Darly❄️Jamison

Fired from the library for reading on the job—now, my book is on their shelf. Strawberry Wine is only 99¢ on Amazon! †

[Barbara Oneill @BarbaraOneillAU]

PLANTS THAT PROTECT WOMEN’S BRAINS FROM DEMENTIA

• Blueberries: protect neurons
• Walnuts: omega-3s for cognition
• Dark chocolate: blood flow booster
• Avocados: brain fat support
• Green tea: anti-aging polyphenols
• Pumpkin seeds: zinc for clarity
• Spinach: folate for memory
• Lentils: fuel for brain cells
• Gotu kola: supports circulation and mental clarity
• Ginkgo biloba: helps blood flow to the brain
• Lion’s mane mushroom: supports nerve and brain health
• Rosemary: traditionally used for memory and focus
• Sage: supports cognitive function and brain aging
• Turmeric: helps calm inflammation in the body
• Lemon balm: supports mood, calm, and mental focus
• Bacopa: traditionally used for learning and memory support

★ Brain fog isn’t always aging. Sometimes it’s inflammation, stress, hormones, poor sleep, low nutrients, or blood sugar imbalance showing up in disguise.

[hunter @hxxntrr]

you're about to pay that $14,000 hospital bill. Stop

call the billing department and say five words: "I need an itemized statement"

watch $14,000 turn into $3,200

hospitals send you a summary bill on purpose. one line. one number. one deadline. designed to make you panic and pay or ignore it until it destroys your credit

the itemized version tells a completely different story

every charge has a CPT code (Current Procedural Terminology). this is the 5-digit number that identifies the exact procedure or service. your $14,000 bill might have 30-60 individual CPT codes on it. each one represents a charge the hospital decided you owe

here's what you'll typically find when you actually read them:

$83 for a tablet of acetaminophen. you know this drug as Tylenol. CVS sells a bottle of 100 for $6.49. the hospital charged you $83 for ONE

$482 for "room utilization." you sat in a curtained area in the ER for 22 minutes while a nurse took your blood pressure

$1,400 for "physician consultation" when a nurse practitioner checked your chart for 90 seconds and a doctor you never met signed off remotely

$312 for "surgical supplies" for 4 stitches and a gauze pad that cost the hospital $0.74 in materials

$234 for "facility fee." this is a charge for being in the building. literally a fee for walking through the door

duplicate charges billed under different CPT codes for the same procedure

the chargemaster:

every hospital has a document called the chargemaster. it's a master list of every service and its price. chargemaster prices are set internally by the hospital with zero external regulation. there is no law governing how much a hospital can charge for a tylenol or a CT scan. the chargemaster is a fictional pricing document that has no relationship to the actual cost of care

under the Hospital Price Transparency Rule (CMS-1717-F2, effective January 2021), hospitals with 300+ beds are required to publish their chargemaster prices online. most hospitals bury the file in an obscure corner of their website as a 40,000-row spreadsheet that nobody can read. but it's there

pull it. compare what they charged you to what they published. then compare both numbers to the Medicare reimbursement rate for the same CPT code at https://t.co/OYp6CWUAOK. Medicare rates represent what the federal government has determined is a fair price for each procedure

the gaps are violent:

CT scan abdomen (CPT 74177):
Medicare rate: $280
Average chargemaster price: $4,200
Markup: 1,400%

basic metabolic panel (CPT 80048):
Medicare rate: $11
Average chargemaster price: $620
Markup: 5,536%

ER visit level 4 (CPT 99284):
Medicare rate: $268
Average chargemaster price: $2,800
Markup: 945%

the negotiation sequence:

call 1: "I received my itemized statement. I've compared each CPT code to the Medicare reimbursement rate and found that your charges exceed Medicare rates by 400-1,400% across 18 line items. I'd like to discuss a fair adjustment to bring these charges closer to market rates"

most billing departments have authority to reduce 20-40% without supervisor approval. push for 50%+

call 2: "I'd like to apply for your financial assistance program under your 501(r) charity care policy"

every nonprofit hospital (roughly 60% of US hospitals) is required under IRC Section 501(r) to maintain a financial assistance policy. if your household income falls below 200-400% of the federal poverty level (varies by hospital), you qualify for 40-100% reduction. for 2026, 400% FPL for a single person is roughly $60,240. family of four: $124,800

this means a family earning $120K/year may qualify for a 50-80% reduction at many nonprofit hospitals. they will never tell you this. you have to ask

call 3: "I've identified billing errors including [duplicate charges/upcoded procedures/unbundled services] and I'm filing a formal billing dispute. Please route this to your patient advocate for internal audit review"

the word "audit" triggers a different process. a compliance officer reviews the bill instead of a collections agent. errors get found. charges get removed

call 4 (the close): "I can pay $3,200 today as settlement in full. This resolves the account. I'll need written confirmation that the account is settled and will not be sent to collections"

hospitals would rather take $3,200 today than send $14,000 to a collection agency that will buy it for $420 and harass you for years. your lump-sum offer at 23 cents on the dollar is more profitable for the hospital than the collections route

if it already went to collections:

the collector bought your $14,000 bill for $280-$560. they'll take $1,500 and delete. but first, send the FDCPA 809 validation letter demanding the full itemized statement with CPT codes, the insurance explanation of benefits, and proof the remaining balance is accurate after all contractual adjustments

collectors almost never have this for medical debt. the hospital sold a spreadsheet. the supporting documentation went to a filing cabinet nobody will ever open. unable to validate = dispute with bureaus = deleted in 30 days

a woman came to us with $89,000 in medical bills across 4 hospital visits from 2023-2025. we requested itemized statements for all four. found $31,000 in duplicate charges, facility fees already included in surgeon's bills, and supplies billed at 2,000-5,000% above cost. applied for 501(r) financial assistance at 2 of the 4 hospitals. she qualified for 70% reduction at both

$89,000 original total
$31,000 removed (billing errors)
$58,000 remaining
$40,600 reduced (70% charity care at 2 hospitals)
$17,400 remaining across 2 for-profit hospitals
Settled for $6,200 lump sum payment

$89,000 to $6,200. 7 cents on the dollar. score went from 512 to 703 in 68 days after the collections were deleted

five words. "I need an itemized statement." the hospital is hoping you never say them lol

(i fix credit in 30-90 days. link in bio)

[Matt Van Swol @mattvanswol]

I think I know why everything sucks...

...and it's because everything is fake

We are getting fake college degrees that cost 4 years and six figures that teach you fake education and get you fake jobs.

We are eating fake food, with fake ingredients, funded by fake research.

We are scrolling through fake lives, with fake relationships, who take fake, curated vacations to promote brands that make fake products.

We are voting for fake candidates, who run on fake promises, inside a fake system that was never designed to fix anything.

We are raising kids in fake schools that teach fake history, fake science, which quietly produce fake adults who can't think for themselves.

We are watching fake news, about fake crises, produced by fake journalists, for fake outrage.

We are borrowing fake money that was printed from nothing, to fund a fake economy that would collapse in an afternoon if people stopped pretending it was real.

We are buying fake organic food that's just a paid label, and drinking fake juice with two percent juice in it, and putting fake cheese on cheeseburgers that's just "cheese product" on fake burger meat.

We are donating to fake nonprofits where the moeny never makes it to the people and then funding fake foreign aid that buys real weapons to prop up fake governments.

We are going to fake therapy that teaches fake coping skills instead of telling you hard truths.

We are buying fake furniture made of fake wood that's actually compressed sawdust and glue that looks like wood, ships in fourteen boxes with instructions written in a fake language that isn't quite any language, requires tools it doesn't include, takes 4 hours to build, wobbles on day 1, and is totally destroyed in 6 months.

We are downloading fake "free" apps that charge a subscription after three days for AI features that don't work, hidden behind a paywall we didn't see, protected by a privacy policy we didn't read, buried inside Terms of Service written by lawyers specifically so we wouldn't read them, that we agreed to by tapping a button the size of a thumbnail, that gave a company we've never heard of the right to sell our data to companies we'll never hear of, to build a profile on us we'll never see, to influence decisions we'll never know were made.

IT. IS. ALL. FAKE.

And we all yearn for what was once real.

Don't you remember? Did you forget?

There was a time with a simple handshake between men was a contract.

When bread went stale because... well, that's what real bread does!

When kids played outside all day until it was dark, and nobody tracked them.

When a family could live off a single income.

When music was made by people who LIVED something real and you could feel it.

When schools was HARD... and that was the point!

When doctors knew your name and your family, they even came to your house,

When you bought something once... and it was yours forever.

When the chair your grandmother bought once lasted 70 years and she passed it onto your dad.

And now nothing is real, and that's why everything sucks.

[Darly❄️Jamison @DarlyJamison]

@SThingsMeme Boooo

[healthbot @thehealthb0t]

The Lies about Alzheimer’s

Your memory can be restored!

[healthbot @thehealthb0t]

Having been called a liar by Anthony Fauci for saying that "not one of the 72 vaccines mandated for children has ever been safety tested", RFK Jr. sued Fauci.

After a year of stonewalling, Fauci's lawyers admitted that RFK Jr. had been right all along.

"There's no downstream liability, there's no front-end safety testing... and there's no marketing and advertising costs, because the federal government is ordering 78 million school kids to take that vaccine every year."

"What better product could you have? And so there was a gold rush to add all these new vaccines to the schedule... because if you get onto that schedule, it's a billion dollars a year for your company."

"So we got all of these new vaccines, 72 shots, 16 vaccines... And that year, 1989, we saw an explosion in chronic disease in American children... ADHD, sleep disorders, language delays, ASD, autism, Tourette's syndrome, ticks, narcolepsy."

"Autism went from one in 10,000 in my generation... to one in every 34 kids today."

[Darly❄️Jamison @DarlyJamison]

Happy Publication Day @rachelreiss44 & @WednesdayBooks!

Out of Air is one of the most gripping and unexpected YA thrillers I’ve read in a long time, with an underwater atmosphere that’s both eerie and suffocating. It made the mystery even more intense!

https://t.co/ZvzffDodru

[Darly❄️Jamison @DarlyJamison]

@kiradavis I understand this, too. Except I was the one who made the decision to no longer be involved due to the toxicity.

[Darly❄️Jamison @DarlyJamison]

Woah 🤯

[Ali Herring (closed to queries) @HerringAli]

Here you go. Need to update before I reopen but in general this is solid for taste and what I do and don’t rep: https://t.co/MLjOOg5jND

[Lauren Spieller @laurenspieller]

Great plotting advice

[Darly❄️Jamison @DarlyJamison]

@mercedesmy I’m glad you blocked the stranger and shared your beautiful girls with us. ❤️

[Gemma has a ✨BOOK DEAL✨ @GemmaAshAuthor]

Hold up…you DO realize you wrote a book, right?

YOU wrote a book!! A BOOK! You built a world out of your MIND!!

Do you know how insanely cool and hard that is?! So proud of you! 🫶🏻

[Ali Herring (closed to queries) @HerringAli]

Okay #amquerying crowd. I've put together a list of former/current agents & editors who offer services on queries, your synopsis, manuscripts, etc. If you're looking for feedback, here's how to get it: https://t.co/m3bk3Q5Nai

[Darly❄️Jamison @DarlyJamison]

@megan_frayser I love how open and kind you are, and how you’re inviting authors who’ve queried you to check in. That’s so refreshing! And now I’m going to *professionally* stalk your website to see what you’re looking for! 😁

[Darly❄️Jamison @DarlyJamison]

I love his story. He was meant for more and has moved on to inspire people around the world.

[Darly❄️Jamison @DarlyJamison]

@HerringAli Amazing achievement!! Congrats, Ali!

[Darly❄️Jamison @DarlyJamison]

@HerringAli Thank you for the reply!

[Darly❄️Jamison @DarlyJamison]

My current WIP:

Sharing a fake baby is twice as hard when you’re keeping secrets. But to get the grade, Libby won’t let living in a car get in her way. She just needs to keep her bad boy partner, Ryder, from nosing his way into her personal life—and her heart.

#StalkerPit #YA