I am on cardiology at the VA and have been pleasantly surprised by the benefits of having a unified EMR. It’s much easier to gather important clinical information about our patients, and therefore helps us provide more efficient and informed care.
I have to share this again: “Koalas are fucking horrible animals. They have one of the smallest brain to body ratios of any mammal, additionally - their brains are smooth. A brain is folded to increase the surface area for neurons. If you present a koala with leaves plucked from a branch, laid on a flat surface, the koala will not recognise it as food. They are too thick to adapt their feeding behaviour to cope with change. In a room full of potential food, they can literally starve to death. This is not the token of an animal that is winning at life. Speaking of stupidity and food, one of the likely reasons for their primitive brains is the fact that additionally to being poisonous, eucalyptus leaves (the only thing they eat) have almost no nutritional value. They can't afford the extra energy to think, they sleep more than 80% of their fucking lives. When they are awake all they do is eat, shit and occasionally scream like fucking satan. Because eucalyptus leaves hold such little nutritional value, koalas have to ferment the leaves in their guts for days on end. Unlike their brains, they have the largest hind gut to body ratio of any mammal. Many herbivorous mammals have adaptations to cope with harsh plant life taking its toll on their teeth, rodents for instance have teeth that never stop growing, some animals only have teeth on their lower jaw, grinding plant matter on bony plates in the tops of their mouths, others have enlarged molars that distribute the wear and break down plant matter more efficiently... Koalas are no exception, when their teeth erode down to nothing, they resolve the situation by starving to death, because they're fucking terrible animals. Being mammals, koalas raise their joeys on milk (admittedly, one of the lowest milk yields to body ratio... There's a trend here). When the young joey needs to transition from rich, nourishing substances like milk, to eucalyptus (a plant that seems to be making it abundantly clear that it doesn't want to be eaten), it finds it does not have the necessary gut flora to digest the leaves. To remedy this, the young joey begins nuzzling its mother's anus until she leaks a little diarrhoea (actually fecal pap, slightly less digested), which he then proceeds to slurp on. This partially digested plant matter gives him just what he needs to start developing his digestive system. Of course, he may not even have needed to bother nuzzling his mother. She may have been suffering from incontinence. Why? Because koalas are riddled with chlamydia. In some areas the infection rate is 80% or higher. This statistic isn't helped by the fact that one of the few other activities koalas will spend their precious energy on is rape. Despite being seasonal breeders, males seem to either not know or care, and will simply overpower a female regardless of whether she is ovulating. If she fights back, he may drag them both out of the tree, which brings us full circle back to the brain: Koalas have a higher than average quantity of cerebrospinal fluid in their brains. This is to protect their brains from injury... should they fall from a tree. An animal so thick it has its own little built in special ed helmet. I fucking hate them.”
Running vs. Antidepressant (SSRI) for Depression/Anxiety:
-Similar remission rates (45% vs 43%) over 16 weeks
-Compared to SSRIs, the running group had ⬇️ weight, waist circumference, and blood pressure
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A lot of people are dragging this person. The knee jerk reaction of “92% coverage?! That’s amazing! Why are you complaining. Leave the country.” This shows how low the bar has been set for health insurance coverage in the US. Let’s put on our empathy hats for a moment.
Imagine paying a ~$1k per month premium for the privilege of having health insurance. It was $750 last year, but the company you work for had a lot of employees use their health insurance in 2023, so Blue Cross decided to hike up the premiums to defray the cost of actually paying for their customer’s healthcare. You’re annoyed but fortunately, are still able to pay the monthly premium.
Over the course of the year, you seek preventative medical care like you’re supposed to, paying a $20 co pay for every visit. Maybe you have a few extra visits to your PCP or the emergency room. These bills go entirely to your deductible, which means you pay for 100%. The high deductible plan was all you could afford due to the rising premiums. Again, you’re annoyed but you can manage.
Finally you reach your deductible, thinking “great, I won’t have to pay anything the rest of the year.” At least that’s what it sounded like from the intro pamphlet you received from HR at the beginning of the year. It was all pretty confusing.
With your deductible met, you finally schedule that procedure your doctor has been nagging you to get that will prevent further health care issues down the road. However, you didn’t realize co-insurance charges still apply until you reach your out of pocket maximum (~$12,000 for the plan you chose. Again, the only plan you could afford). You are frustrated, but fortunately still able to cover the estimated cost.
Then, while recovering from major surgery, you receive a bill for $4,457 that you can’t pay. This is more than you were quoted by your doctor’s medical office. Turns out Blue Cross thought some of the medication you received during the procedure was unneccesary, so they refused to pay for it.
You’re angry. You have done everything right. You paid your premiums, you did everything your doctors suggested to keep yourself as healthy as possible, and yet, you still end up with a bill that will take months, if not years, to pay off. If you don’t, you will be sent to collections, wrecking your credit, and making life an even harder uphill climb. Does all of this apply to the OP here? Maybe, maybe not. But it does apply to millions of other people in the US every year.
Does this person not have a right to be angry? Should we just be ok with a health care system that is death by a thousand cuts? Or should we strive for a system in which a person can access health care without risk of financial distress? Unfortunately, many people can’t understand this point of view until they are on the receiving end of those medical bills. Health insurance companies don’t care about you. They are evil. Don’t settle for slightly less evil.
Without protests, we would still live in a segregated country.
Without protests, women would still be second class citizens.
Without protests, the LGBTQ+ community would still be hiding their identities.