#health administration major
Explore tagged Tumblr posts
stuckinapril · 10 months ago
Text
megan thee stallion is the perfect example of unbothered energy. nicki has repeatedly vagueposted about her, gone on unhinged rants about her, gone so far as to mention her dead mother (such a classless low blow), threatened her on live, and has now released the tackiest diss track in history. and what has megan done? literally nothing. she straight up ignored her, aside from that one ig story where she posted herself laughing (which was perfect btw). she is the epitome of “i will not dignify that w a response.” i love it.
2K notes · View notes
non-un-topo · 1 year ago
Text
Daily November crying sessions start today
#why. who. how. how tf does my professor think it's okay to assign 4 major assignments in the same amount of weeks + 4-6 readings every week#all of which are ~20 pages.#i've got all that to do and another big assignment for a different class. plus the weekly readings and reflections for that one.#and i have work.#i've stupidly decided to volunteer for a thing on saturday in the hopes of bulking up my resume + rubbing elbows with the administration.#and i have a medical thing on friday and i'll be looped out and likely will have to sleep half the day. probably won't get ANY work done.#what else..... some fairly easy stuff for my other class thank GOD. but a lot of reading and preparing for a few big essays.#november is the month i hate the fucking most. i always lose my mind in november. and no wonder!!!!!!#meanwhile people are bugging me to hang out. i will be in a student-coma until approx. the first week of december. see you then. peace.#oh and my BIL + SIL sitting me down and showing me all their europe honeymoon photos for 2 HOURS last night is also not helping my mood.#fuck you lol#like i'm happy for you and nice photos but also? Fuck You.#if i can offer some dark humour though.....#my fic axis exists because of a legitimate smidge of insanity i experienced last year. it shifted the way i looked at the world and at grie#sooooo i wonder what kind of fic my mind will crank out this time?#i don't think i'm at risk of losing it this year though. doesn't seem that way. but we'll see!#i can write/draw good things without sacrificing my mental health first i can write/draw good things without sacrificing my mental health f#rst i can write/draw good things without sacrificing my mental health first i can write/draw good things without sacrificing my mental heal
12 notes · View notes
boreal-sea · 5 months ago
Text
Look.
Tumblr media
I have made you a chart. A very simple chart.
People say "You have to draw the line somewhere, and Biden has crossed it-" and my response is "Trump has crossed way more lines than Biden".
These categories are based off of actual policy enacted by both of these men while they were in office.
If the ONLY LINE YOU CARE ABOUT is line 12, you have an incredible amount of privilege, AND YOU DO NOT CARE ABOUT PALESTINIANS. You obviously have nothing to fear from a Trump presidency, and you do not give a fuck if a ceasefire actually occurs. You are obviously fine if your queer, disabled, and marginalized loved ones are hurt. You clearly don't care about the status of American democracy, which Trump has openly stated he plans to destroy on day 1 he is in office.
EDIT:
Ok fine, I spent 3 hours compiling sources for all of these, you can find that below the cut.
I'll give at least one link per subject area. There are of course many more sources to be read on these subject areas and no post could possibly give someone a full education on these subjects.
Biden and trans rights: https://www.hrc.org/resources/president-bidens-pro-lgbtq-timeline
Trump and trans rights: https://www.aclu.org/news/lgbtq-rights/trump-on-lgbtq-rights-rolling-back-protections-and-criminalizing-gender-nonconformity
The two sources above show how Biden has done a lot of work to promote trans rights, and how Trump did a lot of work to hurt trans rights.
Biden on abortion access: https://www.cnn.com/2022/07/08/politics/what-is-in-biden-abortion-executive-order/index.html
Trump on abortion access: https://apnews.com/article/abortion-trump-republican-presidential-election-2024-585faf025a1416d13d2fbc23da8d8637
Biden openly supports access to abortion and has taken steps to protect those rights at a federal level even after Roe v Wade was overturned. Trump, on the other hand, was the man who appointed the judges who helped overturn Roe v Wade and he openly brags about how proud he is of that decision. He also states that he believes individual states should have the final say in whether or not abortion is legal, and that he trusts them to "do the right thing", meaning he supports stronger abortion bans.
Biden on environmental reform: https://www.whitehouse.gov/briefing-room/statements-releases/2021/10/07/fact-sheet-president-biden-restores-protections-for-three-national-monuments-and-renews-american-leadership-to-steward-lands-waters-and-cultural-resources/
Trump on environmental reform: https://www.nytimes.com/interactive/2020/climate/trump-environment-rollbacks-list.html
Biden has made major steps forward for environmental reform. He has restored protections that Trump rolled back. He has enacted many executive orders and more to promote environmental protections, including rejoining the Paris Accords, which Trump withdrew the USA from. Trump is also well known for spreading conspiracy theories and lies about global climate change, calling it a "Chinese hoax".
Biden on healthcare and prescription reform: https://www.hhs.gov/about/news/2023/06/09/biden-administration-announces-savings-43-prescription-drugs-part-cost-saving-measures-president-bidens-inflation-reduction-act.html
Trump on healthcare reform: https://www.cnn.com/2024/01/07/politics/obamacare-health-insurance-ending-trump/index.html
I'm rolling healthcare and prescriptions and vaccines and public health all into one category here since they are related. Biden has lowered drug costs, expanded access to medicaid, and ACA enrollment has risen during his presidency. He has also made it so medical debt no longer applies to a person's credit score. He signed many executive orders during his first few weeks in office in order to get a handle on Trump's grievous mishandling of the COVID pandemic. Trump also wants to end the ACA. Trump is well known for refusing to wear a mask during the pandemic, encouraging the use of hydroxylchloroquine to "treat" COVID, and being openly anti-vaxx.
Biden on student loan forgiveness: https://www.ed.gov/news/press-releases/biden-harris-administration-announces-additional-77-billion-approved-student-debt-relief-160000-borrowers
Trump on student loan forgiveness: https://www.forbes.com/sites/adamminsky/2024/06/20/trump-knocks-bidens-vile-student-loan-forgiveness-plans-suggests-reversal/
Trump wants to reverse the student loan forgiveness plans Biden has enacted. Biden has already forgiven billions of dollars in loans and continues to work towards forgiving more.
Infrastructure funding:
I'm putting these links next together because they are all about infrastructure.
In general, Trump's "achievements" for infrastructure were to destroy environmental protections to speed up projects. Many of his plans were ineffective due to the fact that he did not clearly outline where the money was going to come from, and he was unwilling to raise taxes to pay for the projects. He was unable (and unwilling) to pass a bipartisan infrastructure bill during his 4 years in office. He did sign a few disaster relief bills. He did not enthusiastically promote renewable energy infrastructure. He created "Infrastructure Weeks" that the federal government then failed to fund. Trump did not do nothing for infrastructure, but his no-tax stance and his dislike for renewable energy means the contributions he made to American infrastructure were not as much as he claimed they were, nor as much as they could have been. Basically, he made a lot of promises, and delivered on very few of them. He is not "against" infrastructure, but he's certainly against funding it.
Biden was able to pass that bipartisan bill after taking office. The Bipartisan Infrastructure Plan that Trump tried to prevent from passing during Biden's term contains concrete funding sources and step by step plans to rebuild America's infrastructure. If you want to read the plan, you can find it here: https://www.whitehouse.gov/build/guidebook/. Biden has done far more for American infrastructure than Trump did, most notably by actually getting the bipartisan bill through congress.
Biden on Racial Equity: https://www.npr.org/sections/president-biden-takes-office/2021/01/26/960725707/biden-aims-to-advance-racial-equity-with-executive-actions
Trump on Racial Equity: https://www.axios.com/2024/04/01/trump-reverse-racism-civil-rights https://www.bbc.com/news/av/world-us-canada-37230916
Trump's racist policies are loud and clear for everyone to hear. We all heard him call Mexicans "Drug dealers, criminals, rapists". We all watched as he enacted travel bans on people from majority-Muslim nations. Biden, on the other hand, has done quite a lot during his term to attempt to reconcile racism in this country, including reversing Trump's "Muslim ban" the first day he was in office.
Biden on DEI: https://www.whitehouse.gov/briefing-room/presidential-actions/2021/06/25/executive-order-on-diversity-equity-inclusion-and-accessibility-in-the-federal-workforce/
Trump on DEI: https://www.msn.com/en-us/news/politics/trump-tried-to-crush-the-dei-revolution-heres-how-he-might-finish-the-job/ar-BB1jg3gz
Biden supports DEI and has signed executive orders and passed laws that support DEI on the federal level. Trump absolutely hates DEI and wants to eradicate it.
Biden on criminal justice reform: https://time.com/6155084/biden-criminal-justice-reform/
Trump on criminal justice reform: https://www.vox.com/2020-presidential-election/21418911/donald-trump-crime-criminal-justice-policy-record https://www.theatlantic.com/politics/archive/2024/05/trumps-extreme-plans-crime/678502/
From pardons for non-violent marijuana convictions to reducing the federal government's reliance on private prisons, Biden has done a lot in four years to reform our criminal justice system on the federal level. Meanwhile, Trump has described himself as "tough on crime". He advocates for more policing, including "stop and frisk" activities. Ironically it's actually quite difficult to find sources about what Trump thinks about crime, because almost all of the search results are about his own crimes.
Biden on military support for Israel: https://www.nbcnews.com/politics/national-security/biden-obama-divide-closely-support-israel-rcna127107
Trump on military support for Israel: https://www.vox.com/politics/353037/trump-gaza-israel-protests-biden-election-2024
Biden supports Israel financially and militarily and promotes holding Israel close. So did Trump. Trump was also very pro-Israel during his time in office and even moved the embassy to Jerusalem and declared Jerusalem the capitol of Israel, a move that inflamed attitudes in the region.
Biden on a ceasefire: https://www.usatoday.com/story/news/world/2024/06/05/gaza-israel-hamas-cease-fire-plan-biden/73967659007/
Trump on a ceasefire: https://www.nbcnews.com/politics/donald-trump/trump-israel-gaza-finish-problem-rcna141905
Trump has tried to be quiet on the issue but recently said he wants Israel to "finish the problem". He of course claims he could have prevented the whole problem. Trump also openly stated after Oct 7th that he would bar immigrants who support Hamas from the country and send in officers to American protests to arrest anyone supporting Hamas.
Biden meanwhile has been quietly urging Netanyahu to accept a ceasefire deal for months, including the most recent announcement earlier in June, though it seems as though that deal has finally fallen through as well.
103K notes · View notes
wat3rm370n · 54 minutes ago
Text
Eric Weinstein & Jeffrey Tucker sore over not being A-List in MAGA.
They see themselves as “dissident experts” and they’re disappointed that the anti-expert movement doesn’t necessarily want wrong experts either, maybe just lackeys.
Eric Weinstein quote tweeting Jeffrey Tucker on Twitter: “MAGA doesn’t understand how administration Jobs work. If dissident experts were so hungry for jobs for personal gain they wouldn’t have been living on scraps and berries fighting this war against Washington before Trump ever came on the scene. They sacrificed their comfort for the country often scraping by. That is not the class of people asking to be made Treasury secretary on Twitter. The MAGA picture of expertise is wrong. Expertise didn’t fail. What failed is which experts we went with for 32 years. We just have the wrong experts everywhere. Don’t be afraid of non MAGA dissident experts. But they aren’t going to fall over themselves to beg for a position. The interpretation of MAGA and the campaign not reaching out is this: The transition team doesn’t understand the dissident expert landscape and doesn’t seem to care to either. It’s about loyalty.”
Sam Explains Eric Weinstein's New Batcrap Conspiracy - The Majority Report - Nov 16, 2024 Sam Seder: “the dude is literally on Twitter talking about how he should be brought in for at least one of these roles”
0 notes
autumnoakes · 15 days ago
Text
i hate how much is related to fields of business just because of the money in it all like?????
0 notes
thoughtportal · 10 months ago
Text
Opinion Here’s how to get free Paxlovid as many times as you need it
When the public health emergency around covid-19 ended, vaccines and treatments became commercial products, meaning companies could charge for them as they do other pharmaceuticals. Paxlovid, the highly effective antiviral pill that can prevent covid from becoming severe, now has a list price of nearly $1,400 for a five-day treatment course.
Thanks to an innovative agreement between the Biden administration and the drug’s manufacturer, Pfizer, Americans can still access the medication free or at very low cost through a program called Paxcess. The problem is that too few people — including pharmacists — are aware of it.
I learned of Paxcess only after readers wrote that pharmacies were charging them hundreds of dollars — or even the full list price — to fill their Paxlovid prescription. This shouldn’t be happening. A representative from Pfizer, which runs the program, explained to me that patients on Medicare and Medicaid or who are uninsured should get free Paxlovid. They need to sign up by going to paxlovid.iassist.com or by calling 877-219-7225. “We wanted to make enrollment as easy and as quick as possible,” the representative said.
Indeed, the process is straightforward. I clicked through the web form myself, and there are only three sets of information required. Patients first enter their name, date of birth and address. They then input their prescriber’s name and address and select their insurance type.
All this should take less than five minutes and can be done at home or at the pharmacy. A physician or pharmacist can fill it out on behalf of the patient, too. Importantly, this form does not ask for medical history, proof of a positive coronavirus test, income verification, citizenship status or other potentially sensitive and time-consuming information.
But there is one key requirement people need to be aware of: Patients must have a prescription for Paxlovid to start the enrollment process. It is not possible to pre-enroll. (Though, in a sense, people on Medicare or Medicaid are already pre-enrolled.)
Once the questionnaire is complete, the website generates a voucher within seconds. People can print it or email it themselves, and then they can exchange it for a free course of Paxlovid at most pharmacies.
Pfizer’s representative tells me that more than 57,000 pharmacies are contracted to participate in this program, including major chain drugstores such as CVS and Walgreens and large retail chains such as Walmart, Kroger and Costco. For those unable to go in person, a mail-order option is available, too.
The program works a little differently for patients with commercial insurance. Some insurance plans already cover Paxlovid without a co-pay. Anyone who is told there will be a charge should sign up for Paxcess, which would further bring down their co-pay and might even cover the entire cost.
Several readers have attested that Paxcess’s process was fast and seamless. I was also glad to learn that there is basically no limit to the number of times someone could use it. A person who contracts the coronavirus three times in a year could access Paxlovid free or at low cost each time.
Unfortunately, readers informed me of one major glitch: Though the Paxcess voucher is honored when presented, some pharmacies are not offering the program proactively. As a result, many patients are still being charged high co-pays even if they could have gotten the medication at no cost.
This is incredibly frustrating. However, after interviewing multiple people involved in the process, including representatives of major pharmacy chains and Biden administration officials, I believe everyone is sincere in trying to make things right. As we saw in the early days of the coronavirus vaccine rollout, it’s hard to get a new program off the ground. Policies that look good on paper run into multiple barriers during implementation.
Those involved are actively identifying and addressing these problems. For instance, a Walgreens representative explained to me that in addition to educating pharmacists and pharmacy techs about the program, the company learned it also had to make system changes to account for a different workflow. Normally, when pharmacists process a prescription, they inform patients of the co-pay and dispense the medication. But with Paxlovid, the system needs to stop them if there is a co-pay, so they can prompt patients to sign up for Paxcess.
Here is where patients and consumers must take a proactive role. That might not feel fair; after all, if someone is ill, people expect that the system will work to help them. But that’s not our reality. While pharmacies work to fix their system glitches, patients need to be their own best advocates. That means signing up for Paxcess as soon as they receive a Paxlovid prescription and helping spread the word so that others can get the antiviral at little or no cost, too.
{source}
25K notes · View notes
reasonsforhope · 3 months ago
Text
Tumblr media
Article | Paywall Free
"The Food and Drug Administration approved new mRNA coronavirus vaccines Thursday [August 22, 2024], clearing the way for shots manufactured by Pfizer-BioNTech and Moderna to start hitting pharmacy shelves and doctor’s offices within a week.
Health officials encourage annual vaccination against the coronavirus, similar to yearly flu shots. Everyone 6 months and older should receive a new vaccine, the Centers for Disease Control and Prevention recommends.
The FDA has yet to approve an updated vaccine from Novavax, which uses a more conventional vaccine development method but has faced financial challenges.
Our scientific understanding of coronavirus vaccines has evolved since they debuted in late 2020. Here’s what to know about the new vaccines.
Why are there new vaccines?
The coronavirus keeps evolving to overcome our immune defenses, and the shield offered by vaccines weakens over time. That’s why federal health officials want people to get an annual updated coronavirus vaccine designed to target the latest variants. They approve them for release in late summer or early fall to coincide with flu shots that Americans are already used to getting.
The underlying vaccine technology and manufacturing process are the same, but components change to account for how the virus morphs. The new vaccines target the KP.2 variant because most recent covid cases are caused by that strain or closely related ones...
Do the vaccines prevent infection?
You probably know by now that vaccinated people can still get covid. But the shots do offer some protection against infection, just not the kind of protection you get from highly effective vaccines for other diseases such as measles.
The 2023-2024 vaccine provided 54 percent increased protection against symptomatic covid infections, according to a CDC study of people who tested for the coronavirus at pharmacies during the first four months after that year’s shot was released...
A nasal vaccine could be better at stopping infections outright by increasing immunity where they take hold, and one is being studied in a trial sponsored by the National Institutes of Health.
If you really want to dodge covid, don’t rely on the vaccine alone and take other precautions such as masking or avoiding crowds...
Do the vaccines help prevent transmission?
You may remember from early coverage of coronavirus vaccines that it was unclear whether shots would reduce transmission. Now, scientists say the answer is yes — even if you’re actively shedding virus.
That’s because the vaccine creates antibodies that reduce the amount of virus entering your cells, limiting how much the virus can replicate and make you even sicker. When vaccination prevents symptoms such as coughing and sneezing, people expel fewer respiratory droplets carrying the virus. When it reduces the viral load in an infected person, people become less contagious.
That’s why Peter Hotez, a physician and co-director of the Texas Children’s Hospital Center for Vaccine Development, said he feels more comfortable in a crowded medical conference, where attendees are probably up to date on their vaccines, than in a crowded airport.
“By having so many vaccinated people, it’s decreasing the number of days you are shedding virus if you get a breakthrough infection, and it decreases the amount of virus you are shedding,” Hotez said.
Do vaccines prevent long covid?
While the threat of acute serious respiratory covid disease has faded, developing the lingering symptoms of “long covid” remains a concern for people who have had even mild cases. The CDC says vaccination is the “best available tool” to reduce the risk of long covid in children and adults. The exact mechanism is unclear, but experts theorize that vaccines help by reducing the severity of illness, which is a major risk factor for long covid.
When is the best time to get a new coronavirus vaccine?
It depends on your circumstances, including risk factors for severe disease, when you were last infected or vaccinated, and plans for the months ahead. It’s best to talk these issues through with a doctor.
If you are at high risk and have not recently been vaccinated or infected, you may want to get a shot as soon as possible while cases remain high. The summer wave has shown signs of peaking, but cases can still be elevated and take weeks to return to low levels. It’s hard to predict when a winter wave will begin....
Where do I find vaccines?
CVS said its expects to start administering them within days, and Walgreens said that it would start scheduling appointments to receive shots after Sept. 6 and that customers can walk in before then.
Availability at doctor’s offices might take longer. Finding shots for infants and toddlers could be more difficult because many pharmacies do not administer them and not every pediatrician’s office will stock them given low demand and limited storage space.
This year’s updated coronavirus vaccines are supposed to have a longer shelf life, which eases the financial pressures of stocking them.
The CDC plans to relaunch its vaccine locator when the new vaccines are widely available, and similar services are offered by Moderna and Pfizer."
-via The Washington Post, August 22, 2024
4K notes · View notes
batboyblog · 5 months ago
Text
Things Biden and the Democrats did, this week #24
June 21-28 2024
The US Surgeon General declared for the first time ever, firearm violence a public health crisis. The nation's top doctor recommended the banning of assault weapons and large-capacity magazines, the introduce universal background checks for purchasing guns, regulate the industry, pass laws that would restrict their use in public spaces and penalize people who fail to safely store their weapons. President Trump dismissed Surgeon General Dr. Vivek Murthy in 2017 in part for his criticism of guns before his time in government, he was renominated for his post by President Biden in 2021. While the Surgeon General's reconstructions aren't binding a similar report on the risks of smoking in 1964 was the start of a national shift toward regulation of tobacco.
Vice-President Harris announced the first grants to be awarded through a ground breaking program to remove barriers to building more housing. Under President Biden more housing units are under construction than at any time in the last 50 years. Vice President Harris was announcing 85 million dollars in grants giving to communities in 21 states through the  Pathways to Removing Obstacles to Housing (PRO) program. The administration plans another 100 million in PRO grants at the end of the summer and has requested 100 million more for next year. The Treasury also announced it'll moved 100 million of left over Covid funds toward housing. All of this is part of plans to build 2 million affordable housing units and invest $258 billion in housing overall.
President Biden pardoned all former US service members convicted under the US Military's ban on gay sex. The pardon is believed to cover 2,000 veterans convicted of "consensual sodomy". Consensual sodomy was banned and a felony offense under the Uniform Code of Justice from 1951 till 2013. The Pardon will wipe clean those felony records and allow veterans to apply to change their discharge status.
The Department of Transportation announced $1.8 Billion in new infrastructure building across all 50 states, 4 territories and Washington DC. The program focuses on smaller, often community-oriented projects that span jurisdictions. This award saw a number of projects focused on climate and energy, like $25 million to help repair damage caused by permafrost melting amid higher temperatures in Alaska, or $23 million to help electrify the Downeast bus fleet in Maine.
The Department of Energy announced $2.7 billion to support domestic sources of nuclear fuel. The Biden administration hopes to build up America's domestic nuclear fuel to allow for greater stability and lower costs. Currently Russia is the world's top exporter of enriched uranium, supplying 24% of US nuclear fuel.
The Department of Interior awarded $127 million to 6 states to help clean up legacy pollution from orphaned oil and gas wells. The funding will help cap 600 wells in Alaska, Arizona, Indiana, New York and Ohio. So far thanks to administration efforts over 7,000 orphaned wells across the country have been capped, reduced approximately 11,530 metric tons of carbon dioxide equivalent emissions
HUD announced $469 million to help remove dangerous lead from older homes. This program will focus on helping homeowners particularly low income ones remove lead paint and replace lead pipes in homes built before 1978. This represents one of the largest investments by the federal government to help private homeowners deal with a health and safety hazard.
Bonus: President Biden's efforts to forgive more student debt through his administration's SAVE plan hit a snag this week when federal courts in Kansas and Missouri blocked elements the Administration also suffered a set back at the Supreme Court as its efforts to regular smog causing pollution was rejected by the conservative majority in a 5-4 ruling that saw Amy Coney Barrett join the 3 liberals against the conservatives. This week's legal setbacks underline the importance of courts and the ability to nominate judges and Justices over the next 4 years.
4K notes · View notes
cxrrodedcoffin · 2 months ago
Text
✟ 𝐇𝐨𝐥𝐲 𝐃𝐢𝐯𝐞𝐫 ✟
Kinktober fic 2: Charlie Mayhew ✟ Blasphemy + Church Sex
Tumblr media Tumblr media Tumblr media Tumblr media Tumblr media
𝐋𝐢𝐤𝐞𝐬 𝐚𝐫𝐞 𝐚𝐥𝐰𝐚𝐲𝐬 𝐚𝐩𝐩𝐫𝐞𝐜𝐢𝐚𝐭𝐞𝐝 𝐛𝐮𝐭 𝐫𝐞𝐛𝐥𝐨𝐠𝐬 𝐚𝐧𝐝 𝐟𝐞𝐞𝐝𝐛𝐚𝐜𝐤 𝐤𝐞𝐞𝐩 𝐚𝐫𝐭𝐢𝐬𝐭𝐬 𝐠𝐨𝐢𝐧𝐠!
𝐖𝐚𝐫𝐧𝐢𝐧𝐠𝐬: dom!charlie, priest!charlie (duh), aspiring nun!reader, tattooed!reader, religious themes (obvi), catholicism, extremely blasphemous activities, mentions of mental health facilities and sobriety, mild religious trauma mention, baptism, submersion in holy water, semi-public sex, oral sex (fem receiving), penetrative sex, unprotected sex, sex in water + in a church, fem + afab reader, breath play, hickeys, nipple play, cream pie, mentions of scars, use of “father” as an honorific in both a professional context and sexual context.
𝐖𝐨𝐫𝐝 𝐂𝐨𝐮𝐧𝐭: 3.7k
Tumblr media
When you first visited the church to inquire about taking your vows as a nun, you weren’t sure what to expect. It had been so long since the last time you’d set foot in a church, but the moment you crossed that holy threshold a childhood full of memories came rushing back to you.
The church was not a place you ever thought you’d consider your home again once you reached adolescence, but now, after a decade of poor decisions and enough casual sex to put an end to global inceldom if you so wished, you found yourself back in a house of worship for the first time since childhood.
A six month-long stint in an in-patient psychiatric treatment center had been the catalyst, your first extended period of time being both sober and celibate since your teen years forcing you to face some hard truths about the way you’d been living your life.
You decided to see if there was any ounce of the faith you blindly held as a child still left somewhere deep in your subconscious, seeking out the nearest convent you could only a few weeks after your discharge from the facility.
Each step you took down the arched corridor to the church administrator’s office brought back flashes of the past, both bitter and sweet, the kaleidoscope of colors fanning in from the stained glass windows drawing a familiar sense of melancholy you had half-expected to reappear.
One thing you certainly were not expecting out of this visit was to meet one Father Charlie Mayhew. The curve of his jaw was the first thing you caught a glimpse of as he stepped out of the administrator’s office, the striking momentary glimpse of his side profile nearly knocking the wind out of you.
You squeaked out a faint “Sorry!” as you took a step back, your eyes locking with his. His cheeks creased in a charming smile, the black fabric of his clerical shirt pulling taut over his muscular forearm as he held the office door open for you. Your mind finally registered the flash of his white tab collar at his neck, prompting you to straighten up as a sign of respect.
“Thank you, Father-”
“Mayhew.” He finished, giving you a gentle nod as you returned the smile and slipped past him through the door frame. It was a small encounter, mere seconds of interaction, and yet you couldn’t shake the image of his smile from your mind for the rest of the day.
That was six months ago, and in the time since, every interaction you’d had with him had only worsened your attraction to him. He was equal parts charismatic and enigmatic, sharing fascinating details of his hobbies and interests and how they brought him closer to God, yet remaining at an arm’s length, keeping parts of himself closed off from you as well as the rest of the clergy.
Today was the day you were to begin your official commitment to your religious journey, ready to begin the years-long journey to take your vows. There was one final requirement you had to complete, needing to amend the oversight your parents had made in never getting around to having you baptized as a child.
You’d spent the majority of the day working on your studies, doing everything you could to distract yourself from the nerves growing in your tummy over your baptism ceremony. You weren’t nervous about the ceremony itself, it was a private ritual to be held before only God, you, and the priest performing it at an hour late enough that most of the convent would be fast asleep. The only problem was that the priest performing your baptism was none other than the man you’d become desperate for, Father Mayhew.
You had completed your post-dinner stroll around the campus, the sun set well below the horizon as the moon rose high in the sky. It was almost time, and when you returned to your dormitory, you stripped from your robes and hopped into a cold shower the moment the door shut behind you. Cleanliness was next to Godliness afterall, and the heat in your cheeks caused by your wandering mind needed to be quelled before facing the man at the center of your wildest fantasies.
When you had finally calmed yourself to a manageable level you stepped out of the shower, quickly wicking the water droplets off of your skin before pulling the flowy cotton nightgown over your bare body. You didn’t bother with undergarments, knowing they’d be just another layer of soaking wet fabric you’d have to peel from your shivering body in likely less than an hour.
You made your way down the hallway of the dormitory, your simple black ballet flats clicking gently against the sleek tile floor. After what felt like forever, you finally arrived at the connecting door of the chappel, pausing momentarily to gather your nerves one last time. The large wooden door creaked as you slowly pushed it open, moonlight shining through the tall stained glass portraits lining the walls of the hall. The flicker of candlelight pulled your eye to the baptismal font, flames dancing in the reflection of the pool.
Charlie stood tall, his hands folded behind his back as you slowly closed the space between you, stopping when there remained only a foot of space.
“Good evening, Father.” You greeted, barely above a whisper. He returned the greeting and you couldn’t help but notice the way his eyes lingered on your damp hair. You realized it was the first time he’d seen it completely uncovered since that first day you met six months ago, and you had to fight the urge to attempt to cover yourself. You were supposed to be in as natural of a state as possible in order to properly cover yourself in God’s protection, that was why you agreed to a full immersion baptism in the first place. There was no need to hide yourself from him tonight.
“Let’s begin.” He extended his hand to you, giving a reassuring smile as he guided you to the edge of the basin, taking each step into the lukewarm water. When you reached the center of the small pool, you observed the way the water level barely reached his knee but was fully up to your upper thigh, making your height difference glaringly obvious. You shivered, not only from the slight temperature of the holy water around you, but also the intimidation that his stature brought as he looked down at you.
“Cross your arms over your chest, please.” He instructed, taking a step closer to you so his torso was mere millimeters from being flush with yours, his right arm wrapping around your waist to cradle your lower back just above your tailbone.
“I’m going to do a short reading, then guide you to fall back into the water. You’ll only be under for a second, and I’ll pull you back out.” His voice was low, dulcet tones pairing beautifully with the atmosphere the dim lighting of the room created and you felt that familiar sin rising between your thighs, unable to remove your gaze from his immaculately sculpted facial features. You nodded in understanding, holding your arms across your heaving chest, hoping they disguised the evidence of your rapid heart rate and increasingly labored breaths.
“The Lord will cleanse the baptized from their impurities and idols, and give them a new heart and spirit. Through faith in Christ's death, God makes the baptized one with himself. May our sister lead a life worthy of her vocation, and preserve the unity of the Spirit.” He chanted, executing the sign of the cross before his free hand wrapped behind your shoulder to cradle you, exchanging a slight nod before you shut your eyes and allowed your body to fall back, holy water engulfing every inch of you for only a moment.
His strong arms lifted you out back out of the water, helping you find your footing on shaky knees, all the while your eyes remained shut. You hadn’t anticipated how sheer your shroud would become once it had taken on water, the lightweight linen clinging to every curve and contour of your body. Your whole frame shivered, painfully aware of the fact that your nipples were glaringly pert against the soaked fabric.
“You can open your eyes.” His hands remained around your waist, squeezing slightly with the lighthearted words as he waited for your response to finally being cleansed and fully protected.
Charlie couldn’t deny that his natural desires were running rampant at the sight of you, all wet and shivering on trembling legs like a fawn who’d slipped through the ice of a frozen lake, barely making it back to shore. Your nightgown was exceedingly translucent as it clung to your most intimate parts, the dark outline of your tattoos being what shocked him the most despite the allure of your breasts.
He hadn’t anticipated a girl with a face as angelic as yours could possibly be hiding markings such as these beneath the long sleeves he’d only ever seen you in. But then again, he doubted you’d ever anticipate the deep scars that adorned his back either. You weren’t the girl who had chosen to get those tattoos anymore, but he wondered if the girl you were now still had such a strong penchant for pain.
When you finally opened your eyes, ready to face the embarrassment of your exposed chest, you were surprised to find Father Mathew’s gaze not fixated on your breast, but rather your arms. You were so used to your tattoos, they barely even registered in your mind when you saw your reflection in the mirror each morning, so you had completely overlooked the fact that no one in the parish knew about them.
“I-I was a very different person when I got them.” You stumbled over your words, feeling a strong sense of insecurity about the way you’d dishonored your body in the eyes of the church.
“I find them to be an exquisite decoration of the temple that is your body, you know I don’t believe in the enforcement of many of the strict rules of the old church. You don’t have to justify yourself to me.” His right hand left your hip, finding your arm and lifting it to his mouth, plush lips placing firm kisses over the prominent vein at the base of your wrist before making his way further up, following the trail of your tattoos.
You mewled like a frightened kitten, so incredibly touch starved after a year of celibacy that you thought you might cum just from the heat of his mouth against your sensitive skin. As he pushed the sopping wet fabric of the bell sleeve further up your arm, your eyes fluttered shut, knees going weak again. You couldn’t believe he was touching you this way, even just chaste kisses along your limbs forcing the heat in your core to reach a boiling point. You couldn’t do this.
“Father, stop.” You tried to be as stern as possible but it came out as nothing more than a halfhearted sigh of defeat, your eyes pulled into a desperate plead. You wanted more, needed him so deep inside you that he might fill the God-shaped hole in your heart, but you were preparing to take a vow. That was the whole point of this, the very reason you were here with him in the first place.
“Now that you’ve been baptized, you are cleansed of your past sins and will be forgiven for those you commit going forward. We are and always will be sinners.” The look in his eyes was nothing but carnal, all reservations you held melting away with his insight.
“Fuck it.” You replied, a bit of the old you peeking through for a split second. Hearing that filthy word leave your cherubic lips set something off in him, causing him to drop your wrist and use his strong grip to pull you by your waist until you were completely flush with him, his mouth quickly finding yours in a kiss so forceful you wondered if your lip would bruise.
His hands were everywhere, squeezing and groping at your tender flesh through the fabric, almost fighting with the garment as it clung to your skin. You quickly grabbed for the hem still floating against your thighs in the water, peeling it as high up as you could before being forced to break away from him to pull it over your head. The sheer weight of the soaked gown was almost too much for you to lift, your arms shaking as you attempted to move it over your head.
Charlie took the bunched fabric from you, lifting it the rest of the way so you were finally free, completely nude in front of his still fully dressed state. You felt more vulnerable than ever before, so exposed in such a holy place, all the while he still held all of his modesty beneath his sleek black clerical shirt and slacks, barely saturated by the low water level.
“Good lord, you’re straight out of a renaissance painting.” He eyed you up and down, admiring every detail of your trembling body before his eyes settled on your breasts. His mouth began to water, the need to have his mouth on you again overwhelming his every thought. He closed the space between you once more, pushing you until your back hit the side of the pool.
“Up.” He mumbled against your neck, slender fingers gripping into the flesh of your hips as you jumped, his firm hold guiding your ass up onto the ledge, your feet dangling in the water. He pushed your thighs apart and pulled you to the very edge, just teetering on the slick tile. He took a step back, ripping the tab collar from his neck and starting to undo the buttons of his shirt. You instinctively began to close your legs, his eyes boring into you like a beam of sunlight.
“Keep them open.” His tone was more stern, hand reaching out to push your knee to its previous position.
“You hold heaven’s gate between your thighs, angel. Give me a chance to take it all in.” His voice was like smoked honey, smooth and intoxicating simultaneously, his nimble fingers expertly undoing the last of the buttons on his shirt before peeling it off of his toned arms. He made quick work of undoing his slacks, pushing them along with his underwear down his thighs, his hard cock slapping against his lower stomach before bobbing teasingly between his muscular thigh.
You had to fight your jaw from dropping at the sight, his cock just as mesmerizing as the rest of him, all flushed pink and dripping, his shaft taking a slight curve to the right, prominent vein running down the entire length of the left side, and the blushed tip glistening with precum. He nearly laughed at the look on your face, pushing the sound down in his throat to prevent any misinterpretation of his amusement.
He was enamored by you, this anomaly of a woman, equal parts innocent and sinful, all wrapped up in a package he couldn’t resist any longer. He sank to his knees, creating a wave in the water around him as he crawled those last few steps to you, still barely submerged up to his waist.
He placed an open-mouthed kiss to your inner thigh, sucking hungrily on the plush skin in a trail leading straight to your pussy, blushed purple and red bruises blooming in his wake.
When he reached your cunt, he took a deep breath and exhaled a slow stream of air over your labia, observing the way your breath hitched and your stomach muscles tightened, reactive like a born again virgin.
He gave no warning, practically diving into your folds, tongue lapping hungrily at the nectar dripping from your entrance, like Samson drinking from the rock basin after nearly dying of thirst.
His large hands held your thighs apart with a determination you’d never felt, the pads of his manicured fingers digging into your skin hard enough to bruise. Your hands moved to his perfectly quaffed hair, undoing the gelled style with the run of your dainty fingers through it, finding the tresses at the nape of his neck and pushing his face closer still to your cunt.
He was relentless, alternating in broad strokes and pointed flicks against your clit until your thighs shook, teetering dangerously close to both the edge of the pool and your first outsourced orgasm in over a year.
He replaced his right hand with his shoulder against your thigh to keep you spread wide open, his index and middle fingers broaching your entrance only to be quickly wrapped in your tight warmth, your neglected walls clinging to any stimulation they could get. One, two, three curls of his fingers against the velvety soft patch inside of you had you riding his face without inhibition, your cries of pleasure dulled only by your own hand clamped over your open mouth.
You couldn’t remember the last time you had cum that quickly, his actions drawing an unceremoniously fast reaction from you and you almost felt betrayed by your own body, unable to control your own sober actions for the first time in God knows how long.
“Need to feel your perfect cunt around my cock.” He panted through labored breaths as he finally pulled away from your overly sensitive clit, the bottom half of his face glistening just the same as your cunt.
He rose to his feet, taking you by the hips again and helping you back into the water, a chill running up your spine at the change in temperature. Your feet had barely touched the tile at the bottom before he was hauling you to the steps, gently pushing down on your shoulder to sit on the middle step.
“I want to see your angelic face while I ruin you.” He took your ankles in his grip, forcing your legs up to your chest as he knelt on the step below yours, aligning the head of his shaft with your weeping entrance. He brought his right hand up to the side of your face, thumb brushing along your jawline before dipping lower, his fingers wrapping firmly around your throat as he entered you fully with a single thrust. You gasped, the corners of your mouth pulling into a devilish smile at the sudden show of control, reveling in the feeling of his thick cock stretching your tight walls.
The holy water around you splashed with every rock of your connected hips, surrounding the place you were intertwined most intimately. Charlie dipped his head down to your chest, taking advantage of the way your back arched away from the edge of the step to take your pert nipple in his mouth, sucking gently at first until it devolved into hungry grazes of teeth and flicks of his expertly trained tongue. His grip on your throat tightened, his forearm pressing down on your other breast as he braced himself against the tile with his free hand.
You threw your head back, crying out in soft whimpers as he moaned against your breast, the upward angle of his thrusts causing the head of his cock to repeatedly hit the soft, sensitive spot deep inside of you, bringing you hurtling toward another orgasm.
“Come on, angel, show God how good this carnal sin feels.” He pulled away from your nipple just long enough to groan out the most blasphemous sentence you’d ever heard in your life, and you almost screamed from how hard he thrust up into you, swearing he had hit your cervix.
“Please, Father!” You moaned, pawing at his back, feeling the raised skin of his scars against your gentle fingertips. You made a mental note to inquire about them after, too lost in the feeling of him drawing you closer and closer to your orgasm to ask questions in the moment.
He rose back up from your chest, an animalistic open-mouth smirk on his face as he squeezed the sides of your neck tighter still, the lack of blood flow to your brain giving you a high you hadn’t quite experienced before. His eyes burned into yours, locked in a gaze you weren’t sure you’d ever be able to break as he gave a few more brutal thrusts into your aching cunt, finally reaching that euphoria you’d been craving from the moment you met him.
“Oh, God!” You cried out, watching the flicker of satisfaction in his eyes as you clamped down around him, forcing him to slow his pace inside of you. His hips began to falter, your cunt milking him relentlessly until the coil snapped, spilling his warm load deep inside of you. Watching the way the vein in his temple strained as he groaned above you gave you the same sense of satisfaction, knowing you could bring him to such a vulnerable state before the God you both served.
When you’d both caught your breath he pulled out of you, milky white cum swirling into the water. You’d almost feel ashamed if it weren’t for the afterglow you resided in, head still spinning from the deliciously pleasurable acts you’d just participated in.
“I have to drain the pool and refill it for tomorrow’s morning Mass, and you need to be back in your dorm before Mother Superior wakes up.” He stated matter-of-factly as he took your hand and helped you out of the pool, still shivering in the cold night air.
“Can we do this again?” You questioned meekly, apprehension setting in as you felt him pulling away from you.
“I’ll come by the dorms tomorrow during your lunch hour.” He squeezed your hand, giving a final reassuring smile as he handed you your now partially dried gown, nodding toward the door before you exchanged goodnights. You spent the rest of your night laying in your bed, slipping in and out of sleep, too distracted by your anticipation for what was to come to ever slip into a proper slumber.
tagging my maywhores <3 (i just came up with that what do we think??): @xxbimbobunnyxx @babygorewhore
please comment or message me if you’d like to be tagged in my charlie mayhew fics going forward!!
1K notes · View notes
mostlysignssomeportents · 2 months ago
Text
Epic Systems, a lethal health record monopolist
Tumblr media
Epic Systems makes the dominant electronic health record (EHR) system in America; if you're a doctor, chances are you are required to use it, and for every hour a doctor spends with a patient, they have to spend two hours doing clinically useless bureaucratic data-entry on an Epic EHR.
How could a product so manifestly unfit for purpose be the absolute market leader? Simple: as Robert Kuttner describes in an excellent feature in The American Prospect, Epic may be a clinical disaster, but it's a profit-generating miracle:
https://prospect.org/health/2024-10-01-epic-dystopia/
At the core of Epic's value proposition is "upcoding," a form of billing fraud that is beloved of hospital administrators, including the "nonprofit" hospitals that generate vast fortunes that are somehow not characterized as profits. Here's a particularly egregious form of upcoding: back in 2020, the Poudre Valley Hospital in Ft Collins, CO locked all its doors except the ER entrance. Every patient entering the hospital, including those receiving absolutely routine care, was therefore processed as an "emergency."
In April 2020, Caitlin Wells Salerno – a pregnant biologist – drove to Poudre Valley with normal labor pains. She walked herself up to obstetrics, declining the offer of a wheelchair, stopping only to snap a cheeky selfie. Nevertheless, the hospital recorded her normal, uncomplicated birth as a Level 5 emergency – comparable to a major heart-attack – and whacked her with a $2755 bill for emergency care:
https://pluralistic.net/2021/10/27/crossing-a-line/#zero-fucks-given
Upcoding has its origins in the Reagan revolution, when the market-worshipping cultists he'd put in charge of health care created the "Prospective Payment System," which paid a lump sum for care. The idea was to incentivize hospitals to provide efficient care, since they could keep the difference between whatever they spent getting you better and the set PPS amount that Medicare would reimburse them. Hospitals responded by inventing upcoding: a patient with controlled, long-term coronary disease who showed up with a broken leg would get coded for the coronary condition and the cast, and the hospital would pocket both lump sums:
https://pluralistic.net/2024/06/13/a-punch-in-the-guts/#hayek-pilled
The reason hospital administrators love Epic, and pay gigantic sums for systemwide software licenses, is directly connected to the two hours that doctors spent filling in Epic forms for every hour they spend treating patients. Epic collects all that extra information in order to identify potential sources of plausible upcodes, which allows hospitals to bill patients, insurers, and Medicare through the nose for routine care. Epic can automatically recode "diabetes with no complications" from a Hierarchical Condition Category code 19 (worth $894.40) as "diabetes with kidney failure," code 18 and 136, which gooses the reimbursement to $1273.60.
Epic snitches on doctors to their bosses, giving them a dashboard to track doctors' compliance with upcoding suggestions. One of Kuttner's doctor sources says her supervisor contacts her with questions like, "That appointment was a 2. Don’t you think it might be a 3?"
Robert Kuttner is the perfect journalist to unravel the Epic scam. As a journalist who wrote for The New England Journal of Medicine, he's got an insider's knowledge of the health industry, and plenty of sources among health professionals. As he tells it, Epic is a cultlike, insular company that employs 12.500 people in its hometown of Verona, WI.
The EHR industry's origins start with a GW Bush-era law called the HITECH Act, which was later folded into Obama's Recovery Act in 2009. Obama provided $27b to hospitals that installed EHR systems. These systems had to more than track patient outcomes – they also provided the data for pay-for-performance incentives. EHRs were already trying to do something very complicated – track health outcomes – but now they were also meant to underpin a cockamamie "incentives" program that was supposed to provide a carrot to the health industry so it would stop killing people and ripping off Medicare. EHRs devolved into obscenely complex spaghetti systems that doctors and nurses loathed on sight.
But there was one group that loved EHRs: hospital administrators and the private companies offering Medicare Advantage plans (which also benefited from upcoding patients in order to soak Uncle Sucker):
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8649706/
The spread of EHRs neatly tracks with a spike in upcharging: "from 2014 through 2019, the number of hospital stays billed at the highest severity level increased almost 20 percent…the number of stays billed at each of the other severity levels decreased":
https://oig.hhs.gov/oei/reports/OEI-02-18-00380.pdf
The purpose of a system is what it does. Epic's industry-dominating EHR is great at price-gouging, but it sucks as a clinical tool – it takes 18 keystrokes just to enter a prescription:
https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2729481
Doctors need to see patients, but their bosses demand that they satisfy Epic's endless red tape. Doctors now routinely stay late after work and show up hours early, just to do paperwork. It's not enough. According to another one of Kuttner's sources, doctors routinely copy-and-paste earlier entries into the current one, a practice that generates rampant errors. Some just make up random numbers to fulfill Epic's nonsensical requirements: the same source told Kuttner that when prompted to enter a pain score for his TB patients, he just enters "zero."
Don't worry, Epic has a solution: AI. They've rolled out an "ambient listening" tool that attempts to transcribe everything the doctor and patient say during an exam and then bash it into a visit report. Not only is this prone to the customary mistakes that make AI unsuited to high-stakes, error-sensitive applications, it also represents a profound misunderstanding of the purpose of clinical notes.
The very exercise of organizing your thoughts and reflections about an event – such as a medical exam – into a coherent report makes you apply rigor and perspective to events that otherwise arrive as a series of fleeting impressions and reactions. That's why blogging is such an effective practice:
https://pluralistic.net/2021/05/09/the-memex-method/
The answer to doctors not having time to reflect and organize good notes is to give them more time – not more AI. As another doctor told Kuttner: "Ambient listening is a solution to a self-created problem of requiring too much data entry by clinicians."
EHRs are one of those especially hellish public-private partnerships. Health care doctrine from Reagan to Obama insisted that the system just needed to be exposed to market forces and incentives. EHRs are designed to allow hospitals to win as many of these incentives as possible. Epic's clinical care modules do this by bombarding doctors with low-quality diagnostic suggestions with "little to do with a patient’s actual condition and risks," leading to "alert fatigue," so doctors miss the important alerts in the storm of nonsense elbow-jostling:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5058605/
Clinicians who actually want to improve the quality of care in their facilities end up recording data manually and keying it into spreadsheets, because they can't get Epic to give them the data they need. Meanwhile, an army of high-priced consultants stand ready to give clinicians advise on getting Epic to do what they need, but can't seem to deliver.
Ironically, one of the benefits that Epic touts is its interoperability: hospitals that buy Epic systems can interconnect those with other Epic systems, and there's a large ecosystem of aftermarket add-ons that work with Epic. But Epic is a product, not a protocol, so its much-touted interop exists entirely on its terms, and at its sufferance. If Epic chooses, a doctor using its products can send files to a doctor using a rival product. But Epic can also veto that activity – and its veto extends to deciding whether a hospital can export their patient records to a competing service and get off Epic altogether.
One major selling point for Epic is its capacity to export "anonymized" data for medical research. Very large patient data-sets like Epic's are reasonably believed to contain many potential medical insights, so medical researchers are very excited at the prospect of interrogating that data.
But Epic's approach – anonymizing files containing the most sensitive information imaginable, about millions of people, and then releasing them to third parties – is a nightmare. "De-identified" data-sets are notoriously vulnerable to "re-identification" and the threat of re-identification only increases every time there's another release or breach, which can used to reveal the identities of people in anonymized records. For example, if you have a database of all the prescribing at a given hospital – a numeric identifier representing the patient, and the time and date when they saw a doctor and got a scrip. At any time in the future, a big location-data breach – say, from Uber or a transit system – can show you which people went back and forth to the hospital at the times that line up with those doctor's appointments, unmasking the person who got abortion meds, cancer meds, psychiatric meds or other sensitive prescriptions.
The fact that anonymized data can – will! – be re-identified doesn't mean we have to give up on the prospect of gleaning insight from medical records. In the UK, the eminent doctor Ben Goldacre and colleagues built an incredible effective, privacy-preserving "trusted research environment" (TRE) to operate on millions of NHS records across a decentralized system of hospitals and trusts without ever moving the data off their own servers:
https://pluralistic.net/2024/03/08/the-fire-of-orodruin/#are-we-the-baddies
The TRE is an open source, transparent server that accepts complex research questions in the form of database queries. These queries are posted to a public server for peer-review and revision, and when they're ready, the TRE sends them to each of the databases where the records are held. Those databases transmit responses to the TRE, which then publishes them. This has been unimaginably successful: the prototype of the TRE launched during the lockdown generated sixty papers in Nature in a matter of months.
Monopolies are inefficient, and Epic's outmoded and dangerous approach to research, along with the roadblocks it puts in the way of clinical excellence, epitomizes the problems with monopoly. America's health care industry is a dumpster fire from top to bottom – from Medicare Advantage to hospital cartels – and allowing Epic to dominate the EHR market has somehow, incredibly, made that system even worse.
Naturally, Kuttner finishes out his article with some antitrust analysis, sketching out how the Sherman Act could be brought to bear on Epic. Something has to be done. Epic's software is one of the many reasons that MDs are leaving the medical profession in droves.
Epic epitomizes the long-standing class war between doctors who want to take care of their patients and hospital executives who want to make a buck off of those patients.
Tumblr media
Tor Books as just published two new, free LITTLE BROTHER stories: VIGILANT, about creepy surveillance in distance education; and SPILL, about oil pipelines and indigenous landback.
Tumblr media Tumblr media
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/2024/10/02/upcoded-to-death/#thanks-obama
Tumblr media
Image: Flying Logos (modified) https://commons.wikimedia.org/wiki/File:Over_$1,000,000_dollars_in_USD_$100_bill_stacks.png
CC BY-SA 4.0 https://creativecommons.org/licenses/by-sa/4.0/deed.en
816 notes · View notes
sayruq · 8 months ago
Text
Tumblr media Tumblr media
[SOURCE]
In early November, Israel began warning that al-Shifa Hospital, Gaza’s largest, where thousands of civilians were sheltering, was being used by Hamas as a major command center. That prompted a vigorous debate among Biden officials over whether to publicly support Israel’s claim, according to three senior administration officials who spoke on the condition of anonymity to disclose internal discussions. Some worried that Israel would see such a statement as a green light to raid the hospital, while others wanted to use the information to show the public how Hamas embedded itself among civilians to underline the complexities Israel faced. On Nov. 14, the White House decided to publicly back Israel on the matter. “We have information that confirms that Hamas is using that particular hospital for a command-and-control mode,” Kirby told reporters aboard Air Force One, citing declassified intelligence. “That is a war crime.” Kirby added that the White House did not “want to see a firefight in the hospital where innocent people, helpless people, sick people are simply trying to get the medical care that they deserve.” Hours later, the IDF began its raid of al-Shifa, drawing condemnation from the World Health Organization and human rights groups. The hospital’s operations collapsed, resulting in the death of least 40 patients, including four premature babies, according to the United Nations. Van Hollen, who had received a classified briefing about the U.S. intelligence on al-Shifa, said there were “important and subtle differences” between what Biden officials were saying publicly and what the intelligence actually showed. “I did find there to be some disconnect between the administration’s public statements and the classified findings,” the senator said.
2K notes · View notes
evediamonte44 · 2 months ago
Text
What college major is best for you based on you 9th house.
Tumblr media
Earth signs:
Capricorn 9th house: dentistry, investing, business, chiropractic studies, finance, engineering, cheif executive ( any major that deals with discipline & structure
Virgo 9th house: Performs well with majors involving acts of service(nursing, social work, psychology, teaching, accounting, dietitians, health care)
Taurus 9th house: Finance, Business, accounting, culinary arts, food science, real estate, agriculture business, investing, design (a calm and stable work environment with assured stability is best).
Air signs:
Gemini 9th house : communications, telecommunications,public administration,public relations, teaching, sales, advertising, art & design( any majors that encourages mental growth & really gets you to socialize & think)
Libra 9th house: law, politics, esthetician/ skin care specialists, real estate,
Aquarius 9th house: Computer science, engineering tech related, space related majors, mechanics.
Water signs:
Cancer 9th house: Real estate, nursing, pediatric care, child psychology, physical therapy, dermatology.
Scorpio 9th house: psychology, anthropology, mortuary services, accounting, finance,cognitive science, Forensics, casino management, banking (does well with deep & taboo majors).
Pisces 9th house: music, astronomy, journalism, film, literature,therapist, environmental science, earth science, biochemistry.
Fire signs:
Aries 9th house: militaristic studies, flight, fire studies(prevention, protection,investigation,) fire fighting, law, business, engineering, entrepreneurship, kinesiology.
Leo 9th house: Acting, Dance, design & applied arts, drama, Film, Art, Hairstyling, advertising, pediatric, teaching, social work, entertainment services.
Sagittarius 9th house: Aviation( flight degrees, philosophy, religious studies. Foreign languages, cultural studies, theology.
576 notes · View notes
justinspoliticalcorner · 7 months ago
Text
Christopher Mathias at HuffPost:
A coalition of 185 social justice and religious groups published an open letter Monday expressing support for the campus protest encampments sweeping the country in opposition to Israel’s siege of Gaza, and calling on university administrators to end the brutal crackdowns of the student-led demonstrations. “We commend the students who are exercising their right to protest peacefully despite an overwhelming atmosphere of pressure, intimidation and retaliation, to raise awareness about Israel’s assault on Gaza — with U.S. weapons and funding,” the letter states. “These students have come forth with clear demands that their universities divest from corporations profiting from Israeli occupation, and demanding safe environments for Palestinians across their campuses. ” Groups that signed the letter include Gen-Z for Change, Working Families Party, IfNotNow Movement, Young Democrats of America Black Caucus, Movement for Black Lives, Sunrise Movement, MPower Change, Jewish Voice for Peace, Palestine Legal, and the Unitarian Universalist Association.
Some 900 students have been arrested during anti-war encampments and demonstrations at American universities in the last 10 days, per a tally from Al Jazeera — a tumultuous period that mirrors volatile demonstrations against the Vietnam War in 1968, when police arrested at least 700 students. The open letter Monday represents one of the largest shows of support among progressive groups for the burgeoning student protests, and makes clear the divide between establishment Democratic figures and social justice groups when it comes to U.S. support for Israel. President Joe Biden has refused so far to condition the sale of weapons to Israel. “Our communities have been horrified to see the militarized and violent response to students protesting an ongoing genocide funded and supported by our government, and our coalition of organizations join millions of our members across the country in standing in solidarity with the students’ efforts in support of the people of Gaza,” Yasmine Taeb, one of the main organizers of the letter, told HuffPost. Taeb is a human rights lawyer and political director at MPower Change, a Muslim social justice group.
“Instead of attacking young people mobilizing for Palestinian human rights, President Biden needs to listen to the majority of Americans who have been calling on him to stop funding and supporting the atrocities committed against the people of Gaza,” Taeb said.
[...] Israel has killed over 33,000 Palestinians since Oct. 7, when the Gaza-based militant group Hamas launched an attack in which nearly 1,200 Israelis were killed. In January, the International Court of Justice ruled that Israel’s siege of Gaza — which has displaced 85% of the population and put the occupied territory on the cusp of famine — left Palestinians at risk of experiencing a genocide. Last week, health officials in Gaza said medics had discovered mass graves at hospitals raided by Israeli troops. “We join [the students] in calling for an immediate and lasting ceasefire and an end to the U.S. government’s and institutions’ role in the ongoing genocide of Palestinians in Gaza,” Monday’s letter states. “As we stand in solidarity with the students protesting in encampments across the country, we reaffirm our commitment to amplifying their voices, condemn the university administration officials’ violent response to their activism, and demand that universities remove the presence of police and other militarized forces from their campuses,” it continues.
[...] Meanwhile, Republican Party officials and right-wing media figures have accused the demonstrations of antisemitism, falsely equating criticism of Israel with bigotry towards Jews. Although there have been scattered reports of actual antisemitic incidents at or near the encampments, many were not perpetrated by students but by interlopers. Many of the student protesters across the country are Jewish. Far-right agitators, including Christian nationalist activists, have also targeted the encampments, with MAGA pastor Sean Feucht leading hundreds of Christian and Jewish Zionists on a march around the Columbia campus on Thursday. The rally ended with pro-Israel demonstrators yelling through the gate at pro-Palestinian Columbia students. “Go back to Gaza!” they screamed.
More than 185 groups, including IfNotNow, Jewish Voice For Peace, MPower Change, and Working Families Party, signed a letter in support of the campus protests against Israel Apartheid State's genocide against Palestinians in Gaza.
748 notes · View notes
kick-a-long · 3 months ago
Text
Stuff like this is why I get so pissed off at accusations of genocide and apartheid.
Why would a genocidal country pause a war to vaccinate at least 90% of Gaza kids against polio as soon as the first case of a two year old paralyzed by type 2 poliovirus is confirmed? If they wanted gazans wiped off the earth they would keep the war going and vaccinate Israeli kids and citizens. If they wanted them dead they would never vaccinate “the enemy.” Russia wouldn’t do that.
I see you dickheads in the comments, “it’s for optics! Plus they must be worried about Jews getting it from them! That’s the only reason they want to vaccinate anyone. Plus vaccines are poison even checked by the WHO! They probably have autism in them!”
If it’s an apartheid why would Palestinians have access to the same places and bodies of water as Israelis? And if they don’t why would Israel vaccinate. The Regan administration didn’t respond to the HIV outbreak in the 80s because they hated gays and drug users and wanted them sick, spreading it, and most importantly dead. During peace time to their own citizens.
All Israel would have to do is ignore the outbreak.
Vaccines work. Polio is one of the most devastating diseases a kid can get. There’s no medication that can stop the damage once you get the virus. Lil kids die from diarrhea, are paralyzed for life and if they’re immune system doesn’t stop the paralysis at their legs it climbs up their bodies and once it hits their diaphragm (the muscle that lets you breath right under your rip cage) kids as young as a few months old to their teens will die from lack of air. Both are the absolute worst and most painful ways a person can die. Waking nightmare delusions from dehydration and low oxygen on top of the physical pain.
Nazis infected Jews with this shit intentionally to study how polio affects children. Israel is stopping in the middle of a war to end the polio outbreak when they are still trying to rescue kids so young they have spent the majority of their lives on earth in Hamas captivity. And after only one kid was confirmed with polio type 2, the one that causes paralysis.
How can it be a genocide or an apartheid when they are literally helping safeguard Palestines next generation of kids?
453 notes · View notes
autumnoakes · 2 months ago
Text
i can really just. not tell my mom things?
0 notes
reasonsforhope · 2 months ago
Text
Tumblr media
Article | Paywall-Free
"The Environmental Protection Agency finalized a rule Tuesday [October 8, 2024] requiring water utilities to replace all lead pipes within a decade, a move aimed at eliminating a toxic threat that continues to affect tens of thousands of American children each year.
The move, which also tightens the amount of lead allowed in the nation’s drinking water, comes nearly 40 years after Congress determined that lead pipes posed a serious risk to public health and banned them in new construction.
Research has shown that lead, a toxic contaminant that seeps from pipes into the drinking water supply, can cause irreversible developmental delays, difficulty learning and behavioral problems among children. In adults, according to the Centers for Disease Control and Prevention, lead exposure can cause increased blood pressure, heart disease, decreased kidney function and cancer.
But replacing the lead pipes that deliver water to millions of U.S. homes will cost tens of billions of dollars, and the push to eradicate them only gathered momentum after a water crisis in Flint, Mich., a decade ago exposed the extent to which children remain vulnerable to lead poisoning through tap water...
The groundbreaking regulation, called the Lead and Copper Rule Improvements, will establish a national inventory of lead service lines and require that utilities take more aggressive action to remove lead pipes on homeowners’ private property. It also lowers the level of lead contamination that will trigger government enforcement from 15 parts per billion (ppb) to 10 ppb.
The rule also establishes the first-ever national requirement to test for lead in schools that rely on water from public utilities. It mandates thatwater systems screen all elementary and child-care facilities, where those who are the most vulnerable to lead’s effects — young children — are enrolled, and that they offer testing to middle and high schools.
The White House estimates that more than 9 million homes across the country are still supplied by lead pipelines, which are the leading source of lead contamination through drinking water. The EPA has projected that replacing all of them could cost at least $45 billion.
Lead pipes were initially installed in cities decades ago because they were cheaper and more malleable, but the heavy metal can wear down and corrode over time. President Joe Biden has made replacing them one of his top environmental priorities, securing $15 billion to give states over five years through the bipartisan infrastructure law and vowing to rid the country of lead pipes by 2031. The administration has spent $9 billion so far — enough to replace up to 1.7 million lead pipes, the administration said.
On Tuesday, the administration said it was providing an additional $2.6 billion in funding for pipe replacement. Over 367,000 lead pipes have been replaced nationwide since Biden took office, according to White House officials, affecting nearly 1 million people...
Environmental advocates said that former president Donald Trump, who issued much more modest revisions to the lead and copper rule just days before Biden took office, would have a hard time reversing the new standards.
Erik Olson, the senior strategic director for health at the Natural Resources Defense Council, said that the Safe Drinking Water Act has provisions prohibiting weakening the health protections of existing standards...
Olson added that the rule “represents a major victory for public health” and will protect millions of people “whose health is threatened every time they fill a glass from the kitchen sink contaminated by lead.”
“While the rule is imperfect and we still have more to do, this is by far the biggest step towards eliminating lead in tap water in over three decades,” he said."
-via The Washington Post, October 8, 2024
2K notes · View notes