#certificate of need
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So why do new hospitals have to justify their existence with Certificates of Need?
A number of factors spurred states to require CONs in the healthcare industry. Chief among these was the concern that the construction of excess hospital capacity would cause competitors in an oversaturated field to cover the costs of a diluted patient pool by overcharging, or by convincing patients to accept hospitalization unnecessarily
can we just burn the entire healthcare industry to the ground and start from scratch?
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The for-profit part isn't the problem, it's the artificial scarcity.
There's a document titled "How government solved the healthcare crisis" with readings and animations on youtube and the like, explaining how the working class used to have pretty gold acces to healthcare generations ago, and why they don't now.
I like the bitbutter version, but tumblr is weird about links and embeds.
Or at least look up Certificate Of Need is.
Abolish for-profit health care insurance.
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A pre-head removal discussion.
#tf2#lil pootis#lil pootis lore#dad spy#engiespy#blu spy#blu scout#the mann co homo marriage certificate is coming in the mail#at least hes on the same team they dont need to repeat the blu soldier incident#team fortress 2
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Actually, I want "because, [insert government name]" to become how buddie communicate that they've done something drastic and legally binding, like one day Buck slaps a piece of paper down in front of Eddie and is like "sign this" and Eddie signs it and then he reads it and then he's like "wait Buck this is a marriage certificate? Why am I signing this?" And Buck looks him dead in the eyes and says "because Edmundo" and then that's that
#evan buckley#eddie diaz#buddie#911 abc#911 show#911 posting#ive been thinking about because evan can you twll?#also idk how marriage certificates work i think you actually need to sign in front of a witness??
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I’m currently writing an AU Under the Red Hood where Jason doesn’t go after Bruce and Joker. Instead Talia helps him get a handle on his anger and he decides he’s going to go back to Gotham and help the way we know (and love) him for. And if by chance he crosses paths with a certain clown then he’ll deal with him himself.
Progress begins to be shown in Crime Alley, much to the police and vigilante’s annoyance (and somewhat respect) when it comes out that the Mayor has been arrested for corruption.
And then Jason gets an idea.
A marvellous idea.
A marvellously, fun idea.
Since he’s done such good work in Crime Alley, he has the experience to show that he has the experience to be Gotham’s Mayor.
And so, Red Hood decides that he’s going to run for Mayor of Gotham.
#what could possibly go wrong?#I mean he does need to figure out the whole birth certificate thing#especially since he’s dead and all legally#but he’ll work that out when he has to#it can’t be that hard to run for mayor#jason todd#batman#bruce wayne#red hood#dc#dc comics#under the red hood au#vote for red hood
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I'm imagining Kit's middle name as either some behemoth 20 letter tongue twister *or* a single syllable. No in-between.
oh it’s absolutely an intricate, impossible to spell, ancient elvish translation of “wheelbarrow” or something
#ramble#bg3#dadstarion#they needed something for the birth certificate#announcing his full name to the party and shadowheart just starts day drinking
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i am like a tree. i grow slowly. there is no shame in that. i bet most of us are like trees...
#late night thoughts#lasting change is gradual#silly brain#sometimes thinks i'm so far behind there is no hope for catching up at a reasonable time#reasonable being defined when i need to have x skill or certification or whatever#just stop catastrophizing and ruminating and eat the elephant one bite at a time!!!#words thrown at the wall#studyblr#lifeblr#gaaaaahhhhh#growth#positive affirmations#affirmations
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cpr on a sex doll
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i haven’t made them be toxic in a while so i don’t think jordan was actually there for tubbo’s birth. and schlatt LOVES to hold it over jordan’s head and bitch about how he wasn’t there for him when he needed him most, ohhh he was so neglectful, only for jordan to rebut with the fact that SCHLATT DIDNT TELL HIM HE WAS GOING INTO LABOR. HOW WAS HE SUPPOSED TO KNOW. schlatt insist he “just should’ve” because fatherly instincts and all that. SCHLATT certainly knew so OBVIOUSLY jordan should’ve too
#icarus speaks#divorceverse#jordan was only informed when schlatt/a nurse called him from the hospital#telling him he needed to come sign the birth certificate#and honestly jordan is LUCKY schlatt even called him that time#because he did NOT grant the same mercy with adam
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Hey just a friendly PSA: you don’t need to have a special interest to be autistic. It's perfectly fine to not have a thing that you've been obsessing over since you were a kid, it doesn't make you any less autistic.
#autism#as a 100% canonically autistic guy I don't really have a long-term special interest either#yes circumscribed interests is a symptom of autism but it's not *required* for autism#you just need to meet 2 of the 4 criteria#my psychologist literally told me that I don't show signs of circumscribed interests and still gave me the autism certificate#so like yeah#don't fret it if you're worried that you're faking being autistic because you don't have a special interest :]
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“video games are becoming too woke nowadays“ THEYRE NOT WOKE ENOUGH. I DON’T SEE JOHNNY CAGE AND KENSHI KISSING? WHERE IS THE WEDDING? These damn liberals aren’t canceling people hard enough smh.
#mk1#johnny x kenshi#johnshi#johnny cage#mortal kombat#kenshi takahashi#i still need to see mileena and tanyas wedding certificate#mk1 is a tale of love and war#mortal kombat 1#johnny cage mk1
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here's the marauders getting their newt results cause i am at a point where i do not want to receive my test markings lol
sirius: i don't want to open it. i will not open it. moons you do it, just don't tell me if it's bad
remus: but you'll know it's bad 'cause i won't say anything
sirius: oh so you assume it's going to be bad?
remus: um... no?
james: uuuugh guys come on it's just paper and ink. look, i'll go first okay?
james: *opens his envelope*
james: HEY THAT'S NOT FAIR
pete: oh god we're all going to die, we're all dead, what if i am dead and this is my punishment what did i do to deserve this it's because i didn't recycle that one time is it oh no oh no oh nononono
sirius: is it... is it that bad?
james: YES, it is. i got a B- charms, i think i'm going to cry
remus: B-! that's good! i was about to have a heart attack you dramatic prat
sirius: dramatic huh? go ahead moony, open yours
remus: oh you must be fucking dreaming honey, i will burn this paper down and throw myself into the fire with it before taking a look at it
sirius: want me to look for you?
remus: please
peter: look mine too sirius please i think i'm about to puke
#im actually all of them at the same time lol#marauders incorrect quotes#marauders era#the marauders#moony wormtail padfoot and prongs#sirius black#remus lupin#james potter#peter pettigrew#also didnt mean to include wolfstar but you can sense it in the aura (theyre in everything i do)#so yeah just inagine them shooting glances at eachother like “i hate you please kiss my face hehe”#anyway that means i gotta tag it righttttt#wolfstar#aaaaaa#also peter??? yeah hes got like chronic anxiety or something idk man#in my mind hes just either constantly like that or too chill te even seem like theres blood running through his veins#also note to myself ill probably write (like actually write) this secene soon? cause i love them all interacting like this lol#also i need to practise my english writing cause oh man i need that c1 certificate asap
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Every time I see him When the Sun Hits by Slowdive plays in my brain
#im so fucking in love with him#it's not enough to romance him in game I NEED to enter a lawful marriage with him#genuinely if i don't wake up with a marriage certificate with his name on it...#i may kill myself actually#dragon age#dragon age the veilguard#emmrich volkarin#dragon age: the veilguard
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I’m Here // Minors DNI
Summary: Chuuya doesn’t remember his dreams, but he feels it. [Based off the canon fact that Chuuya doesn’t dream/doesn’t remember his dreams.]
Tags: Nakahara Chuuya/ GN Reader (referred to as Doll once but gender isn’t specific), SFW, Hurt/Comfort, Not Much Warning, But Chuuya Cries, Also Mentions Chuuya’s Thoughts Of Not Feeling Human So Dehumanizing Feelings Of Oneself.
Nakahara Chuuya/Reader Drabble
Chuuya doesn’t dream, or at least he doesn’t remember them.
And yet there’s an overwhelming feeling of grief stirring inside of him when he awakes abruptly, a sheen of sweat drenching his face and around his neck. Soft pants fall from his lips as he sits upright, one of his calloused hands flying up to smooth over the left side of his chest where a dull ache throbs within. He doesn’t know why this happens, but it does. He knows that even if he doesn’t remember his dreams, he subconsciously knows what they’re about. Feels what they’re about. His past— the people he’s lost— the things he’s had to do to survive.
Chuuya doesn’t cry.
But he does tonight, melancholy overtaking everything else in him. His tears are silent and scarce, the feeling unusual and almost surreal to him. When did he become so weak?
“Chuuya?” Your voice is groggy and slurred from sleep as you shift beneath the covers to slowly move to sit up.
Chuuya’s breathing hitches, thankful that the room is pitch black. He can barely make out your figure next to him, but see that you’re moving to lean closer to him. Chuuya clears his throat and responds quietly, “Sorry, didn’t mean to wake you, Doll… Go back to sleep.”
Your hand moves to feel out next to you to find him until it lands splayed out on his back, “Why are you up? What’s wrong?” You ask, worry lacing your tone.
“Nothing, m’fine…” He sighs out, making a move to wipe his damp face with his hands. His hands stop though when he feels your warm hands cup his face and wipe away his tears with your thumbs.
“It doesn’t sound like nothing,” You murmur, shuffling to switch positions, though slightly difficult due to your limited vision. You face Chuuya now, hands moving from his face to smooth down his wild bed hair from tossing and turning. “Why are you upset?” You’re just the slightest bit confused having known about Chuuya’s inability to dream— or that he doesn’t remember them, so it couldn’t be that. Could it?
“I…” Chuuya sniffles, but it’s barely discernible. “I had a bad dream,” He pauses before letting out a shaky exhale, “I feel it.”
You almost frown, but it curls into a gentle smile, though you know Chuuya can’t see it in the dark. “You feel it?” It’s an innocent question, much like your touch as you tuck some of his damp bangs behind his ear. You feel him nod, leaning into your touch for comfort— seeking you out in a moment of vulnerability. You don’t elaborate on your thoughts about the three simple words he spoke— that you think he’s more human than any other being you’ve met— that you wish he’d look at himself through your eyes and see how living he was beneath his flesh and bones. But you push it to the back of your mind for a later conversation.
“It aches,” Chuuya’s voice strains, wishing the throbbing would disappear from his chest.
“I know,” You whisper. Your hands find themselves slipping around his waist to hold him from your position next to him, “But I’m here.” You reassure, head resting into the crook of his neck.
He turns his head to place a gentle kiss to your head, arm looping around your back to caress along your spine soothingly, “You are.”
Chuuya survived all his life, but with you, he felt like he was living.
#chuuya x reader#chuuya nakahara x reader#bsd x reader#hurt/comfort#Chuuya needs a hug :(#I need to comfort him#just give me three minutes in a room with him by myself and we’ll be signing a marriage certificate
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I love that even with all the lengths Stronghart went through to hide Kazuma's identity (using a mask to hide his eyes and a cloak to cover everything else, banning him from even speaking), the minute Ryunosuke saw him for the first time he suspected it. From his posture alone, they knew each other for about a year and were separated for like eight months and Ryunosuke could still identify his bbf from the way he stood like... Kazuma lost his memory, his identity, his... everything and Ryunosuke still clocked it, even though he literally thinks Kazuma is dead, that the prosecutor's masked apprentice is the whole reason he's even there at all.
Literally what else could Stronghart have done to hide Kazuma's presence from Ryunosuke, he did as much as he could but still Ryunosuke felt it immediately. This feels gayer than most of the yaoi I've come across, this is a major plot point in a romantic drama, this can't not be a trope in one of the kdramas my dad likes to watch on Netflix.
#I feel like if Ryunosuke was like 10% less busy he would've figured it out completely#he just has things to deal with...#also i love how he really wants to be a lawyer now when at the start of the series he was Not Into It#he did it for kazumas dream and bc he didn't want to let susato down and ruin the trip for her#but now hes fully intending on getting his own lawyer certifications and planning to wear both his own and Kazumas armbands#he started out so aimless but now he's found the thing he wants to be and its so nice#anyway barok has homosexual feelings for that mad scientist guy and I know we're supposed to feel bad for him bc his brother was 'killed'#but i dont really feel it yet#he needs to be nicer to me#i do love how worried Ryunosuke was for him after the attack that was kinda cute#they have the opposite views being 'just bc you're an asshole doesn't mean I think you should die' and 'i wont mourn the wicked'#also Ryunosuke being so convinced about the reapers curse is fascinating to me... it gives me ideas for my phoenix!Naruhodos au#andromeda plays tgaa#andromeda plays#asoryuu
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weeeeee
#scooby doo#my art#i know scoob and shag can probably drive but its funnier this way. scooby doo has no license but he does have forklift certification#the coloring was an attempt at like the 50s cartoon way where they werent completely lined up but i need more practice on it. it was also-#-mostly to safe time hehe
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