#Bulimia

[support]

Everything okay?

If you or someone you know is struggling with an eating disorder, you are not alone.  

If you are in the United States, please try:

National Eating Disorders Association (support, resources, treatment options)

If you are outside the United States, visit IASP to find help lines related to eating disorders for your country. 

For self-help courses on body image and general peer support, please try Koko. 

For more resources, please visit our Counseling & Prevention Resources page for a list of services that may be able to help.

[reachoutusa]

Support can make a huge difference when someone is hitting a rough patch. Why wait until then to let your friends know you'll be there? Take a stand for Mental Health Awareness and tag someone you care about to let them know you have their back. ‪

[queervegancryptid]

What's funny to me about this is that I have Medicare and Florida Medicaid, and let me tell you: compared to other countries with socialized medicine, we are getting absolutely shafted. It's been going on for a long time, at least since George W. Bush was in office. That's when Medicare Advantage plans started becoming a thing, and in Florida and at least some other states, there is no public option for Medicaid. You HAVE to pick a private "managed care" plan. (UHC, Humana, Florida Blue, Molina, and Sunshine Health are the companies that come to mind. I think there's one or two more in the mix for Florida Medicaid. YMMV.)

My Medicare and Medicaid benefits are administered in one dual special needs plan (D-SNP), which is the best option for me in a lot of ways... except here's the thing: I get those benefits because I'm disabled. Legally, my disability benefits were approved on the basis of PTSD, eating disorders, and severe anxiety.

It is impossible to find an eating disorder recovery program, online or in-person, that accepts Medicare. So I have a disability, and I wouldn't even have insurance at all if I didn't go through the process of sitting in front of an ALJ after nearly three years of waiting time, for her and the hired assessor and fuck knows who else to determine that my eating disorder is a major factor in why I can't work.

So you might say I only have this insurance because of my eating disorder.

So you might even go so far as to say the reason I have this insurance (any insurance, really) is CATEGORICALLY excluded from the benefits offered by this or ANY OTHER plan available to me that includes Medicare. Almost no Florida Medicaid plans are accepted by any eating disorder specific program or facility, and the way it works is that Medicare is billed first, and it seems like no one really knows what that means for people like me.

I currently have a D-SNP, but I could switch to having separate plans for each of Medicare and Florida Medicaid. It might be worth doing, but I can only switch plans once a quarter, and it seems like switching is the only way to find out. But if it doesn't work, and it might not, I could be without benefits I desperately need for months before I even get an answer. I've heard of the whole being more than the sum of its parts, but somehow, Medicare + Medicaid in one plan may do less than two separate plans.

Oh, and my plan? I won't name it, but it's UHC. Private insurance companies run Medicare Advantage plans and D-SNP plans like mine. I have this plan mostly because it covers my prescriptions. (Well, for now, anyway. Fully expecting to lose coverage for HRT within the next year or two.)

The psych facilities in-network to me are okay... if you don't actually have to do anything above outpatient therapy. I would be goddamn terrified to be sent to one of them for inpatient care. Just based on the Google reviews alone.

But who cares about mentally ill poor people. If I had a drug or alcohol problem, I'd have no problem finding a rehab in-network for that, but I'd still never check into one on an inpatient basis. The only ones of those in-network to my plan have the same problem as the general psych facilities near me. I would survive, but I'd probably come out worse, not better.

Original Medicare (Parts A and B) is more predictable in some ways, but it doesn't cover all of what the Medicare Advantage plans (Part C) cover (no prescription drug coverage at all without enrolling in either Part C for all your Medicare or at least a Part D plan, which deals with prescription drugs). Also, you still have to pay a monthly premium unless you're dirt poor and qualify for Medicaid and "Extra Help." So calling it socialized medicine the way Canada does it or the way the NHS does things in the UK or whatever, for example, is seriously stretching the limits of that idea.

Anyway tl;dr I've been dealing with this for a while and have a lot more to say about it, but the point is, if you think Medicare and Medicaid are examples of "socialized medicine" the way other countries use the term, you have been misled and will end up extremely confused and frustrated if your situation actually demands complex care of any kind. And for certain specific conditions, apparently, you're just fucked. You end up nearly dying of anorexia three or four times because there's literally no help for you that won't cost tens of thousands of dollars out of pocket.

Sorry for the rant. I'm incredibly frustrated about these things and just venting a little, I guess. But I also feel like this kind of shit should be common knowledge, because I'm definitely not the only person dealing with it, except somehow no one ever seems to talk about it.

I can hardly wait to try to get an autism assessment covered.

saw someone say the only people who don't approve of Luigi are old enough that they basically DO have socialized health care (medicare or whatever) and as such literally don't understand what everyone else is going through. made me think.

it definitely matches up with the idea that people's political and cultural positions are largely a superset of their material interests

[hakeem0n]

seeing pictures of myself at my lw and realising I no longer look like that:

[fuck-that-im-starving]

This girl???? Helloooooo?? 🤯

If its yours and want me to take it down dm me np.

[cockroachmotherfucker10]

Do it halfway. Take one piece of trash out of your room, throw one dirty shirt into your hamper. Go to one class and miss a different one. Start a drawing without pressure to finish it. Give yourself space to Be without the expectation to Become, and do small things to make the Being livable.

[desultory-suggestions]

Instead of choosing an intensive, unrealistic, or punishing goal this New Year ask yourself: What is one simple thing that would enrich my life this new year? Maybe you can do three paintings this year. Maybe you can buy and care for a potted plant. Maybe you can learn to cook one meal exceptionally well. You don't need to push yourself to the brink. Let's stop committing to punishing goals based on insecurity and start asking what will enrich our lives.

[lostalice404]

need friends

i need friends to lose weight with no softies plzs

[imfartooobsessedwithkpop]

*sighs* gets vibrator to pass them time while restricting

[dreamdropsystemarchive]

we're getting bad again..

[doppelganger-ana]

Ed Films

To The Bone

Girl Interrupted

Dying To Be Thin

THIN (documentary)

When Friendship Kills (A Secret Between Friends)

Perfect Body

Sharing The Secret

Hunger Point

[depresso-espresso-5150]

Sometimes it scares me how much I think about going out for a walk, and never coming home. How willing I am to leave everything I have, and everyone I know.

s.m

[rottenpigg]

gotta thug it out so this can be me lol

[kcodii1]

Imagine, being able to sit down and hunch over whilst still maintaining a completely flat or sunken in stomach. Not having to feel hideous when you see how big your arms look when they're flat to your side. Being able to see your bones instead of layers of fat each time you look in the mirror. You dont have to imagine it, you can have it. Just dont lose control and practice discipline and you WILL get there.

[yourmanicpixiedreamgirl8]

I need people to be mean to me, and friends who will motivate me.

[fuck-that-im-starving]

I just need to be skinnier and everything will be fine. Just a little bit skinnier. A little bit skinnier. Maybe if I dont eat for a few days it'll be ok.