#access health care center

[accesshealthservices]

Best Access Health Care Center

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[dontmeantobepoliticalbut]

A national physician group this week called for the complete termination of a Medicare privatization scheme that the Biden White House inherited from the Trump administration and later rebranded—while keeping intact its most dangerous components.

Now known as the Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH) Model, the experiment inserts a for-profit entity between traditional Medicare beneficiaries and healthcare providers. The federal government pays the ACO REACH middlemen to cover patients' care while allowing them to pocket a significant chunk of the fee as profit.

The rebranded pilot program, which was launched without congressional approval and is set to run through at least 2026, officially began this month, and progressive healthcare advocates fear the experiment could be allowed to engulf traditional Medicare.

In a Tuesday letter to Health and Human Services Secretary Xavier Becerra and Centers for Medicare and Medicaid Services Administrator Chiquita Brooks-LaSure, Physicians for a National Health Program (PNHP) argued that ACO REACH "presents a threat to the integrity of traditional Medicare, and an opportunity for corporations to take money from taxpayers while denying care to beneficiaries."

The group, which advocates for a single-payer healthcare system, voiced alarm over the Biden administration's decision to let companies with records of fraud and other abuses take part in the ACO REACH pilot, which automatically assigns traditional Medicare patients to private entities without their consent.

CMS said in a press release Tuesday that "the ACO REACH Model has 132 ACOs with 131,772 healthcare providers and organizations providing care to an estimated 2.1 million beneficiaries" for 2023.

"As we have stated, PNHP believes that the REACH program threatens the integrity of traditional Medicare and should be permanently ended," Dr. Philip Verhoef, the physician group's president, wrote in the new letter. "Whether or not one agrees with this statement, we should all be able to agree that companies found to have violated the rules have no place managing the care of our Medicare beneficiaries."

Among the concerning examples PNHP cited was Clover Health, which has operated so-called Direct Contracting Entities (DCEs)—the name of private middlemen under the Trump-era version of the Medicare pilot—in more than a dozen states, including Arizona, Florida, Georgia, and New York.

PNHP noted that in 2016, CMS fined Clover—a large Medicare Advantage provider—for "using 'marketing and advertising materials that contained inaccurate statements' about coverage for out-of-network providers, after a high volume of complaints from patients who were denied coverage by its MA plan. Clover had failed to correct the materials after repeated requests by CMS."

Humana, another large insurer with its teeth in the Medicare privatization pilot, "improperly collected almost $200 million from Medicare by overstating the sickness of patients," PNHP observed, citing a recent federal audit.

"It appears that in its selection process [for ACO REACH], CMS did not prevent the inclusion of companies with histories of such behavior," Verhoef wrote. "Given these findings, we are concerned that CMS is inappropriately allowing these DCEs to continue unimpeded into ACO REACH in 2023."

While the Medicare pilot garnered little attention from lawmakers when the Trump administration first launched it during its final months in power, progressive members of Congress have recently ramped up scrutiny of the program.

Last month, Sen. Elizabeth Warren (D-Mass.) and Rep. Pramila Jayapal (D-Wash.) led a group of lawmakers in warning that ACO REACH "provides an opportunity for healthcare insurers with a history of defrauding and abusing Medicare and ripping off taxpayers to further encroach on the Medicare system."

"We have long been concerned about ensuring this model does not give corporate profiteers yet another opportunity to take a chunk out of traditional Medicare," the lawmakers wrote, echoing PNHP's concerns. "The continued participation of corporate actors with a history of fraud and abuse threatens the integrity of the program."

[ivygorgon]

AN OPEN LETTER to THE PRESIDENT & U.S. CONGRESS; STATE GOVERNORS & LEGISLATURES

Say NO to Loony-Bins: Immediate Action Required for Inpatient Psychiatric Care

2 so far! Help us get to 5 signers!

The current model of inpatient psychiatric care, which primarily focuses on safety and crisis stabilization, falls short in promoting sustained recovery. The prevalent emphasis on ultrashort lengths of stay often overlooks the need for comprehensive treatment plans.

A proposed model of care advocates for rapid diagnosis, goal-setting, and treatment modalities before initiating treatment, organized into three distinct phases: assessment, implementation, and resolution. This approach emphasizes individualized treatment and active patient involvement in treatment planning, addressing critical psychosocial aspects that are frequently neglected.

As we strive to reform the mental health care system, it's imperative to prioritize effective, recovery-oriented treatment strategies. This includes ensuring patient comfort and preferences are accommodated within reason. Considering patient preferences, like comfort items (such as safe stuffed animals; Share-Bears, if you will) and rescue medications (like melatonin,) is essential to upholding rigorous standards of care and safety.

Let's advocate for reforms that enhance patient-centered practices while adhering to established treatment guidelines and advancing recovery-oriented care.

Say no to “loony-bins;” those archaic relics that should be relegated to the distant past.

📱 Text SIGN PWORPV to 50409

🤯 Liked it? Text FOLLOW IVYPETITIONS to 50409

💘 Q'u lach' shughu deshni da. 🏹 "What I say is true" in Dena'ina Qenaga

[sayruq]

Gazal was wounded on November 10th, when, as her family fled Gaza City’s Al-Shifa hospital, shrapnel pierced her left calf. To stop the bleeding, a doctor, who had no access to antiseptic or anesthesia, heated the blade of a kitchen knife and cauterized the wound. Within days, the gash ran with pus and began to smell. By mid-December, when Gazal’s family arrived at Nasser Medical Center—then Gaza’s largest functioning health-care facility—gangrene had set in, necessitating amputation at the hip. On December 17th, a projectile hit the children’s ward of Nasser. Gazal and her mother watched it enter their room, decapitating Gazal’s twelve-year-old roommate and causing the ceiling to collapse.

UNICEF estimates that a thousand children in Gaza have become amputees since the conflict began in October. “This is the biggest cohort of pediatric amputees in history,” Ghassan Abu-Sittah, a London-based plastic-and-reconstructive surgeon who specializes in pediatric trauma, told me recently.

[dental1234]

"Experience Superior Dental Care with the Best Dentists on Golf in Illinois"

Experience Superior Dental Care with the best dentists near Illinois

For those seeking exceptional dental care in Illinois, the best dentists on Golf Avenue offer an unparalleled level of expertise and service. When you're looking for the "best dentists near me" in Illinois, you'll find that these professionals go above and beyond to ensure your dental health is in excellent hands.

Unmatched Expertise: The best dentists on Golf in Illinois have earned their reputation through years of dedicated practice and ongoing education. They are skilled in a wide range of dental procedures, from routine check-ups and cleanings to complex restorative and cosmetic treatments.

State-of-the-Art Facilities: These dental practices are equipped with the latest technology and modern facilities, creating an environment conducive to precise, efficient, and minimally invasive treatments. This focus on cutting-edge technology ensures that you receive the highest quality care available.

Comprehensive Services: Whether you require general dental care, orthodontics, dental implants, or cosmetic dentistry, the best dentists on Golf offer comprehensive services to address all your oral health needs. They tailor treatment plans to your individual needs and goals.

Patient-Centered Approach: What truly sets these dentists apart is their patient-centered approach. They prioritize your comfort, actively listen to your concerns, and engage you in every step of your dental journey. This commitment to personalized care fosters a warm and welcoming atmosphere, ensuring that you feel at ease during your visits.

Convenient Accessibility: Located in a prime area of Illinois, the best dentists on Golf make it easy for residents and visitors alike to access superior dental care. Their flexible scheduling options and willingness to work with various insurance plans prioritize convenience and accessibility.

In conclusion, if you're seeking the "best dentists near Illinois" or "best dentists near me" to enhance your dental health and create a radiant smile, the best dentists on Golf Avenue in Illinois should be your first choice. Their unwavering dedication to excellence, patient-centered approach, and commitment to the latest dental technology guarantee that you'll experience superior dental care that exceeds your expectations.

[artisticdivasworld]

Mental Health: The Next Global Pandemic

Our country is facing an unprecedented mental health crisis. The crisis isn’t just affecting adults, its devastating young people, and people from every background are impacted. (Fact Sheet: Celebrating Mental Health Awareness Month 2023) Mental health has emerged as one of the most pressing public health challenges in the United States. The nation grapples with an unprecedented mental health…

[vaspider]

Measure 110, or the Self-Fulfilling Prophecy

So if y'all aren't local to Oregon, you may not have heard that the Oregon state legislature just voted to -- essentially -- gut Measure 110, the ballot measure which decriminalized all drug possession and use in the state. It turned all drug use into a citation instead, and the citation and fine could be waived by completing a health screening. The entire point of Measure 110 was replacing jail with health care and services to help people instead, and while I could probably write a very long side post on the imperfections of that approach, it was at the very least a move in the right direction after decades of the pathetic failure and absolutely racist mess that is the "War on Drugs."

You may hear this pointed to in coming years as a reason why we have to just throw people into jail for using drugs, because Measure 110 failed. And like... it did fail, kinda. Sorta. It failed in that it did not manage to fix everything immediately, and it created some new issues while also exposing older issues more sharply.

It also saved the state $40 million in court costs prosecuting low-level drug offenses, kept thousands of people whose literal only crime was putting a substance into the body of a consenting adult (themselves) out of jail, put at least one addiction services center in every county in the state, invested $300 million in addiction services, and an awful lot more. See the end of this post for more reading.

But where it failed, it failed because it wasn't supported. Police and advocacy groups both asked for specific tickets for this new class of offenses which had the phone number to call to go through the health screening and the information about how going through that health screening would make the ticket go away printed on it prominently - lawmakers declined to fund this. Governor Kotek budgeted $50K to train officers on how to handle these new citations and how to direct people to the treatment and housing supports, but lawmakers thought that training officers on this new law at all was a waste of money. Money moved extremely slowly out to the supports that were supposed to come into play to help people obtain treatment or get access to harm-reduction strategies. People freaked the fuck out about clean-needle outreach, fentanyl testing strip distribution, Narcan training, and other harm-reduction strategies.

And at the end of the day, Measure 110 gets called a failure because it wasn't a silver bullet. Never mind that thousands of people are not sitting in jail right now for basically no fucking reason. Never mind that people have gotten treatment, harm has been reduced, overdoses have been prevented...

So, yeah. You'll probably start hearing this trotted out as proof that, well, we triiiied decriminalizing drugs, but look what happened in Portland! Well, what happened in Oregon is that we got set up to fail, and still didn't fail, just didn't totally succeed.

Measure 110 highlights, quoted directly from Prison Policy Initiative:

The Oregon Health Authority reported a 298% increase in people seeking screening for substance use disorders.

More than 370,000 naloxone doses have been distributed since 2022, and community organizations report more than 7,500 opioid overdose reversals since 2020.

Although overdose rates have increased around the country as more fentanyl has entered the drug supply, Oregon’s increase in overdoses has been similar to other states’ and actually less than neighboring Washington’s. A peer-reviewed study comparing overdose rates in Oregon with the rest of the country after the law went into effect found no link between Measure 110 and increased overdose rates.

There is no evidence that drug use rates in Oregon have increased. A cross-sectional survey of people who use drugs across eight counties in Oregon found that most had been using drugs for years; only 1.5% reported having started after Measure 110 went into effect.

There has been no increase in 911 calls in Oregon cities after Measure 110.

Measure 110 saves Oregonians millions. Oregon is expected to save $37 million between 2023-2025 if Measure 110 continues. This is because it costs up to $35,217 to arrest, adjudicate, incarcerate, and supervise a person taken into custody for a drug misdemeanor — and upwards of $60,000 for a felony. In contrast, treatment costs an average of $9,000 per person. The money saved by Measure 110 goes directly to state funding for addiction and recovery services.

There is no evidence that Measure 110 was associated with a rise in crime. In fact, crime in Oregon was 14% lower in 2023 than it was in 2020.

Further reading/sources:

[taviamoth]

🚨 The Government Media Office in Gaza publishes an update about the scale of destruction of the zionist on Gaza from October 7th, 2023 to February 11th, 2024.

• 128 days of the war of genocide.

• 2,438 massacres.

• 35,176 martyrs and missing.

• 28,176 martyrs reached the hospitals.

• 12,300 child martyrs.

• 8,400 women martyrs.

• 340 medical worker martyrs.

• 46 civil defense martyrs.

• 124 journalist martyrs.

• 7,000 missing; 70% of them are children and women.

• 67,784 wounded.

• 11,000 wounded in need of travel for life-saving and critical treatment.

• 10,000 cancer patients at risk of death.

• 700,000 Gazans infected with infectious diseases as a result of displacement.

• 8,000 cases of viral hepatitis infection due to displacement.

• 60,000 pregnant women are at risk due to lack of access to health care.

• 350,000 chronic patients are at risk due to lack of administration of medications.

• 99 arrests of health workers.

• 10 arrests of journalists whose names are known.

• 2 million displaced in the Gaza Strip.

• 142 government headquarters destroyed by the occupation.

• 100 schools and universities completely destroyed by the occupation.

• 295 schools and universities partially destroyed by the occupation.

• 184 mosques completely destroyed by the occupation.

• 266 mosques partially destroyed by the occupation.

• 3 churches targeted and destroyed by the occupation.

• 70,000 residential units completely destroyed by the occupation.

• 290,000 residential units partially destroyed by the occupation.

• 66,000 tons of explosives dropped by the occupation on Gaza.

• 30 hospitals taken out of service by the occupation.

• 53 health centers taken out of service by the occupation.

• 150 health centers partially destroyed by the occupation.

• 123 ambulances completely destroyed by the occupation.

• 200 archaeological and heritage sites destroyed by the occupation.

[via RNN]

[reasonsforhope]

"Nouabalé-Ndoki National Park in Brazzaville, Republic of Congo has a lot to celebrate.

The park, which celebrated its 30th anniversary on December 31 of 2023, also shared an exciting conservation milestone: 2023 was the first year without any elephant poaching detected.

“We didn’t detect any elephants killed in the Park this year, a first for the Park since [we] began collecting data. This success comes after nearly a decade of concerted efforts to protect forest elephants from armed poaching in the Park,” Ben Evans, the Park’s management unit director, said in a press release.

Nouabalé-Ndoki National Park was developed by the government of Congo in 1993 to maintain biodiversity conservation in the region, and since 2014, has been cared for through a public-private partnership between Congo’s Ministry of Forest Economy and the Wildlife Conservation Society.

Pictured: Nouabalé-Ndoki National Park. Photo courtesy of Scott Ramsay/Wildlife Conservation Society

Evans credits the ongoing collaboration with this milestone, as the MEF and WCS have helped address escalating threats to wildlife in the region. 

This specifically includes investments in the ranger force, which has increased training and self-defense capabilities, making the force more effective in upholding the law — and the rights of humans and animals.

“Thanks to the strengthening of our anti-poaching teams and new communication technologies, we have been able to reduce poaching considerably,” Max Mviri, a park warden for the Congolese government, said in a video for the Park’s anniversary. 

“Today, we have more than 90 eco-guards, all of whom have received extensive training and undergo refresher courses,” Mviri continued. “What makes a difference is that 90% of our eco-guards come from villages close to the Park. This gives them extra motivation, as they are protecting their forest.”

As other threats such as logging and road infrastructure development impact the area’s wildlife, the Park’s partnerships with local communities and Indigenous populations in the neighboring villages of Bomassa and Makao are increasingly vital.

“We’ve seen great changes, great progress. We’ve seen the abundance of elephants, large mammals in the village,” Gabriel Mobolambi, chief of Bomassa village, said in the same video. “And also on our side, we benefit from conservation.”

Coinciding with the Park’s anniversary is the roll-out of a tourism-focused website, aiming to generate 15% of its revenue from visitors, which contributes significantly to the local economy...

Nouabalé-Ndoki also recently became the world’s first certified Gorilla Friendly National Park, ensuring best practices are in place for all gorilla-related operations, from tourism to research.

But gorillas and elephants — of which there are over 2,000 and 3,000, respectively — aren’t the only species visitors can admire in the 4,334-square-kilometer protected area.

The Park is also home to large populations of mammals such as chimpanzees and bongos, as well as a diverse range of reptiles, birds, and insects. For the flora fans, Nouabalé-Ndoki also boasts a century-old mahogany tree, and a massive forest of large-diameter trees.

Beyond the beauty of the Park, these tourism opportunities pave the way for major developments for local communities.

“The Park has created long-term jobs, which are rare in the region, and has brought substantial benefits to neighboring communities. Tourism is also emerging as a promising avenue for economic growth,” Mobolambi, the chief of Bomassa village, said in a press release.

The Park and its partners also work to provide education, health centers, agricultural opportunities, and access to clean water, as well, helping to create a safe environment for the people who share the land with these protected animals. 

In fact, the Makao and Bomassa health centers receive up to 250 patients a month, and Nouabalé-Ndoki provides continuous access to primary education for nearly 300 students in neighboring villages. 

It is this intersectional approach that maintains a mutual respect between humans and wildlife and encourages the investment in conservation programs, which lead to successes like 2023’s poaching-free milestone...

Evans, of the Park’s management, added in the anniversary video: “Thanks to the trust that has been built up between all those involved in conservation, we know that Nouabalé-Ndoki will remain a crucial refuge for wildlife for the generations to come.”"

-via Good Good Good, February 15, 2024

[screamingfromuz]

Hi there! I am reaching out because someone sent me a question about how to help Gazan civilians without accidentally helping Hamas or spreading more hate against Israelis. I honestly feel lost on this myself, but as far as I can tell you are someone who has done real activism in Israel. Do you have suggestions for diaspora Jews who want to help fight for peace?

So a small disclaimer to the Gaza problem. We have 2 main problems with getting aid into Gaza, the first is the limited amount of aid that is allowed in, sending more money cannot make it go in faster. Problem number 2 is that much of the physical aid ends in Hamas's hands or in the black market and there is nothing we can do with that. I have heard recommendations to wait and see who opens a field hospital on the Rafah border crossing, and donate to them. Despite that, here are some charities to help Palestinians both in and out of Gaza.

I will admit, most of my activism is focused on deradicalization on the Israeli side and solidarity work, so I had to ask around for some of those charities. Some of the groups I know of do not currently have an international donation link, so if I get more good ones, I'll make another post.

Gaza:

Medical aid for Palestinians-

Anera-

Doctors without borders-

Palestinians outside of Gaza and Peace movements:

Palestinian red Crescent- they also work in Gaza, but as the main source for Palestinian ambulances in the WB, I put them here.

mistaclim (Looking the occupation the the eye)- this group is helping to protect Palestinians from the illegal settlers

Keshet- this is a big one. they support Bedouin communities in normal times, and now they are working on getting bomb shelters to the unrecognized villages, and providing a mental health first aid line.

standing together- totally biased, as I am a member of this organization.

Women wage peace- a feminist based solidarity group

Haqel- they represents Palestinians in cases related to land ownership and access. there work is still ongoing even during the war

Center for Jewish non Violence - a diaspora org that also does a lot of work in the South Hebron Hills.

[accesshealthservices]

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[genderkoolaid]

HIV research and monitoring has historically excluded transgender men, creating blind spots in understanding this group’s sexual well-being and happiness. Two recent studies—one out of New York and the other from Germany—suggest that transgender men who have sex with other men have a higher prevalence of HIV than the general population. The German analysis further finds that transgender men who have sex with other men face a host of inequities compared to cisgender gay and bisexual men, including reduced access to sexual healthcare and less satisfying sex lives. [...] Almost three quarters of trans MSM reported their income was insufficient for them to live comfortably, compared to about half of cis MSM. The researchers note that the income disparity could be due to the trans MSM participants being younger on average, but they also suggest discrimination could play a role. In terms of mental health, survey scores indicated both groups experienced various degrees of depression and anxiety from mild to severe. However, trans MSM were almost four times as likely to suffer from severe anxiety and depression compared to cis MSM (15% vs 5%). Furthermore, trans MSM indicated far more suicidal ideation than their cisgender counterparts (41% versus 16%). The survey results also pointed to gaps in sexual satisfaction, with more trans MSM being unhappy with their sex life than cis MSM (34% versus 22%). Trans men more often disagreed that sex was as safe as they wanted (18% versus 11%) and indicated less ability to say no to unwanted sex (23% to 12%). Trans MSM reported fewer sexual partners than cis MSM, and the study authors propose that difficulties in finding partners due to stigma may contribute to less happiness in their sex lives. On the whole, trans MSM also had poorer access to healthcare compared to cis MSM. Fewer had ever received either an HIV test (41% versus 24%) or an STI test (55% versus 45%). Drawing on other research, the authors suggest that one reason for this may be discrimination in healthcare settings, which may cause trans men to avoid seeking sexual health services. The authors go on to say that stereotypes, such as assuming trans men only have sex with cisgender women, may also interfere with providing adequate care. Finally, although trans MSM had higher rates of HIV than the general population, this was lower than amongst cis MSM (2.5% versus 10.7%). A different study conducted in New York City by Dr Asa Radix and colleagues of the Callen-Lorde Community Health Center also found that HIV prevalence is higher in transgender men. In this retrospective analysis, the authors identified a racially diverse group of 577 transgender men who sought care at the facility between 2009 and 2010. Among this group of men (mean age 32 years), less than half (n=250) had ever had an HIV test. Out of the 250 individuals who had, 2.8% (n=7) tested positive for HIV, a significantly higher rate of HIV than the current US national prevalence of 0.41%. Of the 18 trans men who had sex exclusively with cis men and tested for HIV, two (11.1%) were positive.

[hyperlexichypatia]

One of the most common criticisms of "housing first" initiatives (programs to provide housing for unhoused people unconditionally without gatekeeping) is that housing first "does not improve mental health."  Now, let's set aside for the moment that this criticism is irrelevant -- the purpose of housing is to provide shelter, not to "improve mental health" -- what definition of "mental health" could possibly make this true? As much as I try to critique and deconstruct the social construction of "mental health," how could it possibly be true that having a safe, assured place to live would not result in greater happiness, greater inner peace, less depression, less anxiety, less negative emotions, than living on the street?  What possible definition of "mental health" would not be improved by being housed rather than unhoused?

Answering this requires unpacking the wildly different, almost completely unrelated, definitions of "mental health," one applied to relatively privileged people, and one applied to oppressed people.

For relatively privileged people, the concept of "mental health" is centered on emotional well-being, introspection and self-awareness, and the mitigation or management of negative emotions like pain, depression, anxiety, and anger.

For oppressed people, the concept of "mental health" is centered on compliance, obedience, and productivity.

Like most privilege disparities, this isn't binary. For most people who are privileged in some ways and marginalized in other ways, "mental health support" will include some degree of the emotional support given to privileged people, and some degree of the compliance and productivity training given to oppressed people, with the proportions varying on where exactly each person falls on various privilege axes.  All children are oppressed by ageism, so all children's "mental health" has some elements promoting compliance, obedience, and productivity. But relatively privileged children may also receive some emotional support mixed in, while children of color, children in poverty, and children with existing neurodivergence labels will receive a much higher ratio of compliance training to emotional support.

One of the clearest illustrations of this disparity is the contrast between the "self-care" recommended to privileged people, and the "meaningful days" imposed on oppressed people.

Relatively privileged people are often told, by therapists, doctors, mental health culture, and self-help books, that they are working too hard and need to rest more. They're told that for the sake of their mental health, they need work-life balance, self-care, walks in the woods, baths with scented candles. Implicit in these recommendations is that the reason these people are working too hard is because of internal factors, like guilt or emotional drive, rather than external factors, like needing to pay the bills and not being able to afford a day off.

By contrast, unhoused people, institutionalized people, people labeled with "severe" or "serious" or "low-functioning" mental disabilities, are literally prescribed labor. Publicly funded "mental health initiatives" require the most marginalized members of society to work tedious jobs for little or no pay, under the premise that loading boxes at a warehouse will make their days "meaningful" and thus improve their "mental health." And unlike the self-care advice given to relatively privileged people, the forced-labor-for-your-own-good approach is not optional. People are either forced into it directly by guardians or institutions, or coerced into it as a precondition to access material needs like housing and food.

The form of "mental health" applied to relatively privileged people has some genuinely useful and beneficial elements. We could all stand to introspect and examine our own feelings more, manage our negative emotions without being overwhelmed by them, have self-confidence. We all need rest and self-care.

Still, privileged mental health culture, even at its best, is deeply flawed. At best, it tends to encourage a degree of self-centeredness and condescension. It's obsessed with classifying experiences as "trauma" or "toxic." It's one of the worst culprits in feeding the "long adolescence" phenomenon and generally perpetuating the idea that treating people as incompetent is doing them a kindness. Even the best therapists serving the most privileged clients have a strong tendency towards gaslighting and "correcting" people about their own feelings and desires.

But perhaps the worst consequence of privileged mental health culture is that it gives cover to the dehumanizing, abusive, compliance-oriented "mental health care" forced upon the most marginalized people. Privileged people are encouraged to universalize their experiences with sentiments like "We all deal with mental health" or assume that the mild, relatively benign "mental health care" they experienced are the norm, so what are those silly mad liberation people complaining about?

Tonight, I listened to a leader from an agency serving unhoused people talk about how "Everyone struggled with mental health during the pandemic"... and then later mention that their shelter categorically excludes people with paranoid schizophrenia diagnoses. So perhaps "everyone struggles with mental health," but only certain people are categorically excluded from services, from shelter, from autonomy, from basic human rights, because of how their brains happen to work.

As always, it seems like so much effort in the mad liberation/ neurodiversity/ antipsychiatry movement is spent holding the hands of relatively privileged people receiving relatively privileged "mental health care" and reassuring them that we're not trying to take it away from them. Fine, it's great that you like your antidepressants and anti-anxiety medication and your nice therapist who listens to you and your support group. Great. Go live your best life. But that has nothing to do with our fight against forced drugging, forced labor, forced institutionalization, forced poverty. It's not even close to the same "mental health."

[chronicallycouchbound]

Let People On Food Stamps Eat Hot Meals

Particularly on cold, rainy days (like today), while unhoused, sometimes all I want is a hot meal but it’s so difficult (if not impossible) to cook outside in the rain.

On top of this, I’m physically disabled and chronically ill. Medically, I’m supposed to have assistance with making meals as part of in home care. But I can’t get in home care without a home.

I just finished making dinner for my partner and I, it took 2 hours (3 if you include clean up). My knees are burning, my back is aching in it’s core, I feel like I’m about to faint, and all my joints are screaming. But it’s the only way we could have a hot meal today and get some protein, which is vital for our health conditions.

People judge us for using what little funds we have on McDonald’s some days. Because sometimes, it’s the only hot meal we’ve had in days. And sometimes I’m physically unable to stand, move, and do all the actions needed to cook. Or I faint while cooking. Or the rain doesn’t let up. Or we don’t have access to a kitchen for the day. Or the fire danger outside is too high. The list goes on.

Without my own kitchen to use, I don’t get to sit down while I cook (right now, everything is wet from the rain), I can’t meal prep, I can’t stock up on freezer meals, I can’t use an oven or a microwave to reheat leftovers, I can’t just reach across the kitchen for a fridge item (we have a small amount of fridge space friends let us use), everything about cooking is exponentially harder.

And even if I had 24/7 access to an accessible, full kitchen, it’s not even physically safe to cook my own meals. Even then, having a pre-made, hot, ready-to-eat meal could keep me safe and give me independance.

And all the safety needs for hot meals aside, emotionally, hot meals are also life saving and comfort. Meals are a part of community, culture, love and art.

So many gatherings we have as communities center around food. Most people in the United States would think of ones that often hold great value to Western culture. Mother’s Day breakfast. Spaghetti fundraisers. Wedding cakes. Birthday dinners. Bake sales. Carnival treats. BBQs on weekends. Holiday roasts. Lunches with friends. Casseroles brought to grieving neighbors.

Our world revolves around food.

I firmly believe that no poor person could ever “take advantage” of a system designed to feed us by using food stamps on hot food. This restrictive rule serves no purpose but to punish the most vulnerable of poor people— unhoused, disabled, and those of us living in unsafe conditions.

It also serves to restrict our access to joy and comfort. The joy can sometimes come from the food itself, but also the joy from having shared experiences solidified by the sounds of laughter and forks clinking on plates. The comfort can sometimes also be from the food itself, but also the experience of being loved and cared for while your close friend brings you pizza from your favorite restaurant because you lost your drive to eat three weeks ago and they worry about you. They know you. Those slices of pizza bring color back into your world.

Poor people deserve to be able to have the comfort, joy, and care that goes into a hot meal. We deserve the autonomy to choose foods that are best for us ourselves. We deserve to be able to eat in ways that are accessible to us.

Above all, we deserve access to hot meals.

Originally posted to my blog on 6.3.22

[incorrectbatfam]

Wayne Tower yelp reviews pls (wrong answers ofc)

★★★☆☆ Disappointed but not surprised

Was invited to the Wayne Gala held at the Tower this year to accommodate special guests from the Justice League. Was photographed by reporter Clark Kent. Wanted to meet Superman but he didn't show up. Food and atmosphere was good. Got told off for swinging from the chandelier. Why have a chandelier if not for swinging?

★☆☆☆☆ Not even gonna dignify it with a title

I'd give zero stars if I could. The CEO is a massive fucking asshole. He's full of nothing but smooth-brained takes. He claims he'll be there when you need him but never shows up. And when you RIGHTFULLY resent him, he'll turn around and pretend YOU are the bad guy. That isn't even touching on his AUDACITY to replace you so soon after you leave. You think you know this man, you think you've grown to trust him, and then he goes and stabs you in the back. Believe me when I say RUN. Get as FAR away from this company and that bastard Bruce Wayne as you possibly can.

★★☆☆☆ SOS

I work here. Too many emails. Half the execs are Boomers who can't export a PDF. The break room is out of coffee. My dad won't stop visiting the office. When will the nightmare end???

★★★★☆ Imperfect but respectable

I had the opportunity to visit Wayne Tower on Bring Your Child To Work Day. The building is up to code and I was able to view all the health code certifications. I admire that Wayne Enterprises takes care of its employees by allowing ample vacation time, in-house daycare, and well-maintained recreation spaces. The cafeteria did not have as many vegetarian options as I would have preferred, but I have been informed that they operate on a rotating menu, so I shall revisit again next week and possibly amend my review. I would leave five stars but I ran into Tim Drake on the way out and that brought the whole experience down a notch.

★☆☆☆☆ No Chipotle

Was told there was a Chipotle here. Did not find Chipotle.

★★★☆☆ Badge entry didn't work

I'm on the night shift at the company's call center. One time I was already running late but for some reason I couldn't badge in. The janitor wouldn't let me through even though I had proof I was supposed to be here. Had to escalate to the CEO. Still better than working the Batburger drive-thru though.

★★★★★ Hi Dad

Hi Dad.

★★★★☆ Good but...

I love the bathrooms. They're easy to find and very accessible for a wheelchair user like myself. There's plenty of space for me to navigate and the products are top-notch, especially the hot towels. The toaster oven under the sink also doesn't make sense, but then again, my lockscreen is Nightwing so I can't judge.

★★☆☆☆ No cats allowed

I got written permission from the CEO himself to bring my cat to the office, but the doorman turned me away. Next time, there should be better communication between the employees.

★★★★☆ Rooftop makes for good date

I brought my girlfriend up here for our anniversary date. The building has a beautiful view of the city and the restaurant was great. The bread was a little dry, but nothing that a little butter couldn't fix. Unfortunately, she's an on-call detective and we had to cut our evening short, but that's not the staff's fault.

★☆☆☆☆ Got called Bri'ish

Someone called me Bri'ish.

[accesshealthcarephysicians]

Understanding the Basics: What You Need to Know About Automatic Enrollment in Medicare

Automatic enrollment in Medicare is a topic that often confuses beneficiaries. At Access Health Care Physicians, LLC, we believe that understanding the fundamentals of this process is crucial, especially in the context of the 2023 Annual Enrollment Period (AEP). In this article, we will break down the essentials of automatic enrollment in Medicare, helping you navigate your healthcare options with confidence.

What Is Automatic Enrollment in Medicare?

Automatic enrollment is a process by which some individuals are enrolled in Medicare Part A and/or Part B without having to apply manually. This typically happens when you meet specific eligibility criteria, such as turning 65 and receiving Social Security or Railroad Retirement Board (RRB) benefits.

Key Points to Know About Automatic Enrollment:

1. Eligibility for Automatic Enrollment

Automatic enrollment primarily applies to individuals who are already receiving Social Security or RRB benefits. You will be automatically enrolled in Medicare Part A and Part B starting the first day of the month you turn 65.

2. Receiving Your Medicare Card

Once you are automatically enrolled, you will receive your Medicare card by mail approximately three months before your 65th birthday. It will include important information about your coverage and how to use it.

3. Choosing Your Coverage

While automatic enrollment simplifies the process for many, it's essential to understand your coverage options. You can keep the automatic enrollment coverage or make changes during the Annual Enrollment Period (AEP) if you prefer a different plan, such as a Medicare Advantage Plan or Medicare Part D prescription drug coverage.

4. The Role of the Annual Enrollment Period (AEP)

The AEP, which runs from October 15th to December 7th, is the time to make changes to your Medicare coverage. If you're automatically enrolled but wish to switch to a different plan, this is the window of opportunity to do so.

5. Access Health Care Physicians, LLC, Your Trusted Partner

Access Health Care Physicians, LLC, understands that Medicare can be overwhelming. Our team of experts is here to assist you in navigating the complexities of automatic enrollment and making informed decisions during the AEP. Whether you want to explore different coverage options or have questions about your automatic enrollment, we're just a call away.

Conclusion

Automatic enrollment in Medicare is a valuable benefit for many individuals approaching the age of 65. It ensures that you have essential healthcare coverage as you enter your senior years. However, it's equally important to be aware of your options and the Annual Enrollment Period (AEP), which allows you to customize your Medicare coverage to better suit your needs.

At Access Health Care Physicians, LLC, we are committed to simplifying the Medicare process and helping you make the best choices for your healthcare. As you navigate the 2023 AEP, remember that we are your trusted partner in achieving the healthcare coverage that aligns with your preferences and requirements. Contact us today for personalized guidance and support.