#Access Health Care Services

[accesshealthservices]

Psychiatry Washington DC | Access Health Services

Access Health Services is a trusted provider of Psychiatric Treatments in Washington DC that can reduce symptoms of mental health disorders and associated complications. A psychiatric diagnosis is different – there are often no physical symptoms, nor are there any biological tests conclusive for mental distress. Although tests can be important to rule out underlying physical causes, a health professional making a psychiatric diagnosis has to rely on a person’s own description of their thoughts and feelings, alongside observations of their behaviour. visit us - https://www.accesshealthservices.org/psychiatric/

[benjaminallhope-fulltimemind]

This isn't surprising not one bit, Texas has archaic abortion laws and will real what they've showed much to suffering and death of many women. This will obviously affect the health sector in Texas and strain health services for women who may need to leave the state to receive medical treatment or even a simple gynecology exam. Republicans never cared about women nor the fetus as it was always about control, this patriarchy 101 and anyone with a working brain and empathy can understand that. Men never have to fear having our bodily autonomy from being taken away, well until Republicans start mandating men and women breed resulting in the LGBTQIA+ community being seen as 'unproductive' but hey that's later on the Republican agenda. For now we can still fix this mess, we will not and must not settle for anything less than abortion being enshrined in our constitution.

[coochiequeens]

No one is entitled to biological offspring and how can they include surrogacy in the Act without implying that couples are entitled to women to be surrogates?

A trio of Democratic senators are introducing a "Right to IVF Act" that would, among other things, force private health insurance plans to cover assisted reproduction treatments such as in vitro fertilization (IVF), egg freezing, and gestational surrogacy.

The measure provides no exception or accommodations for religious objections, all but ensuring massive legal battles over the mandate should it pass.

The "sweeping legislative package" (as the senators describe it) combines several existing pieces of legislation, including the Access to Family Building Act and the Family Building Federal Employees Health Benefit Fairness Act sponsored by Sen. Tammy Duckworth (D–Ill.), the Veteran Families Health Services Act from Sen. Patty Murray (D–Wash.), and the Access to Infertility Treatment and Care Act from Sen. Cory Booker (D–N.J.).

Booker's contribution here is probably the most controversial. It requires coverage for assisted reproduction from any health care plan that covers obstetric services.

A Reverse Contraception Mandate

Remember the Affordable Care Act's contraception mandate, which required private health insurance plans to cover birth control (allegedly) at no cost to plan participants? It spawned some big legal battles over the rights of religious employers and institutions not to offer staff health plans that included birth control coverage.

Booker's Access to Infertility Treatment and Care Act is a lot like the Obamacare contraception mandate, except instead of requiring health care plans to cover the costs of avoiding pregnancy it would require them to cover treatments to help people become pregnant.

The bill states that all group health plans or health insurance issuers offering group or individual health insurance must cover assisted reproduction and fertility preservation treatments if they cover any obstetric services. It defines assisted reproductive technology as "treatments or procedures that involve the handling of human egg, sperm, and embryo outside of the body with the intent of facilitating a pregnancy, including in vitro fertilization, egg, embryo, or sperm cryopreservation, egg or embryo donation, and gestational surrogacy."

Health insurance plans could only require participant cost-sharing (in the form of co-pays, deductibles, etc.) for such services to the same extent that they require cost-sharing for similar services.

What Could Go Wrong?

It seems like it should go without saying by now but there is no such thing as government-mandated healthcare savings. Authorities can order health care plans to cover IVF (or contraception or whatever) and cap point-of-service costs for plan participants, but health insurers will inevitably pass these costs on to consumers in other ways—leading to higher insurance premiums overall or other health care cost increases.

Yes, IVF and other fertility procedures are expensive. But a mandate like this could actually risk raising IVF costs.

When a lot of people are paying out of pocket for fertility treatments, medical professionals have an incentive to keep costs affordable in order to attract patients. If everyone's insurance covers IVF and patients needn't bother with comparing costs or weighing costs versus benefits, there's nothing to stop medical providers from raising prices greatly. We'll see the same cost inflation we've seen in other sectors of the U.S. healthcare marketplace—a situation that not only balloons health care spending generally (and gets passed on to consumers one way or another) but makes fertility treatments out of reach for people who don't have insurance that covers such treatments.

Raising costs isn't the only issue here, of course. There's the matter of more government intervention in private markets (something some of us are still wild-eyed enough to oppose!).

Offering employee health care plans that cover IVF could be a good selling point for recruiting potential employees or keeping existing employees happy. But there's no reason that every employer should have to do so, just because lawmakers want IVF to be more accessible.

It's unfair to employers—big or small, religious or non-religious—to say they all must take on the costs of offering health care plans that cover pricey fertility treatments. And Booker's bill contains no exceptions for small businesses or for entities with religious or ethical objections.

A lot of religious people are morally opposed to things like IVF and surrogacy. This measure would force religious employers to subsidize and tacitly condone these things if they wanted to offer employees health care plans with any obstetrics coverage at all.

As with any government intervention in free markets, there's the possibility that this fertility treatment mandate would distort incentives. IVF can certainly be an invaluable tool for folks experiencing infertility. But it's also very expensive and very taxing—emotionally and physically—for the women undergoing it, with far from universal success rates. The new mandate could encourage people who may not be good candidates for IVF to keep trying it, perhaps nudging them away from other options (like adoption) that might be better suited to their circumstances.

'Access' Vs. Whatever This Is

Since Roe v. Wade was overturned, many Americans have worried that the legal regime change would pave the way for outlawing things like contraception or IVF, too. Encoding into law (or legal precedent) the idea that fertilized eggs are people could have negative implications for these things, even if many conservative politicians pledge (and demonstrate) that IVF and birth control are safe. In response, some progressive politicians—perhaps genuinely concerned, perhaps sensing political opportunity (or why not both?)—have started talking a lot about the need to protect access to IVF across the country.

As much as I agree with this goal, I think IVF's legality is better off as a state-by-state matter. That said, the "protect IVF nationwide" impulse wouldn't be so bad if "protecting access" simply meant making sure that the procedure was legal.

But as we've seen again and again over the past couple decades, Democrats tend to define health care and medicine "access" differently.

The new Right to IVF Act would establish a national right to provide or receive assisted reproduction services. In their press release, the senators say this last bit would "pre-empt any state effort to limit such access and ensur[e] no hopeful parent—or their doctors—are punished for trying to start or grow a family." OK.

But that's not all it would do. The bill's text states that "an individual has a statutory right under this Act, including without prohibition or unreasonable limitation or interference (such as due to financial cost or detriment to the individual's health, including mental health), to—(A) access assisted reproductive technology; (B) continue or complete an ongoing assisted reproductive technology treatment or procedure pursuant to a written plan or agreement with a health care provider; and (C) retain all rights regarding the use or disposition of reproductive genetic materials, including gametes."

Note that bit about financial cost. It's kind of confusingly worded and it's unclear exactly what that would mean in practice. But it could give the government leeway to directly intervene if they think IVF is broadly unaffordable or to place more demands on individual health care facilities, providers, insurance plans, etc., to help cover the costs of IVF for people whom it would otherwise be financially out of reach.

This is the distilled essence of how Democrats go too far on issues like this. They're not content to say "People shouldn't be punished for utilizing/offering IVF" or that the practice shouldn't be illegal. They look at authoritarian or overreaching possibilities from the other side (like banning or criminalizing IVF) and respond with overreaching proposals of their own.

The proble with increasing access to IVF is what happens when the couple needs a surrogate to have biological offspring? Will they beg and pester the women in their lives? Will the affordable IVF compensate surrogates fairly?

[coulsonlives]

Recently, I saw a post about how it's good to leave the house every once in a while and get fresh air, and it got me thinking. Because yup, fresh air is great, it can be shitty for mental health if you're cooped up a lot, if you don't change your scenery!

But: that last part made me think about my experience as a kid, and I'm sad about it. When I was a kid, I was in a suburban neighborhood. Technically, I could leave the house and go for walks and get fresh air anytime I wanted. But it was awful for me, and how my mind worked!

I couldn't possibly walk to anything, because the nearest amenity was a 7/11, and it was like an hour-long walk there and back. So the whole idea of walking felt meaningless, unsatisfying. And there were no sidewalks, so I stressed out abt having to use the same road that people drove their vehicles on (and in this day and age, nobody pays attention on the road, so yikes). There were no distinguishing 'landmarks' to help me keep track of where I was, not even any trees, just cookie cutter houses and lawns and very same-y roads, so I always got lost (yep lol, in my own neighborhood!). Maybe I was getting fresh air, but the process made me feel dumb and lonely and confused.

I was basically walking around, day in and day out, in some empty liminal space where all the houses looked the same, where I could walk for literal hours and never feel like I was going anywhere, like I was on a treadmill, and it kinda messed with me. We didn't even have a park nearby. It was literally just this. Day in and day out. Nothing ever changed. There were no events or anything, nothing to look forward to, past putting on some new music on headphones. I barely saw another person. When I did see someone, they were always in a car, trying to get out of the neighborhood to go somewhere that was actually interesting and not mind-numbingly empty!

It was super shitty. Yep, it got me out of the house which was good, but it could've been so much better if there had just been. A freakin park, or a place to gather and actually see other people (these are called 'third places' and suburbs, like, never have them!). Even if I didn't need to talk to anyone, and I just wanted to people-watch, I would've loved something like that. Alas, there was no chance for spontaneous interactions, or for fun, interesting things to happen, which I think is super super underrated, and a big part of 'getting out of the house' as a complete package.

Gonna link to a Vox article, bc I thought it was really insightful:

How our housing choices make adult friendships more difficult - Vox

[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."

[sapphia]

USA please listen to me: the price of “teaching them a lesson” is too high. take it from New Zealand, who voted our Labour government out in the last election because they weren’t doing exactly what we wanted and got facism instead.

Trans rights are being attacked, public transport has been defunded, tax cuts issued for the wealthy, they've mass-defunded public services, cut and attacked the disability funding model, cut benefits, diverted transport funding to roads, cut all recent public transport subsidies, cancelled massive important infrastructure projects like damns and ferries (we are three ISLANDS), fast tracked mining, oil, and other massive environmentally detrimental projects and gave the power the to approve these projects singularly to three ministers who have been wined and dined by lobbyists of the companies that have put the bids in to approve them while one of the main minister infers he will not prioritise the protection of endangered species like the archeys frog over mining projects that do massive environmental harm. They have attacked indigenous rights in an attempt to negate the Treaty of Waitangi by “redefining it”; as a backup, they are also trying to remove all mentions of the treaty from legislation starting with our Child Protection laws no longer requiring social workers to consider the importance of Maori children’s culture when placing those children; when the Waitangi Tribunal who oversees indigenous matters sought to enquire about this, the Minister for Children blocked their enquiry in a breach of comity that was condemned in a ruling — too late to do anything — by our Supreme Court. They have repealed labour protections around pay and 90 day trials, reversed our smoking ban, cancelled our EV subsidy, cancelled our water infrastructure scheme that would have given Maori iwi a say in water asset management, cancelled our biggest city’s fuel tax, made our treasury and inland revenue departments less accountable, dispensed of our Productivity Commission, begun work on charter schools and military boot camps in an obvious push towards privatisation, cancelled grants for first home buyers, reduced access to emergency housing, allowed no cause evictions, cancelled our Maori health system that would have given Maori control over their own public medical care and funding, cut funding of services like budgeting advice and food banks, cancelled the consumer advocacy council, cancelled our medicine regulations, repealed free prescriptions, deferred multiple hospital builds, failed to deliver on pre-election medical promises, reversed a gun ban created in response to the mosque shootings, brought back three strikes = life sentence policy, increased minimum wage by half the recommended amount, cancelled fair pay for disabled workers, reduced wheelchair services, reversed our oil and gas exploration ban, cancelled our climate emergency fund, cut science research funding including climate research, removed limits on killing sea lions, cut funding for the climate change commission, weakened our methane targets, cancelled Significant National Areas protections, have begun reversing our ban on live exports. Much of this was passed under urgency.

It’s been six months.

[the-one-eyed-seer]

Shoutout to any post med (post op, on HRT), trans person who wants, needs, or has been harmed by inpatient mental health

[dynamichealthinsights]

How to Access and Utilize Senior Health Resources

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[fantascticz]

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[accesshealthservices]

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[neodermatologist23]

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[dental1234]

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[harmeet-saggi]

Understanding And Accessing Mental Health Services

Understanding and accessing mental health services. In a fast-paced world, taking care of your mental health is paramount. This guide will not only help you understand the importance of mental health but also provide actionable steps to access the support you need.

Know more

[livingwellnessblog]

California's Homelessness Crisis: Addressing the Tragedy of Unhoused Individuals and Mental Health Reform

In the heart of California, where dreams are often synonymous with palm-lined streets and golden sunsets, there exists a shadowed reality that has long eluded the postcard image – the homelessness crisis. The scale of this epidemic is staggering, with tho

In the heart of California, where dreams are often synonymous with palm-lined streets and golden sunsets, there exists a shadowed reality that has long eluded the postcard image – the homelessness crisis. The scale of this epidemic is staggering, with thousands of vulnerable individuals left to weather the harshness of the streets each night. California’s Homelessness Crisis and Mental Health…

[fosteringinsc]

Post-Adoption Support for Families Who Adopt Foster Children in South Carolina: A Comprehensive Guide

Post-Adoption Support for Families Who Adopt Foster Children in South Carolina: A Comprehensive Guide. Adopting a foster child can be a rewarding and life-changing experience for families in South Carolina. However, the journey doesn’t end with the finalization of the adoption. Post-adoption support is crucial to ensure the successful integration and well-being of both the child and the adoptive…