#Insurance Company Careers

[hillbilly---man]

One thing about me is that if there's a pointless rewards program that most people don't know exists, I'm gonna devote way too much time and energy to it so I can cash in 😈

[trifoliate-undergrowth]

Today in "blatant misinterpretations of songs that I like better", I have decided that Ghost Riders In the Sky is about what happens to you if you stay as a seasonal worker forever

[soullessjack]

ok stop me if I’m wrong bc I just binged the saw movies all the way up to 7 within the past two days but like. I like that John is a hypocrite and his ideology falls through its own cracks and he’s no better than anyone he punishes, it’s interesting as both a character study and as a study in the whole franchise’ running theme and whatever, but at the same time it feels like such a .. pointless aspect to have??

Like there’s nothing to be learned from his hypocrisy, it doesn’t change the game or the legacy he built. And like maybe that’s the point itself, that there is no point, that people are hypocrites and shit is hopeless and broken systems remain broken or whatever and every single one of jigsaw’s victims that were innocent just died for nothing and his apprentices either died or got maimed in the game because they fell through the cracks in his philosophy or cracked it even worse with their own ..

Idk it’s such a nihilistic approach to the franchise but like. Yea Idk . Words

[ghoul-haunted]

:)

[allalrightagain]

It's all fun and games projecting my health stuff onto DIWF until I have a chapter to work on and I spend 3 hours fighting with the US healthcare system instead

[dockaspbrak]

Somehow i got a phone interview in my covid week where i decided i didnt care about anything.... hope my voice doesnt go out LOL

[tardis--dreams]

Gotta talk to the department boss tomorrow because i asked for opportunities to increase my work hours. I regret it already but i can't back out now so this is gonna be fun (:

[salt-baby]

yes, doctors suck, but also "the medical ethics and patient interaction training doctors receive reinforces ableism" and "the hyper competitive medical school application process roots out the poor, the disabled, and those who would diversify the field" and "anti-establishment sentiment gets applications rejected and promotions requests denied, weeding out the doctors on our side" and "the gruesome nature of the job and the complete lack of mental health support for medical practitioners breeds apathy towards patients" and "insurance companies often define treatment solely on a cost-analysis basis" and "doctors take on such overwhelming student loan debt they have no choice but to pursue high paying jobs at the expense of their morals" are all also true

none of this absolves doctors of the truly horrendous things they say and do to patients, but it's important to acknowledge that rather than every doctor being coincidentally a bad person, there is something specific about this field and career path that gives rise to such high prevalence of ableist attitudes

and I WILL elaborate happily

[scientia-rex]

Sometimes people tell me I'm a good person. I'm not a good person by nature, or by default. I'm a good person because I've decided that it's important to me to act like one, on a daily basis, forever.

My actual nature is that I want power. I want power and I want my life to be easy and I want other people to be forced to be nice to me even if they hate me. I want other people to have to suck up to me, I want to watch people who I know hate me suffer through the indignity of having to suck up to me. I want to hurt people who hurt me. I want all of these things in the same exact deeply recognizable way that a gorilla or a chimpanzee does. I watch those documentaries and I recognize myself, intimately. The fact that I can behave like a good person in spite of that has taken me a long time and a lot of effort to achieve.

What you feel isn't as important for your "goodness" as what you do. And you get good at what you practice. So practice your skills at being polite, pleasant, kind. Practice gently interrupting negative behaviors--whether that's someone's negative behaviors directed towards themselves, or directed towards someone else. The idea that we have to be inherently without sin is such Christian garbage. It's psychological gibberish. We want things! We want everything! That is normal and human and the key is not acting on every bad feeling you have.

I have taken my insatiable desire for power and to manipulate people and I have used it for good. I have learned how to manipulate people into coming to the doctor and taking their blood pressure medication and being honest about their recreational substance use. I have taken my psychology education and I have used it to craft a persona that makes people feel at ease. I go home at the end of the day exhausted, because maintaining a persona for ten hours straight is exhausting, but I do it happy, because I manipulated the people I work with into feeling better and having brighter days. I manipulated my patients into feeling good about their achievements and recognizing where we need to do things differently.

The hard part is that when the mask slips, people find it not just off-putting but deeply upsetting. When I explain things like "I have thought very carefully about how I would conduct a career in domestic terrorism because I would genuinely like to bomb the headquarters of most American insurance companies, but I don't see a way to do it without getting caught and either killed or spending the rest of my life in prison, and at the moment I consider that an unacceptable outcome," people go from "ha ha! my wacky colleague" to "Jesus Christ, I didn't realize there was something actually wrong with you."

Anyway, don't make your kids read the extended works on Machiavelli at twelve, my dad thought he was helping me but all he accomplished was making me sad I'll never be a king.

[everytechever]

AIA Philippines Champions Innovation

AIA Philippines innovates and develops solutions to bring ease and convenience to the ecosystems it serves. #HealthierLongetBetterLives #AIAPhilippines #fintech #tech #everytechever

Modern problems require modern solutions, which is why AIA Philippines constantly evolves to address the needs of its customers.  As a testament to its commitment to unceasingly improve its services, AIA Philippines innovates and develops solutions to bring ease and convenience to the ecosystems it serves through its innovation lab, the company’s framework of innovation that encompasses its…

[endlingmusings]

"The Asiatic cheetah is on the brink of extinction due to worsening conditions. Unfortunately, wildlife conservation in Iran is not a top priority for the government, which is under intense pressure from sanctions. These sanctions not only affect the government but also the livelihoods and employment conditions of the people across the country. Companies and factories are going bankrupt, and their workforce is being downsized. As a result, it is becoming increasingly difficult to keep experts at non-governmental and non-profit organizations that are dedicated to preserving wildlife. Individuals are forced to migrate from hope to despair to sustain their paths of career growth and prosperity for themselves and their families. The Iranian Cheetah Society (ICS), which used to have over 50 members, now manages all conservation, educational, and advocacy activities with only six individuals. Among them, we manage to pay a modest salary to only one person and struggle intensely with a shortage of manpower and budget. In the past year alone, three key members decided to migrate. If we are to dedicate more time and resources to the conservation of the Asiatic cheetah, there is no solution other than preserving the few remaining workforce. It is important to note that extinction won’t wait for political issues to be solved. The current supporters of the ICS have somewhat assisted in keeping ongoing conservation activities in the field, despite sanctions and economic hardships. However, the lack of sufficient manpower for field deployment renders project budgets futile, no matter how much they increase. Therefore, this year, we intend to request assistance for covering the salaries of our conservationists and aim to secure project costs from larger institutions throughout the year since they are generally uninterested in covering human resource expenses. According to our estimates, by Giving Tuesday next year, each full-time expert will incur at least 4100 euros in expenses. This amount covers only the salary and does not include insurance and other expenses, which we hope to obtain from other sources. With every 4,100 euros, we will be able to contract a full-time force for one year. We hope to raise a minimum of 8,200 euros from Giving Tuesday to International Cheetah Day this year. You can also contribute by securely donating money through PayPal at HelpCheetah.com or by sharing this message with others, helping us remain hopeful for preserving the Asiatic Cheetah."

- The words of Iranian Cheetah Society CEO Morteza Pourmirzai.

Donate | Learn more

[zattis]

Sizable Security, Inc. (dp x dc thought)

With the ghost attacks at an all time low and the Infinite Realms blessedly calm, a twenty-something Danny Fenton decides to take care of his protection Obsession in a more mundane way: by becoming a bodyguard. A blessed late growth spurt meant that he inherited his father's height, though not his sheer bulk. Still, with an intimidating figure and his fighting knowledge, he figured that it wouldn't be an issue picking up a career as a "protection agent".

He hadn't expected all three (???) of his siblings to join him, starting a family business instead of joining a company that already existed.

Ellie had spent years on the road, traveling across the globe. It had fascinated her, of course, but she found herself missing her family. Going into security with him gave her the chance to go from place to place while being around someone she truly cared about.

Jazz ended up going along with it, rationalizing that keeping making clients feel secure was just as important as actually protecting them, and that she could still put her mind to good use. Not to mention her less chaotic demeanor meant she would usually be seen as the de facto leader of the group.

Then, somehow, Dan ended up joining them, turning their trio into a quartet. He said it was his parole opportunity to go along with them, and while he may relish in the chance to be aggressive, being around Jazz, Danny and Ellie kept him sane and opened him up to show genuine love, in his own way.

As it turns out, having four talented individuals on your payroll, all of whom have some degree of enhanced strength and senses, makes for an extremely valuable service. It also helps when no one in said group is shorter than six and a half feet tall.

Proud & Powerful Protection (the name was Ellie's idea) becomes an overnight sensation, developing a reputation for a 100% success rate and quickly getting booked by just about anyone who can afford them. As a matter of fact, two very wealthy, very public figures employ their services often, with both hoping to hire them full-time.

Lex Luthor sees the quartet as insurance for some of his most valuable employees and yet another one of his secret projects.

Bruce Wayne would rather they take care of his wards, since he's very tired of having to deal with kidnapping and extortion attempts.

Regardless, Jazz, Danny, Ellie and Dan look out for each other, and can pretty easily figure out when their employers aren't telling them everything.

[thehigherseekerastro]

Random Astrology Observations (Alternative Meanings Love Edition) 🤨❤️🤔

DISCLAIMER: I am in no way, shape or form a professional astrologer, modern or traditional.

I HAVE been studying astrology for a while now, and analysing charts available to me, as well as my own, and noticed a lot of the info you find online doesn't make sense in real life, because it is too reductive, stereotypical or lacks broader context. So I thought I'd share some of my personal observations to see if it resonates with anyone.

This is NOT the end all, be all. Apply it as it makes sense to you.

PS: I don't know how to edit posts, and this is my first Tumblr post, so it's not gonna look pretty.

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The 10th House 🕰️

The 10H gets reduced to "career and work", but it goes much further than that. The 10th house represents your highest honors, which, in a capitalist modern world, will often be directly linked to your career success, but it's not the success that's built around the career. It's the other way around. It talks about the career that leads you to success. The main point is NOT working itself, but success. 10H will also describe your public image, your reputation, your public persona, your long-term goals, your social influence, your social status, your legacy and the image you wanna project.

(e.g.: your biggest legacy could have nothing to do with something that made you money in this life. It could have been starting a non-profit that changed lots of lives. Or you could become prestigious in your social circle for your personality, which presents you with opportunities in life that aren't directly connected to acquiring material things [because the 2H is the house of materials and possessions])

Going off of the first topic – 10H synastry, specially house overlays – does NOT mean workplace romance. In fact, your significant other may not even work or, if they do, may not even work in the same field as you, let alone be co-workers. Like I said, the 10H is much larger than "career", but also, career and work are not exactly the same thing. If they do happen to be involved in your career, it may have nothing to do with your workplace directly, but with your career in a general sense. So, instead of meeting at WORK, being co-workers, and all the reductive things people claim, you could meet them through your CAREER.

(e.g.: You work at an insurance company, but are studying to become a lawyer, and you happen to attend a conference related to the lawyer part of your ambitions, not your actual job, and there you meet your significant other./You work as a waitress, but your dream of becoming a model. So you attend an event to network with people in the modeling industry, and there you meet your significant other, but they just happen to be somebody's friend who got invited to go to the event, even though they themselves are not in the industry at all).

Since the 10H also rules your highest self, your "best case scenario", and your status and legacy, having 10H synastry with someone could simply mean they will change your life significantly, either positively or negatively. They will shift the foundations of how you are perceived and perceive yourself, and may even change your status in life. In that sense, the person who eventually becomes your spouse and the parent of your children could have 10H synastry with you. They will have changed your public status, as well as your legacy. Broaden your perspectives without thinking of keywords.

The 9th House 📖

A lot of astro observations are very Americanized/Euro-centric, and lack perspective and social and cultural context. The 9H is much broader than "foreign things". In fact, it's the most expansive house of all 12, so to reduce that "expansiveness" to foreign travel because it's big and wide is too simplistic, and doesn't take into account people whose realities simply do not include access or contact to foreign cultures and places. It COULD indicate foreign travel and cultures, but it will most likely be "foreign" in the context of abstract things, such as beliefs, philosophy and worldview. The "traveling" of the 9H also does NOT have to be literal, and could very often mean intellectual and moral, such as "traveling" through the acquiring of knowledge, or "traveling" through exploring new spiritual practices and teachings.

(e.g.: The 9H will talk of higher education, but that's not a reality for a large portion of the world. So, instead of thinking in terms of university, think more of "higher education" in terms of evolving studying of concepts and notions. In that regard, life experience is ALSO included in the 9H)

Going off of the previous topic – 9H placements do NOT immediately mean you will marry a foreigner, or somebody from a different race/ethnicity/culture, or even that you will definitely travel abroad and meet somebody there. Not only is the idea of just up and moving to another country like it's nothing wildly unrealistic, it centers itself in the easy access Americans and Europeans have to foreign travel. Most of the world outside of those places will either not have the financial means to make foreign travel that easily, nor will they have political access to it (such as a passport that allows them to travel to other countries with no restrictions). Most people will not ever even leave their country by the time they've reached life milestones like marriage, job and children. Not only that – but the extreme racial divide seen in the United States is a very particular and individual experience, only seen also in major European countries (so very Caucasian-centric). Most people will not be making huge deals about marrying somebody who's from Korea, or Africa, or Brazil, or India, as if they were a totally different type of species.

(So the whole ordeal about "you will marry someone from a different race/culture is bogus. Countries like Brazil have a VERY diverse population, yet, they are very seamlessly integrated, so being of black, white, asian, Arab descent is not relevant, as they will see themselves as "just Brazilians" living the same Brazilian experience over all, regardless of their ethnicity.)

Having 9H love placements (such as Venus, Mars or Jupiter, and Juno) or having 9H synastry with someone very likely will not indicate a foreigner or finding love/starting a relationship abroad. It will 9 times out of 10 indicate somebody who expands your horizons, somebody who makes you question things and seek deeper understanding of the world around you, somebody who challenges your mind and spirit, somebody who will expose you to new and inventive ways of seeing, understanding and interacting with the world. That COULD mean they do that because they come from a different country or cultural background. But it could also mean they just think and act very fundamentally different from YOUR personal culture, and will bring up topics that teach you new ways to approach life. Not to mention that it could just describe accessing different cultures THROUGH them.

(e.g.: You and your spouse may be from the very same country and very same race, but upon getting together, you two end up moving to an area that has a lot of foreigners in it, a large population of foreigners, or through your partner you become acquainted with mutual friends who come from a vastly different cultural background than your own, and that, in turn, expands your worldview as if you yourself had traveled to another country or learned about another culture directly./ Or, to put it in more plain terms, your partner may just be a very freaking smart and knowledgeable person who teaches you things you would only learn in college.)

Still, with that said, the basic repeated meanings you see online COULD also still apply here, for anyone, but specially if you are white and from a country from the Northern hemisphere, as those descriptions apply more to their individual realities.

The 6th House 🧹

The 6H deals with daily, repetitive, routine things, which is why it deals with work, health and caretaking, because those are repetitive, orderly, constant tasks.

(Just like 10H is a "career" house, but it is not necessarily a "money house", the 6H is a "work" house, but not necessarily a money house. The money houses are the 2H (which deals with money you earn yourself), the 8H (which deals with money your manage for or earn from other people's possessions, such as an inheritance or your spouse's money), and – to an extent – the 11H (since it deals with "struck of luck" moments and could indicate coming into unexpected money).

You are more likely to date a co-worker having 6H love placements or 6H synastry than you are with the 10H, because the 10H deals with CAREER, which is not necessarily your workplace itself (could be a side business you're trying to take off), while the 6H deals with WORK itself. Since the 6H deals with daily routines, and a co-worker is someone you see on a daily basis at work.

(Not to be confused with the business-related side of the 7H, which will talk of business partners or having a business with your partner. It's like: the 10H will have your partner RELATED to your career somehow, but maybe not directly. The 6H will have your partner be a co-worker, but not necessarily share your career goals and plans. The 7H MAY describe starting a business with your partner eventually.)

Health is another thing that may or may not be a key factor in your relationship, or even for a long time. You might have 6H synastry and health never becomes a theme of your connection. You might be dating for 5 years and health is never a theme, and then you get married and for most of your marriage health is still not a thing. But then, by the time you two are old, one of you may develop a condition and the other one becomes your caretaker. Or another aspect of the 6H that is not talked about is daily life with your children together. The 6H is not the house of children, but the routine of taking care of a child together night be influenced by the 6H synastry, depending on the sign its happening in.

The 11th House 🫂

The 11H is VERY underrated for romance, because it doesn't manifest as quickly as people think romance and passion should. But it is, in fact, an extremely powerful house for synastry, when combined with other romance-inducing aspects. The 11H deals with, amongst other things, friendship. You'll often find that having 11H overlays/synastry means a platonic relationship or, at the very best, one-sided, but that only happens if there are no other aspects pointing towards romance – HEALTHY romance.

(It's also important to note that 11H synastry is deeper than people think. Just because it's a social house doesn't mean it's a detached house. Houses and signs are not the same thing. Aquarius ruling the 11H and Aquarius being stereotypically described as emotionally detached does not mean 11H synastry is detached. On the contrary, the 11H is very deep because it is the house of hopes, life dreams and aspirations, so it will describe things we idealize in a very pure and hopeful way.)

With 11H synastry, specially moon, Venus, Mars and – sometimes, Sun, if it's a water sign –, there will be a very strong bond of friendship, regardless of other layers to that relationship. And who do we trust more, if not our friends? Those are people we are not related to by blood or law, who do not share our immediate environment, whom we have no obligation to whatsoever, but we choose to give them unopposed access to our private world. So with 11H synastry between lovers, there is a deep foundation of friendship, which means that if it ends badly, it will have a very painful effect on the psyche and heart, because it will feel like losing a lover AND a best friend.

(That means that 11H includes a very important component of TRUST, an aspect that is only talked about with the 4th and 8th houses, but is also present in the 11th. Both for comfortability and feeling of betrayal. Also, that intensity also comes from the fact that with 11H synastry people tend to project their hopes and dreams onto each other. Like thinking they are the best person ever, all-in-one, ticking all the boxes, lover AND friend... So if that breaks at some point, it can make people feel really stupid and embarrassed.)

Like I said, 11H synastry in romance doesn't play out as quickly as people think love should be, so it gets dismissed in the romance department. But the 11H is a Saturn house. It takes time, and it needs structure. It means that friendship will ALWAYS come before romance. Now, does that mean that people will always be friends-to-lovers? No. They might start off as lovers, but they won't reach the potential of their intimacy until there's a well-established foundation of camaraderie and friendship, and once they do, that bond becomes very unbreakable, because they become partners in crime and each other's favorite person. IF IT'S IN A HEALTHY RELATIONSHIP WITH OTHER ROMANCE ASPECTS.

General Things ✨

ASTROLOGY is NOT MAGIC. It will not cause anything to happen in your life. Don't just rely on placements and aspects. It means absolutely NOTHING if you got 4H synastry with the one you love, but you yourself have problematic 4H/moon aspects in your natal chart that you do nothing to work on (and vice versa). That 4H synastry could turn toxic at the snap of a finger, and no amount of "comfort" is gonna prevent it. If you can't process your emotions well, you could date all the Cancers you want, or you could be a cancer yourself, you WILL NOT engage emotionally in a healthy way. You can't give nor receive something you don't have or don't understand. So, instead, learn about the makeup of your charts, but then use it as a study to improve yourselves, not just to think you will magically live in a Disney movie happily ever after just because his Venus falls in your 4H.

Astrology is not a hurricane. Not all things are happening at the same time all the time at all times, as of they were things flying around in a chaotic hurricane. The energies of your individual natal charts, as well as the energies of your synastry will play out in their own time, and may play out slowly, over time. Like house overlays, for example. One particular aspect of the 2H may play out at the beginning of the relationship, but if you eventually get married, another side of the 2H synastry may be unlocked. Or your husband could have an specific placement for his love life that will not be activated until he gets married, which means that for the entire time you are just dating, those things will not be happening. As with all things in life, astrology follows its natural course, and develops and changes over time.

Astrology does not bless or doom a relationship. It won't tell you whether you can/should or not be with someone. It doesn't MAKE YOU do anything. However, for the relationships that end in catastrophe, you can always go back and check the synastry/composite, and it will probably be obvious there, you just couldn't see it before. With that I don't mean to go out planing your life and connections around astrology, because that's very impractical, unrealistic and low-key immature, as people are ALWAYS growing and maturing. But I AM saying that if you are in a relationship that feels draining, toxic, abusive, unstable 24/7... trust the synastry, because you're probably trying to force something that is very clearly laid out for you, and that ONE or two nice aspects or placements are not gonna save you from obvious ruin. BE RATIONAL.

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That's it! Thank you if you've read it this far!

I might have come off a bit harsh (I hope I haven't), but I promise I'm nice lol.

Hopefully this resonates, as well as helps somebody understand a bit more. This was my first post, so it's a bit clumsy, but do let me know if you'd like me to share some more thoughts on astrology, and I might do another round.

MASTER LIST

[deadmandead10845]

Brady - Fat2Fit2Fat

(243lbs) Brady works at an insurance agency in Kansas City. He’s far away from everything, and hates his job. He hates commuting and has two acquaintances and no real friends. He’s let himself go pretty badly, but he doesn’t have the will power to hit the gym or change any part of his life. Thankfully, he’s been at his company for 10 years and earns a 3 month sabbatical with full pay to use.

(243lbs) Brady took the first part of his sabbatical to hike in the mountains solo. He stumbled upon what looked like an abandoned shack with smoke coming out of the chimney. He knew nightfall would be soon so he wanted to ask the local if he could crash at their place for the night. He knocked on the door and it opened itself. He let himself in and called.

BRADY: Hello!!!

(243lbs) A mysterious figure appeared around the corner. The woman introduced herself as Cora.

CORA: I’ve been practicing witchcraft in the mountains since I was little and now I am the only one left. Some witch will reveal too much about herself and then she’s hunted by the locals. I chose to reveal my house and myself to you because I can tell you’re not from here and you have an open mind.

BRADY: I definitely have an open mind. I came here to the mountains to find myself. I am on a sabbatical trying to find some sort of motivation.

CORA: What is one thing you don’t have control over that you wish to have infinite control of?

BRADY: *looks down at his soft out of shape body and looks up*

His body has always been a sense of insecurity that made him feel inadequate and less than because he wishes he was fit.

CORA: Nothing with power, career, money?

BRADY: I just want to like how I look and control what I look like.

CORA: *rummages through the cabinet and throws some leaves into what looks like a brewing potion. Once all the ingredients were stirred in, the liquid began to glow a pale orange color.*

BRADY: Is this legit going to help me?

CORA: You drink and find out. Or you can go beg your doctor for Ozempic and forget you came here. At least this is free!

BRADY: I’m not being drugged right now?

CORA: You are, just not a bad kind.

BRADY: *takes the vial of orange liquid and drinks it*

CORA: How do you wish to look?

BRADY: I just want to lose like 75 pounds.

(165lbs) Brady’s pants fell down immediately and his blue polo shirt wore him like a dress.

BRADY: Holy shit I must be hallucinating.

CORA: You’re not but I figured you’d have this reaction. Sleep it off.

Cora snapped her fingers and Brady’s vision blacked out.

—

Brady woke up in his hotel room down at the base of the mountain. He walked to the bathroom and sure enough he was completely thin. He went to put on an outfit and quickly realized nothing in his suitcase would fit him. Everything he had was a 40” waist and all his shirts were XL. He ran through the closest Walmart holding his shorts bunched up in his hand hoping he wouldn’t drop them and bought a new pair of 30” waist shorts. He was so happy.

After his 3 months concluded, he returned to Missouri and submitted his 2 week notice. He wanted a fresh start where he could show off his new skinny body and get laid for once. He was a gay man living in the Midwest with approximately 5 blank Grindr profiles within a 25 mile radius.

(149lbs) Brady packed up all his belongings and moved to Miami. He looked in the mirror and audibly said “I wish I was a twink.” And in the blink of an eye another 15 pounds disappeared off his body. He met Javi at Twist, the local gay club near his apartment. After almost 2 years, the two fell in love and became inseparable and lived together. Javi told Brady he should start going to the gym and getting big arms and a six pack because he wasn’t super into twinks. Brady quietly looked at himself in the bathroom mirror once or twice a week asking for just 1 pound more trying to subtly get larger for Javi without alerting him to his powers given to him by the witch.

(195lbs) Brady had gotten extremely fit and did no work for it. The potion he took two years ago was unbelievable. Javi loved Brady’s new extremely fit body and Brady loved the attention. Brady however, wasn’t sure he loved how he looked. Javi was going away on business to Houston for a month, so Brady booked himself a trip to Hawaii by himself to hopefully ground himself.

(210lbs) Brady wished another 15 pounds of muscle onto his body before he left for Hawaii. He wanted to look his best for the beach so he could post photos of his body online for attention. He wasn’t the happiest, so the online attention helped. Once he landed in Hawaii he took the private boat to the small isolated island resort he had booked.

(175lbs) Brady hated how he looked so he wished 30 pounds off his body because he thought a leaner look would suit him and he tried to walk around the beach and feel comfortable but he really wasn’t sure why he wasn’t comfortable with himself. Brady had an idea, he went to the surf shop in the lobby and bought himself a pair of 2XL swim trunks and went up to his room. He bought himself a case of beers and drank away. He got in the mirror looked at himself and asked for a dad bod.

(280lbs) Brady, still very much in shape but much larger (100lbs larger to be exact) walked down the beach with his beer gut and massive arms. He was happy. He actually liked how he looked. No one recognized him from earlier and all the other guests just thought he was a new arrival to the resort. Brady went back to the surf shop and bought a 2XL Hawaiian shirt before returning home to Florida.

(305lbs) Brady was a huge guy. He wished himself even bigger and squeezed himself into the premium economy seat he booked on points and flew home to Florida. He spent nearly 12 hours total on the plane and when he walked in the door felt like everything was all wrong. He was skinny Brady in Florida, not big and beefy. Javi was due to arrive at any minute. When Brady heard the lock turning, he ran to the bathroom and wished his body back to his 195lb self.

Javi found the 2XL shirts and asked and Brady told him he was trying oversized fashion and didn’t like it, so he threw the shirt away. Brady couldn’t stop thinking about his little escape he had in Hawaii and after a few months went back to the bathroom and wished to be a bit bigger. Javi hated it so much. Javi kept telling Brady to hit the treadmill and to eat less.

(243lbs) Brady was back at the same weight he was before he met Cora the witch. However, he had so much muscle on his body he was a lot smaller than Javi still hated it. Brady loved his small belly and missed playing with the belly he once had when he was an insurance agent back in Missouri. The two attended couple’s therapy to no avail. Ultimately, it let to Brady and Javi breaking up. Javi kicked Brady out of the apartment. Just to get back at Javi, Brady lost all the weight before coming to the apartment to collect his belongings.

Brady needed a new start so he called one of his buddies in New York who was starting a boutique insurance agency and cofounded it with him.

(327lbs) Brady wanted a fresh start in New York so he bought a 3XL hoodie and sweat at the last Walmart before the Holland tunnel, and sat in traffic looking in the mirror and wished to be fat. He’d never been as big as he was now. He watched his body tighten the dress of a hoodie he had put on and fill it out. Compared to last week in Miami, he was completely unrecognizable. He was truly starting over. Once he showered in his apartment he got a look at his new fat body covered in stretch marks and rolls. Brady was generally happy with his size. The only drawback and he couldn’t find much clothing in the city stores that fit him well so he was barely able to dress well.

(327lbs) Four years went by and Brady’s joint venture had taken off. He was able to buy an apartment and afford more than ever. He seemed very content. He was overworked. One fateful day on the train he dozed off. In his dream he was even fatter than he is now. The dream was so vivid he could feel his body sloshing with every step.. when in reality the jerky subway train was sloshing him around. He missed his stop and rode the train to the end asleep. In the dream, Brady said he wanted to get fatter and…

(415lbs) He woke up. His shirt had ridden up his entire belly and his pants completely ripped. He was huge. Brady embarrassed walked to the next departing train that would get him home attracting the stares of everyone for the lack of clothing he had one, especially for his size. Brady decided to take several months remote from work after that, to give his business partner a believable timeline for his nearly 100lb weight gain.

(415lbs) Brady went to Industry, a New York gay bar and opened up his shirt in hopes he would find a chub chaser. Unfortunately he just got stares.

(451lbs) Brady had to get an entire new suit made for him because of his sheer girth. His seamstress couldn’t believe the size of him. She had made him his suit four years ago when he weighed more than a hundred pounds less. Brady knew it wasn’t going to last long because he planned to put a little more weight on. His business partner couldn’t believe the size of him either. Brady needed to remove the armrests on his desk chair so he could fit.

(485lbs) By the summer, Brady had willed another 35lbs onto his body. He attended a big party on Fire Island having fun with his friends. All of the sudden he saw a familiar face.

Javi.

BRADY: Javi???

JAVI: Hiiii…. Have we met?

BRADY: Javi it’s me

JAVI: Where have we met you look so familiar??

BRADY: It’s me, Brady

JAVI: Brady who?

BRADY: Your ex boyfriend.

JAVI: There is just no way. I thought you lost all the weight you put on.

BRADY: Then I gained it back, and then some

JAVI: Holy shit Brady you look awful, do you need me to get you a nutritionist? I am worried.

BRADY: No not at all. I am super happy the way I look.

JAVI: Weren’t you happy when half of Miami wanted to f*ck you?

BRADY: No, but I am happy now.

JAVI: Can I ask how much…

BRADY: How much I weigh?

JAVI: ….

BRADY: Four Hundred Eighty Five pounds last I checked. I don’t really fluctuate.

JAVI: God, this is just insane to me..

Javi walked away.

About 10 minutes later, Javi’s friend Andres walked by and…

ANDRES: Brady?

BRADY: Andres long time no see

ANDRES: I’m sorry Javi said all that… he’s just insecure and projecting on you.

BRADY: Yeah that’s why we broke up all those years ago.

ANDRES: Well, let me tell you. I like the change

Andres grabbed Brady’s belly from underneath and leaned in and kissed Brady on the cheek. He began to walk away.

BRADY: Wait a second, Andres!

Brady grabbed Andres’s hand and pulled him back for a real kiss. Andres’s hand found its way back to under Brady’s belly jiggling it while the pair made out.

Javi watched from a distance fuming with anger.

BRADY: Does a guy like me get to ask you for your number?

ANDRES: Definitely.

Javi walked over

JAVI: Wow Andres making out with my fat ex in front of me is really classy.

ANDRES: Sorry you’re too superficial to understand what a big guy can give you.

(508lbs) After texting for weeks, Andres invited Brady to go golfing with his friend.

ANDRES: Hey big fella.

BRADY: Hey handsome, ready to play?

ANDRES: Yes it’s been a while.

BRADY: It’s been too long for me too.

ANDRES: Shirt’s a bit small Brady…

Brady, embarrassed tried to pull the shirt down over his belly. He knew it was way too small but wanted to test Andres.

BRADY: Wow, I seem to have grown out of it…

ANDRES: Been a while since you wore it?

BRADY: I think this fit me when we met a few weeks ago.

ANDRES: Are you going to try to tell me it shrunk in the wash then?

BRADY: No, I just have put on about 25 pounds since that pool party and haven’t bothered to go shopping.

ANDRES: Wha— … how?

BRADY: Guess I’ve been hungry

Andres knew that Brady was the man for him in that moment. The two began dating.

(528lbs) Brady had gotten into the bad habit of putting 15lbs on every time he was going to be seen at an event to show that he was a growing man. He attended one of his friend’s backyard weddings and knocked over one of the displays with his huge belly.

Everyone who saw him at this point was asked if he was doing ok or if he needed anything. Some of the attendees even offering to give him a doctor referral for weight loss drugs. He assured them he was perfectly ok.

(600lbs) Brady admittedly took it too far. Brady had weighed in at 551lbs this morning. He had some room in his suit and had a big event for his company. He and his business partner were announcing the sale of their company to a big insurance company. He stood on the scale and watched the number go up until he hit 600lbs on the dot.

He was now basically 75lbs heavier than he was 4 months ago. After the sale of his company, Brady was to retire with enough money for him and his grandchildren (if he ever had any) to live comfortably.

When he got home, he totally forgot he would be facing Andres.

ANDRES: Brady…

BRADY: Hey honey.

ANDRES: Something is different

BRADY: What happened.

ANDRES: You look different. Something is just off.

BRADY: I am not sure what you are talking about.

ANDRES: Wait. Is that the suit you had made last week?

BRADY: Yes

ANDRES: Then why does it look like it’s about to pop.

BRADY: Oh yes something is different.

ANDRES: What.

BRADY: I got fatter.

ANDRES: Since this morning?

BRADY: Babe I think it’s time I tell you something.

Brady explained to Andres the whole story about his past life in Missouri. His sabbatical, meeting Cora the witch. He explained how he lost all the weight for Javi. Went to Hawaii and experimented with his body in different sizes.

ANDRES: What do you expect me to believe you have powers or something?

BRADY: Watch this

Brady walked into the bathroom, and willed himself to be a twink again. He walked out weighing 150lbs adorned with abs.

Andres walked to the kitchen and splashed cold water in his face. He couldn’t believe his eyes.

BRADY: I would never tell anyone about this.

ANDRES: You chose to be fat?

BRADY: If I didn’t I wouldn’t be living with the man of my dreams so let’s not.

ANDRES: Ok you’re scaring me you look emaciated.

BRADY: Oh yeah.

The two started to make out while Brady’s body slowly inflated back to 600lbs. Brady’s face filled out and his abs disappeared. Slowly a belly started to form along with soft supple moobs. His love handles expanded outward and his body started to widen. His thighs began to push against each other as they filled with fat.

Andres was so horny watching his boyfriend blow up to such a massive size and came hands free when he watched the fat pad swallow up Brady’s dick.

ANDRES: So how much do you weigh now?

BRADY: Let’s go see

The scale read 600 pounds.

Brady maintained 600 pounds for a while and about a year and a half into dating Andres, knew it was time. He popped the question getting down on one knee.

He couldn’t get back up after getting down which was very hot to Andres, who eagerly said yes.

(705lbs) Brady returned to the mountains. He bought three aur plane seats and filled them up with his girth. He struggled but he hiked his way all the way up to Cora’s hut wearing a suit to thank her for her potion that changed his life.

Brady knocked on the door which immediately opened. His belly knocked over a beaker off the table which led to Cora running into the room.

CORA: How did you get in here??

BRADY: I opened the door.

CORA: How did you find my house?

BRADY: I’ve been here before.

CORA: Who are you??

BRADY: Do you not remember me?

CORA: No, and I would.

She looked down at Brady’s belly.

BRADY: Oh right would this help?

Brady pulled out his phone and showed her a photo of him from about 10 years before. A photo of him and Javi together where he was less than 200lbs.

CORA: What was your name.. Bradley?

BRADY: Brady, close enough.

CORA: Did I do something wrong with the potion, brew it wrong?? I am so sorry!! Let me help you slim down.

BRADY: No, I am this big by choice. I could get down to this weight again any time.

CORA: Why?

BRADY: I was skinny for a while and I just didn’t like it. I was constantly making adjustments to my body so other men would see me as hot. My boyfriend left me when I decided to try out a *very slight* dad bod.

CORA: So you did this? You could’ve been half the size and still been fat.

BRADY: Well some days it just doesn’t feel like enough.

CORA: I never expected you to look like this. I expected you to have gotten massively jacked and been narcissistic.

BRADY: You were wrong

CORA: Very.

BRADY: I came here to thank you. It took me a long time to get up the mountain, but I knew that before long it would not be possible with my size.

CORA: You could’ve shrunken down to climb up here…

BRADY: But that isn’t me

CORA: Well I am happy.

BRADY: Being confident with my size and my body found me the best fiance ever.

CORA: You mean a chub chaser?

BRADY: —

CORA: Right.

BRADY: Well I mean you would have to be to like me at this size anyways. People stare.

CORA: I am staring.

BRADY: Well thank you for doing this for me.

CORA: Any time. Here, let me get you something.

Cora made a green cocktail of ingredients. She bottled them up.

CORA: You two are getting married?

She said looking at the Lock Screen on Brady’s phone.

BRADY: Yes

CORA: Wait until your wedding night to drink this. You both need to drink it for it to work.

BRADY: What is it?

CORA: You two will never break up or fight.

BRADY: This is perfect.

CORA: You also will never get health issues from your weight because you look like a heart attack waiting to happen.

BRADY: Hey!

CORA: So don’t have one before your wedding!

(750lbs) Brady and Andres had a lovely wedding.

The two got married and after the reception concluded, drank the potions together.

(785lbs) Brady loved going out and seeing the reactions on everyone’s faces seeing his size. He would eat for hours just for show and go home stuffed.

(830lbs) Brady was walking through Central Park. Let’s be real, he was barely moving and barely waddling. Suddenly he saw a familiar face again.

BRADY: Javi!!

JAVI: Holy fuck Brady you are huge.

BRADY: I know. Why are you here?

JAVI: I moved here for work. I got a job at an insurance company.

BRADY: You mean the one named after my last name that I just sold?

JAVI: Oh my god..

BRADY: Yup!

JAVI: What's new with you. I haven't seen you since you hooked up with my best friend at a pool party. I haven't seen him either that was so messy and rude of you.

BRADY: We got married.

JAVI: What…

BRADY: Yes we've been married for just about a year.

JAVI: Bet he didn't expect you to get fatter than you already were.

BRADY: He probably didn't but he loves it. He takes care of me and all the things I can't do anymore.

JAVI: I am so glad I left you before this happened.

BRADY: Me too. Next time you see me, I'm sure I'll be even bigger.

Andres walked up between the two of them.

ANDRES: Javi?

JAVI: This is insane. You married him??

ANDRES: Yes.. of course

JAVI: Why did you let him get this big

BRADY: I’ll answer that. He likes his men big, and I wanted to get big.

JAVI: Is that why you tried to get a dad bod all those years ago?

BRADY: Yes, and now I weigh more than eight hundred pounds.

ANDRES: 830 to be exact.

Javi stormed away.

The end.

[mostlysignssomeportents]

Cigna’s nopeinator

I'm touring my new, nationally bestselling novel The Bezzle! Catch me THURSDAY (May 2) in WINNIPEG, then Calgary (May 3), Vancouver (May 4), Tartu, Estonia, and beyond!

Cigna – like all private health insurers – has two contradictory imperatives:

To keep its customers healthy; and

To make as much money for its shareholders as is possible.

Now, there's a hypothetical way to resolve these contradictions, a story much beloved by advocates of America's wasteful, cruel, inefficient private health industry: "If health is a "market," then a health insurer that fails to keep its customers healthy will lose those customers and thus make less for its shareholders." In this thought-experiment, Cigna will "find an equilibrium" between spending money to keep its customers healthy, thus retaining their business, and also "seeking efficiencies" to create a standard of care that's cost-effective.

But health care isn't a market. Most of us get our health-care through our employers, who offer small handful of options that nevertheless manage to be so complex in their particulars that they're impossible to directly compare, and somehow all end up not covering the things we need them for. Oh, and you can only change insurers once or twice per year, and doing so incurs savage switching costs, like losing access to your family doctor and specialists providers.

Cigna – like other health insurers – is "too big to care." It doesn't have to worry about losing your business, so it grows progressively less interested in even pretending to keep you healthy.

The most important way for an insurer to protect its profits at the expense of your health is to deny care that your doctor believes you need. Cigna has transformed itself into a care-denying assembly line.

Dr Debby Day is a Cigna whistleblower. Dr Day was a Cigna medical director, charged with reviewing denied cases, a job she held for 20 years. In 2022, she was forced out by Cigna. Writing for Propublica and The Capitol Forum, Patrick Rucker and David Armstrong tell her story, revealing the true "equilibrium" that Cigna has found:

https://www.propublica.org/article/cigna-medical-director-doctor-patient-preapproval-denials-insurance

Dr Day took her job seriously. Early in her career, she discovered a pattern of claims from doctors for an expensive therapy called intravenous immunoglobulin in cases where this made no medical sense. Dr Day reviewed the scientific literature on IVIG and developed a Cigna-wide policy for its use that saved the company millions of dollars.

This is how it's supposed to work: insurers (whether private or public) should permit all the medically necessary interventions and deny interventions that aren't supported by evidence, and they should determine the difference through internal reviewers who are treated as independent experts.

But as the competitive landscape for US healthcare dwindled – and as Cigna bought out more parts of its supply chain and merged with more of its major rivals – the company became uniquely focused on denying claims, irrespective of their medical merit.

In Dr Day's story, the turning point came when Cinga outsourced pre-approvals to registered nurses in the Philippines. Legally, a nurse can approve a claim, but only an MD can deny a claim. So Dr Day and her colleagues would have to sign off when a nurse deemed a procedure, therapy or drug to be medically unnecessary.

This is a complex determination to make, even under ideal circumstances, but Cigna's Filipino outsource partners were far from ideal. Dr Day found that nurses were "sloppy" – they'd confuse a mother with her newborn baby and deny care on that grounds, or confuse an injured hip with an injured neck and deny permission for an ultrasound. Dr Day reviewed a claim for a test that was denied because STI tests weren't "medically necessary" – but the patient's doctor had applied for a test to diagnose a toenail fungus, not an STI.

Even if the nurses' evaluations had been careful, Dr Day wanted to conduct her own, thorough investigation before overriding another doctor's judgment about the care that doctor's patient warranted. When a nurse recommended denying care "for a cancer patient or a sick baby," Dr Day would research medical guidelines, read studies and review the patient's record before signing off on the recommendation.

This was how the claims denial process is said to work, but it's not how it was supposed to work. Dr Day was markedly slower than her peers, who would "click and close" claims by pasting the nurses' own rationale for denying the claim into the relevant form, acting as a rubber-stamp rather than a skilled reviewer.

Dr Day knew she was slower than her peers. Cigna made sure of that, producing a "productivity dashboard" that scored doctors based on "handle time," which Cigna describes as the average time its doctors spend on different kinds of claims. But Dr Day and other Cigna sources say that this was a maximum, not an average – a way of disciplining doctors.

These were not long times. If a doctor asked Cigna not to discharge their patient from hospital care and a nurse denied that claim, the doctor reviewing that claim was supposed to spend not more than 4.5 minutes on their review. Other timelines were even more aggressive: many denials of prescription drugs were meant to be resolved in fewer than two minutes.

Cigna told Propublica and The Capitol Forum that its productivity scores weren't based on a simple calculation about whether its MD reviewers were hitting these brutal processing time targets, describing the scores as a proprietary mix of factors that reflected a nuanced view of care. But when Propublica and The Capitol Forum created a crude algorithm to generate scores by comparing a doctor's performance relative to the company's targets, they found the results fit very neatly into the actual scores that Cigna assigned to its docs:

The newsrooms’ formula accurately reproduced the scores of 87% of the Cigna doctors listed; the scores of all but one of the rest fell within 1 to 2 percentage points of the number generated by this formula. When asked about this formula, Cigna said it may be inaccurate but didn’t elaborate.

As Dr Day slipped lower on the productivity chart, her bosses pressured her bring her score up (Day recorded her phone calls and saved her emails, and the reporters verified them). Among other things, Dr Day's boss made it clear that her annual bonus and stock options were contingent on her making quota.

Cigna denies all of this. They smeared Dr Day as a "disgruntled former employee" (as though that has any bearing on the truthfulness of her account), and declined to explain the discrepancies between Dr Day's accusations and Cigna's bland denials.

This isn't new for Cigna. Last year, Propublica and Capitol Forum revealed the existence of an algorithmic claims denial system that allowed its doctors to bulk-deny claims in as little as 1.2 seconds:

https://www.propublica.org/article/cigna-pxdx-medical-health-insurance-rejection-claims

Cigna insisted that this was a mischaracterization, saying the system existed to speed up the approval of claims, despite the first-hand accounts of Cigna's own doctors and the doctors whose care recommendations were blocked by the system. One Cigna doctor used this system to "review" and deny 60,000 claims in one month.

Beyond serving as an indictment of the US for-profit health industry, and of Cigna's business practices, this is also a cautionary tale about the idea that critical AI applications can be resolved with "humans in the loop."

AI pitchmen claim that even unreliable AI can be fixed by adding a "human in the loop" that reviews the AI's judgments:

https://pluralistic.net/2024/04/23/maximal-plausibility/#reverse-centaurs

In this world, the AI is an assistant to the human. For example, a radiologist might have an AI double-check their assessments of chest X-rays, and revisit those X-rays where the AI's assessment didn't match their own. This robot-assisted-human configuration is called a "centaur."

In reality, "human in the loop" is almost always a reverse-centaur. If the hospital buys an AI, fires half its radiologists and orders the remainder to review the AI's superhuman assessments of chest X-rays, that's not an AI assisted radiologist, that's a radiologist-assisted AI. Accuracy goes down, but so do costs. That's the bet that AI investors are making.

Many AI applications turn out not to even be "AI" – they're just low-waged workers in an overseas call-center pretending to be an algorithm (some Indian techies joke that AI stands for "absent Indians"). That was the case with Amazon's Grab and Go stores where, supposedly, AI-enabled cameras counted up all the things you put in your shopping basket and automatically billed you for them. In reality, the cameras were connected to Indian call-centers where low-waged workers made those assessments:

https://pluralistic.net/2024/01/29/pay-no-attention/#to-the-little-man-behind-the-curtain

This Potemkin AI represents an intermediate step between outsourcing and AI. Over the past three decades, the growth of cheap telecommunications and logistics systems let corporations outsource customer service to low-waged offshore workers. The corporations used the excuse that these subcontractors were far from the firm and its customers to deny them any agency, giving them rigid scripts and procedures to follow.

This was a very usefully dysfunctional system. As a customer with a complaint, you would call the customer service line, wait for a long time on hold, spend an interminable time working through a proscribed claims-handling process with a rep who was prohibited from diverging from that process. That process nearly always ended with you being told that nothing could be done.

At that point, a large number of customers would have given up on getting a refund, exchange or credit. The money paid out to the few customers who were stubborn or angry enough to karen their way to a supervisor and get something out of the company amounted to pennies, relative to the sums the company reaped by ripping off the rest.

The Amazon Grab and Go workers were humans in robot suits, but these customer service reps were robots in human suits. The software told them what to say, and they said it, and all they were allowed to say was what appeared on their screens. They were reverse centaurs, serving as the human faces of the intransigent robots programmed by monopolists that were too big to care.

AI is the final stage of this progression: robots without the human suits. The AI turns its "human in the loop" into a "moral crumple zone," which Madeleine Clare Elish describes as "a component that bears the brunt of the moral and legal responsibilities when the overall system malfunctions":

https://estsjournal.org/index.php/ests/article/view/260

The Filipino nurses in the Cigna system are an avoidable expense. As Cigna's own dabbling in algorithmic claim-denial shows, they can be jettisoned in favor of a system that uses productivity dashboards and other bossware to push doctors to robosign hundreds or thousands of denials per day, on the pretense that these denials were "reviewed" by a licensed physician.

If you'd like an essay-formatted version of this post to read or share, here's a link to it on pluralistic.net, my surveillance-free, ad-free, tracker-free blog:

https://pluralistic.net/2024/04/29/what-part-of-no/#dont-you-understand