#Poverty and Healthcare

[hopkinrx]

Leprosy: Important Symptoms, Transmission, and Treatment

Leprosy: Important Symptoms, Transmission, and TreatmentIntroductionWhat is Leprosy?Roots of LeprosySymptoms and Classification The Clinical Spectrum of Leprosy Physical Symptoms of Leprosy Psychological and Social ImplicationsTransmission and Prevention How Leprosy Spreads? Leprosy in Modern Times Preventive MeasuresTreatment and Care Diagnosis and Medical Approach Psychosocial SupportThe…

[reasonsforhope]

Flint, Michigan, has one of the [United States]'s highest rates of child poverty — something that got a lot of attention during the city's lead water crisis a decade ago. And a pediatrician who helped expose that lead problem has now launched a first-of-its-kind move to tackle poverty: giving every new mother $7,500 in cash aid over a year.

A baby's first year is crucial for development. It's also a time of peak poverty.

Flint's new cash transfer program, Rx Kids, starts during pregnancy. The first payment is $1,500 to encourage prenatal care. After delivery, mothers will get $500 a month over the baby's first year.

"What happens in that first year of life can really portend your entire life course trajectory. Your brain literally doubles in size in the first 12 months," says Hanna-Attisha, who's also a public health professor at Michigan State University.

A baby's birth is also a peak time for poverty. Being pregnant can force women to cut back hours or even lose a job. Then comes the double whammy cost of child care.

Research has found that stress from childhood poverty can harm a person's physical and mental health, brain development and performance in school. Infants and toddlers are more likely than older children to be put into foster care, for reasons that advocates say conflate neglect with poverty.

In Flint, where the child poverty rate is more than 50%, Hanna-Attisha says new moms are in a bind. "We just had a baby miss their 4-day-old appointment because mom had to go back to work at four days," she says...

Benefits of Cash Aid

Studies have found such payments reduce financial hardship and food insecurity and improve mental and physical health for both mothers and children.

The U.S. got a short-lived taste of that in 2021. Congress temporarily expanded the child tax credit, boosting payments and also sending them to the poorest families who had been excluded because they didn't make enough to qualify for the credit. Research found that families mostly spent the money on basic needs. The bigger tax credit improved families' finances and briefly cut the country's child poverty rate nearly in half.

"We saw food hardship dropped to the lowest level ever," Shaefer says. "And we saw credit scores actually go to the highest that they'd ever been in at the end of 2021."

Critics worried that the expanded credit would lead people to work less, but there was little evidence of that. Some said they used the extra money for child care so they could go to work.

As cash assistance in Flint ramps up, Shaefer will be tracking not just its impact on financial well-being, but how it affects the roughly 1,200 babies born in the city each year.

"We're going to see if expectant moms route into prenatal care earlier," he says. "Are they able to go more? And then we'll be able to look at birth outcomes," including birth weight and neonatal intensive care unit (NICU) admissions.

Since the pandemic, dozens of cash aid pilots have popped up across the nation. But unlike them, Rx Kids is not limited to lower-income households. It's universal, which means every new mom will get the same amount of money. "You pit people against each other when you draw that line in the sand and say, 'You don't need this, and you do,' " Shaefer says. It can also stigmatize families who get the aid, he says, as happened with traditional welfare...

So far, there's more than $43 million to keep the program going for three years. Funders include foundations, health insurance companies and the state of Michigan, which allocated a small part of its federal cash aid, known as Temporary Assistance for Needy Families.

Money can buy more time for bonding with a baby

Alana Turner can't believe her luck with Flint's new cash benefits. "I was just shocked because of the timing of it all," she says.

Turner is due soon with her second child, a girl. She lives with her aunt and her 4-year-old son, Ace. After he was born, her car broke down and she was seriously cash-strapped, negotiating over bill payments. This time, she hopes she won't have to choose between basic needs.

"Like, I shouldn't have to think about choosing between are the lights going to be on or am I going to make sure the car brakes are good," she says...

But since she'll be getting an unexpected $7,500 over the next year, Turner has a new goal. With her first child, she was back on the job in less than six weeks. Now, she hopes she'll be able to slow down and spend more time with her daughter.

"I don't want to sacrifice the time with my newborn like I had to for my son, if I don't have to," she says."

-via NPR, March 12, 2024

[palatinewolfsblog]

"We should measure the prosperity of a nation not by the number of millionaires but by the absence of poverty, the prevalence of health, the efficiency of public schools, and the number of people who can and do read worthwhile books." W.E.B. Du Bois.

[theconcealedweapon]

When you mention that healthcare, housing, food, and education are rights, libertarians will often say that by calling it a right, you're implying that someone else has an obligation to supply it. They ask how you can decide who has that obligation without slavery.

Well, it's quite simple. If you live in a society, you have an obligation to pay your dues to that society.

Those who wish to not pay taxes can just live in the wilderness, build their own shelter, hunt for their own food, and be entirely self sufficient. If that's what libertarians wanted, I'd fully support them.

But if you use patents to eliminate your competition, or if you hold your employees to noncompete agreements, or if the police enforce your property ownership, or if you use publicly funded roads for transportation, then you're relying on society to give you the opportunity to profit and you therefore need to pay your dues to that society.

Some even rely on tyrannical government actions to profit such as using prison labor, prohibiting marijuana because it's competition, or profiting from wars. But they whine about "big government" when they're expected to pay their employees a living wage.

[progressivemillennial]

[ratisangy]

My fiancé waited two years to get a tumor checked out, and it was stage 2 cancer. This is way too true.

[mueritos]

i hope we continue to see more protests within the US military. i see a lot of leftists and folks who are anti-military who have such an open disdain for the people who are in the military, yet neglect to considering the conditions this country makes to produce ideology, poverty, and the illusion of choice to make all kinds of people choose to enlist in the military. You ever see those videos of ROTC kids recording each other asking why they joined the military and everyone's like, "healthcare", "it helped me go to college", "I was bored" or "free ptsd lol". I hate to remind everyone but folks who are in the military are people, too, and they are the same victims and perpetrators of violence as the rest of you, we have all been shallowly conditioned to view each other as enemies just because one person is wearing army greens and the other is not.

some of the biggest anti-war advocates are those who engaged in war. Veterans who genuinely believed they were protecting the US against "terrorism" come back with blood on their hands, and they choose to realize that it was US imperialism that forced them to carry out violence, instead of doubling down and shielding themselves from the fact that they too are capable of atrocities... This is a class of people who are intentionally conditioned to be as poor and as ideologically aligned to US imperialism so that the military has a never-ending pool to send their youth to destroy other country's youth. The only people I have ever heard say "do not join the military" are those who ARE military.

This is in no way to ever excuse or explain away any of the atrocious war crimes and violence this industry and its people have committed against others. What I am saying is that we absolutely cannot cast aside the individuals who have been victimized within US imperialism, even if they are wearing army greens. I was speaking with my Palestinian classmate last week and another classmate--a member of the US air force-- walked up to me and struck up a conversation. My military classmate showed me her new bird, bid both of us goodbye, and left. My Palestinian classmate asked me if I was close with her, and I said we talked quite often, and she said, "I never met a person who's in the military. I still hate the military, but I never knew that they did, too. I didn't realize that they were also victims."

If my Palestinian classmate--one who is actively watching her own community die--can understand that it is not individuals who are the problem but it is in fact systems, US imperialism, white supremacy, capitalism...why can't we all? And she has EVERY reason to hate any individual military member. A lot of online activism just creates more barriers. if your optics look bad, complicated, or contradictory, you are cast aside. Everyone has got the be the perfect activist, you can never make a mistake or share a half-baked thought, you should always believe every word from a marginalized persons mouth (because being marginalized doesn't mean you're not entrenched in white supremacy too!) and you should never question what you see...Do you know what you sound like? The very imperialists who are convincing poor whites to vote against themselves. Perfectionism is white supremacy. Black & white thinking is white supremacy.

I'd rather have a military member who genuinely believed in the US imperialism machine but was disillusioned after being deployed as my comrade than some leftist who cherishes the performance of "being a good person". I don't want "good people" in our movements. I want humans who care. I want humans who make mistakes and who learn from them. I want humans who accept the messiness of a person. I want humans who hold others accountable and allow themselves to take responsibility for their actions. I want people who change for themselves and others.

fight systems, not individual people. we can change each other, but if we're too preoccupied looking like the World's Perfect Activists, we will only consume each other alive. Connect to your fellow humans, forever and always.

[afriblaq]

This is your reminder that food is and will always be political.

[she-is-ovarit]

I am on government insurance (Medicaid). Out of pocket, my psychologist's rate is $225 an hour. He went through a decade or more of school, obtained a PhD, and graduated with student loan debt. He didn't state how much, but I can imagine it's likely in the hundreds of thousands considering he still has this debt and graduated with his PhD in the early 2000s.

He shared with me that out of that $225 rate, he obtains about $25 from one Medicaid client's insurance company. The insurance company pockets the rest. My friend, another therapist, has a similar story. She makes $75 off of Medicaid clients usually when her rate out of pocket is $200.

Most therapists, psychologists, and psychiatrists are no longer accepting Medicaid/Medicare insurances because of this reason, which people who are poor are on. Over half of mental health professionals are no longer accepting insurance, period. I think we all understand that low-income people and low-income communities struggle the most with mental health issues, and if you are a person of color in the US you are more likely to be low-income. If you are a domestic violence survivor turned homeless because you left your significant other, you are also more likely to be on Medicaid. If you are a first generation student, you are most likely on Medicaid. If you are formerly incarcerated, you are most likely on Medicaid. And so on.

Additionally, if you are a human being of the female sex, you are far more likely to seek out therapy than someone of the male sex. Overwhelmingly men don't seek out therapy unless their female significant partner pleads with them, pressures them, or gives them an ultimatum which influences them to make an appointment. What does this mean when the vast majority of mass shooters, rapists, pedophiles, and domestic violence abusers are male?

Figure 2. Percentage of adults aged 18 and over who had received any mental health treatment, taken medication for their mental health, or received counseling or therapy from a mental health professional in the past 12 months, by sex: United States, 2019

Pair all of these details with the fact that mental health professionals are in such high demand right now, that even with private insurance the wait list is anywhere from three to six months out. Insurance agencies are business, and the corruption inherent. Many focus on prioritizing coverage for acute crisis rather than treating long term underlying conditions (which in turn prevents acute crises), don't provide coverage for co-occurring conditions, are advertising that more providers are accepting their insurance than there actually are, and are solely driven by financial interest.

I wonder how much domestic violence, sexual violence, child abuse, poverty, hate crimes, generational trauma, and overall suffering within individuals and in their societies can be reduced by valuing mental health and holding insurance companies accountable for their financial exploitation.

We talk about the US healthcare crisis without talking about the US mental health crisis.

[the-greatest-fool]

I basically only post and read posts in my bubble aside from occasionally scrolling through Real Tumblr, but people’s takes about US politics on this website are fucking unbelievable. They talk about our government as if it didn’t save us from a pandemic-induced financial collapse, pump trillions of dollars into public works, not to mention substantially invest and rein in pharmaceuticals, and is instead some sort of ultra-neoliberal-corporate kitty shooting machine.

Like let’s be for real. Do they…know what the government does? How it works? Do you know what a conservative is? Do you know what an authoritarian is?

Because a system of government whose citizens are all lucky it has had continuous peaceful transfer of power for centuries could very well have its greatest norm violated—that those who reject its legitimacy must be rejected—and we don’t blink an eye.

Because the first major investment against climate change, coupled with life saving investments into healthcare, cancer research, and drug costs could be shredded by indiscriminate fiscal conservatives who don’t care if we die in forest fires, cancer from pollution, lose insurance because we’re jobless, or, apparently, all die in a fricking plague.

Because a foreign policy establishment that had finally reversed two decades of foreign intervention in favor of a normalization strategy aimed at reducing American foot presence, drone strikes, and indiscriminate killings is about to be replaced by the whims of a man who dropped the “mother of all bombs” on the Middle East, gave American soldiers up to Russian bounty hunters, extorted a foreign leader for political favors and arguably indirectedly resulted in that country being BRUTALLY INVADED BY AN IMPERIAL NEIGHBOR, is in the pockets of CCP-funded billionaires, and WANTS TO “FINISH THE JOB” IN GAZA.

Because a President who is against family separations and promotes a path for DREAMERs and more legal immigration and rights for unodcumented people could be replaced by a man who wants to separate families, PUT UNDOCUMENTED PEOPLE IN CONCENTRATION CAMPS, RESTRICT EVEN LEGAL IMMIGRATION, ESPECIALLY THAT OF MUSLIMS, AND SHOOT MIGRANTS.

Because a President who stopped a repeat of the Great Recession and the painful decade that followed it with strong fiscal stimulus which CUT CHILD POVERTY IN HALF BEFORE CONSERVATIVES MADE IT EXPIRE, then managed to cut deficits and presided over a decline in inflation, resulting in record high real wages (aka taking into account inflation) for workers is going to be replaced by a President who wants to TARIFF ALL FOREIGN GOODS by 15%, CUT TAXES FOR THE FILTHY RICH AND THE TAX ENFORCEMENT TO STOP THEM, INCREASE CHILD POVERTY AND UNINSUREDNESS by cutting gov’t programs, and HURT UNIONS which by every measure will lead to lower wages, higher prices, and more poverty and starvation.

Because a President who has pledged to sign a bill codifying Roe v. Wade (which has yet to be possible in recent memory, whatever these kids say), who enshrined the right to marry someone of the same sex or different race, who supports the Equality Act which would enshrine LGBTQ protections into the law, could be replaced by THE MAN WHO REMOVED AMERICA’S RIGHT TO ABORTION, whose Christian nationalist supporters want to END SEXUAL FREEDOM as we know it including TARGETING IVF AND BIRTH CONTROL, who wants to reverse LGBTQ discrimination law in favor of Christian bigots who hate queer and trans people, and who demonizes that community to win political support.

Ask yourself if you really think there’s no difference between the two. Ask yourself if a reasonable person given these facts would choose the latter. Ask yourself why you see so much propagandizing against the reasonable choice. Ask yourself why so many people seem to have opinions on this when they “don’t even go here”.

Maybe I’m just preaching to the choir here. Maybe people who say this inane stuff wouldn’t vote anyways. Maybe somehow we’re screwed anyways. Maybe people will stupidly vote third party and we’re fucked. Maybe this will get me attacked.

I don’t care anymore. If I have to see one more fucking post acting like we live under the fucking Evil Empire while a SELF PROCLAIMED DICTATOR is about to end the best streak of decent governance I’ve ever seen in a while, I just can’t anymore.

[alwaysbewoke]

nice. of course the k-12 education system is underfunded, leading to constant teacher shortages, inadequate facilities, and subpar student outcomes. healthcare access is alarmingly poor, with an unneeded high uninsured rate that leaves many without normal, essential medical services, and even with recent medicaid expansion, mad issues still remain. health outcomes are fckn dismal, with high rates of chronic diseases and preventable deaths. obesity levels are among the worst in the nation (no wonder with all the food insecurity and lack of healthy lifestyle options around there). income inequality is out of control. they got many of their citizens living in poverty with almost zero prospects for improvement. on top of these issues, oklahoma has one of the highest incarceration rates in the country, driven by harsh sentencing laws and systemic failings which targets black and poor (because of course (because america)). all on top of a legacy of racial injustices. i mean the tulsa race massacre. need i say more? but yea they should totally spend 1bil on entertainment. that's a totally reasonable thing to do smfh.

[thiefof-trefl]

DENY DEFEND DEPOSE????

He deserves a cool vigilanty name or smth

[omgellendean]

Found a great thread on how social assistance denies dignity to recipients.

(copied it here in case it disappeared)

"I came from poverty and very deliberately avoided 'services' and organizations that could have assisted me. I did not apply for social housing. I lived in places that were definitely not up to code. I worked multiple jobs. Just to avoid being part of system for 'poor people.'

"When I became wheelchair user & alone, I was moved into social housing. The day I moved in almost broke me. I never cried about my dx, about my disability, not even about all my savings being gone or any of the rest. But moving becoming "a client" was the line.

"The only way I could breathe is I told myself - and anyone within earshot - that I would be working again and out of social housing in a year. That was 14 years ago.

"I see all these progressives wax poetic about the wonders of social housing and various programs "for the poor." But there is a price that comes with that "help" - we don't 'help' you unless we deem you "helpless."

"The programs in social housing assume incompetence. "Let us teach you how to budget. Let us teach you how to make a boiled egg." The air is thick with the smugness of "helping our lessers." And judgment.

"So I don't know anything about the people who built that home but I understand why it would feel like more of a home than a shelter or a "unit" in the "housing stock" for "the poor." I understand why that feels like dignity.

To become successful at being poor within the system you need to perform acts of gratitude for things you shouldn't have to. You need to self-flagellate. You need to show you are deferential. You need to prove your situation is shitty as it is.

If you fail to prove your situation is as extremely shitty as they require then they will make sure it becomes worse. If you are on benefits you are not even allowed to pay your own rent - the state decides to handle this for you - because again, assumed incompetence.

"I have been offered home care. I declined. At some point i won't be able to decline but home care can act like state surveillance. And it just takes one ableist aid to make a report 'concerned' about something like a coffee burn.

"I was forced to use power wheelchair not manual for years bc an OT saw me struggle first time I transferred onto the toilet in this apt - because the bathroom is inaccessible. Chair moved a bit, I didn't fall but that was enough to override my choice.

"In GF Strong there was another young woman and we both wanted to get rear-drive power wheelchair instead of mid-drive or front-wheel. GF staff strongly discouraged rear-wheel. She was pressured out of it and she kept rooting for me. When I surrendered she couldn't even look at me

"We knew they broke us. We knew in that moment we were 'tamed' - albeit temporarily, as I had a plan to get a wheelchair on my own. I just couldn't handle another conflict with staff, I was already on thin ice fighting not to be sent to a nursing home.

"The idea of having a home - where you are not a client - and there is no 'staff' deciding if you are poor enough - not "too disabled" to be unsafe - no judgment, no surrendering power, self-worth - sounds great to me.

"Incidentally this is also why the proponents of MAID marketing it to disabled poor people as ‘chance to assert your autonomy’ is so deeply and intentionally malicious. It’s a fake autonomy injected into people state deprives of real autonomy.

"Changed who can reply to NO ONE because I really do not want to read about how "these people" should be given a job. These are some of the good ones. Oh yeah, these poor people impressed you. Literally also not the point of the thread. But why start listening to poor people now.

"Will probably delete the thread and also possibly my account.

"OK turns out I want to say a few more things before I decide if I'm leaving this site for good. YOU may be amazed that some poor people did this. I - an actual poor person who lives around poor people - am very much NOT. And the way you are fixating on this like they cured cancer

"Is just the progressive version of othering us. I'm not amazed. Because I know poor people. So no, not amazed at all. That was not the point of my thread. Not even a tiny, little bit. Stop turning these people into some sort of circus freak version of poor people.

"Stop exceptionalizing them. Stop being shocked. Or at least stop fucking doing those things in a poor person's mentions. OMFG I'm here talking about dignity being stripped form us and you want to turn them into your poster child for the sustainability or whatever."

[heterorealism]

[rebel-girl-queen-of-my-world]