#post on health

[politijohn]

Source

[great-and-small]

When I was in vet school I went to this one lecture that I will never forget. Various clubs would have different guest lecturers come in to talk about relevant topics and since I was in the Wildlife Disease Association club I naturally attended all the wildlife and conservation discussions. Well on this particular occasion, the speakers started off telling us they had been working on a project involving the conservation of lemurs in Madagascar. Lemurs exist only in Madagascar, and they are in real trouble; they’re considered the most endangered group of mammals on Earth. This team of veterinarians was initially assembled to address threats to lemur health and work on conservation solutions to try and save as many lemur species from extinction as possible. As they explored the most present dangers to lemurs they found that although habitat loss was the primary problem for these vulnerable animals, predation by humans was a significant cause of losses as well. The vets realized it was crucial for the hunting of lemurs by native people to stop, but of course this is not so simple a problem.

The local Malagasy people are dealing with extreme poverty and food insecurity, with nearly half of children under five years old suffering from chronic malnutrition. The local people have always subsisted on hunting wildlife for food, and as Madagascar’s wildlife population declines, the people who rely on so-called bushmeat to survive are struggling more and more. People are literally starving.

Our conservation team thought about this a lot. They had initially intended to focus efforts on education but came to understand that this is not an issue arising from a lack of knowledge. For these people it is a question of survival. It doesn’t matter how many times a foreigner tells you not to eat an animal you’ve hunted your entire life, if your child is starving you are going to do everything in your power to keep your family alive.

So the vets changed course. Rather than focus efforts on simply teaching people about lemurs, they decided to try and use veterinary medicine to reduce the underlying issue of food insecurity. They supposed that if a reliable protein source could be introduced for the people who needed it, the dependence on meat from wildlife would greatly decrease. So they got to work establishing new flocks of chickens in the most at-risk communities, and also initiated an aggressive vaccination program for Newcastle disease (an infectious illness of poultry that is of particular concern in this area). They worked with over 600 households to ensure appropriate husbandry and vaccination for every flock, and soon found these communities were being transformed by the introduction of a steady protein source. Families with a healthy flock of chickens were far less likely to hunt wild animals like lemurs, and fewer kids went hungry. Thats what we call a win-win situation.

This chicken vaccine program became just one small part of an amazing conservation outreach initiative in Madagascar that puts local people at the center of everything they do. Helping these vulnerable communities of people helps similarly vulnerable wildlife, always. If we go into a country guns-blazing with that fire for conservation in our hearts and a plan to save native animals, we simply cannot ignore the humans who live around them. Doing so is counterintuitive to creating an effective plan because whether we recognize it or not, humans and animals are inextricably linked in many ways. A true conservation success story is one that doesn’t leave needy humans in its wake, and that is why I think this particular story has stuck with me for so long.

(Source 1)

(Source 2- cool video exploring this initiative from some folks involved)

(Source 3)

[i69bea]

"i wonder if we ever think of each other at the same time."

[lesbianralzarek]

"life doesnt get better, you just get stronger" does NOT include ages 11-17. life does in fact just get better from there. those years are dogshit. like, you do get stronger but its mostly just a factor of not being 11-17 anymore. positive thinking helps but it doesnt fix whatevers going on at 15, you have to brute force through that one raw

[what-iz-life]

I confuse people. i have a happy personality and a sad soul. i'm bold but shy. i love deeply but sometimes i feel heartless. i'm healing and hurting at the same time. i'm dedicated to growth, but i self sabotage

[thoughtportal]

Opinion Here’s how to get free Paxlovid as many times as you need it

When the public health emergency around covid-19 ended, vaccines and treatments became commercial products, meaning companies could charge for them as they do other pharmaceuticals. Paxlovid, the highly effective antiviral pill that can prevent covid from becoming severe, now has a list price of nearly $1,400 for a five-day treatment course.

Thanks to an innovative agreement between the Biden administration and the drug’s manufacturer, Pfizer, Americans can still access the medication free or at very low cost through a program called Paxcess. The problem is that too few people — including pharmacists — are aware of it.

I learned of Paxcess only after readers wrote that pharmacies were charging them hundreds of dollars — or even the full list price — to fill their Paxlovid prescription. This shouldn’t be happening. A representative from Pfizer, which runs the program, explained to me that patients on Medicare and Medicaid or who are uninsured should get free Paxlovid. They need to sign up by going to paxlovid.iassist.com or by calling 877-219-7225. “We wanted to make enrollment as easy and as quick as possible,” the representative said.

Indeed, the process is straightforward. I clicked through the web form myself, and there are only three sets of information required. Patients first enter their name, date of birth and address. They then input their prescriber’s name and address and select their insurance type.

All this should take less than five minutes and can be done at home or at the pharmacy. A physician or pharmacist can fill it out on behalf of the patient, too. Importantly, this form does not ask for medical history, proof of a positive coronavirus test, income verification, citizenship status or other potentially sensitive and time-consuming information.

But there is one key requirement people need to be aware of: Patients must have a prescription for Paxlovid to start the enrollment process. It is not possible to pre-enroll. (Though, in a sense, people on Medicare or Medicaid are already pre-enrolled.)

Once the questionnaire is complete, the website generates a voucher within seconds. People can print it or email it themselves, and then they can exchange it for a free course of Paxlovid at most pharmacies.

Pfizer’s representative tells me that more than 57,000 pharmacies are contracted to participate in this program, including major chain drugstores such as CVS and Walgreens and large retail chains such as Walmart, Kroger and Costco. For those unable to go in person, a mail-order option is available, too.

The program works a little differently for patients with commercial insurance. Some insurance plans already cover Paxlovid without a co-pay. Anyone who is told there will be a charge should sign up for Paxcess, which would further bring down their co-pay and might even cover the entire cost.

Several readers have attested that Paxcess’s process was fast and seamless. I was also glad to learn that there is basically no limit to the number of times someone could use it. A person who contracts the coronavirus three times in a year could access Paxlovid free or at low cost each time.

Unfortunately, readers informed me of one major glitch: Though the Paxcess voucher is honored when presented, some pharmacies are not offering the program proactively. As a result, many patients are still being charged high co-pays even if they could have gotten the medication at no cost.

This is incredibly frustrating. However, after interviewing multiple people involved in the process, including representatives of major pharmacy chains and Biden administration officials, I believe everyone is sincere in trying to make things right. As we saw in the early days of the coronavirus vaccine rollout, it’s hard to get a new program off the ground. Policies that look good on paper run into multiple barriers during implementation.

Those involved are actively identifying and addressing these problems. For instance, a Walgreens representative explained to me that in addition to educating pharmacists and pharmacy techs about the program, the company learned it also had to make system changes to account for a different workflow. Normally, when pharmacists process a prescription, they inform patients of the co-pay and dispense the medication. But with Paxlovid, the system needs to stop them if there is a co-pay, so they can prompt patients to sign up for Paxcess.

Here is where patients and consumers must take a proactive role. That might not feel fair; after all, if someone is ill, people expect that the system will work to help them. But that’s not our reality. While pharmacies work to fix their system glitches, patients need to be their own best advocates. That means signing up for Paxcess as soon as they receive a Paxlovid prescription and helping spread the word so that others can get the antiviral at little or no cost, too.

{source}

[usefulquotes7]

Maturity is when you realize people can't give you what they can't give themselves, so you stop expecting loyalty from people who betray themselves, stop expecting honesty from people who lie to themselves, and stop expecting peace from people who are at war with themselves.

[minimalist-quotes]

You deserve a healthy love with someone who hears you, sees you, understands you, appreciates you, supports you, and loves you. Someone who is patient, communicates clearly, and creates a calm safe space to heal, grow, and bloom together. A love you don't have to heal from.

[reallybadblackoutpoems]

meditations on first philosophy (1641) - rene descartes

"who give a shit"

[christadeguchi]

"we know how to move our bodies, but i didn't know how to manage my heart, so you need help for this"

hi we need to talk more about judo gold medallist christa deguchi.

[orcboxer]

It is fuckin insane the sheer disregard everyone has for covid and how utterly bizarre it feels to be actively losing credibility in people's eyes just because I take it seriously. Everyone thinks I'm being "silly" but I literally was in the middle of getting a degree in microbiology when this shit started, I was literally taking immunology and virology courses when the pandemic hit, it's not like I have a poor understanding of the topic. I've been watching the death rate and keeping up with the new variants and vaccines and symptoms and I can bring up all the sources I want but it feels useless, nobody wants to hear it, nobody gives a shit.

[multidimensional-trashcan]

if anybody needs to hear it:

[Image ID: An image of a front facing pale axolotl in front of a dark backgroud. At the bottom of the image is a pink handwritten text readin 'You can do it'. /End ID]

[i69bea]

"i fucked myself up getting attached to you."

[thelatestkate]

Here's my favorite drawings of 2023, wooooo! It's so fun to see all the different seasons represented. I'm curious, which of these do you like most?

Thank you for following along with my art this year! I feel so lucky that anyone connects with my weird little drawings. Your attention and kindness is very much appreciated. ♥

Here's to more growth in 2024!

[what-iz-life]

My childhood trauma didn't make me stronger. it made me a people pleaser. it made me forgive way too much. it made me not speak when i'm supposed to. it made me an extreme empath.

[maybe-itsforthebest]

- j (x)