#Diabetes prevention efforts

[wellhealthhub]

Cultural Perspectives: Exploring the Richness of Diverse Approaches to Diabetes, Dietary Management, and Treatment

Delve into the captivating world of Cultural Perspectives on diabetes, where various cultures offer unique insights and practices in dietary management and treatment. This comprehensive exploration encompasses traditional practices, modern interventions, and the profound impact of cultural beliefs on diabetes care. Introduction In the realm of global health challenges, diabetes looms large,…

[batboyblog]

Things the Biden-Harris Administration Did This Week #31

August 9-16 2024

President Biden and Vice-President Harris announced together the successful conclusion of the first negotiations between Medicare and pharmaceutical companies over drug prices. For years Medicare was not allow to directly negotiate princes with drug companies leaving seniors to pay high prices. It has been a Democratic goal for many years to change this. President Biden noted he first introduced a bill to allow these negotiations as a Senator back in 1973. Thanks to Inflation Reduction Act, passed with no Republican support using Vice-President Harris' tie breaking vote, this long time Democratic goal is now a reality. Savings on these first ten drugs are between 38% and 79% and will collectively save seniors $1.8 billion dollars in out of pocket costs. This comes on top of the Biden-Harris Administration already having capped the price of insulin for Medicare's 3.5 million diabetics at $35 a month, as well as the Administration's plan to cap Medicare out of pocket drug costs at $2,000 a year starting January 2025.

President Biden and Vice President Harris have launched a wide ranging all of government effort to crack down on companies wasting customers time with excessive paperwork, hold times, and robots rather than real people. Some of the actions from the "Time is Money" effort include: The FTC and FCC putting forward rules that require companies to make canceling a subscription or service as easy as signing up for it. The Department of Transportation has required automatic refunds for canceled flights. The CFPB is working on rules to require companies to have to allow customers to speak to a real person with just one button click ending endless "doom loops" of recored messages. The CFPB is also working on rules around chatbots, particularly their use from banks. The FTC is working on rules to ban companies from posting fake reviews, suppressing honest negative reviews, or paying for  positive reviews. HHS and the Department of Labor are taking steps to require insurance companies to allow health claims to be submitted online. All these actions come on top of the Biden Administration's efforts to get rid of junk fees.

President Biden and First Lady Jill Biden announced further funding as part of the President's Cancer Moonshot. The Cancer Moonshot was launched by then Vice-President Biden in 2016 in the aftermath of his son Beau Biden's death from brain cancer in late 2015. It was scrapped by Trump as political retaliation against the Obama-Biden Administration. Revived by President Biden in 2022 it has the goal of cutting the number of cancer deaths in half over the next 25 years, saving 4 million lives. Part of the Moonshot is Advanced Research Projects Agency for Health (ARPA-H), grants to help develop cutting edge technology to prevent, detect, and treat cancer. The President and First Lady announced $150 million in ARPA-H grants this week focused on more successful cancer surgeries. With grants to Tulane, Rice, Johns Hopkins, and Dartmouth, among others, they'll help fund imaging and microscope technology that will allow surgeons to more successfully determine if all cancer has been remove, as well as medical imaging focused on preventing damage to healthy tissues during surgeries.

Vice-President Harris announced a 4-year plan to lower housing costs. The Vice-President plans on offering $25,000 to first time home buyers in down-payment support. It's believed this will help support 1 million first time buyers a year. She also called for the building of 3 million more housing units, and a $40 billion innovation fund to spur innovative housing construction. This adds to President Biden's call for a $10,000 tax credit for first time buyers and calls by the President to punish landlords who raise the rent by over 5%.

President Biden Designates the site of the 1908 Springfield Race Riot a National Monument. The two day riot in Illinois capital took place just blocks away from Abraham Lincoln's Springfield home. In August 1908, 17 people die, including a black infant, and 2,000 black refugees were forced to flee the city. As a direct result of the riot, black community leaders and white allies met a few months later in New York and founded the NAACP. The new National Monument will seek to preserve the history and educate the public both on the horrible race riot as well as the foundation of the NAACP. This is the second time President Biden has used his authority to set up a National Monument protecting black history, after setting up the Emmett Till and Mamie Till-Mobley National Monument on Emmett Till's 82nd birthday July 25th 2023.

The Department of The Interior announced $775 million to help cap and clean up orphaned oil and gas wells. The money will help cap wells in 21 states. The Biden-Harris Administration has allocated $4.7 billion to plug orphaned wells, a billion of which has already been distributed. More than 8,200 such wells have been capped since the Bipartisan Infrastructure Law passed in 2022. Orphaned wells leak toxins into communities and are leaking the super greenhouse gas methane. Plugging them will not only improve the health of nearby communities but help fight climate change on a global level.

Vice-President Harris announced plans to ban price-gouging in the food and grocery industries. This would be a first ever federal ban on price gouging and Harris called for clear "rules of the road" on price rises in food, and strong penalties from the FTC for those who break them. This is in line with President Biden's launching of a federal Strike Force on Unfair and Illegal Pricing in March, and Democratic Senator Bob Casey's bill to ban "shrinkflation". In response to this pressure from Democrats on price gouging and after aggressive questions by Senator Casey and Senator Elizabeth Warren, the supermarket giant Kroger proposed dropping prices by a billion dollars

[iatrophilosophos]

Hey I'm hearing uh. More, and more, and more buzz about GLP-1 agonists like ozempic from random ppl and healthcare providers alike and there's like a terrifying lack of lucidity abt it so I just wanna say, if you've heard some stuff and are curious:

Ozempic is a chemically-aided crash diet. That's it.

Like metformin, an older diabetes medication used off-label for weight loss, it's functioning as an appetite suppressant in this use-case. It's not magic; it's not changing how your body makes or uses fat; it just makes it less miserable to eat less. It is contraindicated by histories of disordered eating and should absolutely not be prescribed without a full screening for above-adequate food intake and nutrition *and* ongoing screening for adequate nourishment/malnutrition: this is broadly not happening.

I've also seen no indication that ozempic/GLP-1 agonists are any less likely to lead to weight cycling (w/o constant use) than a straight crash diet, or do anything meaningful to limit the known, significant health risks of weight cycling.

Nothing has changed:

The main things we know from a western scientific perspective about weight and weight loss are that 1) almost all people who lose significant weight gain it back and 2) weight cycling causes cardiovascular and metabolic health complications. Yall we aint even have strong evidence to suggest that weight loss is beneficial to health conditions associated with higher weights. This *should* point to Dr's never ever reccomending weight loss (we do know it can hurt, don't know it can help) but yknow we live in uhhhh fucking world.

We are possibly ripe for an aggressive intensification of anti-fat medical rhetoric, especially in pediatrics

Among the projections for an RFK FDA that ive gotten from folks i know in these fields is a renewed focus on childhood obseity and general military-style fitness. As the ozempic fad has already been ramping up, I'm kinda! concerned! about this being a major point of focus for the oncoming administration--i figure we're ripe for another mass diet craze associated with a wide variety of deaths anyway and that existing cultural+market inertia added to it being literally on the agenda spells some not great things. I really seriously reccomend paying extra attention to this area.

Clinics love ozempic because it's extremely popular and extremely profitable--i even know someone who's job was threatened for refusing to prescribe it. We already know that we cant trust doctors to be informed around weight or for the system to sound public alarms.

Obviously, people have the right to do whatever they want--but the disclosure just isn't there and people are being sold this stuff based on the idea it'll make them *healthier* and prevent disease. It can't and it won't.

If the claims here about weight in general are new to you, start here: (Don't love the title of the article, second the exasperation)

If you want to understand more about glp-1 agonists specifically, like, start with the Wikipedia article and do some googling it lays out the pharmacology in relatively plain language. Sry i ain't doing a buncha work to find citations ppl won't click; there's not a lot of good critical stuff out there that's actually published but it doesn't actually take a lot of reading up on critical weight science to form a critical take on the sources singing ozempics praises.

Peace, good luck, do whatever you want forever, maybe tell ur mom that this isn't any different from the disastrous weight loss fads of the 90s.

[liminalweirdo]

No one should be fooled into thinking that COVID-19 no longer matters. Research efforts on COVD-19’s delayed health effects continue. Its expanding list now includes a higher risk of type 2 diabetes, lower cognition, higher rates of anxiety and depression, and a two to three-fold increased risk of heart attack and stroke. 

These delayed health risks resulted in an estimated 90,500 excess deaths in 2023. That’s over 11 times what the Public Health Agency of Canada had reported over the same period and more than 45 times the deaths from motor vehicle accidents in Canada during the same year.

Such profound harms should have galvanized Ontario into ramping up testing, prevention and transmission of SARS CoV-2. Instead, the opposite happened: Rather than educate the public on its delayed health consequences, Ontario continued to fixate on only its immediate hospitalizations and deaths.

source

[writtenonreceipts]

Rowaelin Month Day Twenty-One: Performers @rowaelinscourt

Month Masterlist // Hey Neighbor Masterlist // Ao3 Link

It fits the performers prompt because they’re putting on a show of lunacy.  <3

Warnings: just minor medical talk and references to bad hospital experiences right at the beginning, ~2.9k words

Hey, Lucky

Aelin could count on one hand the number of times she’d been in a hospital. 

Two when a grandparent passed away and one when she’d broken her arm.  She hated each and every experience.  Her grandparents’ passing had been traumatic to say the least.  All she could remember was seeing her Papa hooked up to an assortment of tubes and wires to the point that she couldn’t even see his face.  Gran was supposed to come right back out after a surgery to fix her heart…only she never had.  And when Aelin had broken her arm, she’d had to have surgery to resent the limb properly, the meds had made her sick and she couldn’t leave the hospital for over a week. None of the doctors had been nice, either. 

So, yes.  Aelin hated the hospital.

But here she was, sitting in an uncomfortable vinyl chair in a stuffy waiting room and nerves keyed up.  Her knee wouldn’t stop bouncing and she’d already destroyed a paper pamphlet citing the signs of diabetes and the importance of knowing preventative measures.  She’d found it on the side table beside her and, needing something to do with her hands, had folded and refolded the thick cardstock.  It was the only thing keeping her sane.

“You’ve got to eat some real food,” Elide said softly from next to her. 

The pamphlet was plucked from her fingers replaced with a sandwich.

Aelin looked at the sandwich.  It was a simple peanut butter and jelly, but it wasn’t hospital food.  Her stomach roiled.

“I’m fine,” she said.

Elide didn’t look impressed by that statement, but she said nothing else and settled in her seat.

Setting the sandwich aside, Aelin grabbed her phone instead.  She looked at the text thread she’d started with Iona after the news thread of the avalanche.  With the weather and the Whitethorns living one town over, Aelin insisted that she go to the hospital at least until the roads cleared up more.

<<Aelin: No update yet, but the rest of the crew is here now.

She couldn’t help but send the message.  Maybe it would have been better if she had actual news.  It was the nerves, the need to do something.  And she supposed if she were a mother separated from her child she would want to know anything and everything going on.

She leaned back in her seat and took inventory of the waiting room.  It had calmed down quite a bit over the last few hours.  There were other family’s waiting for news, the bad weather brought in many other injuries and messes.  The rest of Rowan’s search and rescue team had also come now that the missing hiker was found.

Fenrys had also been injured, but not as extensive as what happened with Rowan.  He hadn’t been caught in the torrent of snow and ice, only enough to cut off his retreat back down the mountain.  After everything settled, Fenrys had gone in search of Rowan and the lost hiker.  He’d found them and even managed to get a signal for a rescue.  He was being treated for dehydration and a dislocated shoulder.

“Aelin,” Elide insisted, grabbing the phone from her fingers, “I am your emotional support human right now and I need you to eat.”

“You sure you’re not just here for a certain ranger?” Aelin quipped.

Elide glared. “Moral support.”

“Right.”

“I will force that sandwich down your throat,” Elide said.  For such a tiny unassuming woman, she was a bit feral.

Aelin took a savage bite.  It was a tasty sandwich; raspberry jam, creamy peanut butter, and fresh white bread.  Perfection.  She wouldn’t let Elide know though.

After forcing half the sandwich down, Aelin couldn’t stomach any more.  Elide seemed satisfied with her efforts and didn’t say anything when Aelin tucked the remains back in its baggie.

It was another few minutes until a doctor stepped through a pair of double doors that led to the operating rooms.  Aelin leapt from her seat, just as she’d done for every doctor or nurse that stepped through the doors.

“Whitethorn and Moonbeam?” The doctor asked, already walking towards the assembled rangers.

The captain, Gavriel, stepped forward. “How are my men?”

“Fenrys is on an IV and doing fine, he just needs rest,” the doctor said, she smiled reassuringly, “already asking to be released.”

Only a little bit of tension eased out of the rangers.

“And Rowan?” Gavriel pressed.

The doctor, Yrene Towers by her nametag, offered a strained smile that made Aelin’s stomach clench.

“He’s out of surgery,” Dr. Towers said slowly. “His left leg was broken in two different places and needed some titanium screws.  He’s got three broken ribs, a concussion, and severely sprained wrist.  Honestly…he was extremely lucky.”

“But he’s okay?” Aelin asked, “He’ll wake up?”

Dr. Towers’s smile softened, which under normal circumstances would have made Aelin’s hackles rise. “Yes.  Probably within the next hour or so.  You can see him now if you’d like.  He’s in his recovery room now.”

Aelin’s entire body vibrated and it took all her effort not to bolt down the hall.  She was overstepping, she knew she was overstepping.  Right?  Why was she so concerned, so insistent about seeing Rowan?  Especially when his friends and colleagues were right here.  It was ridiculous.

And then, much to her surprise, Lorcan was the one to speak up. “Go make sure Whitethorn doesn’t break out of here prematurely.  We’ll give Moonbeam hell.”

The rangers already started filing towards the ER where Fenrys was holed up.  Lorcan narrowed his eyes slightly while glaring down at Aelin.  She raised an eyebrow in challenge to which the larger man merely shrugged before following his squad mates.

Dr. Towers rested a hand on Aelin’s shoulder. “I’ll take you to Rowan’s room.”

Nodding, Aelin glanced over her shoulder to where Elide still sitting in her chair.  Her friend only waved her on with an encouraging hand.

“Thanks,” Aelin said, turning back to Dr. Towers. “That would be great.”

It was a quick walk to the elevator and trip up to the third floor.  The entire time Dr. Towers continued to talk to Aelin about Rowan.

“I’ve done a lot of trauma work and have seen a lot of tragedies,” Dr. Towers said, “and even though his injuries sound bad, he’s going to be alright.  Just a bit of recovery and physical therapy with his leg.  It’ll be a long road but he can make it.”

They came to a stop outside a room with the blinds drawn up to look in on the sleeping body.  Aelin’s heart skipped a beat as she took in Rowan’s prone form.  Thankfully, he didn’t have a respirator or any tube actually inside his mouth.  His warm skin had taken on an ashen pallor and his usually styled hair lay flat over his brow.  One of his legs was suspended in a sling and wrapped in white bandages.  His injured wrist was also wrapped in similar bandages and resting on his chest.

“Thank-you, doctor,” Aelin said.  She smiled at the woman. “Really.”

“Of course, just let a nurse know if you need anything find a nurse, find me, and we can help.”

With another hand on her shoulder, Dr. Towers headed down the hall to the nurse’s station.

Aelin looked back into Rowan’s room.  Just the sight of him lying there had panic racing through her body.  She didn’t know what to make of all the emotions she was feeling. She didn’t know where they’d come from or what to do with them.  She knew…well she knew she’d been attracted to Rowan for a while now.  Known she’d been willing to flirt with him and see if something more that could happen between them. 

With a steadying breath, Aelin pushed open the door.

The was strangely quiet.  Even with the soft hum of the equipment and steady beat of the heart monitor, there was a stillness occupying the space.  She hated it.

Aelin crossed the room to take a seat in the chair beside the bed.  She debated taking a picture of Rowa to send to Iona.  In the end she decided there was something distinctly creepy about that so she settled on an over simplified text. 

<<Aelin: Sitting with Rowan.  Doctor said he’s doing well.  He’ll need physical therapy for his broken leg and he has a concussion, but she said it’s all going to be fine.

>>Iona: Thank-you dear.  The storms blown over so the roads should be cleared by tomorrow.

That was good. 

Aelin sighed, tucking her phone back into her purse.  She leaned forward, hand hovering over his own.  The action felt strangely intimate.  She withdrew her hand and looked at Rowan’s face.

He appeared peaceful.  Even with the gash on his forehead and the bandage trying to cover the worst of it.  He was paler than Aelin was used to him looking too.  Really, this entire situation was a nightmare.  She wanted to wake up.  Desperately.  She wanted him to wake up and scowl at her.  Wake up and roll his eyes.  Wake up and just be him.

“I am so mad at you right now,” she muttered.  She sat back in her seat scowling at his unconscious form. “You were supposed to be careful and not get hurt, Rowan.  Nox Owen said he’d be dead if it wasn’t for you.  You risked your life up on that mountain and scared the shit out of me.  You’ll be lucky if I forgive you.”

His heart monitor beeped in response.

“And you know, that’s not even the worst of it,” she continued.  Now she was picking at her nails, too upset to actually look at him.  “What’s worse is that I thought there was something more between us.  I thought…Did you even eat those cookies I baked you?”

She glared at him now, still disgruntled over how flat his hair was lying.  It made him look so much younger, soft.  She had to swallow down the lump forming in her throat.

Emotions were the worst.

The literal worst.

Taking a long breath, Aelin straightened.  She leaned forward again and did her best to channel the old Aelin.  The irritated Aelin.  The Aelin who used to have dance parties at two in the morning to rile Rowan up.  The Aelin who tried to trick Rowan into drinking a RedBull.

“You are going to wake-up and you are going to take me on a date,” she said. “Do you hear me buzzard?”

To emphasize her words, she took Rowan’s hand and entwined their fingers.  There was nothing to indicate that he could hear her.  Nothing to indicate he was waking up soon.  Which was fine.  She knew Dr. Towers had said he was fine, that he’d only just gotten out of surgery and wasn’t going to wake up for a while yet.  But she was Aelin Galathynius and she was not patient.

She squeezed his fingers.

“You’re an idiot if you think you can get rid of me that easily,” she added.  Sniffing, she rose from her chair.  She may as well let the other rangers filter through to see their friend.

She tried to pull her fingers from his grasp only to find that his grasp had tightened.  Aelin froze.

“Rowan?” She nearly fell over herself to lean back over Rowan. “Rowan Whitethorn.”

His eyelids fluttered and he took a deep, rattling breath.  His mouth twitched, trying to form a word. 

“Buzzard?”

And then his eyes opened.  Glazed and unfocused but open.  It took a few blinks and then those gloriously green eyes landed on her.

“Fireheart.”

Tears that Aelin hadn’t even known were brewing started pouring down her cheeks.  She raised her other hand to cup his cheek, feeling the stubble there.

“Hi,” she whispered, staring into his eyes, eyes she hadn’t realized she’d missed so much.

“What—” Rowan began, but he tried to move too much of his body at once and broke off with a wince and a curse. “Damned hell, what happened?”

“Lay back and stop moving,” she ordered him.  “You were in an accident; do you remember that?”

Groaning, Rowan actually listened and leaned back into his pillow. “Yeah, yeah I remember.  Nox?  Fen?  They okay?”

“They’re fine,” Aelin assured him.  She ran her thumb over his jaw, refusing to stop touching him for at least a little longer. “Nox had some frostbite and scrapes.  I think I heard he broke his ankle.  Fenrys just got some bruises, he somehow missed the worst of it.”

Rowan’s eyes shuddered closed.  He took a few breaths before looking at Aelin again.

“And are you okay?”

Aelin just stared at him. “I’m not the one who fell down a mountain.  Y’know, I think you’ve got me beat now for doing stupid things with this.”

“I was saving a life, doesn’t count.” His mouth quirked up into a half smile.

Aelin didn’t have a good response to that.  Because really, all she wanted to do was kiss him and call him a fool.

He must have seen something in her eyes because he tried to move.  She had no idea what his intentions were—he was still stiff and loopy from his medication.  Whatever he was trying to do sent a spasm of pain crawling over his features.

“Stop moving,” Aelin insisted. “You’ve got some broken ribs and a broken leg and your wrist is sprained.”

“I—then why does my head hurt?” He asked.

Poor, silly man.

“That would be the concussion.”

Rowan huffed, squeezing his eyes shut.  “Right.”

“You’re in pain,” Aelin said, trying to pull away again. “Let me go get the nurse, they should know you’re awake.”

Shaking his head, Rowan snagged her hand again and tightened his grip. “No.  It’s fine, just stay.”

Aelin didn’t like that.  Not at all.

“You are literally gritting your teeth in pain,” she said.

“Aelin.” Rowan tugged on her hand, his index finger hooking with hers. “I’m fine.”

She ducked her head, suddenly unable to meet his gaze.  She had too many thoughts and emotions rolling inside her, too many things she couldn’t define well enough.  Especially not now. 

“I was really scared, Rowan,” she whispered.  “I saw the newscast of the avalanche and thought—I thought…”

Aelin cut off as another wave of tears clogged her throat.

“Aelin,” Rowan said.  He pushed through the pain that he was so obviously in and pulled on her hand so she had to lean in closer. “I’m sorry.”

That should have dried up any and all tears that Aelin was fight back. “You’re what?  What do you have to be sorry for?  You fell off a cliff.  You broke your leg.  Don’t you dare try and sit up, I will go get a nurse, don’t try me.”

“For the bar, for the cold shoulder,” he said, only partially speaking over her. “For not talking to you.”

Aelin sank down on the side of the hospital bed, careful of any wires or tubes she might disrupt.

“Yeah,” she murmured. “I am still mad at you about that too.”

Rowan, to his credit, looked chagrined. “Sorry.”

Aelin squeezed his hand. “You don’t have to tell me everything, not now anyways, but I—I want to know.”

“My last girlfriend couldn’t handle the job,” Rowan told her, hardly waiting for her to stop speaking. “Not all the calls in, the long trips I’d be gone for, not the potential danger of it all with storms like this one.  She kept showing me other jobs to apply for, telling me to get a real degree at a real college…eventually she told me to make a choice.  So I came to Terrasen.”

That had been almost three years ago at this point, if Aelin did her math correctly.

“It didn’t seem fair to put anyone else through that,” he concluded.

“That doesn’t seem fair,” Aelin said, “not fair of her, not fair to you, to anyone.  Not if you love the job.  Not if your partner loves you.  And it’s not fair of you to make that choice for me, either.”

She brushed away the remnants of her last round of tears.  Heart hammering in her chest, Aelin fixed Rowan with a stare she only reserved for Fleetfoot.  A mix of amused disappointment.  It seemed apt for the Buzzard.

“I like you, Buzzard.  But you can’t keep acting like a fool.”

“Yes, ma’am,” he conceded.

Aelin nodded resolutely and then, before she could lose her nerve, leaned forward and planted a kiss on his forehead.  She thought it perfectly reasonable to leave it at that but then Rowan shifted beneath her and before she could pull back, his mouth collided with hers.

Even drugged up and concussed, Rowan knew how to kiss a woman.  Aelin certainly wasn’t one to pass up on this opportunity.  She kissed him deeply, feeling the spark of something flare in her chest and spread like wildfire through her blood.

Aelin pulled back far sooner than she wanted to, but she knew he was still recovering.

“Took you long enough,” she told him.

“Sorry, had a mountain fall on me.”

“Ass.”  Aelin forced herself to pull away from him for good this time.  She went back to get her phone from her purse. “I need to let your mom know you’re awake.”

Rowan made a strangled noise. “You’re talking to my mother?”

“Mostly just texting right now.  But she did invite me to family dinner next Sunday, so you’ve gotta be out of the hospital for that.”

“We don’t do family dinner.”

“Now we do,” she planted another kiss on his forehead and dialed into FaceTime. “Hi, Iona!  Guess who’s awake!”

.*.*.*.*.

epilogue next

[reasonsforhope]

"Sanofi on Thursday said it’s planning to cut the U.S. price of its most popular insulin drug by 78% and cap monthly out-of-pocket costs at $35 for people who have private insurance starting next year. 

In addition to its widely prescribed Lantus, the French drugmaker will reduce the list price of its short-acting insulin Apidra by 70%. Sanofi already offers a $35 monthly cap on insulin for uninsured diabetes patients.

The company is the last major insulin manufacturer to try to head off government efforts to cap monthly costs by announcing its own steep price cuts for the lifesaving hormone. 

Eli Lilly and Novo Nordisk made similar sweeping cuts earlier this month after years of political pressure and public outrage over the high costs of diabetes care. The three companies control over 90% of the global insulin market. 

... The change takes effect Jan. 1.

President Joe Biden’s Inflation Reduction Act capped monthly insulin costs for Medicare beneficiaries at $35, but it did not provide protection to diabetes patients who are covered by private insurance.

Sen. Bernie Sanders, a Vermont independent and the chairman of the Senate Health, Education, Labor and Pensions Committee, introduced a bill earlier this month that would cap the list price of insulin at $20 per vial.

Both the president and Sanders on Tuesday directly called on Sanofi to slash its prices after Novo Nordisk announced its own cuts that day.

Roughly 37 million people in the U.S., or 11.3% of the country’s population, have diabetes, according to the Centers for Disease Control and Prevention. Approximately 8.4 million [U.S.] diabetes patients rely on insulin, the American Diabetes Association said."

-via CNBC, 3/16/23

[covid-safer-hotties]

Old News (Published Sept, 2022)

Also preserved in our archive

It's disgusting how little movement has been made since this article was published. Biden declared a victory only to be forced to step down by a covid infection this summer. We're done being ignored.

By Jamie Ducharme

Dr. Ezekiel Emanuel is used to feeling like the only person in the country who still cares about COVID-19. He ignores the side-eye he gets for wearing an N95 mask at parties—a self-imposed policy that makes him “look odd” but kept him safe after a recent work dinner turned into a superspreader event. The oncologist, bioethicist, and professor at the University of Pennsylvania provides each of his students with an N95 and runs four HEPA air filters during lectures. He rolls down the windows when he gets in an Uber and goes hungry on planes so he can wear his mask the whole time. He’s given up one of his favorite pastimes—dining at restaurants—even now that many people don’t think twice about eating indoors.

Emanuel, 65, takes these precautions even though he’s vaccinated and boosted and thus well protected against severe COVID-19. The acute disease doesn’t scare him much—but what could come after does. “The only thing that’s preventing me from leading a normal life is the risk that I’ll get Long COVID,” Emanuel says. “I can’t say why people aren’t [reacting like] their hair’s on fire. This is a serious, serious illness.”

Emanuel’s not totally alone. In a July Axios-Ipsos poll, 17% of people said their biggest fear related to COVID-19 is the possibility of getting Long COVID, a potentially disabling condition in which symptoms linger or emerge well after an acute infection. But at a time when the majority of U.S. adults think there’s little risk in returning to normal, mask wearers, test takers, and social distancers walk a lonely road.

Even public-health agencies seem over it. Throughout 2022, the U.S. Centers for Disease Control and Prevention (CDC) has rolled back many of its recommended COVID-19 precautions. CDC guidance no longer recommends social distancing, mask-wearing, or screening tests for most people who don’t have symptoms, and unvaccinated people don’t need to quarantine if they’re exposed to the virus. In a 60 Minutes interview that aired Sept. 18, President Joe Biden said “the pandemic is over,” even though “we still have a problem with COVID.”

The following day, chronic disease advocates protested in front of the White House, arguing that Long COVID and the related condition myalgic encephalomyelitis/chronic fatigue syndrome constitute a public-health emergency and demanding that the Biden Administration improve its public-education campaigns, financial support for patients, and research efforts.

The CDC says its COVID-19 guidance is meant to prevent “medically significant COVID-19 illness,” which includes both severe acute disease and Long COVID. The agency contends its lighter touch is warranted now that the vast majority of the U.S. population has good protection against severe disease from being vaccinated, contracting COVID-19, or both. “Our emphasis on preventing severe disease will also help prevent cases of post-COVID conditions, as post-COVID conditions are found more often in people who had severe COVID-19 illness,” Dr. Barbara Mahon, who oversees work on coronaviruses and other respiratory diseases at the CDC, said in response to questions from TIME about the agency’s Long COVID guidance.

But even with high levels of population immunity, Long COVID cases continue to pile up. By the CDC’s own estimate from June, one in five U.S. adults with a known prior case of COVID-19 had symptoms of Long COVID. Having COVID-19 also raises a person’s risk of developing chronic conditions including heart disease, asthma, and diabetes, according to CDC research.

Long COVID can take many forms, including exhaustion, cognitive dysfunction, neurological issues, and chronic pain. People can develop it whether they’re young or old, sick or healthy, vaccinated or not. And while some people get better in a matter of months, recent studies and many patient experiences show symptoms can last years. There is no known cure for Long COVID, and the only way to prevent it is not to get infected at all.

That, a vocal group of experts and advocates say, is why people should resist the U.S.’ collective shrug to the unchecked spread of COVID-19. The virus may not kill or hospitalize as many people as it once did, but it still upends lives every day. Around 1.2 million people in the U.S. became disabled as a result of the virus by the end of 2021, according to the Center for American Progress, a progressive think tank. Up to 4 million people in the U.S. are out of work because of Long COVID. Specialists who treat Long COVID report months-long waitlists. And in the current “let it rip” phase of the pandemic, all of that may get worse.

“We’re in the middle of the greatest mass-disabling event in human history,” says Long COVID patient and advocate Charlie McCone. And unless people wake up to the long-term consequences of COVID-19, it is “going to continue taking folks out like fish in a barrel.”

President Joe Biden ran on a promise to defeat COVID-19. And for a while, it looked like he would deliver. In the spring and early summer of 2021, the U.S. was recording about 12,000 cases per day. Vaccines were working. Masks were coming off. Life was good.

Then Delta hit, followed by the tsunami of Omicron, and the path out of the pandemic no longer looked clear. The messaging began to shift: the U.S. would learn to live with COVID-19, rather than defeating it. We couldn’t stop all infections, but we could defang them through vaccines, boosters, and treatments like the antiviral Paxlovid. The masks could stay off, even if the virus wasn’t gone.

Many Americans welcomed the return to normalcy. But to McCone, 32, that approach is “a crime against humanity,” given what we now know about Long COVID.

McCone got sick in March 2020. COVID-19 knocked him flat. He almost went to his local emergency room because he was so short of breath, and it took weeks for his respiratory symptoms to improve. After about a month, he finally felt well enough to ride his bike. “I just fell apart,” McCone remembers. The 15-minute ride left him with unshakeable exhaustion—and a sign that this would be no ordinary recovery.

More than two years later, McCone barely leaves the house, except for medical appointments. He still has severe fatigue, chest pain, shortness of breath, and nervous system dysfunction. He can’t work because of his symptoms, and his partner has become his caretaker. His symptoms got even worse after catching COVID-19 again in September 2021, so he’s “petrified” of getting reinfected—a fear he wishes more people shared.

“We’re letting millions of Americans and people across the globe walk, unwittingly, straight into this pit,” he says.

Hannah Davis, a machine learning expert who began researching Long COVID after her own diagnosis, also got sick in March 2020. Davis has testified about Long COVID before Congress and advised federal health officials about the condition. She says those experiences have shown her that health officials understand that Long COVID is a substantial problem, and that, while vaccines reduce the risk of developing it—by some amount between 15% and 50%, studies suggest—they are not failsafe. The U.K.’s Office for National Statistics recently reported that roughly 4.5% of triple-vaccinated adults developed Long COVID after being infected by Omicron. But the government doesn’t seem to want to dwell on these scary stats, Davis says. “It really looks like it’s being hidden intentionally,” she says.

Davis believes that’s because the Biden Administration leaned heavily on vaccines as a ticket out of the pandemic and is wary of walking back that messaging now, even as fully vaccinated and boosted people contract Long COVID. A representative for the U.S. Department of Health and Human Services (HHS) did not directly respond to that allegation when asked by TIME, but emphasized the importance of vaccination and said the department is still working “to understand this new post-infectious landscape.”

“Individuals, communities, and organizations must make decisions that create the right balance between the need to protect themselves and others from the effects of COVID-19 and the need to stay healthy in every sense of the word—such as mental health, getting an education, preventive and chronic disease care, and social interaction,” the CDC’s Mahon said in a statement.

Health officials are not doing enough to prevent transmission of the virus and help people understand its risks, says Kristin Urquiza, who founded the advocacy group Marked By COVID after her father died from the virus in 2020. “Leaders have thrown their hands up in the air and basically said, ‘You do you,’” she says.

The federal government has taken some action on Long COVID. In late 2020, Congress gave the National Institutes of Health (NIH) more than $1 billion to study it. But so far, this funding has yielded no treatments, no preventative tools, and little research that is immediately useful to patients. The NIH’s cornerstone Long COVID research project aimed to enroll 40,000 people; as of August, it had enrolled only about 8,000. That’s in large part because of the complexity and scope of the trial, according to the NIH.

Lawmakers have introduced bills meant to improve research and support for Long COVID, but they’ve reportedly stalled due to a lack of support in Congress. And in August, HHS released two highly anticipated reports on Long COVID—one describing resources available to patients, the other outlining the government’s research agenda—that were largely panned by Long COVID advocates as more symbolic than substantive.

“Many of the resources provided in the reports seem like cold comforts and temporary Band-Aids when a tourniquet and emergency surgery is needed,” Urquiza said in a statement to Rolling Stone about the reports.

The HHS representative told TIME the reports are just the beginning, and the Administration’s work on Long COVID is ongoing. For people with Long COVID, “It can feel like the world is moving on, while leaving them behind,” the spokesperson wrote in the statement. “The Administration’s message to them is that, ‘We see you, we hear you, and we are taking action to help.'”

Some Long COVID advocates and scientists have called for an initiative like Operation Warp Speed—the Trump Administration program that quickly yielded multiple effective COVID-19 vaccines—for Long COVID treatments. But the NIH hasn’t built anything of the sort, says David Putrino, a Long COVID researcher at New York’s Mount Sinai health system. Despite its $1 billion budget for Long COVID research, “There’s been no process change between how they fund things outside of a health emergency and how they’re funding things in the midst of a health crisis,” he says. “We’re still following the same grant application procedures, the administrative load is the same if not more, and they have not hired additional people to program manage the grants.” In a statement, the NIH said application review is handled by an “ample and diverse set of experts.”

Dr. Eric Topol, founder of the Scripps Research Translational Institute and a prolific parser of COVID-19 research on Twitter, says the NIH is doing good research on the underlying science of Long COVID, but he’d like to see more trials focused on treatments. “You need to do both, because we can’t wait another year or two for the biology to be better defined,” Topol says. (The NIH says it will begin treatment-focused trials this fall. Mahon says the CDC also continues to research Long COVID symptoms, prevalence, and risk factors.)

Research delays are not for lack of intriguing leads. A tremendous amount of Long COVID research has been published in the last two years, most coming out of independent laboratories, Putrino says. From this work, scientists have found multiple possible explanations for Long COVID symptoms: SARS-CoV-2 virus lingering in the body, abnormal immune system activity, reactivation of other viruses previously lying dormant, tiny blood clots throughout the body, and more. These disparate findings suggest that there may be different root causes or subtypes of Long COVID, which means all patients might not respond to the same therapy. But each one suggests a possible path to treatment worth testing sooner rather than later, Topol says.

Nobody knows exactly how prevalent Long COVID is, and some researchers argue that the CDC’s estimate of one patient per five COVID-19 cases is high. But, even using more conservative prevalence estimates, the volume of infections in the U.S. means the scale of the problem is massive. About 60,000 people in the U.S. currently test positive for COVID-19 daily. Even by more modest estimates, that means the seeds for a possibly debilitating condition are planted in thousands of people every day. During just the first two years of the pandemic, at least 17 million people in Europe developed Long COVID, according to a Sept. 13 report commissioned by the World Health Organization.

“If we have millions of people being infected, we’re going to have millions of people getting Long COVID,” Emanuel says. “That’s going to be an ongoing, serious national problem that is going to weigh down the economy, weigh down the disability insurance system, and be tragic for people.”

Journalist and author Katie Hafner, 64, was one of the unlucky people to develop Long COVID after being vaccinated and boosted. She got infected in May and was left with significant fatigue and brain fog. Her Long COVID symptoms were on the milder end of the spectrum and have improved with time, but Hafner says she can still manage only a few hours of work per day and has to carefully monitor her physical and mental energy levels. Her anxiety has also escalated since getting sick.

Hafner’s husband is Dr. Robert Wachter, chair of the department of medicine at the University of California, San Francisco. Between his wife’s experience and his close monitoring of COVID-19 research, Wachter is concerned enough about Long COVID to avoid indoor dining and wear a good mask in crowded areas. For people who aren’t immersed in the research, though, “the cognitive load of doing all this three-dimensional chess [around risk calculation] is too much,” he says. “To me, the CDC hasn’t been very vigorous on Long COVID,” providing less guidance about prevention and risks than it did for acute infections.

Those risks are substantial. Wachter says he’s worried about Long COVID’s impact on the health care system—not just in already overloaded Long COVID clinics, but system-wide. “If it turns out that it markedly increases the rates of some of the biggest medical hazards we have in life”—including organ failure, heart disease, and dementia, as research currently suggests— “the toll of that over years and years will be tremendous,” Wachter says. “I don’t think [the CDC has] done a good job explaining that at all.”

The economic toll could also be massive. Up to 4 million adults in the U.S. are out of work because of Long COVID, costing the economy at least $170 billion in annual lost wages alone, according to a Brookings Institution report published in August. A Kaiser Family Foundation analysis suggests just 44% of people who worked before they got Long COVID are now fully employed, with the remainder either out of a job or working reduced hours.

Many long-haulers who are unable to work have turned to the disability system. But, anecdotally, many have had trouble getting their claims approved, either because they’re outright denied or forced to jump through hoops to prove they’re truly unable to work. A representative for the Social Security Administration said in a statement that, as of August, it had received about 38,000 applications that mention COVID-19, representing about 1% of recent claims—but since decisions are based on functional limitations, not diagnoses, it’s difficult to say how many people have sought support due to Long COVID.

Experts say there is more that can be done, even before new therapies are discovered or developed. To slow transmission and thus lower rates of Long COVID, Topol says the CDC should tell people to isolate for longer than five days after getting infected and campaign harder for people to get booster shots. Emanuel, meanwhile, would like to see better communication about which masks protect wearers from infection; respirators like N95s are more effective than surgical or cloth masks, but many people still walk around in droopy blue surgical masks. Public indoor spaces, like restaurants and schools, should also have enforceable requirements for ventilation and air filtration, given the virus’ ability to spread in the air.

A return to mask mandates would also be a good step, Davis says. But even if none of those changes are enacted, she says the government should at least emphasize how common Long COVID appears to be and that it can affect vaccinated people. She fears many vaccinated people think they’re in the clear and can’t get Long COVID, because the Administration has sung the shots’ praises so much. “We’re just drowning in this sea of misinformation that is not only causing people to poorly think about their own risk, but also putting other people at risk,” Davis says.

Those with Long COVID often say they feel like they’re screaming into the void, trying to get through to people who either aren’t aware of or don’t care about the condition and the possibility it could affect them, too. In grocery stores, Hafner marvels—and seethes—at the bare faces she sees. Sometimes, when she’s the only person wearing a mask, “I think, ‘Am I a pariah?’” Hafner says. “We’re at that point where the people in masks are the outliers.”

For many people who are done with the pandemic and the caution that came with it, a maskless supermarket may seem like a sign of progress. But for those with an intimate understanding of Long COVID, it feels like a bad omen.

“It’s no way to live,” McCone says of his day-to-day existence since developing Long COVID. His worst fear, and one that looks like it may come true if progress isn’t made soon, is that millions more people will have to learn that the hard way.

[beautyandlifestyleblog86]

5 Benefits of Consuming Foods Rich in Nutritional Compounds

1. Enhanced Energy Levels: Foods that are packed with essential nutrients such as vitamins, minerals, and antioxidants can boost your energy levels significantly. For instance, whole grains provide complex carbohydrates that release energy slowly, helping to maintain steady blood sugar levels throughout the day. This sustained energy can improve your overall productivity and reduce feelings of fatigue.

2. Improved Immune Function: A diet abundant in nutritional compounds like vitamins A, C, and E, along with zinc and selenium, plays a crucial role in strengthening the immune system. These nutrients help protect the body against infections and illnesses by promoting the production of immune cells and enhancing their responses. Consuming a variety of colorful fruits and vegetables can provide these essential nutrients, leading to better overall health.

3. Better Digestive Health: Foods high in nutritional compounds, particularly those rich in fiber such as fruits, vegetables, legumes, and whole grains, support a healthy digestive system. Fiber aids in regular bowel movements, helps prevent constipation, and promotes a healthy gut microbiome. A well-functioning digestive system is essential for absorbing nutrients effectively and maintaining overall well-being.

4. Weight Management: Nutrient-dense foods are typically lower in calories but high in essential nutrients, which can be beneficial for weight management. By focusing on foods like vegetables, lean proteins, and whole grains, you can feel fuller for longer while consuming fewer calories. This can aid in weight loss or maintenance efforts without the need for restrictive dieting.

5. Long-term Health Benefits: A diet rich in nutritional compounds is associated with a lower risk of chronic diseases such as heart disease, diabetes, and certain cancers. Nutritional compounds, such as omega-3 fatty acids from fish or antioxidants found in berries, have protective properties that reduce inflammation and oxidative stress in the body. By prioritizing these foods, you can contribute to long-term health and longevity.

By incorporating a variety of nutrient-dense foods into your diet, you can take advantage of these numerous health benefits and promote overall wellness.

[ayuwbfamily]

Please

Please do not ignore my plea,

"Hello, I am Ayoub from Gaza, 20 years old. My father struggled for 20 years with displacement. After much hesitation, I decided to launch a donation campaign to save my life and my family's. We need you and we have come to you with this urgent appeal.

I am like any young man who seeks a secure future, and my family is like any loving family that wishes for a decent life and safety. I was studying at university and my sisters were completing their education, but now we have nothing left; NO university, NO safe shelter.

Diseases are spreading in the displacement camps: my entire family has been exposed, and my father especially is in dire need of treatment abroad! My dear father is disabled and suffers from chronic diseases, diabetes, and heart pressure. He cannot move and is very affected by the lack of healthcare here.

OUR STORY MEANS LIFE OR DEATH.

Among this darkness, your generous donations can be a glimpse of hope to save my life and the lives of my family, especially my father's, so that we can all get the care and treatment we need.

Why Your Help is Critical

‏Ayoub is the sole breadwinner for his family, who has been displaced for months. Since the war started, Ayoub donated all of his money and is allocating 10% of the donations to serve children in need in the refugee camp where he lives.

Ayoub and his family are seeking **EMERGENCY ASSISTANCE** to alleviate the escalating violence and shortages of water, food, and resources in Gaza. Thanks to Ayoub’s tireless spirit of goodwill, a portion of all donations will continue to help refugee children in Gaza through direct cash support, purchase of basic necessities, and preparing and delivering large quantities of food.

‏To stay up to date with Ayoub’s ongoing efforts to help children, please follow his Instagram profile

‏Here’s how You can make a difference

‏DONATE: every contribution, no matter how small, will bring us closer to our goal. Your donations will directly contribute to Ayoub’s family survival and to supporting children in the refugee camp.

‏SHARE: please share our story on your social media, within your community, and with friends and family. The power of collective support can make a huge impact!

Please respond to our call and let us show the world the power of compassion and solidarity. Thank you for your generosity and support!

Ayoub from Gaza"

How Will Your Donation Help?

Every cent donated will go directly to Ayoub to provide:

Daily meals to ensure no one goes hungry.

Essential medicines to treat illnesses and prevent further suffering.

Basic Necessities, such as warm clothing, blankets, and hygiene products to survive.

TOGETHER, we can bring hope and healing to this family and the children in the camp. Your generosity can be the lifeline they desperately need. Please share this campaign with your friends, family, and networks. Even if you can’t donate, SPREADING THE WORD CAN SAVE LIVES!

From the bottom of our hearts, we thank you for your compassion and kindness.

[aweightyissue]

On Weight Loss and Morality

Conversations around weight and weight loss have always been contentious.

The oft repeated mantra of weight loss has been “there is no silver bullet.”

It’s a jeering remark meant to chide dieters for trying anything beyond eating skinless chicken breast and 20 hours a week working out.

If you want to lose weight you have to pay the penance for every excess pound. You have to earn it.

Their smug satisfaction of watching weight loss aids fail is salt in the wound. They snickered at limitations and failure of Amphetamines, PhenFen, Ephedrine, Orlistat, LapBands, and Gastric Bypass.

See? You can’t cheat your way out. You did this to yourself, now you must suffer the consequences.

An anti weight loss movement emerged in opposition to this mentality. Body positivity is a healthy response to diet culture; making the radical assertion that existing in your body, the way it is, without trying to change, is not only okay, it’s a good thing.

Love your body and focus on being healthy. Your weight is not your worth. This cannot be said enough. Your worth in this world is not related to how your body looks.

When around came GLP-1 medications, the reactions have been fascinating.

The drugs themselves are remarkably effective, and instead of targeting the weight, they correct the underlying metabolic problem. They’ve been on the market for years and are generally known to be safe.

The ire toward them, is in some ways unsurprising.

No! You can’t do it the easy way! You have to work at it!

You’re stealing them from the deserving- the diabetics. Ironically, the same people they blame for their own illness.

The body positivity crowd response is fascinating as well. Taking the drugs is a betrayal. You shouldn’t want to change your body. You’re giving into diet culture. You shouldn’t want to fit conventional beauty standards.

The response has been negative from both sides. People feel entitled to police the bodies and choices you make about your body.

Both of these reactions are moral judgments. You have to pay for your sins. Either for gluttony or vanity.

The thing is, there should be no judgement at all.

Weight loss requires a lot of mental energy. You have to commit your mental and physical energy to it. There are a million reasons why someone can’t or doesn’t want to do that. And that’s okay. There is no reason why you should feel obligated to.

However, ignoring the very real disabling effects of obesity is also a kind of denial of humanity. It’s not anyone’s business, and to condemn someone for trying to prevent or correct the effects is kind of cruelty all its own.

There’s no reason someone should have to justify their desire to change their bodies or their efforts to do so.

Try to love your body, regardless of its size, but it’s okay if you want to lose weight and you don’t have to justify your reasons or your decision to use medication to do it.

Everyone else, support people if they choose to change their bodies as well as when they choose not to. It’s not your decision, your business or your place to judge them.

We, the body positivity advocates don’t criticize trans people for changing their bodies because they’re unhappy with the way it looks. We don’t shame people with disfiguring congenital defects who choose to have corrective surgery; even when it poses no health risk. We understand the very real effects of social stigma, and wouldn’t criticize them for avoiding it.

You’re punishing people trying to lose weight for the sins of vanity and envy.

The other assholes, you wouldn’t tell a cancer patient “there’s no silver bullet” or snicker when an experimental or risky treatment fails. You don’t tell people with high blood pressure or high cholesterol that taking medicine is “taking the easy way out.” You know it’s cruel, you simply want to punish people for the sins of gluttony and sloth.

All I’m saying is - leave the people taking weight loss meds alone.

Weight is not a moral issue.

Weight is not a moral issue.

Weight is not a moral issue.

Weight is not a moral issue.

Weight is not a moral issue.

[thefirsthogokage]

The UN Humanitarian Coordinator for Palestine, Jamie McGoldrick, has slammed Israel for adding insulin pens for children to the list of prohibited items that are not allowed into the besieged and war-torn Gaza Strip. McGoldrick said that this is a violation of international humanitarian law and a serious threat to the lives of thousands of diabetic children in Gaza.

...

...Israel has been imposing a strict blockade on Gaza since 2007, severely restricting the movement of people and goods in and out of the coastal enclave. Israel claims that the blockade is necessary to prevent weapons and materials that could be used for military purposes from reaching Hamas, the Islamist group that controls Gaza. But human rights groups and international organizations have denounced the blockade as a form of collective punishment that violates the basic rights and dignity of the two million Palestinians living in Gaza.

According to McGoldrick, Israel has also banned many other items that are essential for humanitarian relief and development, such as pumps, generators, spare parts, pipes, solar panels, and some medical equipment. He said that these restrictions have hampered the efforts of the UN and its partners to provide displaced people with basic services such as food, medical support, shelter, water, and sanitation.

Another source:

As not enough people are saying: this is a disability and chronic illness rights issue. Where are all of you who advocate for those things here in the US? Why don't you speak up?

[scratchandplaster]

FEBUWHUMP DAY 21 - Lightning strike

CW: parental Whumper, conditioned Whumpee, hypnosis, betrayal

Previous | [Masterlist] | Next

・・・・・・・・・・・・・・・・・・・・

The storm raging outside had been no surprise. Otis helped to upgrade the tents beforehand, so the aftermath would be predictable enough to not resow any doubts. In barely half a week, everyone who dared to saw Reuben's efforts to settle in as a smooth success.

His "other one" was still writhing aimlessly.

Nothing more than a few clicks and a hopeless fight against the sluggish Wi-Fi were necessary, after nearly two years in the dark, Shepard was awarded with the address of Luke's shelter. 427 Parkway Drive - the brick front was virtually smiling at him, a half turn away from the international house of pre-diabetes and Red 40. Birdie would get an aneurysm if she every caught her children in there.

A shy knock at the door, nearly inaudibly through the gusts of wind and its rumble, ripped Shepard from his thoughts. Ben slipped through and latched it tightly shut.

Perfect timing, as if appointed. The laptop screen was preventively closed down to a bright slit.

"Hey, Dad," he carefully draped his raincoat over a rack, "I brought the kids over, they are a bit restless." Over to their guardians, as it should be. Handling even two children felt like a Herculean task to Shepard, five would go beyond any reasonable cat herding.

"Well done, sweetheart." He grabbed a spare blanket from the couch to wrap around Ben's wet self. Little droplets fell from the short curls he hopefully planned to grow out again. All bundled up, Ben was pulled in closer for a hug: "We can have a sleepover too."

"Yeah, well, I'm not stepping out there again!" He, too, felt nervous about the storm and winced at every flash of lightning shining through the windows.

"Me neither," his dad huffed skeptically, "Let's hope this shed doesn't turn into a houseboat overnight!"

Nature continued to let its fury whip through the fields, twisting and turning every loose object to its pleasure. Cradling his son and arranging him so sit comfortably on his knees was Shepard's first priority, the second quickly followed suit.

"Do you know how lightning comes to be?" he spoke and let his voice offset the wild howling behind the glass, "Far up in the clouds, thousands and thousands of little raindrops grate against each other. Imagine the tension between them, the electric current jumping from every water bead to the other, over and over and over and over, never stopping, never resting. But the tension doesn't fade. It builds up by a tenfold, over and over and over, until it has no choice but to - release."

Exhaling deep on the last word, or rather command, Ben once again found himself relaxing. Any escape from the storm was welcome.

Shepard's restless scientific speech was finally interrupted by another harsh flash that pulled his son out of the comfort surrounding them. A loud boom quickly followed.

"What do you think, Ben: is it close above or already drifting further away from us? Check this for me, please."

Ben, trying his best to stay calm and secure, began to count the seconds between lighting and thunder. This skill had been a lot more important when they used to live in the old camper: just Shepard, Luke and he.

A flash.

"One...two...three-"

Thunder rumbled.

Waiting for the next one didn't take long. Shepard kept himself busy by warming his son's freezing hands with his own.

"One...two...three...four..."

Ben lulled his brain into mindlessness at his own free will, dragging himself up and down the states of consciousness without Shepard even needing to lift a finger. Every new thunderclap brought him back up, though the lingering relaxation continued to twist into itself with every new count-up.

"...sixteen...seventeen..." The tiny thoughts got swallowed halfway between his lips and ears as Ben sunk further into Shepard's embrace.

Another round, and then another. Just as nature above, Ben stared to let go of all tension that sparked up inside his gray matter.

"...twenty-two...twenty-three..." At last, the telltale soft voice, slack face and distant gaze surrounding his son made Shepard reach out for the laptop and interrupt the peaceful counting.

"Believe it or not, I found something really interesting. Be a gem and help me for a second, starshine."

Oh. Ben could always help his dad out, it was his special talent. He sat up straight, surely this hot new project was nothing more than a breed of zucchini he wanted to cultivate or a plan to cobble a different beehive blueprint together.

Shepard, cautious and at his limit, had to be play it safe. One mistake and Lukas would slip from his grasp once again; an unforgivable error.

"I need someone to greenlight the info I've collected."

Instantly, as Ben recognized the house on the screen, his expression turned from calm to startled. Brow furrowed in confusion, he began to twist uncomfortably out of the blanket, verifying everything Shepard had to know.

"Thank you, Reuben." His father's apologetic smile didn't help a bit. Ben was shocked, more at himself than the situation he was stuck in.

"I never-"

Thunder rolled through the fields, but Ben couldn't care less. Looking away in panic, he struggled to push the gentle presence in his mind away, to resist the urge to agree with every single of Dad's words. Shepard, for one, didn't appreciate the sudden antipathy. A hand sneaked to the small of Ben's neck.

He had to ignore the soothing gestures, for Luke's sake. Ben had kept his mouth shut, he knew that he did! He was so relieved that Shepard didn't even ask once, so how was this possible? 

Should he lie to his father? They both knew he was horrible at it.

"I-I don't understand!" A single finger under his chin made Ben's face turn around to witness his helplessness mirrored in honey-brown eyes. They were studying him intently.

"I don't want you to understand, Ben," Shepard said gently, only the murmur of rain withstanding his words, "I want you to follow."

The world was pulled out from under Ben like a rug.

An all too loved force spread through his body at rapid pace, forcing his pupils to blow wide. Like a deer in the headlights, only the shock let his last thought hang by a threat of resistance.

"Don't fight it, you're going to give yourself a headache again. Just listen and follow."

Eventually, Ben's heavy eyelids fluttered until they were simply too heavy to do so anymore. Weak against any command, he collapsed into his father, arms hanging numb at the sides.

Hours of persuasive assurance were now ingrained as absolute truth into the most delicate part of his mind, the one that wailed for fatherly attention. It listened without protest. In return, Shepard would always take care of it, finally making a pledge in earnest. 

There was lightning at the end of the valley.

This time, Shepard counted for his son, pressing his mind deeper into docility. Ben was safe, loved and a traitor; gone completely as he slipped down the shortcut which Shepard had whittled into the twirls of his cerebral cortex. 

The chances to twist away from him again were just as lost. The storm had moved on.

"Secrets will only eat you up, it's better to share them. I absolve you from my and Luke's complicated arguments. I swear I will never make you do something like this again," Shepard assured and carefully stroked along his son's back, allowing the fatigue to catch on, "It's an emergency, you surely agree. We need Luke, just as he needs us."

Acceptance popped up in his son's face: he was an open book you could rip newly written pages out of and blacken to your whim. Reuben would've never survived out there, nothing to be ashamed of.

Shepard warily carried him to the cot and turned the heater on high. Electricity was the office's main perk. One day, Ben's mind would explode because of all his contradictory feelings. For now, it was kept safe in capable hands.

Shepard needed to pack his essentials, yet before setting out he made sure no sting of guilt would bother Reuben in the morning.

・・・・・・・・・・・・・・・・・・・・

Thanks for reading 🤍 [Febuwhump 2024 Masterlist]

@febuwhump

[beardedmrbean]

The Supreme Court on Monday turned down an appeal from California prison officials who sought immunity from lawsuits for having transferred inmates with COVID-19 to San Quentin in May 2020, setting off an outbreak that killed 26 prisoners and one guard.

The justices denied the appeals with no comment or dissent.

The transfer decision was later lambasted by state lawmakers as a "fiasco," "abhorrent" and "the worst prison health screw-up in state history."

The California Institution for Men in Chino had been hit hard by COVID-19. Nine of its inmates had died and about 600 were infected in May 2020.

San Quentin then had no known cases at that time. In an effort to prevent further harm at CIM, prison officials decided to move 122 inmates from Chino north to San Quentin.

Within days, San Quentin reported 25 COVID cases among the 122 new arrivals. Within three weeks, the virus spread to 499 others.

By early September, at least 2,100 inmates and 270 staff had tested positive.

The state now faces four major lawsuits from the families of those who died as well as from inmates and staff who were infected but survived.

Those lawsuits can proceed now that the federal courts in California and the Supreme Court have denied the state's claim that prison officials had "qualified immunity" that shielded them from being sued.

"The state has had its due process all the way to the Supreme Court. They're not getting off on a technicality," Michael J. Haddad, the attorney for the families, said in response to the court's order. "Now it's time to face the facts. Prison administrators killed 29 people in what the 9th Circuit called a ‘textbook case’ of deliberate indifference.”

The defense of qualified immunity often shields police officers from lawsuits. The justices have said that police and other government officials may be sued for violating the constitutional rights of individuals, but only if they knowingly violated a "clearly established" right.

Courts have said that police officers frequently must make split-second decisions on whether, for example, a suspect being pursued has a gun. For that reason, the courts sometimes shield officers from being sued for an "unreasonable seizure" if an officer shoots a fleeing person based on the mistaken belief that the suspect was armed.

The pending prison cases are quite different, lawyers for the families said, because prison officials decided to make the transfers without taking the precautions that were understood as needed at the time.

Sgt. Gilbert Polanco, the guard who died, was 55 years old and had worked at San Quentin for more than two decades. He had multiple health conditions, including obesity, diabetes and hypertension, which put him at high risk if he were to contract COVID-19.

His duties during the pandemic included driving sick inmates to local hospitals, but lawyers said prison officials refused to provide him or the inmates with personal protective equipment.

In late June 2020, he contracted COVID-19, and after a lengthy hospital stay, he died in August.

In Polanco's case, the lawsuit alleges he lost his life because of a "state-created danger."

The U.S. 9th Circuit Court of Appeals said prison officials had affirmatively exposed Polanco to a danger he would not have faced otherwise and failed to take steps to protect him from the danger they had created.

The Supreme Court in the past had also ruled that prisoners have a right to be protected against "the unnecessary and wanton infliction of pain," including as a result of "deliberate indifference to their serious medical needs." Lawyers for the San Quentin inmates said prison officials can be held liable under that standard.

California state attorneys urged the Supreme Court to review and reverse the 9th Circuit decisions that rejected a qualified immunity defense for the prison officials.

"The facts of these cases are undeniably tragic," they said. But in "the early months of the COVID-19 pandemic, when little was known about the disease and testing supplies were limited, the defendant officials attempted to protect the lives of scores of vulnerable inmates who were confined in a prison where the virus was rampant."

With the benefit of hindsight, they agreed their actions may be judged as mistaken, but "no clearly established law placed them on notice that their alleged mismanagement of the COVID-19 pandemic at San Quentin prison was unconstitutional."

[iatrophilosophos]

Socialized medicine in the US is a partial solution to the myriad of problems with western medicine at best.

Western medicine is theoretically speaking the application of the scientific method to the human body, right? So it seeks to isolate "variables" in the name of "objectivity". Another word for variables here is context. And you just can't in a real way separate context from an individual's state of health; something medical professionals are VERY MUCH AWARE OF (see: shit life syndrome for one example) that exists in tension with both the current regiment of distributing healthcare and with the foundational mythos of western medical knowledge formation.

Western medicine is also beholden to the rest of the world. In places in the US where medicaid is actually relatively accessible, for example, you still have shit like racism and sexism and transphobia and ableism impacting care people get. And I understand that like, when people talk about their ideal socialist utopia, there's mechanisms in place that deal with social oppression; but I want you to think about just how big a project uniform care actually existing would be.

So in our current world, another obstacle to Making Medicine That Works is legality, especially re: the drug war. Very useful, known, well-studied substances have documented properties making them extremely useful or potentially useful for a variety of medical treatments (examples: THC for everything from gut stuff to emotional support; LSD for crohns and potentially diabetes; good old opiates and opiate-related-chemicals for chronic pain, some cases of depression and a subset of the experiences often diagnosed as schizophrenia and/or ADHD): but prohibition prevents application or further study (even for chemicals like THC that are legal in some states, if any program that receives federal funding is involved, can't use it! Fun right?). But sure, we can waive that one aside to and say that universal healthcare will also mean a total end to prohibition. That'd be cool!

So now that we've magicked away these problems, we have uniformly available healthcare that's getting better every day because all the social, legal and financial limits on medical exploration have been taken away. What do we have?

Well aside from a system that's gonna die with the rest of industry any time from next year to a few decades from now, still heavily dependent on plastics and factories and worldwide shipping and coerced labor in other countries, we still have a hierarchical structure where prescriptive knowledge is generated by centralized institutions who's abilities and members are dictated by governmental legislation and that inherently cannot see or account for the context of various people's bodies and lives and thus still limits the ability of disabled and mad people to explore/access unapproved/not-yet-approved treatments. But no, we can magic this one away too, obviously in the ideal socialized healthcare, everyone's needs will be accounted for so we'll have decentralized community medical exploration! And we'll use existing holistic healthcare tools and make more to account for individual people's context! And nobody will be subjected to coerced labor or nonconsensual treatment! And we'll find ways of creating medicine that are locally feasible, don't require global industry, and are resilient against climate collapse!

...so we no longer have contemporary western medicine (or civ, for that matter). Cheers!

But wait! There's more! You can live in this brave new world RIGHT NOW! what do you do with ur time, huh? You play video games? I bet you've put a lot of time and effort and skill-building and resource accumulation into it! Maybe you're poor as shit like me and have figured out emulators and pirating or talk to other people who share your interests about how to access them or you're into indie games! That is cool and meaningful! Maybe you like music! Maybe you like fiction! I bet you know a lot of lore/specifics/techniques/etc related to SOMETHING! maybe it's birds! Idk you but I am absolutely positive that there is SOMETHING you know a lot about that you have figured out how to know in a way that's accessible to you and applicable to your life. Maybe it felt easy, maybe it was really hard, maybe you did it because you want to, maybe you did it because you had to, maybe it's a really big topic, maybe it's a small one, maybe you can think of it right this second and maybe you'd have to ask some friends to point it out to you. Whatever it is, whoever you are, YOU HAVE BUILT A KNOWLEDGE SET AND YOU CAN BUILD ANOTHER ONE! You can start learning about the medicine that is applicable to your life right now. Go read the Wikipedia page for some medications you have around! Or for some ingredient in a food nearby you don't know what is! Or one you do know what is! Figure out a question about it! Google that question! Keep googling! Read some studies that come up and then search all the words you don't know and keep looking until you understand them! Look at you you're doing it! Keep going! This is how it starts!

Medicine exists in the same world we do and we can take it for ourselves and make it better!

[thestarsloth]

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[rjzimmerman]

High toxin levels are illegal in public water. But not for Americans using private wells. (Washington Post)

Excerpt from this Washington Post story:

On a Tuesday morning in May 2021, during a brief period when Cathy Cochrane’s chemotherapy sessions had paused, her hair was beginning to grow back and the intense pain from the treatments was subsiding, she nervously logged into a Cowlitz County commissioner meeting to testify about what she believed had caused her ovarian cancer and her fears that others were in danger too.

“The first thing you want to know when you hear the news is ‘why? Why me?’” she told the commissioners of her April 2019 diagnosis. “But worse than not knowing why, is finding out why and knowing it could have been prevented.”

The previous November, Cochrane discovered that the water she had been drinking for nearly a decade contained 638 parts per billion of arsenic, a toxin that can cause cancer and increase the risk of diabetes and heart disease.

The maximum allowable level of arsenic in water for public utilities is 10 parts per billion — or 10 micrograms of arsenic per liter of water— meaning their water had nearly 64 times what would be legal in public drinking water, though no amount of arsenic is considered safe. But Cochrane, 66, and her husband, John Brugman, 70,do not get drinking water from their municipality.

Instead, like over an estimated 43 million Americans, the water that comes out of their taps is drawn from a private well. In their case, it’s a 405-foot-deep shaft dug feet away from their rural home, situated in a small clearing surrounded by forest,that pulls from a natural aquifer deep underground.

They had never tested their water for arsenic; it wasn’t required during the well’s construction or at any point after, and they said they were not aware that arsenic occurred naturally in the area. Though public water utilities have to test for arsenic and follow strict federal standards for the toxin, private wells face no federal regulations, complicating efforts to ensure all Americans have reliable access to safe drinking water. Like in many communities, there were no requirements here at the state or county level either.

The EPA regulates the amount of toxins allowed in public drinking water to keep people safe, establishing the maximum levels for dozens of contaminants, requiring utilities to conduct regular testing and imposing consequences on those that break the law by failing to remove toxins.

But the agency doesn’t regulate the drinking water of the more than 1 in 10 people who get their water from their own private wells.

In lieu of any national laws, some states and municipalities across the country have issued their own regulations. A February study from the Journal of Exposure Science & Environmental Epidemiology found 23 states have adopted requirements for water quality testing of private wells. But those requirements vary widely in scope, and only 10 states have laws that require notifying well owners about a potential contamination, the study found.

Though the proportion of people using private wells has declined, the number of wells has increased overall with the growth of the general population — and the levels and pervasiveness of some contaminants in those wells are increasing, studies show.

Some studies have found that they have become more contaminated as a result of climate change and the expanding use of chemicals in agriculture that pollute natural water sources.