#so proud of myself for this one I have come a long way

[mostlysignssomeportents]

What the fuck is a PBM?

TOMORROW (Sept 24), I'll be speaking IN PERSON at the BOSTON PUBLIC LIBRARY!

Terminal-stage capitalism owes its long senescence to its many defensive mechanisms, and it's only by defeating these that we can put it out of its misery. "The Shield of Boringness" is one of the necrocapitalist's most effective defenses, so it behooves us to attack it head-on.

The Shield of Boringness is Dana Claire's extremely useful term for anything so dull that you simply can't hold any conception of it in your mind for any length of time. In the finance sector, they call this "MEGO," which stands for "My Eyes Glaze Over," a term of art for financial arrangements made so performatively complex that only the most exquisitely melted brain-geniuses can hope to unravel their spaghetti logic. The rest of us are meant to simply heft those thick, dense prospectuses in two hands, shrug, and assume, "a pile of shit this big must have a pony under it."

MEGO and its Shield of Boringness are key to all of terminal-stage capitalism's stupidest scams. Cloaking obvious swindles in a lot of complex language and Byzantine payment schemes can make them seem respectable just long enough for the scammers to relieve you of all your inconvenient cash and assets, though, eventually, you're bound to notice that something is missing.

If you spent the years leading up to the Great Financial Crisis baffled by "CDOs," "synthetic CDOs," "ARMs" and other swindler nonsense, you experienced the Shield of Boringness. If you bet your house and/or your retirement savings on these things, you experienced MEGO. If, after the bubble popped, you finally came to understand that these "exotic financial instruments" were just scams, you experienced Stein's Law ("anything that can't go forever eventually stops"). If today you no longer remember what a CDO is, you are once again experiencing the Shield of Boringness.

As bad as 2008 was, it wasn't even close to the end of terminal stage capitalism. The market has soldiered on, with complex swindles like carbon offset trading, metaverse, cryptocurrency, financialized solar installation, and (of course) AI. In addition to these new swindles, we're still playing the hits, finding new ways to make the worst scams of the 2000s even worse.

That brings me to the American health industry, and the absurdly complex, ridiculously corrupt Pharmacy Benefit Managers (PBMs), a pathology that has only metastasized since 2008.

On at least 20 separate occasions, I have taken it upon myself to figure out how the PBM swindle works, and nevertheless, every time they come up, I have to go back and figure it out again, because PBMs have the most powerful Shield of Boringness out of the whole Monster Manual of terminal-stage capitalism's trash mobs.

PBMs are back in the news because the FTC is now suing the largest of these for their role in ripping off diabetics with sky-high insulin prices. This has kicked off a fresh round of "what the fuck is a PBM, anyway?" explainers of extremely variable quality. Unsurprisingly, the best of these comes from Matt Stoller:

https://www.thebignewsletter.com/p/monopoly-round-up-lina-khan-pharma

Stoller starts by pointing out that Americans have a proud tradition of getting phucked by pharma companies. As far back as the 1950s, Tennessee Senator Estes Kefauver was holding hearings on the scams that pharma companies were using to ensure that Americans paid more for their pills than virtually anyone else in the world.

But since the 2010s, Americans have found themselves paying eye-popping, sky-high, ridiculous drug prices. Eli Lilly's Humolog insulin sold for $21 in 1999; by 2017, the price was $274 – a 1,200% increase! This isn't your grampa's price gouging!

Where do these absurd prices come from? The story starts in the 2000s, when the GW Bush administration encouraged health insurers to create "high deductible" plans, where patients were expected to pay out of pocket for receiving care, until they hit a multi-thousand-dollar threshold, and then their insurance would kick in. Along with "co-pays" and other junk fees, these deductibles were called "cost sharing," and they were sold as a way to prevent the "abuse" of the health care system.

The economists who crafted terminal-stage capitalism's intellectual rationalizations claimed the reason Americans paid so much more for health care than their socialized-medicine using cousins in the rest of the world had nothing to do with the fact that America treats health as a source of profits, while the rest of the world treats health as a human right.

No, the actual root of America's health industry's problems was the moral defects of Americans. Because insured Americans could just go see the doctor whenever they felt like it, they had no incentive to minimize their use of the system. Any time one of these unhinged hypochondriacs got a little sniffle, they could treat themselves to a doctor's visit, enjoying those waiting-room magazines and the pleasure of arranging a sick day with HR, without bearing any of the true costs:

https://pluralistic.net/2021/06/27/the-doctrine-of-moral-hazard/

"Cost sharing" was supposed to create "skin in the game" for every insured American, creating a little pain-point that stung you every time you thought about treating yourself to a luxurious doctor's visit. Now, these payments bit hardest on the poorest workers, because if you're making minimum wage, at $10 co-pay hurts a lot more than it does if you're making six figures. What's more, VPs and the C-suite were offered "gold-plated" plans with low/no deductibles or co-pays, because executives understand the value of a dollar in the way that mere working slobs can't ever hope to comprehend. They can be trusted to only use the doctor when it's truly warranted.

So now you have these high-deductible plans creeping into every workplace. Then along comes Obama and the Affordable Care Act, a compromise that maintains health care as a for-profit enterprise (still not a human right!) but seeks to create universal coverage by requiring every American to buy a plan, requiring insurers to offer plans to every American, and uses public money to subsidize the for-profit health industry to glue it together.

Predictably, the cheapest insurance offered on the Obamacare exchanges – and ultimately, by employers – had sky-high deductibles and co-pays. That way, insurers could pocket a fat public subsidy, offer an "insurance" plan that was cheap enough for even the most marginally employed people to afford, but still offer no coverage until their customers had spent thousands of dollars out-of-pocket in a given year.

That's the background: GWB created high-deductible plans, Obama supercharged them. Keep that in your mind as we go through the MEGO procedures of the PBM sector.

Your insurer has a list of drugs they'll cover, called the "formulary." The formulary also specifies how much the insurance company is willing to pay your pharmacist for these drugs. Creating the formulary and paying pharmacies for dispensing drugs is a lot of tedious work, and insurance outsources this to third parties, called – wait for it – Pharmacy Benefits Managers.

The prices in the formulary the PBM prepares for your insurance company are called the "list prices." These are meant to represent the "sticker price" of the drug, what a pharmacist would charge you if you wandered in off the street with no insurance, but somehow in possession of a valid prescription.

But, as Stoller writes, these "list prices" aren't actually ever charged to anyone. The list price is like the "full price" on the pricetags at a discount furniture place where everything is always "on sale" at 50% off – and whose semi-disposable sofas and balsa-wood dining room chairs are never actually sold at full price.

One theoretical advantage of a PBM is that it can get lower prices because it bargains for all the people in a given insurer's plan. If you're the pharma giant Sanofi and you want your Lantus insulin to be available to any of the people who must use OptumRX's formulary, you have to convince OptumRX to include you in that formulary.

OptumRX – like all PBMs – demands "rebates" from pharma companies if they want to be included in the formulary. On its face, this is similar to the practices of, say, NICE – the UK agency that bargains for medicine on behalf of the NHS, which also bargains with pharma companies for access to everyone in the UK and gets very good deals as a result.

But OptumRX doesn't bargain for a lower list price. They bargain for a bigger rebate. That means that the "price" is still very high, but OptumRX ends up paying a tiny fraction of it, thanks to that rebate. In the OptumRX formulary, Lantus insulin lists for $403. But Sanofi, who make Lantus, rebate $339 of that to OptumRX, leaving just $64 for Lantus.

Here's where the scam hits. Your insurer charges you a deductible based on the list price – $404 – not on the $64 that OptumRX actually pays for your insulin. If you're in a high-deductible plan and you haven't met your cap yet, you're going to pay $404 for your insulin, even though the actual price for it is $64.

Now, you'd think that your insurer would put a stop to this. They chose the PBM, the PBM is ripping off their customers, so it's their job to smack the PBM around and make it cut this shit out. So why would the insurers tolerate this nonsense?

Here's why: the PBMs are divisions of the big health insurance companies. Unitedhealth owns OptumRx; Aetna owns Caremark, and Cigna owns Expressscripts. So it's not the PBM that's ripping you off, it's your own insurance company. They're not just making you pay for drugs that you're supposedly covered for – they're pocketing the deductible you pay for those drugs.

Now, there's one more entity with power over the PBM that you'd hope would step in on your behalf: your boss. After all, your employer is the entity that actually chooses the insurer and negotiates with them on your behalf. Your boss is in the driver's seat; you're just along for the ride.

It would be pretty funny if the answer to this was that the health insurance company bought your employer, too, and so your boss, the PBM and the insurer were all the same guy, busily swapping hats, paying for a call center full of tormented drones who each have three phones on their desks: one labeled "insurer"; the second, "PBM" and the final one "HR."

But no, the insurers haven't bought out the company you work for (yet). Rather, they've bought off your boss – they're sharing kickbacks with your employer for all the deductibles and co-pays you're being suckered into paying. There's so much money (your money) sloshing around in the PBM scamoverse that anytime someone might get in the way of you being ripped off, they just get cut in for a share of the loot.

That is how the PBM scam works: they're fronts for health insurers who exploit the existence of high-deductible plans in order to get huge kickbacks from pharma makers, and massive fees from you. They split the loot with your boss, whose payout goes up when you get screwed harder.

But wait, there's more! After all, Big Pharma isn't some kind of easily pushed-around weakling. They're big. Why don't they push back against these massive rebates? Because they can afford to pay bribes and smaller companies making cheaper drugs can't. Whether it's a little biotech upstart with a cheaper molecule, or a generics maker who's producing drugs at a fraction of the list price, they just don't have the giant cash reserves it takes to buy their way into the PBMs' formularies. Doubtless, the Big Pharma companies would prefer to pay smaller kickbacks, but from Big Pharma's perspective, the optimum amount of bribes extracted by a PBM isn't zero – far from it. For Big Pharma, the optimal number is one cent higher than "the maximum amount of bribes that a smaller company can afford."

The purpose of a system is what it does. The PBM system makes sure that Americans only have access to the most expensive drugs, and that they pay the highest possible prices for them, and this enriches both insurance companies and employers, while protecting the Big Pharma cartel from upstarts.

Which is why the FTC is suing the PBMs for price-fixing. As Stoller points out, they're using their powers under Section 5 of the FTC Act here, which allows them to shut down "unfair methods of competition":

https://pluralistic.net/2023/01/10/the-courage-to-govern/#whos-in-charge

The case will be adjudicated by an administrative law judge, in a process that's much faster than a federal court case. Once the FTC proves that the PBM scam is illegal when applied to insulin, they'll have a much easier time attacking the scam when it comes to every other drug (the insulin scam has just about run its course, with federally mandated $35 insulin coming online, just as a generation of post-insulin diabetes treatments hit the market).

Obviously the PBMs aren't taking this lying down. Cigna/Expressscripts has actually sued the FTC for libel over the market study it conducted, in which the agency described in pitiless, factual detail how Cigna was ripping us all off. The case is being fought by a low-level Reagan-era monster named Rick Rule, whom Stoller characterizes as a guy who "hangs around in bars and picks up lonely multi-national corporations" (!!).

The libel claim is a nonstarter, but it's still wild. It's like one of those movies where they want to show you how bad the cockroaches are, so there's a bit where the exterminator shows up and the roaches form a chorus line and do a kind of Busby Berkeley number:

https://www.46brooklyn.com/news/2024-09-20-the-carlton-report

So here we are: the FTC has set out to euthanize some rentiers, ridding the world of a layer of useless economic middlemen whose sole reason for existing is to make pharmaceuticals as expensive as possible, by colluding with the pharma cartel, the insurance cartel and your boss. This conspiracy exists in plain sight, hidden by the Shield of Boringness. If I've done my job, you now understand how this MEGO scam works – and if you forget all that ten minutes later (as is likely, given the nature of MEGO), that's OK: just remember that this thing is a giant fucking scam, and if you ever need to refresh yourself on the details, you can always re-read this post.

The paperback edition of The Lost Cause, my nationally bestselling, hopeful solarpunk novel is out this month!

If you'd like an essay-formatted version of this post to read or share, here's a link to it on pluralistic.net, my surveillance-free, ad-free, tracker-free blog:

https://pluralistic.net/2024/09/23/shield-of-boringness/#some-men-rob-you-with-a-fountain-pen

Image: Flying Logos (modified) https://commons.wikimedia.org/wiki/File:Over_$1,000,000_dollars_in_USD_$100_bill_stacks.png

CC BY-SA 4.0 https://creativecommons.org/licenses/by-sa/4.0/deed.en

[heavyhitterheaux]

Sink or Swim (NSFW)

AN: Joe girlies I have returned!

Synopsis: After the devastating loss to the Commanders, you knew that a bad mood would be evident with your boyfriend. So his idea of forgetting what happened at least for a few hours has to do with giving you his undivided attention

Requested by @a-moment-captured 💕

DO NOT ENGAGE IF UNDERAGE

Please Do Not Repost My Content Anywhere

There was a look of disbelief on your face as you watched the scene unfold in front of you and saw that the game was almost over when the two minute warning was indicated. The first two weeks in the season obviously had your boyfriend Joe upset and for good reason. But to see the high hopes that he had going into week three just get shot down hurt to watch.

On the sidelines you could see his helmet being thrown as he eventually sat down and the expression on his face was one that you couldn't quite read.

Pulling out your phone, you sent him a quick text knowing that he would read it when he got back to the locker room.

You- Still so proud of you bubs. You played amazing tonight and don't let anyone tell you otherwise 💕

Sighing to yourself, you stood up and began to make your exit out of the stadium to start making your way back to Joe’s condo. It was discussed earlier in the day when you had talked to Joe that you would come over right after the game in anticipation of celebrating with him, but now you weren't so sure if he would even want to be in the mood to have anyone around him right now. After he lost a game, he would understandably get into a mood but you had a feeling that tonight would be a lot worse and more than likely because of who he is, he would be blaming himself.

Climbing into your jeep, you had the radio on a low volume as you pulled out of the stadium parking lot and onto the highway. Joe didn't live very far from the stadium which you were thankful for and leaving before the game was over allowed you to beat some of the traffic that you knew would quickly come after.

Arriving in less than twenty minutes, you turned your car off before grabbing your bag and making your way inside. Your shoes got slipped off at the door as you made your way into the kitchen to find something to snack on since the mozzarella sticks you had at the game were only going to last you but so long.

Glancing at the clock, you noticed it wasn't too late to order a pizza seeing as Joe probably needed some comfort food. You opened up your DoorDash app and quickly ordered it while you waited for Joe to get there. Another 45 minutes had passed with the pizza being kept warm in the oven and you sitting on the couch re-watching Scandal when you heard his key in the door. Once it was opened, it was quickly slammed shut making you jump and the sound was quickly followed by him throwing his bag on the floor at his feet and hearing him sigh.

Still in your jersey from the game that had your boyfriend's name on the back of it, you got up to greet him by the door. His expression was still unreadable when you stood in front of him and slowly tried to take his hands into yours, but he moved away at the last second.

“Bubs….”

Joe didn’t even bother to respond to you as his eyes were closed and he was leaning back against the door.

“What do you need me to do?” You softly asked as you kissed the side of his mouth, trying to get an answer out of him.

When he finally opened his eyes and glanced down at you, his eyes had softened but only slightly as he saw the love of his life in front of him.

“Get upstairs and strip.”

“Mm, gladly. Your wish is my command.”

Nodding your head towards him, he then turned you around to face the stairs as you slowly walked over towards them. Your foot was on the first step when you heard his voice once more.

“You have two minutes to do what I told you, so I suggest you get a move on before I put you there myself.”

Hearing this made a river form in between your thighs and you loved how dominant he could get when the two of you were by yourselves. That happened to be the only good thing that would come out of him losing a game. If this is what he needed to help him get through it, the last thing that you were ever going to do was complain.

Reaching the last step, you still heard him moving around downstairs before you swung the door open to his bedroom which had been left ajar before he left for the game earlier.

Your clothes were then taken off slowly one by one in the hopes of Joe walking in and seeing you. Your shoes had already been thrown off at the door downstairs, the next thing to come off was your jeans that hugged your curves that he loved so much. Next was his jersey and the shirt that you were wearing underneath it in case you got cold. You had started to take off your bra next when you suddenly felt him behind you making you jump. You hadn’t heard him come in as he wrapped his arms around you before leaning down to whisper in your ear.

“I thought I told you to strip? So, why are you still wearing clothes? You like disobeying me?” He asked you before placing a soft kiss on your shoulder.

“No, I was….”

“I don’t want to hear excuses. Do as you’re told the first time so I don’t have to punish you. Now get the rest of those clothes off.” He told you as a light smack was felt across your ass.

You nodded your head and your bra as well as your black thong were quickly removed from your body and discarded onto the floor all while Joe was standing behind you watching you intensely. Once you were finished, he leaned down to your ear once more before he reached around to put two of his fingers up to your mouth that you slowly started to suck on before reaching down and rubbing small circles along your clit making you gasp.

“Mmm, look how wet my baby is. This all for me?” You nodded your head to answer his question because you knew that words were going to fail to come out of your mouth.

“Get on the bed and you better not make a sound unless I fucking tell you to. Face down, ass up.”

Walking over to the bed once Joe moved his fingers away from your core, you slowly got on the bed with the help of him since the bed was so high and crawled to the top of it as you rested your head down on your arms with your ass sticking high up in the air on display for him.

You could hear Joe behind you doing away with his clothes and in a matter of seconds you felt him crawl onto the bed and roughly grab a hold of your hips before slowly entering you and bottoming out as he threw his head back in pleasure.

“Fuck, you feel so good.”

It took everything in you not to let out a gasp and simply put your hand over your mouth as you felt him move out of you before he slammed back in.

His movements were intense and sloppy of course with him letting out his frustrations as you were doing your best to keep quiet. The more he pounded into you, the harder it was becoming and knew that being quiet would only last but so long.

You could feel yourself getting closer to reaching your peak and you soon felt Joe reach underneath of you to massage your clit as he continued to pound into you. This sent you over the edge and you couldn’t help but to let out a small moan but immediately put your hand back over your mouth. But the damage was already done and you tug knew that you would soon be in for it.

“Oooh fuck.”

Hearing this, Joe immediately flipped you over and a hand immediately went around your neck with him squeezing it.

“Did I tell you to fucking speak? I don’t think I did.”

You remained quiet as he let go of your neck as he trailed kisses along it and down your chest with him placing one of your nipples into his mouth as he was rolling the other one between his fingers. It was taking everything in you to stay quiet as your back arched up off of the mattress. His fingers moved on from playing with your nipple to insert two of them into you as he continued to suck on the other one.

Joe noticed that you were squirming and he took it as a sign that you were close and probably frustrated because he told you not to say anything.

“You close baby? I can tell.”

To answer him, you nodded your head as he added another finger making you gasp. His fingers were pumping in and out of you when he decided to replace his fingers with his tongue knowing that it was a matter of seconds before you would come undone in front of him.

“Shiiit!” You couldn’t help but to let out as your hands were directly to his hair to pull him closer to you.

At this point, your legs were wrapped around his neck as he began to suck on your clit making them shake the harder that he did.

“Baby…. I’m….” You started to say, but without warning a gush of liquid was now covering Joe’s face as he was still sucking on your clit making you squirm.

“That’s my good girl. Give me another one, baby. I know you can.”

You immediately shook your head no, but it was clear that Joe didn’t care since he went right back to sucking on your clit. After you squirted all over his face once more, he quickly crawled back up your body as he inserted himself into you.

His movements were more sloppy than before indicating that he was close as he put your legs onto his shoulders as you began to rub your clit.

You had reached your peak for the third time when you felt Joe slide out of you. Knowing what that meant, you immediately sat up and took him in your mouth as you tasted his cum hitting the back of your throat.

“That’s my pretty girl. You better swallow it and not waste a drop.”

Joe had now put your hair in a makeshift ponytail to get it out of the way since he remembered you one time promptly yelling at him when his cum had gotten in your hair after you had gotten it done just hours before.

Once you swallowed everything that didn’t leak out the side of your mouth, you promptly opened it to show Joe who then leaned down to place several kisses on your lips. Once you had laid back, Joe quickly followed suit with him laying on you as you held him tightly to your chest. It was quiet for a few minutes as both of you were trying to even your breathing when he finally spoke.

“We should have won.”

“I know.”

“And even though it wasn’t my fucking fault, I’m going to get the blame for it.”

“I know.”

“We’re 0 and 3 now and I don’t know what to fucking do.”

“The only thing you can do is to go out there and do your best. You played absolutely amazing tonight so this isn’t on you in the slightest even though people will put it on you anyway. I am still so proud of you and I’m always going to be proud of you.” You told him as you placed a kiss on top of his head.

“Proud of a loser boyfriend who can’t win an NFL game?”

“Joseph… talk about yourself like that again. I dare you. Just because you have a few setbacks doesn’t mean that it’s going to be like this forever. I will let you rant all you want tonight, but tomorrow I’m not having it. You are literally the highest paid quarterback in the NFL and you need to fucking act like it.”

“I... guess you’re right.”

“I know I'm right. It's only been three weeks. There's still time to turn this around for the better and I promise to be here through all of it. But did I perform my duties as your girlfriend to help you let your frustrations out?” You asked and he immediately smirked.

“You did more than help me through it, but I definitely didn't say that we were done.” He told you as he picked his head up off of your chest to look at you.

“Wait, what?”

“Switch places with me so you can ride me.”

Taglist

@a-moment-captured

@hoodharlow

@nattinatalia

@wickedfun9

@dandelionwrites8

@keiva1000

[lvnleah]

015. | Newborn Days

bit of an emotional one, strap in :)

word count: 2k

find the series masterlist here!

April 27th 2024 | 4 weeks old.

You always knew that having a newborn baby wouldn’t be easy, but you never expected the way your postpartum body would affect you.

The sleepless nights and endless feedings were exhausting, sure, but nothing compared to the wave of emotions that surged every time you caught a glimpse of yourself in the mirror. It wasn’t just that your body was different; it was the way it felt foreign like it belonged to someone else entirely.

You would stand there, staring at your reflection, and struggle to reconcile the image before you with the person you used to be. The woman who had been confident in her skin was nowhere to be found.

In her place was a body marked by the life it had created, and while you were proud of that, it didn’t make it any easier to accept. The stretch marks, the soft and squidgy belly, the curves that hadn’t been there before—each was a reminder of the ways you had changed, and you couldn’t help but feel embarrassed by it all. You found yourself hiding, even from Leah, covering up at every opportunity and avoiding her touch as if it would burn you.

Leah noticed, of course. How could she not? But she had been patient, giving you space, waiting for you to come to her. She had always been that way, never one to push too hard. But as the weeks went on, you could feel the strain between you growing, a tension that neither of you knew how to address.

Today was no different. You had spent the morning in a fog, going through the motions of caring for Finley while trying to push aside the gnawing anxiety that clung to you like a shadow. Leah had left early for training, it was her first week back. You knew she was struggling too, trying to balance her demanding career with the new realities of motherhood, and the last thing you wanted was to add to her burden.

As the day wore on, the weight of your emotions became harder to ignore. By the time Leah returned home, you were exhausted—physically, emotionally, in every way possible. Finley had finally drifted off to sleep, and you were grateful for the quietness.

Leah found you sitting on the edge of the bed, staring blankly at the floor. She had showered and changed after training at the training centre, her hair still damp. She looked as beautiful as ever, her athletic frame only made you feel worse as you mourned the one you used to have. You couldn’t help but compare your postpartum body to hers, and the gap between what you saw in yourself and what you saw in her felt like it was suffocating you.

“Hey pretty girl,” Leah said softly, walking over to you and crouching down in front. “You okay?”

You nodded automatically, “Yeah, just tired. It’s been a long day.”

Leah didn’t look convinced. She sat down beside you and wrapped an arm around your shoulder. For a moment, neither of you spoke, the silence thick with the weight of everything left unsaid. Finally, Leah reached out, her hand brushing lightly against yours.

“Talk to me,” she said gently. “Please, pretty girl.”

It was the kindness in her voice that undid you. The tears came suddenly, hot and fast, and you couldn’t hold them back.

“I’m sorry,” you choked out, burying your face in your hands. “I’m so sorry, Leah.”

Leah was quick to pull you into her arms, holding you close as you sobbed against her shoulder. “Hey, hey, don’t apologise,” she murmured, her voice steady and soothing. “You don’t have to apologise for anything. Just tell me what’s going on.”

You took a shaky breath, trying to steady yourself. “It’s my body,” you finally admitted, the words tumbling out in a rush. “I hate it, Leah. I don’t recognize myself anymore. I feel… I feel disgusting, and I don’t want you to see me like this.”

Leah pulled back just enough to look at you, her brow furrowed in concern. “Is that why you’ve been avoiding me?” she asked softly, her hand coming up to wipe away your tears. “Why you won’t let me touch you?”

You nodded, feeling a wave of shame wash over you. “I didn’t want you to see me like this,” you whispered. “I didn’t want you to be disgusted by me.”

Leah’s expression softened, and she cupped your face in her hands, forcing you to meet her gaze. “I could never be disgusted by you,” she said firmly. “I love you—every part of you. Your body is incredible. It gave us Finley, and I’m in awe of it, of you. You’re still the woman I fell in love with, and nothing could ever change that.”

You wanted to believe her, but the insecurities ran deep, and it was hard to let go of the negative thoughts that had taken root in your mind. “But it’s different,” you insisted, your voice breaking. “I’m different.”

Leah nodded, acknowledging your feelings without dismissing them. “I know it’s different,” she said gently. “And I know it’s hard. But different doesn’t mean worse. You’re still you, and I still want you, love. I want all of you—your body, your heart, your mind. Every part of you.”

“I’m scared,” you confessed, your voice barely above a whisper. “I don’t know how to feel okay in my own skin anymore.”

Leah’s grip on you tightened, “You don’t have to figure it out alone,” she promised. “We’ll work through this together, one day at a time. I’m here, and I’m not going anywhere.”

“I love you,” you whispered, the words carrying a weight of gratitude and hope.

“I love you too,” Leah replied, pressing a gentle kiss to your forehead. “More than anything. Wanna cuddle in bed for a bit?”

You nodded your head, “That would be nice.”

Leah gave you a soft smile as she gently helped you settle onto the bed, pulling the covers over the two of you. She wrapped her arms around you, pulling you close against her chest. The warmth of her body and the steady rhythm of her breathing gradually began to soothe your frayed nerves. The scent of her, familiar and comforting, made you feel safe, as though for a moment, the worries that had consumed you were held at bay.

For a while, you both lay there in silence, Leah’s fingers lightly tracing patterns on your back. You could feel the tension in your muscles slowly begin to ease away, your breaths syncing with hers as you allowed yourself to relax in her embrace.

Leah's voice was a quiet murmur in your ear as she began to speak, “You’re not alone in this, y’know. I’m here, always.”

You cuddled closer to her. "Thank you," you whispered, “I love you so much.”

Leah kissed the top of your head, her lips lingering as she held you tighter. "I mean it, love. I’m so proud of you, and I love every part of you, just as you are. We’ll figure this out together. I love you more.”

As you lay there, wrapped in each other's arms, a calmness you hadn’t felt in weeks began to settle within you. Leah's words reminded you that you were loved, that you were not defined by the changes in your body, and that you had someone by your side who cherished you for who you were.

The peace was short-lived but precious, as the baby monitor crackled, Finley’s soft cries pulling you both back into reality. Leah sighed softly, giving you a reassuring squeeze before reluctantly pulling away.

“Looks like our little man is awake,” she said with a smile.

You nodded. “Yeah, I’ll go get him,” you offered, but Leah shook her head.

“No, you stay here,” she said gently. “I’ll get him. You need a break.”

You smiled at her gratefully, watching as she got out of bed and padded over to the door. As Leah left the room to tend to Finley, you lay back against the pillows, a small smile playing on your lips. The conversation with Leah had lifted a weight off your shoulders, and though you knew there were still challenges ahead, for the first time in a long while, you felt like you could face them.

Leah returned a few moments later, Finley in her arms, his tiny face scrunched up in a cry that had yet to reach its full volume. She settled back onto the bed beside you, cradling him as she handed him over to you. “He missed his mama,” she said softly.

“Oh hi baby boy,” you cooed as you got ready to feed him, “Are you hungry?”

Finley’s little hands brushed against his face as a little cry escaped him. You helped him latch on, his cries instantly stopping as he began to eat. Leah watched you with a smile as you cradled Finley close, her eyes filled with love and admiration. Leah leaned back against the headboard, her hand resting on your knee, offering silent support.

When Finley was finally settled and full, his tiny eyelids drooping with the onset of sleep, Leah gently took him from your arms, placing him into his Moses basket beside the bed. She returned to your side and helped you stand up, her hand slipping into yours, her thumb brushing over your knuckles in a comforting gesture.

“Why don’t we take a shower?” Leah suggested softly, “I think it’ll help you feel a bit better, a bit more human.”

You hesitated for a moment, the thought of being vulnerable in front of her making your heart race with anxiety. “But what about Finn he won’t sleep for—.”

“Finley will be just fine, we’ll be right beside him.” Leah reassured you, “We’ll have the baby monitor and he’ll be okay.”

You nodded in agreement. “Okay,” you whispered. “Let’s take a shower.”

Leah smiled and led you to the bathroom, turning on the shower to let the water warm up. The steam began to fill the room, and Leah slowly helped you undress, her touch gentle. She treated each movement as if it were sacred, a tender act of love rather than something to be ashamed of.

“You’re beautiful,” she murmured, as she placed a kiss on your bare shoulder. “So, so beautiful.”

A lump formed in your throat, but you didn’t shy away from her gaze this time. Instead, you let the words sink in, trying to believe them, if only a little.

Leah undressed as well, and then she guided you into the shower. The warm water cascaded over you both, and you closed your eyes, feeling the tension slowly melt away as the heat seeped into your muscles. Leah’s hands were gentle as she began to wash your body, her touch soothing and affectionate. She took her time, making sure you felt cared for and loved.

“You’re not just my partner you know?” she said softly. “You’re my best friend, the mother of our child, and the woman I’m going to love for the rest of my life. And I promise you, we’re going to get through this together.”

Tears welled up in your eyes, but this time they were tears of love. “I love you so much.”

“I love you too, turn around and I’ll wash your hair yeah?” She offered, “I’ll help you dry it too, you don’t need to worry.”

You turned around with a smile and let Leah wash your hair gently. Her hands gave you a soft massage as she rubbed in the shampoo before washing it out.

When you finally stepped out of the shower, Leah wrapped you in a fluffy towel, helping you dry off with the same care she had shown before. She helped you into some comfortable clothes, her actions gentle and loving. She helped you dry your hair, Finley still asleep in his Moses basket as she did so.

As you both headed back to bed, despite it being only 3 pm, Leah slipped in beside you, pulling you close against her. The two of you lay there in the quiet, Finley’s soft breathing filling the room.

Leah’s hand slipped under your shirt as you cuddled into her, “We’re going to be okay.”

You nodded, as she drew patterns on your back gently. “Yeah,” you whispered back, resting your head on her shoulder. “We will.”

[purpleleafsyt]

My 2023 art summary!!

A lot of improvement and colors in this one :D

[cuteniaarts]

Behold, my latest and most enamouring new obsession:

Malina, Lady of the Chief of the Northern Water Tribe. As if Red Lotus child OCs weren’t niche enough

[mr-independent]

you know, its not brought up in fics often but ted is extremely well read. he doesnt brag about it, but hes read everything from f scott fitzgerald's b sides to ayn rand's doorstoppers to the sixteen book Ender series, etc etc etc. Ted reads about as much as we see Beard reading (which. in my head is a trait that was passed on, a new focus to sharpen the mind and keep him out of trouble and his mind off drugs, something Ted offered up as a coping mechanism for when his own dad died, a way to have fun and adventure and escape without ending up in jail like Ted himself had a handful of times before, scaring the bejeezus out of his ma.)

this turned into a mini fic and i lost my train of thought but point is, Ted reads So Much and more people need to pick up on this in fics please and thank you.

[solqrays]

just had the horrifying realisation that i might be a gold jewelery person rather than a silver jewelery person . . .

[kitkatnerds3]

I think she should be more insane, actually.

[todayisafridaynight]

Which piece of art did you make that you're the most proud of?

ermmmm idk, im proud of a lot of things i make tbh LOL

[sakizm]

me 10 yrs ago grocery shopping: oh no i HAVE to wear my CIs! can’t leave the house without them! i have to hear what the cashier says even if they don’t say anything!

me now grocery shopping: *doesn’t wear CIs* lol what’s up guys i’m deaf so i can’t hear *buys stuff and leaves*

[outeremissary]

Fandom reputation: Number one Tristian fan, kingmaker enthusiast with highly interesting thoughts, creator of beautiful little artworks and always so much fun to talk to.

Haha, thank you. Though I think I have been too late on the scene and too antisocial to be number one anything, truly... There are a lot of people out there who have been creating in the fandom much longer than I and have brought really impressive things into being. For reasons that elude me, some even follow me- a great and terrible honor indeed.

I am always happy to hear that the art and the company are fun :) As much as I grow, I know I'm still unskilled in both creative and social spheres, haha. It's high praise from someone as skilled as you. I'm amazed by what you can create and how rapidly you've grown.

[slippery-minghus]

whew. just spent what felt like forever packing one (1) very large box of kitchen things. doesn't feel like i did a lot, but it was just as much time and effort going through the shit and throwing out what i don't need as it was actually packing. so having only one box to "show for it" feels a little misleading lmao.

taking a short break now, and then one more spurt of packing before i call it quits for the day 💪

[plugnuts]

Huh. I guess what got me actually writing my fic was 1. Be really tired and 2. Be really bored

[seawitchkaraoke]

Loving going to the gym, it's a great supplement for the other sport I do, both to further train the muscles I need to yeet ppl higher for cheerleading and to train the muscles that don't get trained enough from the other stuff I do but.

The gym alone could never be enough for me bc I am fundamentally a lazy person. I'm not gonna really ever push myself as far on my own as I will when we're soo close to hitting this stunt, let's do it one more time, come on

Anyway we did double base for almost the full 90 minutes yesterday (one flyer on just two bases), most of the speed upwards has to come from me, I am so sore but yes we did hit it

[thedeliaishere]

YOUNG WOMAN - Actually, detective, I'm a woman.

EMPATHY [Easy: Success] - She says it so insistently, as if arguing with you. You may have upset her.

COMPOSURE [Formidable: Failure] - You feel a pit in your stomach. You did something wrong, but you don't know what.

LOGIC [Trivial: Success] - Her way of dressing, the feminine name, yet deep voice - it should have been clear to you sooner. She's transgender.

ESPIRIT DE CORPS [Formidable: Success] - Almost imperceptible, the lieutenant anxiously twitches his eyebrow.

DAMAGED MORALE - 1

Transgender? What's that?

This doesn't have any bearing on the investigation.

ENCYCLOPEDIA [Trivial: Success] - A transgender person is someone who does not identify with the gender they were assigned at birth. Oftentimes they will dress conforming to their desired gender roles, change their names, and seek medical intervention to, "transition."

Gender is rather bourgeois, anyway.

Why would any proud Revacholian discard their masculinity?

Changing your gender? That sounds like quite the hustle. Maybe we can learn a thing or two from this woman.

That's cool. I have no opinion on this one way or another.

RHETORIC [Medium: Success] - Just as Mazov dared to challenge the established order of capitalism, so too do others challenge the order of things such as sex and gender.

ELECTROCHEMISTRY [Trivial: Success] - IT'S BEEN SO LONG SINCE WE'VE FELT THE TOUCH OF A WOMAN. WHO CARES IF SHE USED TO BE A MAN? HAVE SEX WITH HER NOW! ITS WHAT A REAL MAN WOULD DO!

EMPATHY - [Trivial: Success] - Don't do that. It's clear now, you upset her for accidentally calling her a man. Just apologize.

COMPOSURE [Medium: Failure] - Profusely.

ESPIRIT DE CORPS [Medium: Success] - It's important to be a good ally.

DRAMA [Medium: Success] - Make a real show of it, sire!

"Oh, I didn't realize. I'm sorry."

"I'm so sorry I'm so sorry I'll leave you alone forever now."

"I haven't been a good representative of the RCM. We're here to help the people of Martinaise, no matter their identity. I'm sorry to have let you down."

[Drama - Legendary 14] Try and come up with an elaborate, heartfelt apology in the style of the turn of the century thespians.

HIGH 83% +1 Found testosterone ampoule on nightstand. +1 Homo-Sexual Underground. +1 Read about the turn of the century thespians. -1 Recovered your gun. -1 Masculinity challenged. This is a Red Check. It cannot be retried.

⚀⚀

CHECK FAILURE

YOU - You try and come up with the words to convey your apology to the young woman, but you come up blank. It's hard to fit, "transgender" into iambic pentameter, as it turns out.

DRAMA - I'm sorry, sire. I have failed you.

KIM KITSURAGI - "Detective? You've been standing there for a whole minute. Are you okay?"

ESPIRIT DE CORPS - Shit, the lieutenant is onto us. We have to say something soon, or we could lose him.

COMPOSURE [Trivial: Success] - Don't worry, we can still salvage this. Anyone have any ideas?

VOLITION [Heroic: Failure] - Let me handle this.

You - "I'm so sorry, I'm so fucking sorry. I'm such a fucking failure. Do you want me to kill myself?"

[ranboolivesaysstuff]

HEY! Just because I am now 20 I think having something to kind of re establish boundaries would be good! Considering the ones I put all those times ago have changed :D GENERAL RULES! Do not be racist, sexist, homophobic, antisemitic, ableist, or discriminatory against anyone for any reason. Please if someone is calling you out for things you have done or said, please self-reflect and take the proper steps to change or remove yourself from the community. If you see something you do not like, and it IS MADE WORSE BY BRINGING ATTENTION TO IT, THEN IGNORE IT! Bringing attention to problems that just arent really problems with either the community or me in general are not worth it! Please use common sense when thinking about what/what not to engage with! I personally wish that people in the community do NOT engage with people who just obviously do not like me! Chances are they want a reaction from it so it is MUCH better to just not argue with someone whos mind you will not change! ALLOW CRITICISM OF ME AND MY CONTENT! IF YOU DONT AGREE OR DONT LIKE THEN DO NOT ARGUE ABOUT IT!!!! ALL IT WILL DO IS CAUSE UNESSICARY DRAMA!!! DO NOT make ANY comments or content about me that is explicitly sexual. I completely understand that lately there have been bits due to the changes in how I’ve been presenting myself and how I’ve been presenting more femininely, but that does not allow anyone to use that as an excuse to sexualize any features and such that are more feminine or masculine. Remember that femininity is not sexual and should not be seen or created as such just because its there! (for example, the Vtuber costume and chat being overly weird over the added boobs where there was no need for it). DO NOT draw me in ways that are sexual either, such as highlighting any aspects in a sexual way, or making the content something sexual. I am completely okay with being drawn as any body type, masculine presenting or feminine presenting, as long as you stick to this! PLEASE DO NOT SPECULATE ABOUT MY PERSONAL LIFE!!! Making jokes about certain topics CAN be fine, but a line is crossed when it becomes a legitimate speculation or if a joke is said when I have expressed my discomfort! RESPECT MY FRIENDS!!! All of my friends are their own, incredible people. And they do not deserve to be lumped in or referred to as JUST "my friend". Be respectful in their chats even when im not there, and be respectful to all of them everywhere else! IF SOMEONE IS TRYING TO INFORM YOU THAT YOU MAY BE DOING SOMETHING WRONG PLEASE LISTEN!!! There has been a lot of times in which I have seen people be unwilling to change in the face of a genuine discussion, and that is not something I want in the community! I should NOT have to police every single thing because it should NOT take me saying something in order to change your mind! As my words are not worth more or less when it comes to a lot of subjects! And lastly, do good. Whenever you have the ability to. BE POSITIVE!!! The hater mindset is very draining and can be very toxic to both you and the people around you, so highlight the good instead of the bad if you have the ability to! I am so incredibly proud of how far this community has come, and I cannot wait for the future!!! I have spent some time writing this, but it may not be perfect, so I will update this as time goes on and I think of more, or if something needs to be SUPER cleared up, but for now these are the main ones! I will NOT be updating this after every little thing however, as I do not want you guys to feel like the only way that something is wrong is if I talk about it! As you guys should be able to sustain yourself as a community without my consistent input! Imma go enjoy my birthday by eating a pizza :) thank you all!