#kaiser needs therapy stat
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Yeah so let's talk about Kaiser's self harm here.
I read this chapter and was thinking about this last scene in particular just because it's very unnerving to think about Kaiser literally trying to deprive himself of air to "think" of a plan to beat Isagi. And since this is also the chapter where we are finally given the backstory behind his motivations, and where the Blue Rose tattoo came from, it puts into perspective just why it's on his neck instead of in a different place.
If the blue rose is supposed to be a reminder of how the impossible can be made possible to Kaiser, than I also think it's a representation of the actual pressure he puts on himself to do just that. He's literally choking himself out here to think, and deliberately putting the force over that tattoo because that's the center of his ideals, the reason he's even trying to do the things he's doing.
I also find it very ironic that Kaiser says he wants to be someone who can't be defined, the impossible. Because the crux of his issue is that he can't define Isagi.
He and Isagi are just so alike that even trying to understand him on a basic level when playing together is hard for Kaiser, and not because Isagi is some complex person but because he doesn't see that Isagi is a direct parallel to himself, a mirror in a way. Another observation I made is that in this panel and a lot of other panels where Kaiser is off the field, we can see that he has his hair tied back.
Kaiser keeps his hair in a specific way not just because he likes the style, but to show off that tattoo on his neck. So that it can always be a present reminder of what he's striving for. But you can tell in this panel that it's WAY shorter than it is now, and that it's grown out for a while now. At this point of the story, Kaiser probably had a healthy relationship with his own motivations and just looking at the rose was enough to satiate his ego and keep him going.
But as time went on, and he wasn't close enough to achieving the goals he set out the longer it grew (until it is what it is now) Kaiser's self harm (because that is what he's doing here in that panel) is in an effort to make him "play better". Not everyone self harms to "punish" themselves, it is pretty common for people to do it because they think it'll help them in their goals somehow, a way to think "clearer" like Kaiser is doing.
But it's not at all a healthy coping mechanism. A lot of the Blue Lock characters have their own little "training strategies" that they do after a game when they want to get better, or to simply just think. Isagi seeks out the advice of other people, Kunigami hits the gym, Chigiri likes to do his hair, Bachira likes dribbling, Nagi likes to play games etc.
And Kaiser's way of doing that is...well this. It makes you wonder if he's ever done this before, or if this is a first for him because even Ness seemed incredibly disturbed to find him trying to choke himself out.
#bllk#tw self h4rm#tw self harm mention#blue lock spoilers#micheal kaiser#alexis ness#kaiser needs therapy stat
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April 2021 Learning Network Resources
Trust in Healthcare
Quinn SC, et alt. Addressing Vaccine Hesitancy in BIPOC Communities — Toward Trustworthiness, Partnership, and Reciprocity. NEJM. March 2021 “A primary path toward trust and confidence is relationship building. In too many situations and circumstances, BIPOC communities are asked to ‘help us solve the problems in your community.’ Long-standing and reciprocal relationships between medical and research institutions and BIPOC communities are largely nonexistent. The relationships that do exist are generally short-lived, often enduring only as long as grant funding lasts. For health care and public health institutions to build a reputation of trustworthiness, partnerships rooted in bidirectional communication, capacity building, and reciprocity are required.”
Beach MC, et alt. Testimonial Injustice: Linguistic Bias in the Medical Records of Black Patients and Women. Journal of General Internal Medicine. March 2021 “Black patients may be subject to systematic bias in physicians’ perceptions of their credibility, a form of testimonial injustice. This is another potential mechanism for racial disparities in healthcare quality that should be further investigated and addressed.”
Pollard MS, et alt. Decline in Trust in the Centers for Disease Control and Prevention During the COVID-19 Pandemic. RAND Corporation. March 2021 “As part of a nationally representative RAND American Life Panel (ALP) survey fielded in early May 2020 that assessed how Americans are coping with COVID-19, we asked more than 2,000 individuals to report their levels of trust in a variety of federal institutions, including the CDC, the United States Postal Service (USPS), and the Federal Emergency Management Agency (FEMA). In October 2020, we resurveyed a random sample of 1,892 of the original respondents and asked them to report their levels of trust again. In this report, we compare individual-level changes in trust in the CDC, USPS, and FEMA between May and October 2020. Responses are weighted to match a range of population distributions in the Current Population Survey and voting behavior.”
Carolla B, et alt. Are Health Centers Facilitating Equitable Access to COVID-19 Vaccinations? Kaiser Family Foundation. March 2021 “These early data show that health centers appear to be reaching people of color at a higher rate than overall vaccination efforts. While vaccinations at health centers represent a relatively small share of total vaccinations administered nationally to date, further ramping up health centers’ involvement in vaccination efforts at the federal, state, and local levels will likely be a meaningful step in reaching people of color and advancing equity on a larger scale.”
Tharakan S, et alt. The impact of the globalization of cancer clinical trials on the enrollment of Black patients. American Cancer Society. March 2021 “The globalization of cancer clinical trials is associated with a widening racial enrollment disparity gap in the United States. The impact of global trials on domestic clinical trial generalizability warrants further consideration from a regulatory and policy standpoint.”
Bleich SN, et alt. Addressing Racial Discrimination in US Health Care Today. JAMA Health Forum. March 2021 “From the public statements and initial actions of the Biden administration, it is clear that addressing racial discrimination will be a high policy priority. This comes alongside a growing national awareness of the seriousness of this problem by leadership groups in health care and medicine. This article addresses 2 central issues related to racial discrimination in health care: the extent of reported discrimination in various health care settings among Black and Latinx households and recommended policies to hold health care institutions accountable for addressing racial discrimination.”
Bogart LM, et alt. What Contributes to COVID-19 Vaccine Hesitancy in Black Communities, and How Can It Be Addressed? RAND Corporation. March 2021 “Recent polls show that Black Americans are less willing than Americans of other races or ethnicities to be vaccinated for COVID-19. These lower vaccination rates among Black Americans would further widen COVID-19 inequities in diagnosis, hospitalization, and mortality. A main driver of hesitancy among Black Americans is thought to be general mistrust of health care systems and providers. Such mistrust has arisen in Black communities as an understandable, rational, and self-protective reaction to history, knowledge, and continuous and repeated discrimination, racism, and harmful experiences toward Black Americans by the health care system, health care providers, and the U.S. government.”
Blogs, Issue Briefs, Opinion Pieces and More…
Hyun D, et alt. Many hospitalized Covid-19 patients are given antibiotics. That’s a problem. STAT. March 2021. “As the Covid-19 pandemic continues into its second year, public health experts are increasingly concerned that the response to this global crisis may be accelerating another one: the development and persistence of the antibiotic-resistant bacteria known as superbugs. Why? All antibiotic use hastens the emergence of resistance. And although antibiotics aren’t used to treat Covid-19, which is a viral illness, they’re often prescribed to Covid-19 patients who are at risk for bacterial infection.”
Khullar D, et alt. Imagining a World Without Low-Value Services: Progress, Barriers, and the Path Forward. AJMC. March 2021 “Low-value services are a major problem in the US health care system. We believe that the coronavirus disease 2019 pandemic’s unprecedented impact on the health system, and society writ large, offers an opportunity to reshape the conversation and incentives around low-value services. This article explores current barriers to and opportunities for accelerating progress toward high-value care delivery.”
Brownlee SM, et alt. Better understanding the downsides of low value healthcare could reduce harm. BMJ. March 2021 “Today, efforts to quantify and tackle gaps in patient safety have expanded far beyond anaesthesia. A distinct discipline with its own emerging scientific framework, patient safety has been declared ‘one of the most important components of healthcare delivery’ by the World Health Organization. Yet there is one area of healthcare that remains sorely in need of similar data on harm and an equally sustained worldwide effort to reduce it. That area is overuse of low value healthcare services.”
For Cancer Screening, COVID-19 Pandemic Creates Obstacles, Opportunities. National Cancer Institute. March 2021 “The pandemic may lead to other potential innovations in cancer screening. Some physicians are already using video conferencing tools to educate people about screening tests, while others are discussing ways to focus screening resources on those most at risk of developing cancer.”
Journals
Maust DT, et alt. Prevalence of Central Nervous System-Active Polypharmacy Among Older Adults With Dementia in the US. JAMA. March 2021 “In this cross-sectional analysis of Medicare claims data, 13.9% of older adults with dementia in 2018 filled prescriptions consistent with CNS-active polypharmacy. The lack of information on prescribing indications limits judgments about clinical appropriateness of medication combinations for individual patients.”
Park S, et alt. Trends in Use of Low-Value Care in Traditional Fee-for-Service Medicare and Medicare Advantage. JAMA. March 2021 “This cross-sectional study found that use of low-value care was similarly prevalent in MA and TM, suggesting that MA enrollment was not associated with decreased provision of low-value care compared with TM.”
Soong C, et alt. Advise non-pharmacological therapy as first line treatment for chronic insomnia. BMJ. March 2021 “Guidelines recommend non-pharmacological approaches, including cognitive behavioural therapy, as first line treatment for chronic insomnia in adults (box 1).12345 Yet, sedatives are commonly prescribed to treat insomnia.”
Habib AR, et alt. Recommendations From Breast Cancer Centers for Frequent Screening Mammography in Younger Women May Do More Harm Than Good. JAMA Internal Medicine. March 2021 “The most recent (2016) US Preventive Services Task Force (USPSTF) breast cancer screening recommendations for women with average risk advise biennial screening in women aged 50 to 74 years. Among younger women (aged 40-49 years), the estimates of reduced breast cancer mortality are smaller and have more uncertainty, and the rates of potential harm are higher. Thus, the USPSTF does not recommend routine screening but suggests individualization based on shared decision-making.”
Jonas DE, et alt. Screening for Lung Cancer With Low-Dose Computed Tomography Updated Evidence Report and Systematic Review for the US Preventive Services Task Force. JAMA. March 2021 “Screening high-risk persons with LDCT can reduce lung cancer mortality but also causes false-positive results leading to unnecessary tests and invasive procedures, overdiagnosis, incidental findings, increases in distress, and, rarely, radiation-induced cancers. Most studies reviewed did not use current nodule evaluation protocols, which might reduce false-positive results and invasive procedures for false-positive results.”
Maust DT, et alt. Prevalence of Central Nervous System–Active Polypharmacy Among Older Adults With Dementia in the US. JAMA. March 2021 “In this cross-sectional analysis of Medicare claims data, 13.9% of older adults with dementia in 2018 filled prescriptions consistent with CNS-active polypharmacy. The lack of information on prescribing indications limits judgments about clinical appropriateness of medication combinations for individual patients.”
Krist AH. Screening for Lung Cancer US Preventive Services Task Force Recommendation Statement. JAMA. March 2021 “To update its 2013 recommendation, the US Preventive Services Task Force (USPSTF) commissioned a systematic review on the accuracy of screening for lung cancer with low-dose computed tomography (LDCT) and on the benefits and harms of screening for lung cancer and commissioned a collaborative modeling study to provide information about the optimum age at which to begin and end screening, the optimal screening interval, and the relative benefits and harms of different screening strategies compared with modified versions of multivariate risk prediction models.”
Bai F, et alt. Stroke Risk Factor Status and Use of Stroke Prevention Medications Among Hispanic/Latino Adults in HCHS/SOL. Stroke. March 2021 “Hispanic/Latino adults in the United States have high prevalence and awareness of VRFs but low adherence to secondary stroke prevention strategies. Older adults, women, and uninsured people are vulnerable groups that may benefit from targeted interventions.”
Media
Moloney S. NYC Health + Hospitals Adopt COVID-19 Care Recommendations of Board of Internal Medicine. Norwood News. March 2021 “NYC Health + Hospitals announced on March 16, that it has adopted the American Board of Internal Medicine (ABIM) Foundation guidelines, system-wide, to further reduce the potential spread of COVID-19, and keep staff and patients safe during the pandemic. The COVID-19 ‘Choosing Wisely’ guidelines advise healthcare providers on eliminating unnecessary testing and treatment in an effort to reduce exposure to COVID-19. The guidelines also incorporate specific, evidence-based recommendations clinicians should consider to utilize limited resources wisely, such as blood transfusions.”
Harris R. Antibiotic Use Ran High In Early Days Of COVID-19, Despite Viral Cause. NPR. March 2021 “Doctors treating COVID-19 patients early in the pandemic often reached for antibiotics. But those drugs were not helpful in most cases, and overuse of antibiotics is a serious concern.”
Davenport L. Swallowable Capsule-Camera Instead of Endoscopy for Use at Home. Medscape. March 2021 “A miniature camera the size of a capsule that is swallowed and that then transmits images of the inside of the gut can reveal cancer and gastrointestinal diseases. The device, which will be studied in a trial conducted by the National Health Service (NHS) in England, is used by patients at home instead of having to visit a clinic for an endoscopy.”
Marchione M, et alt. Researchers study impact of pandemic cancer screening pause. Associated Press. March 2021 “Millions of colonoscopies, mammograms, lung scans, Pap tests and other cancer screenings were suspended for several months last spring in the United States and elsewhere as COVID-19 swamped medical care. Now researchers are studying the impact, looking to see how many cancers were missed and whether tumors found since then are more advanced.”
The post April 2021 Learning Network Resources first appeared on Choosing Wisely.
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i want cheap insurance so will buying a classic help that?
Do I add Real Estate company to car insurance policy?
My mom and I were hired by a well known real estate company. We are on the same auto insurance policy (clean records). When we were hired, while in training, I called around for quotes. I explained that I did not know how many miles I would be driving yet. The agent said I keep it where it was and if I notice I drive around more to call and adjust the rate. I was up front about getting into real estate. The quote was good. Two weeks letter I get a letter I have to fill out for the auto company. They want to know millage again and if I will be using the cars for work. I was honest about everything, including the company.. I received a notice today that my policy went up almost $400 because they upped my milage (I put between 9-15k, so of course they went in and put in 15k LOL.... but even brining down that, because the company is on there, I am under a business policy ... Is this correct?""
New health insurance question?
How long after health insurance policy starts can you go to the doctor? My insurance starts on 11/01/08 just wondering how long should I wait to go to the doctor for my yearly checkup?
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free instant insurance quotes
Long Term Disability - Life Insurance?
If you were no longer able to work and went on short and then long term disability from your job and then you die, is your family still eligible for life insurance that you had through your employer?""
Where to find cheap insurance in ontario?
I'm turning 22 had a Kawasaki Ninja 250R as a starter bike and looking to upgrade to something bigger. I have a clean record but any online quote I get for a bike 600cc or higher results in $10,000/year or higher in insurance. I see guys my age riding around all the time on R6s and CBR600RRs and I don't understand it. Am I missing something? Any suggestions would be greatly appreciated.""
Would I still need to keep the insurance up on my truck if my license was suspended for DUI?
I was wondering if I still need to keep my insurance during the suspension period or do I cancel it and then wait till the end of my suspension period. I got my DUI on May 6th. I guess for now I'm sticking to riding a bicycle anytime I want to go somewhere which it takes longer but at least it gets the most gas mileage of any vehicle which is infinity miles per gallon.
""I only have liability insurance, how much would my car repair bill come out to be?""
I have a 2004 Nissan maxima and was in an accident this morning. Long story short, it was my fault and fortunately there were no injuries on either side. However, my insurance covers plenty for the other party, but none for me. The damages are in the front right side which includes, the headlight, part of the hood, front bumper, the side panel(but not the door) to be smashed in a bit. Further damages include windshield wiper fluid is leaking, for it was hit too. But the tire and allignment is completely fine, allowing the cop to let me drive it home. Any help?""
Im a new motorcycle rider and I was wondering which insurance is the best but cheap?
Im 24 yrs old, I was thinking of Progressive insurance? Is there anything that I can do to make my insurance lower?""
Car Insurance Cancelled due to not sending documentation...?
I recently had a car insurance policy cancelled due to not sending off my documentation (driving licence & counterpart) in time. So, I started to apply for a new quote, and it asked if I'd ever had a policy cancelled, I ticked yes, and in comparison to begin with the quote doubled. This was because of the cancelled policy. I assume they do this because people have policies cancelled due to non payments, however, obviously mine wasn't. Is there any way I can get around this because it wasnt actually cancelled because I didn't pay...?? Please help, as an 18 year old girl car insurance is expensive enough! Thanks""
I have got automatic driving license 2 days go and I`m looking for car insurance?
I have got automatic driving license 2 days go and I`m looking for car insurance? i just checked with direct gov to understand the insurance policy then i checked the compare sites to get a better deal depending on the car that i will buy , the problem the least price is 560 pounds for third policy option and even its higher that the comprehensive one , the car is ford fiesta 1997, pls your advice , do you have website or can you explain it for me , its really confusing many options and higher prices and i know some people pay 20pounds per month and even cheaper how they can get such prices ??""
Difference between comprehensive and third party insurance?
hi all. What is the difference between comprehensive insure for your car, and third party insurance for your car. please help. and thankyou in advance (:""
Can you buy multiple life insurance policies?
If one had a whole life insurance policy valued at $1M, and through a life settlement company sold it for $455K; could you essentially use those same funds to purchase another life insurance such as a universal life insurance policy for $1M?""
How can i find out Insurance rates on cars?
is there a certain website which can give me the average amount i need to pay for car insurance on certain cars.
Looking for health insurance that covers IVF?
I am seeking health insurance that covers infertility treatment in the State of Md. Maryland is a mandated state for IVF coverage but I am not sure how it works with regard to individual policies. I know that if is not excluded from the policy that they would be required to cover it. Does anyone know how to get a reasonably priced individual policy that may cover IVF treatment??
Which company Car Insurance?
Hi, I am planing to buy new car in bangalore. Please let me know which company car insurance i have to take. Which insurance company is having good service.? Thanks""
What are some cheap diesel cars to insure?
This is for my first car. I would prefer a diesel but the engine sizes are usually larger so what are some diesel cars with a small engine? Don't really care about the engine as long as its cheap to insure.
What is the average cost for martial arts insurance?
What is the average cost for martial arts insurance?
How much Roughly for first car + insurance?
I am 15 looking to start saving for a first car in in the UK by the way. Also I'm talking about insurance for when im 17/18 year old my guess would be around 5-8k for a first car plus insurance? Thanks
How much are car insurance usually cost in texas?
I would be a first time driver. I am 25 year old. how much is the cost for any car insurance now in the market?
Would i need car insurance?
(Only open to UK) i am a provisional driver using my dad's car. My dad is with me at all times and he has fully comprehensive insurance, i have been told that this then covers me also, is this correct or will i need extra insurance?""
Company not offering insurance?
I've read the policy, forms, etc... Prior I was hired. The company that I work with gas this insurance benifits. I have already reach my 90 days and 3 weeks period. The company is not offering me with medical insurance. Not even an evaluation. But that doesn't matter. My question is, is it illegal in the state of California if the company does not offer/ask you an option to have insurance or not? Please advice.""
What is the average cost of auto insurance for a 21 year old male?
if i could get a price range as well that would be great. i know it changes based on a whole bunch of other things but i would just like to know a general price range and average to budget. thank you
Whats your average price car insurance group 12 and Road Tax?
im planning on getting a car lexus is200 in a few months time and wanted to know how much you guys/girls pay monthly or yearly only on insurance group 12 and on road tax. Im 19, passed a month ago. planning on putting the car in my dads name and me as the driver. Dads a good driver had no past accidents (not sure if you need to know that). Thnxs""
How much is your car insurance if your a male teen?
im looking to get car insurance for my car and i dont know how much it cost i dont want a quote because all they do is send crap in the mail but if your a male teen how much are you paying a month for your car insurance? and what type of car do you have.
Health insurance?
Is it a law that requires each university student to have health insurance?
Auto insurance question?
I am looking into financing a 2007 honda civic coupe ex. It is a 1.8 liter inline 4 motor. Front wheel drive and automatic with almost 68,000 miles on it. In florida, you have to get full coverage until you finish paying off the car. I am 23 with 2 traffic tickets. One for a stop sing violation and another for no proof of insurance. Both tickets were given to me at the same time almost 3 years ago. Thats the only 2 tuckets ive ever had. I live in the country as well because i know that matters for a quote. But with this information, what would be a good estimate on how much full coverage insurance would be on this vehicle? Thanjs in advance.""
How much renters insurance coverage are apartment complexes allowed by law to tell the renter they have to car?
I was told by a apartment complex that I had to have $3,000,000 worth of coverage in my policy. Is this amount allowed by law? I've never heard of such a large policy amount for renter's insurance. BTW, I live in north Texas.""
Car recommendations for a college student?
I'll be getting my first car in the spring of 2012. I'm staying in an apartment near the campus, and I'll have a bike for that. The majority of my driving will be errands around town, and driving the 117 miles back home occasionally to visit family. Low insurance, high gas mileage, and safety are top priorities. I've got about $15,000 to spend on the car. I will have a part time job to pay insurance/gas/etc. So far the only car that appeals to me is the 2010+ Mazda3 because it has a nice exterior, and I love the interior and features compared to other small cars. Gas mileage is decent, but not the best. Also, if I go for the hatchback, will that raise my insurance costs? Do you have any other recommendations? The Mazda3 has the best interior that I've seen so far, that's the basic factor that's keeping me from other cars.""
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free instant insurance quotes
""Changed bike on my insurance, new letter says premium : -63.40?""
Hi, i change the motorbike on my insurance, i changed it from a 125 cc ybr to a 660cc mto3!! and well they told me it would not cost anything to change the insurance! how good is ...show more""
How do you find out if someone that hit you has insurance?
the insurance information i was given after someone hit my car turned out to be fake. my insurance company called his company but was told that the policy # does not exist. so is there a way i can find out through DMV or somewhere his true insurance information? if i can't find it, would this qualify as uninsured since i have uninsured drivers coverage? it would waive my deductible and it would pay for the injuries i suffered in the accident but only if he really is uninsured.""
Are there any good temporary car insurance companies in america?
Are there any good temporary car insurance companies in america?
Kawasaki zx6r motorcycle insurance for 17yr old?
just got a 2003 kawasaki zx6rr ( restricted to 33bph) any 1 know where i can get cheap insurance for under 2k i live in uk thanks
Car accident but driver isnt under my insurance?
Last month my boyfriend and I were driving and someone rear ended my car. I am insured under Mercury insurance and the car is owned under my moms name. My bf has his own insurance but not for my car. We were not at fault but I'm nervous about filing a claim with the insurance company cause he is not under my insurance and was driving my car.. A police report was filed.. But what will happen if I file a claim with Mercury insurance? Will I get charged or fined for letting someone that wasn't on my insurance drive my car? Or can I not file a claim to the other company cause he isn't insured under the car that was damaged ? and if I ask my representative from Mercury what will happen will she report me even if I don't file a claim for letting someone who isn't under our insurance drive the car?
How much damage will the other drivers insurance have to pay?
My son was involved in a collision this morning. The driver of the other vehicle pulled out right in front of him and he rear-ended them. The driver of the other vehicle was cited for failure to yield and the state trooper that handled the accident said that the collision was unavoidable on my sons part. The question concerning me is that my son did not pay anything for the car he was driving because it was given to him by my daughter. The car has a salvage title because it had apparently been totalled before but had been restored. The car probably would not be worth very much even had it never been in an accident because it is a 1986 year model Pontiac 6000. Now he is without transportation unless I provide it. Will they only be required to pay a salvage price for damages or what?
Im Looking for cheap auto insurance in NJ?
Any suggestions? Anything except Cure,Esurance,Metlife and travelers. been there done that. Cure is just awful and unprofessional!""
3rd party comprehensive car insurance in bangalore?
I've a 1997 model maruti 800, just purchased from a seller, i got only the RC book, no insurance paid soo far, where do i make the insurance for this model car ? and what type of insurance is beneficial? am willing to sell the car after 10 months..? I called ICICILombard.. they refused as it is an old car. ???? Is there any logical reason behind an old car being refused for insurance??? what documents do i need to take care while insuring.. ???""
Question about car insurance?
ok so im wondering if i get a car will worth 5000 will the insurance be the same on all cars worth 5000 like a mustang worth 5 k or a civic worth 5 k is the insurance the same on them?
Low- cost insurance for my 2 year old???
Is it possible to get insurance for my 2 year old at a low rate WITHOUT insuring myself or my husband? We tried getting on our state's medicaid program (which was originally started for people who couldn't get health insurance through their jobs but left that behind long ago!) but of course my husband and I make too much money. Every insurance quote we've been given has been astronomical and we'd have to insure one or both of ourselves to get insurance on the baby. What can I do??? We've also both asked our employers to look into health insurance for their employees and it's still just too expensive!
Can anyone tell me how good this insurance is?
I recently got Reliance Standard insurance..can anyone help me figure out the copay? I went to the website and can't figure it out..
""I am in the militarty and moved to another state, can I have my car insurance from my home state?
I am a resident of and my vehicle is registered in South Carolina and I am stationed in California. California's insurance is way higher than SCs. I would like to carry insurance from SC on my vehicle.
On average how much would monthly insurance be on a 2012 rolls royce ghost?
On average how much would monthly insurance be on a 2012 rolls royce ghost?
Whish insurance compay should i go to (auto)?
i just bought a 2000 Toyota camry Ve last night and i have never had any insurance before because i havent need it , i am 23 years old and i am looking for insurance some people told me go to Gieco has good prices""
Does my insurance change when I change my license from one state to another? totally confused!?
I want to change from a Delaware license to a Maryland drivers License. I am on my moms insurance and I pay her every year for keeping me on. This is very confusing. After changing from DE to MD license do I notify the insurance company? Can my rates change? Can I still drive the car registered under her name? Please, any info you can provide is helpful! ! I am doing this to get in state tuition for college""
Is progressive auto insurance reliable?
I just bought a 2009 Honda Civic EX. I've checked various quotes online based on my info, and they range near the $2000 (sometimes, just a 6 month policy). I just checked progressive, and it estimated a quote near the $1380 a year, that is $689.90 (6 month policy). It's a BIG difference, that's why I want to know what I'm getting into, any inputs???""
Any recommendations for student health coverage?
I am a sophomore in college, living on my own, and I barely have enough money to get by at the moment. When I get a roommate though, I want to start up health coverage because I know it is very important. Does anyone know of any health insurance companies in California that either offer a health plan for students, or know of something that would be adequate coverage for someone my age in their early 20's? Thanks so much for any help you can give me!""
What are some cheap Car Insurance Companies for Full Coverage in Texas?
Lookin for some cheap Auto Insurance Companies in Texas for Full Coverage.Any ideas?
Pregnant and no insurance?
hi, i have a friend who is about 3 months pregnant now and she has no health insurance. she is currently working but the employer does not provide benefits of any sort. she does not make that much an hour i think minimum wage and she is working part time. so she is without health insurance for her and the baby. she knows that she can probably get approve by medicaid to cover the pregnancy expenses but her mother is over age 65 and retired and she is currently on medicaid. and she know that if she were to find another job the insurance""
How to look for insurance?
I need to find health and medical insurance... im online looking at quotes but i have no idea what its saying???? can anyone help????
Car insurance question?
So i just cancelled my policy with a company i was having trouble with (it cost 492) so i am broke now, and i cant really afford another policy as im returning to college next week. However, i can afford a policy under my mums name, but is it possible to go under my mums name when the car is registered to me? Also, does anybody know any good/cheap insurance companies?""
Car insurance policy and rates question?
My girlfriend is on my car insurance policy. Recently she got in an accident and now I believe our car insurance rates will be raised. Can I drop her off my car insurance policy and have her transfer her car in my name that way both cars can be insured in my name. If I do this can she still drive her car?
How much is car insurance?
I know it depends on a lot of things, but whenever I mention me getting my license, they have the same excuse over and over...So what's an idealistic amount for a young teen 17 w/ 3.0+gpa and a sports car be? In california.""
Cheapest car insurance companys for 21year old with kids?
Some where that takes into account my situation rather than age. Ta
""My car insurance company sent me forms to fill out, after an accident. Do I need to do it?""
The police report states that I am not at fault. The passenger in my was badly hurt. My insurer wants me/my passenger to fill out a medical release/history form. I see no benefit in doing so. If the other driver does not have insurance, and we are not yet sure that they do, my insurer would pay my claim/my passengers claim under my uninsured coverage. If they have my passenger's medical history, they could try to find reasons to limit how much to pay out. They also want me to fill out a Report of Traffic Accident form. I have given a statement to the police, who said I'm not at fault. The other driver was cited, and I have also given an oral/recorded statement to my insurer. I don't' see the need to fill out an accident form. It just seems that my insurer is trying to cover their on *** in case my uninsured coverage kicks in. What if I don't fill these form out?""
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March 2021 Learning Network Resources
Tuesday, April 20th @ 4PM EST
Join us for “Tackling COVID-19 Vaccine Hesitancy,” with speaker Sandra Quinn, PhD, Maryland Center for Health Equity, University of Maryland. Register here.
Trust in Healthcare
Fluer NS. ‘A massive gap in information’: Most vaccine clinical trials fail to report data on participants’ ethnicity or race. STAT. February 2021
“An analysis of the demographics of a decade’s worth of vaccine clinical trials has found that Black Americans, Latinos, American Indians, and Alaskan Natives, as well as people age 65 and older, were underrepresented as participants within these studies, though most of the differences, when compared with the U.S. population, were not especially large. Adult women, on the other hand, were found to be overrepresented.”
Salomon G, et alt. Latinos face barriers like fear, language in getting vaccine. Associated Press. February 2021
“America’s more than 60 million Latinos — like other people of color — have been disproportionately affected by the virus, and many are struggling with issues like a lack of knowledge about the shots, state vaccine websites that don’t have Spanish instructions, ways to find appointments in their communities and fears they could be targeted for immigration enforcement.”
Garber J. Covid-19 shows how our hospital system is “separate and unequal.” Lown Institute. February 2021
“Why does this happen? Our health care delivery system is fragmented, divided between community hospitals (often public hospitals) and private ones. Private hospitals often cherry-pick wealthier patients with private insurance and avoid taking patients with public insurance, funneling poorer and sicker patients to the public hospitals. In the case of MLK hospital, only 4% of their patients have private insurance, according to the Times.”
Marill MC, et alt. Community Health Workers, Often Overlooked, Bring Trust to the Pandemic Fight. Kaiser Health News. February 2021
“With their deep roots in the community, many of these workers were disappointed when they were not called on to help initially in the pandemic. Community health workers often work on grant-funded projects with a specific goal, such as improving blood sugar control among people with diabetes. When the pandemic shutdown suspended those programs, many found themselves without a job.”
How to End Surprise Medical Bills. Bloomberg Opinion. February 2021
“The scandal of surprise bills has been tolerated far too long. The new law is an important step forward — but it’s too soon to declare it a success. First, it must be made to work.”
Gorges RJ, et alt. Factors Associated With Racial Differences in Deaths Among Nursing Home Residents With COVID-19 Infection in the US. JAMA Network. February 2021
“The study’s findings suggest that the inequalities underlying racial disparities in COVID-19 infection and mortality in the general population may also be associated with differences in mortality among nursing home residents with COVID-19 infection.”
Blogs, Issue Briefs, Opinion Pieces and More…
UTIs Treated Inappropriately Everywhere. Medpage Today. February 2021 “A majority of women with uncomplicated urinary tract infections (UTIs) received inappropriate antibiotics or continued treatment beyond the recommended duration, a review of almost 700,000 cases showed.”
Journals
Mafi JN, et alt. Trends in Low-Value Health Service Use and Spending in the US Medicare Fee-for-Service Program, 2014-2018. JAMA. February 2021
“This cross-sectional study found that among individuals with fee-for-service Medicare receiving any of 32 measured services, low-value care use and spending decreased marginally from 2014 to 2018, despite a national education campaign in collaboration with clinician specialty societies and increased attention on low-value care. While most use of low-value care came from 3 services, 1 of these was opioid prescriptions, which increased over time despite the harms associated with their use. These findings may represent several opportunities to prevent patient harm and lower spending.”
Hall AM, et alt. Do not routinely offer imaging for uncomplicated low back pain. BMJ. February 2021
“The past two decades have seen a paradigm shift in the way we use imaging when managing low back pain (LBP). Imaging was once a routine part of the diagnostic workup for most cases of LBP. Evidence now indicates that imaging is useful only in the small subgroup of patients for whom there is suspicion of red flag conditions.”
Wang T, et alt. Variations in Persistent Use of Low-Value Breast Cancer Surgery. JAMA Surgery. February 2021
“Interfacility variation demonstrates a performance gap and an opportunity for formal deimplementation efforts targeting each procedure. Several facility-level characteristics were associated with differential deimplementation and performance.”
Ellenbogen MI, et alt. Development of a Simple Index to Measure Overuse of Diagnostic Testing at the Hospital Level Using Administrative Data. Journal of Hospital Medicine. February 2021
“We developed a diagnostic overuse index that identifies hospitals with high levels of diagnostic intensity by comparing negative diagnostic testing rates for common diagnoses.”
Kim DD, et alt. An Evidence Review of Low-Value Care Recommendations: Inconsistency and Lack of Economic Evidence Considered. Journal of General Internal Medicine. February 2021
“Our study found that evidentiary rationales for low-value care vary substantially, with most recommendations relying on clinical evidence. Broadening the evidence base to incorporate cost-effectiveness evidence can help refine the definition of “low-value” care to reflect whether an intervention’s costs are worth the benefits. Developing a consensus grading structure on the strength and evidentiary rationale may help improve de-implementation efforts for low-value care.”
Gilmore RC, et alt. Underutilization of Needle Biopsy Before Breast Surgery: A Measure of Low-Value Care. Annals of Surgical Oncology. January 2020
“Marked variation exists in whether a breast core biopsy is performed prior to initial breast surgery, which may represent unnecessary surgery on individual patients. Providing surgeon-specific feedback on guideline compliance may reduce unwarranted variation.”
Determining the impact of body mass index on ultrasound accuracy for diagnosing appendicitis: Is it less useful in obese children? Journal of Pediatric Surgery. January 2020
“An elevated BMIP may increase difficulty in visualizing the appendix, resulting in inaccurate or equivocal findings. This risk is seen specifically in obese males. If US findings do not correlate with clinical assessment in obese children with abdominal pain, further evaluation may be warranted.”
Media
The need for alternatives to opioids for children and adolescents. Toronto Star. February 2021
“In mid-February, Toronto Public Health reported that January 2021 was a record-setting month — not for COVID-19, but for opioid use. Paramedics reported 333 non-fatal and 38 fatal calls.”
Optimizing Neoadjuvant Therapy for Breast Cancer. Medpage Today. February 2021
“Neoadjuvant chemotherapy is the treatment of choice for newly diagnosed inflammatory or unresectable breast cancer, as well as locally advanced disease that might be rendered operable with neoadjuvant therapy, according to a new guideline from the American Society of Clinical Oncology (ASCO).”
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