41 billion spending cut for the bill.
Internal Republican Divisions & Negotiations:
Medicaid Moderates: The proposed reduction of provider taxes in Medicaid expansion states is facing a "Medicaid-fueled mutiny" from moderate senators like Susan Collins, who find the proposed $15 billion rural hospital stabilization fund "inadequate." Some are threatening to block floor debate without more clarity on Medicaid changes.
SALT Deduction: Blue-state Republicans have rejected a Treasury offer to raise the cap on the State and Local Tax (SALT) deduction to $40,000, calling it "unrealistic." This remains a key unresolved issue.
Public Land Sales: Five House Republicans have declared a "red line" against including public land sales in the megabill, threatening to vote against it. They view it as a "grave mistake" and a "poison pill." This provision also faces strong Senate opposition.
Leadership Meetings & Deadlines:
Senate Majority Leader John Thune met with President Donald Trump at the White House as Republicans work against their self-imposed July 4 deadline. There is skepticism among some in the Senate GOP about whether they can get the bill to the President by this deadline. An initial vote to begin debate on the bill is now not expected before Saturday.
Kansas Governor Laura Kelly (D) anticipates that Senator Jerry Moran (R-Kan.), despite his objections to certain bill provisions, will ultimately vote with his party due to pressure from the comprehensive nature of the megabill.
The combination of parliamentarian rulings, internal Republican dissent, and complex negotiations across various policy areas is making the passage of the "megabill" a challenging and fluid process.
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It seems that the bill is still being worked on so contact your Senators on troublesome provisions, reminding them to invoke the Byrd Rule against troublesome provisions should a procedural vote come before a new text is released.
General Page to call on the bill:
Page to call against Section 203, the provision that targets courts by requiring an expensive bond be payed to sue the government:
Page on AI regulation Ban:
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Oh and congrats to Zohran Mamdani!
#section203#spendingbill#big bloated bill#big beautiful bill#big bill#we will not go back#do not obey in advance#fuck elon musk#fuck elongated muskrat#fuck trump#legislation#courts#contempt#bill#5calls#us politics#legal#be vigilant#supremecourt#supreme court#birthright citizenship#injunctions#zohran mamdani
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The article under the cut
Allies of Elon Musk stationed within the Education Department are considering replacing some contract workers who interact with millions of students and parents annually with an artificial intelligence chat bot, according to internal department documents and communications.
The proposal is part of President Trump’s broader effort to shrink the federal work force, and would mark a major change in how the agency interacts with the public. The Education Department’s biggest job is managing billions of dollars in student aid, and it routinely fields complex questions from borrowers.
The department currently uses both call centers and a rudimentary A.I. bot to answer questions. The proposal would introduce generative A.I., a more sophisticated version of artificial intelligence that could replace many of those human agents.
The call centers employ 1,600 people who field over 15,000 questions per day from student borrowers.
The vision could be a model for other federal agencies, in which human beings are replaced by technology, and behemoth contracts with outside companies are shed or reduced in favor of more automated solutions. In some cases, that technology was developed by players from the private sector who are now working inside or with the Trump administration.
Mr. Musk has significant interest in A.I. He founded a generative A.I. company, and is also seeking to gain control of OpenAI, one of the biggest players in the industry. At other agencies, workers from the newly created Department of Government Efficiency, headed by Mr. Musk, have told federal employees that A.I. would be a significant part of the administration’s cost-cutting plans.
A year after the Education Department oversaw a disastrous rollout of a new federal student aid application, longtime department officials say they are open to the idea of seeking greater efficiencies, as have leaders in other federal agencies. Many are partnering with the efficiency initiative.
But Department of Education staff have also found that a 38 percent reduction in funding for call center operations could contribute to a “severe degradation” in services for “students, borrowers and schools,” according to one internal document obtained by The Times.
The Musk associates working inside the Education Department include former executives from education technology and venture capital firms. Over the past several years, those industries have invested heavily in creating A.I. education tools and marketing them to schools, educators and students.
The Musk team at the department has focused, in part, on a help line that is currently operated on a contract basis by Accenture, a consulting firm, according to the documents reviewed by The Times. The call center assists students who have questions about applying for federal Pell grants and other forms of tuition aid, or about loan repayment.
The contract that includes this work has sent more than $700 million to Accenture since 2019, but is set to expire next week.
“The department is open to using tools and systems that would enhance the customer service, security and transparency of data for students and parents,” said Madi Biedermann, the department’s deputy assistant secretary for communications. “We are evaluating all contracts to assess effectiveness relative to costs.”
Accenture did not respond to interview requests. A September report from the Education Department describes 1,625 agents answering 462,000 calls in one month. The agents also handled 118,000 typed chats.
In addition to the call line, Accenture provides a broad range of other services to the student aid system. One of those is Aidan, a more rudimentary virtual assistant that answers basic questions about student aid. It was launched in 2019, during Mr. Trump’s first term.
Accenture reported in 2021 that Aidan fielded 2.2 million messages in one year. But its capabilities fall far short of what Mr. Musk’s associates envision building using generative A.I., according to the internal documents.
Both Mr. Trump and former President Joseph R. Biden Jr. directed federal agencies to look for opportunities to use A.I. to better serve the public.
The proposal to revamp the communication system follows a meltdown in the rollout of the new Free Application for Federal Student Aid, or FAFSA, last year under Mr. Biden. As FAFSA problems caused mass confusion for students applying for financial aid, several major contractors, including Accenture, were criticized for breakdowns in the infrastructure available to students and parents seeking answers and help.
From January through May last year, roughly three-quarters of the 5.4 million calls to the department’s help lines went unanswered, according to a report by the Government Accountability Office.
More than 500 workers have since been added to the call centers, and wait times were significantly reduced, according to the September Department of Education report.
But transitioning into using generative A.I. for student aid help, as a replacement for some or all human call center workers, is likely to raise questions around privacy, accuracy and equal access to devices, according to technology experts.
Generative A.I. systems still sometimes share information that is false.
Given how quickly A.I. capabilities are advancing, those challenges are potentially surmountable, but should be approached methodically, without rushing, said John Bailey, a fellow at the American Enterprise Institute and former director of educational technology at the Education Department under President George W. Bush.
Mr. Bailey has since become an expert on the uses of A.I. in education.
“Any big modernization effort needs to be rolled out slowly for testing, to see what works and doesn’t work,” he said, pointing to the botched introduction of the new FAFSA form as a cautionary tale.
“We still have kids not in college because of that,” he said.
In recent weeks, the Education Department has absorbed a number of DOGE workers, according to two people familiar with the process, who requested anonymity because they were not authorized to discuss the department’s security procedures and feared for their jobs.
One of the people involved in the DOGE efforts at the Education Department is Brooks Morgan, who until recently was the chief executive of Podium Education, an Austin-based start-up, and has also worked for a venture capital firm focused on education technology, according to the two people.
Another new staffer working at the agency is Alexandra Beynon, the former head of engineering at Mindbloom, a company that sells ketamine, according to those sources and an internal document.
And a third is Adam Ramada, who formerly worked at a Miami venture capital firm, Spring Tide Capital, which invests in health technology, according to an affidavit in a lawsuit filed against the Department of Government Efficiency.
None of those staffers responded to interview requests.
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Hydrogen fuel at half the cost? Scientists reveal a game-changing catalyst
Scientists developed a new tunable boron-doped cobalt phosphide catalyst with low cost and high efficiency for electrochemical water-splitting.
To reduce greenhouse gas emissions and combat climate change, the world urgently needs clean and renewable energy sources. Hydrogen is one such clean energy source that has zero carbon content and stores much more energy by weight than gasoline. One promising method to produce hydrogen is electrochemical water-splitting, a process that uses electricity to break down water into hydrogen and oxygen. In combination with renewable energy sources, this method offers a sustainable way to produce hydrogen and can contribute to the reduction of greenhouse gases.
Read more.
#Materials Science#Science#Hydrogen fuel#Catalysts#Hydrogen#Boron#Dopants#Cobalt#Phosphides#Electrochemistry
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1.20.25 • Today the United States Climate Alliance delivered a letter to UN Climate Change Executive Secretary Simon Stiell, making it clear to the global community that our climate work will continue regardless of federal action or inaction.
If you're not familiar with the U.S. Climate Alliance, they are a bipartisan climate action coalition of 24 governors representing approximately 55% of the U.S. population and 60% of the U.S. economy.
To read their letter, read more here or explore their press release on their website. Onward!
•••
Mr. Simon Stiell, Executive Secretary
United Nations Framework Convention on Climate Change
P.O. Box 260124
D-53153 Bonn, Germany
January 20, 2025
Dear Executive Secretary Stiell,
We write as co-chairs of the United States Climate Alliance, a bipartisan coalition of two dozen governors representing nearly 60 percent of the U.S. economy and 55 percent of the U.S. population, to make it clear to you, and the rest of the world, that we will continue America’s work to achieve the goals of the Paris Agreement and slash climate pollution.
As you know, this is not the first time we’ve responded to this challenge in the U.S. Our coalition was launched after the President’s decision to withdraw our country from the Paris Agreement back in 2017. Since then, our reach, resolve, and impact have only grown.
In fact, our states and territories are now on track to meet our near-term climate target by reducing collective net greenhouse gas (GHG) emissions 26 percent below 2005 levels by 2025. Our recent progress reflects a wave of ambitious state policies and federal funding enacted over the last few years – and it builds on our coalition’s 15-year trend of cutting emissions while simultaneously growing our economies. We have continued to ramp up our longer-term commitments as well, pledging to reduce GHG emissions at least 50-52 percent by 2030 and 61-66 percent by 2035, below 2005 levels, in alignment with the U.S. Nationally Determined Contribution. Most importantly, this action is bringing better health, cleaner air, good-paying jobs, new economic development, and lower costs to our communities.
Our states and territories continue to have broad authority under the U.S. Constitution to protect our progress and advance the climate solutions we need. This does not change with a shift in federal administration. States across our coalition are implementing a suite of policies and programs to secure our net-zero future, including statewide and regional carbon markets, 100 percent clean energy standards, and methane reduction programs for the oil and gas, waste, and agricultural sectors, among many others. We are also deploying billions of dollars to eliminate pollution in our communities and sustain our country’s clean energy boom.
It’s critical for the international community to know that climate action will continue in the U.S. The Alliance will bring this message to the United Nations Climate Change Conference in Brazil (COP30) later this year – just as we have at every COP since our coalition’s founding – as we work to implement our climate goals. We are also committed to tracking and reporting on our progress and look forward to working with you and the global community to identify the most impactful ways to do so. The Alliance is proud to publish an annual report each year on our latest action, and we are enclosing here our most recent report for your reference.
We will not turn our back on America’s commitments. For our health and our future, we will press forward.
Sincerely,
Governor Kathy Hochul, Co-Chair
State of New York
Governor Michelle Lujan Grisham, Co-Chair
State of New Mexico
#us climate alliance#environmentalism#climate action#climate change#us politics#traumerica#good news
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Joseph Addington
Oct 26, 2024
Argentina’s President Javier Milei announced Monday that he would shutter the Federal Administration of Public Revenue (AFIP), the Argentine equivalent to the U.S. Internal Revenue Service. The institution will be replaced by the Agency of Customs Collection and Control (ARCA), with a new structure reorganized to increase the efficiency of customs and tax administration. As part of the restructuring, the government will eliminate 34 percent of the current AFIP workforce, which it estimates will save the nation some $6.5 million annually.
In addition to cutting staff positions, the government will also adjust the salary structure for the new agency. This includes dramatically reducing the salaries of top officials in the tax bureaucracy, whose pay has ballooned far higher than most positions in the Argentine government. The director of AFIP was receiving a salary equivalent to more than $365,000 a year, an astronomical figure in the South American nation. The new director of Arca will receive a salary equivalent to that of government ministers, approximately $50,000 annually—a cost reduction of more than 86 percent. Also to be eliminated is the system of incentives known as the “account ranking,” in which a certain proportion of tax revenues is distributed among the employees of the administration to reward the effective collection of taxes. The arrangement made AFIP employees some of the best-paid in the government, but also provoked resentment from citizens and contributed to its large budgetary footprint.
The reform also has a political angle. The president’s statement notes that the reform will “eliminate 3,155 agents who entered AFIP in an irregular manner during the previous Kirchnerist government, totaling 15 percent of the current staff. This step is indispensable for dismantling the unnecessary bureaucracy which has obstructed the economic and commercial liberty of Argentinians.” The government believes that the purging of Peronists from the tax administration will result in an institution that is much more responsive to leadership and more supportive of the economic priorities of Milei’s administration, which has made the reduction and rationalization of the Argentine tax code a key point of its political program.
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https://app.wedonthavetime.org/posts/049d2fdc-e078-475b-b217-abbf52d9be70
U.S. Sets Bold Methane Target in New NDCs: A Game-Changer for #BuyMoreTime
FACT SHEET: President Biden Sets 2035 Climate Target Aimed at Creating Good-Paying Union Jobs, Reducing Costs for All Americans, and Securing U.S. Leadership in the Clean Energy Economy of the Future | The White House
Just one month before Donald Trump takes office, President Joe Biden delivered a bold climate legacy: a revised 2035 Nationally Determined Contribution (NDC) under the Paris Agreement. This updated plan targets a 61-66% reduction in greenhouse gas emissions by 2035 (from 2005 levels) and, for the first time, explicitly includes a commitment to reduce methane emissions by 35%.
This focus on methane—a powerful short-lived climate pollutant—aligns perfectly with the goals of the #BuyMoreTime campaign, which We Don’t Have Time has championed throughout 2024. Methane reductions act as an emergency brake on short-term temperature rises, giving the world crucial time to address the long-term climate crisis.
The U.S. Nationally Determined Contribution (NDC) is an economy-wide, all greenhouse gas target of reducing net emissions by 61-66 percent below 2005
Why the U.S. NDC Is a Game-Changer
The U.S. methane target sets a new global standard in three key ways:
Maximizing Impact: Reducing methane delivers rapid cooling, as methane’s near-term warming potential far exceeds that of CO2. The U.S. commitment shows how integrating methane into NDCs can amplify their overall effectiveness.
Setting the Bar: By explicitly including methane, the U.S. provides transparency that allows scientists to assess whether climate pledges truly align with temperature goals like limiting warming to 1.5°C.
Providing a Model: Few countries today specify methane reductions in their NDCs. The U.S. inclusion serves as a blueprint for how nations can use methane mitigation to supercharge their climate strategies.
The new U.S. NDC also addresses other overlooked pollutants, such as nitrous oxide and HFCs, while exploring reductions in tropospheric ozone—further demonstrating how targeted action can strengthen climate goals.
Biden’s new methane commitment reflects the urgency and practicality of the solutions we’ve been advocating. It demonstrates how methane-focused policies can help stabilize temperatures while global efforts to reduce CO2 emissions ramp up.
#good news#environmentalism#usa#methane#greenhouse gases#climate change#climate crisis#science#environment
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"Cody Two Bears, a member of the Sioux tribe in North Dakota, founded Indigenized Energy, a native-led energy company with a unique mission — installing solar farms for tribal nations in the United States.
This initiative arises from the historical reliance of Native Americans on the U.S. government for power, a paradigm that is gradually shifting.
The spark for Two Bears' vision ignited during the Standing Rock protests in 2016, where he witnessed the arrest of a fellow protester during efforts to prevent the construction of the Dakota Access Pipeline on sacred tribal land.
Disturbed by the status quo, Two Bears decided to channel his activism into action and create tangible change.
His company, Indigenized Energy, addresses a critical issue faced by many reservations: poverty and lack of access to basic power.
Reservations are among the poorest communities in the country, and in some, like the Navajo Nation, many homes lack electricity.
Even in regions where the land has been exploited for coal and uranium, residents face obstacles to accessing power.
Renewable energy, specifically solar power, is a beacon of hope for tribes seeking to overcome these challenges.
Not only does it present an environmentally sustainable option, but it has become the most cost-effective form of energy globally, thanks in part to incentives like the Inflation Reduction Act of 2022.
Tribal nations can receive tax subsidies of up to 30% for solar and wind farms, along with grants for electrification, climate resiliency, and energy generation.
And Indigenized Energy is not focused solely on installing solar farms — it also emphasizes community empowerment through education and skill development.
In collaboration with organizations like Red Cloud Renewable, efforts are underway to train Indigenous tribal members for jobs in the renewable energy sector.
The program provides free training to individuals, with a focus on solar installation skills.
Graduates, ranging from late teens to late 50s, receive pre-apprenticeship certification, and the organization is planning to launch additional programs to support graduates with career services such as resume building and interview coaching...
The adoption of solar power by Native communities signifies progress toward sustainable development, cultural preservation, and economic self-determination, contributing to a more equitable and environmentally conscious future.
These initiatives are part of a broader movement toward "energy sovereignty," wherein tribes strive to have control over their own power sources.
This movement represents not only an economic opportunity and a source of jobs for these communities but also a means of reclaiming control over their land and resources, signifying a departure from historical exploitation and an embrace of sustainable practices deeply rooted in Indigenous cultures."
-via Good Good Good, December 10, 2023
#indigenous#native americans#first nations#indigenous rights#tribal sovereignty#solar energy#solar power#solar panels#renewable energy#green energy#sioux#sioux nation#sustainability#climate hope#electrification#united states#hope#good news
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What are the great positive effects of automated freight handling that longshoremen are denying you? What would become so much cheaper?
https://blogs.worldbank.org/en/transport/why-ports-matter-global-economy
Efficient port infrastructure has also been identified as a key contributor to overall port competitiveness and international trade costs. Unfortunately, ports and terminals, particularly for containers, are too often main sources of shipment delays, supply chain disruptions, additional costs, and reduced competitiveness. The result far too often is that instead of facilitating trade, the port increases the cost of imports and exports, reduces competitiveness, and inhibits economic growth and poverty reduction. The effect on a country or the countries served by the port can be severe. Inefficient ports can slow the circular system of container shipping, thereby reducing capacity, and reducing costs. Ships have to wait unnecessarily incurring additional fuel costs, additional emissions, and additional costs.
Improving container port performance lowers the cost of trade, contributes to food security, improves resilience, and reduces unnecessary emissions from vessels. The role of ports as the linchpin in the global economy is a major reason why the World Bank and S&P Global Markets are tracking port performance for nearly 350 global ports in the Container Ports Performance Index (CPPI).
When the cost of things goes up, that makes almost everyone worse off. I don't know how this could be clearer. You don't like it when you pay more money for things. Almost nobody likes paying more money to get the same things.
The US currently has some of the worst performing ports in the world. Because of resistance to modernization and make-work programs. Driven by dockworkers unions that use their monopolization of government-granted monopolies on infrastructure to....extract large amounts of money for themselves. This literally causes everything to be a little more expensive than it has to be. This to benefit dudes doing the equivalent of digging up holes just to fill them in again.
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Also preserved on our archive
Do you have $32,000 for covid treatment? Neither did Nannette, and now her whole family is paying the price for her covid hospitalization. This is why we must mask up: You may be able to afford that cost, but you are just as likely to spread covid to dozens who cannot if you refuse to take precautions, especially when ill.
By Noah Zahn

CHEYENNE — When Nannette Hernandez got COVID in 2021, she didn’t realize how long it would take to recover. Although she was released from the hospital after only a few days of care, she is still suffering from the financial burden that has led to the loss of her job and her home.
At 45 years old, Hernandez and her son, 26, moved in with her mother when she lost her home. The three of them now live together in a mobile home south of Cheyenne. The walls and tabletops are decorated with photos of family members, many of the frames containing photos of her three grandchildren.
Papers were strewn across the coffee table in the living room: bills from the hospital, letters to the hospital, research on how to get financial assistance, one letter denying financial assistance.
Although Hernandez says she tries to keep a positive attitude, her smile faded when she said she often feels hopeless as her debt continues to grow and she is considering filing for bankruptcy.
“They garnish my wages every week, and I owe them more now today than what the judgment was for, and that’s all due to the interest,” Hernandez said. “I’m never going to get through this, you know.” Toys are neatly put away in a corner of the room, behind the couch, for when her grandchildren come to visit on her days off work.
Hernandez has a new job and has health insurance. In addition, she contributes a portion of her wages to life insurance. She said she does this so that she at least has something she can pass on to her family.
Before interest, Hernandez’s bill from Cheyenne Regional Medical Center was around $32,000 after three days of care for COVID and related pneumonia and reduced to $22,000 because she was paying uninsured and out-of-pocket. Between garnished wages and paying for insurance, Hernandez says she only sees at most $12 of her $17.30 per hour wage from working at a deli in a truck stop.
Hernandez said she now suffers from depression as a result of the stress caused by her medical debt. It is difficult for her to work full 40-hour weeks at her job.
However, her smile returned as she talked about how she gets to spend time with her grandchildren, aged 2, 4 and 8, on her days off.
“They’re my light. Oh, they’re wonderful,” she said. “… I stay happy. I don’t let it give me misery, that’s one thing. I might carry it, and I might be right here, always talking about it, but very blessed, very happy, though, still, no matter what.”
Available funding The Provider Relief Fund (PRF) was established in the Coronavirus Aid, Relief, and Economic Security Act (CARES Act) to reimburse eligible health care providers for increased expenses or lost revenue attributable to COVID care.
A companion fund to the PRF is the Uninsured Funds, which made $10 billion available nationally to reimburse providers for treatment, vaccines and vaccine administration costs for care provided to uninsured individuals.
According to the U.S. Department of Health and Human Services, CRMC received $3,145,097 in Uninsured Funds for COVID treatment, accounting for nearly 30% of the Uninsured Funds received by care providers across the state. It is unclear whether these funds were what reduced Hernandez’s bill from $32,000 to $22,000. Her itemized bill notes the reduction as a discount for “self-pay, uninsured.”
Hernandez received her $22,000 bill shortly after she was released from the hospital and was summoned to court when she did not make payments. She did not appear in court, as she said she felt hopeless and afraid and knew she would be unable to pay. As a result, the court ordered the hospital to garnish 25% of her wages and any argument she had that the government should have assisted her financially was nullified.
After her hospitalization, Hernandez was forced to leave her job of 10 years, where she worked as a waitress, and was unable to work for three months while she stayed at home and was on oxygen 24 hours per day, due to COVID complications.
“I would like to see if they could reverse this, it’s not that I didn’t seek assistance. Now I’ll never get out of this, I’m never going to get out of this,” she said. “It started at $32,000. I’ve been paying on that this whole time. I had started working, they started garnishing right away. I owe them more now. What am I paying for? What am I working for?”
Additionally, Hernandez said she applied for and was denied CRMC’s financial assistance program. According to CRMC’s policy summary, CRMC determines whether patients qualify for financial assistance based on their income and household size compared to the Federal Poverty Guidelines from the HHS. In 2021, those guidelines stipulate that the threshold for a one-person household is $12,880 annual income.
“If being an uninsured waitress making $350 a week doesn’t qualify a person for financial assistance under your hospital’s charity policy, I’d like to know what does,” Hernandez wrote in an email to CRMC officials.
Hernandez sent this email to CRMC, the Center for Medicare & Medicaid Services and Wyoming government officials. In nearly two months, she only got a response from CMS, which informed her it never received an application submitted on her behalf for Wyoming Medicaid and she was not on Medicaid at that time.
Hernandez: “The prices, they’re outrageous”
In this letter, she also claims she was overcharged. On her itemized bill, she was charged $2,124.20 per 100 mg vial of Remdesivir. Gilead Sciences, the drug’s manufacturer, set the price of Remdesivir at $390 per vial for uninsured patients. Hernandez was charged for five vials for a total of $10,621 instead of what would have been $1,950 for five vials directly from the manufacturer.
Hernandez was charged $8.01 for each 20 mg tablet of famotidine, an acid reducer. This medication is commonly available over the counter and a pack of 225 20 mg tablets is available on Amazon for just under $9, equivalent to about $0.04 per tablet. At this rate, CRMC’s price for the medication is 19,825% higher than what can be purchased in store or online.
CRMC charged her the same price for each 100 mg tablet of thiamine mononitrate, more commonly known as a B1 vitamin. These can also be purchased in the pharmacy section of most grocery stores. A pack of 100 tablets can be found for $7, or $0.07 per tablet, more than 114 times less than the hospital’s price.
It is common for hospitals to charge more for medications, even if it can be purchased at a CVS or Walgreens, for charges associated with administering the drug to the patient. This may include factors like the doctor’s prescription, the pharmacy charge to fill the order, the transportation of the drug from the pharmacy to the medication unit, administration of the medication from the registered nurse to the patient and documentation that the correct medication was administered on the patient’s record.
However, Hernandez believes an 11,343% upcharge for a B1 vitamin may be a bit too much.
When she initially went to urgent care and got an X-ray scan, she was told to go to the emergency room immediately, and the providers at the urgent care said it was a matter of life or death. Without financial assistance or price transparency as her bills continued to grow, Hernandez felt disenfranchised and marginalized and is now fearful of the system that is supposed to provide care for her and the community. She said she is now afraid to ever get sick again.
“I feel it’s unjust. I should not be living every day with a heavy burden like this,” Hernandez said. “… I’m sure I’m not the only person this has happened to. I know there has to be so many more.”
Price transparency In 2022, the White House reported that one-in-three adults in the United States — nearly 100 million people — have medical debt. It is now the largest source of debt in collections — more than credit cards, utilities and auto loans combined. Data from the 2020 U.S. Census also found that Black and Hispanic households are more likely to hold medical debt than white households.
The U.S. spent 17.8% of gross domestic product on health care in 2021, nearly twice as much as the average economically developed country. However, the Peterson-KFF life expectancy tracker shows that the average American lifespan is nearly five years lower than those in the comparable country average and was about the same in 2022 as it was in 2004, while most other comparable countries’ life expectancies have increased since then.
Marni Carey is the president of Power to the Patients, a nonprofit organization advocating patients’ rights to upfront price transparency from hospitals.
“I get letters every day from people who are fighting medical debt, burdensome medical debt,” Carey said. “… It’s just a horrible place to be driven to. And if hospitals could tell patients in advance what their financial responsibility is, or if patients could look online and see what the cost of care is, they could choose providers that were affordable to them and competition could enter the marketplace and Tylenols wouldn’t be $80, they would be $5. That’s why we need transparency, so patients can have financial certainty when they go into the medical system.”
A February 2024 report from Patient Rights Advocate, a nonprofit advocating systemwide health care price transparency, found that nearly two-thirds of American hospitals were not compliant with the federal Hospital Price Transparency Rule, which took effect in January 2021, including CRMC. This legislation requires hospitals to make their prices publicly available and easily accessible online to help patients understand the cost of care before they receive it.
According to the report, CRMC is compliant with all transparency rules except for negotiated rates, which Patient Rights Advocate measured by whether the hospital posted the charge that the hospital has negotiated with a third-party payer for an item or service. They found CRMC lists 89% of its negotiated rates as “N/A.”
“I couldn’t go into the Cheyenne Regional Medical Center machine readable files and find out if (Hernandez’s) bill was at all correct, because the hospital doesn’t have that, they don’t comply,” Carey said.
CRMC officials declined to comment on this story, citing patient privacy.
“For privacy reasons, we can’t disclose patient medical treatment or billing details. We recently received a letter from Ms. Hernandez and we will review the medical and billing records and provide a response,” CRMC told the WTE in a statement. “As a general matter, please note that sending a bill to a collections agency and potentially sending an unpaid bill through a court process are last resorts, used only when someone does not respond to offers of financial assistance, billing statements and phone calls.”
At the time of publication, Hernandez said she has yet to receive a response from CRMC and never got any offer of financial assistance. The only correspondence she has received after her release from the hospital has been her bills and a letter stating she did not qualify for the hospital’s charitable care program.
No savings left Hernandez said she believes she would have been in a better situation now if she had more savings before she got COVID more than three years ago. She said she did have savings, but she had to burn through those savings when her father, who lived in California, passed and her grandmother, also in California, passed a month later. Between several trips to California and multiple funeral services, she said she had little savings remaining when she got sick.
“My dad’s burial cost took all my savings, everything, because I just wanted my dad to lay in peace, you know, I wanted to bury my father, and that took all my savings,” she said.
“It’s just like a train of events, such an unfortunate train of events in life that people go through. Everybody goes through it, and that was mine. I said, ‘Man, if I would have had all that money held just a little bit longer, I would not be in this right now.’”
#long covid#mask up#covid#pandemic#covid 19#wear a mask#coronavirus#sars cov 2#public health#still coviding#wear a respirator#covid conscious#covid is airborne#covidー19#covid isn't over#covid pandemic#covid19
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