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nicklloydnow · 1 year ago

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“One need not be a Marxist to acknowledge the logic behind Karl Marx’s observation: “The ideas of the ruling class are in every epoch the ruling ideas.” It is especially important for the ruling class that the general public’s ideas about our emotional suffering and behavioral disturbances be the ideas of the ruling class.

Twenty years ago, one would have been labeled as “anti-psychiatry” for acknowledging that: (1) psychiatry’s treatment outcomes are “abysmal” and “not getting any better”; (2) the serotonin imbalance theory of depression is untrue; and (3) psychiatry’s diagnostic manual, the DSM, is scientifically invalid. Yet today, these acknowledgements—which don’t threaten the ruling class—are stated by the psychiatry establishment and reported by the mainstream media.

There are, however, critiques that continue to be too taboo for the mainstream media to report. Such critiques are existential threats to establishment psychiatry, and these critiques are financial threats to both Big Pharma and a mainstream media dependent on Big Pharma advertising dollars. Even more importantly, these critiques are political threats to the ruling class which prefers medical “individual defect” explanations for emotional suffering and behavioral disturbances rather than explanations that challenge the societal status quo.

(…)

In 2011, Thomas Insel, director of the National Institute of Mental Health (NIMH) from 2002-2015, acknowledged: “Whatever we’ve been doing for five decades, it ain’t working. When I look at the numbers—the number of suicides, the number of disabilities, the mortality data—it’s abysmal, and it’s not getting any better.” In 2017, Insel told Wired: “I spent 13 years at NIMH really pushing on the neuroscience and genetics of mental disorders, and when I look back on that I realize that while I think I succeeded at getting lots of really cool papers published by cool scientists at fairly large costs—I think $20 billion—I don’t think we moved the needle in reducing suicide, reducing hospitalizations, improving recovery for the tens of millions of people who have mental illness.” In 2021, New York Times reporter Benedict Carey, after covering psychiatry for twenty years, concluded that psychiatry had done “little to improve the lives of the millions of people living with persistent mental distress. Almost every measure of our collective mental health—rates of suicide, anxiety, depression, addiction deaths, psychiatric prescription use—went the wrong direction, even as access to services expanded greatly.” While twenty years ago, it would have been radical to state that psychiatry is making no progress, today it is not taboo to report that our collective mental health has gone in “the wrong direction” despite increased treatment.

(…)

In 2022, CBS reported: “Depression is Not Caused by Low Levels of Serotonin, New Study Suggests.” Receiving widespread attention in the mainstream media was the July 2022 research review article “The Serotonin Theory of Depression: A Systematic Umbrella Review of the Evidence,” published in the journal Molecular Psychiatry. In it, Joanna Moncrieff, co-chairperson of the Critical Psychiatry Network, and her co-researchers examined hundreds of different types of studies that attempted to detect a relationship between depression and serotonin, and concluded that there is no evidence of a link between low levels of serotonin and depression, stating: “We suggest it is time to acknowledge that the serotonin theory of depression is not empirically substantiated.” Leading establishment psychiatrists, rather than disputing these finding, tried to convince the general public that Moncrieff’s findings were not newsworthy.

(…)

What remains taboo is criticism of psychiatry that calls into question its fundamental paradigm of care. Specifically, this means it is taboo to ask this question: Has viewing our emotional suffering and behavioral disturbances as medical disorders and illnesses been helpful or harmful? Thus, the mainstream media rarely reports the empirical research that challenges psychiatry’s essential paradigm—its so-called “medical model.”

In psychiatry’s medical model, mental illnesses and their symptoms are voted in by the American Psychiatric Association (APA), and then listed in the DSM, published by the APA. DSM mental illnesses such as attention deficit hyperactivity disorder (AHDH) and schizophrenia are—like gonorrhea and cancer—seen as pathological conditions. While psychiatry generally views mental illnesses as biological in nature—be it chemical imbalances (now a discarded theory) or other theories involving brain and genetic defects—its medical model, as in much of the rest of medicine, does not preclude the effect of psychological and social factors on biological functioning. (Just as oncologists embrace the idea that genetics predisposes a person to cancer but recognize that psychological and social variables can trigger it, so too does psychiatry’s medical model recognize that psychosocial variables can trigger DSM mental illnesses.)

In contrast to psychiatry’s medical model, other models of emotional suffering and behavioral disturbances don’t assume that a medical illness is causing emotional suffering or disturbing behaviors. Non-medical models conclude that there are many reasons that have nothing to do with medical illness as to why, for example, a child does not pay attention and is disruptive; and such non-medical models conclude there are many reasons that have nothing to do with brain defects as to why an individual may be hearing voices and having bizarre beliefs. Before examining the research that casts doubt on the neurobiological validity of psychiatry’s medical model, first the empirical research that examines whether or not the medical model creates more or less stigma.

(…)

Published in the journal Neuron in 2022, Raymond Dolan—considered one of the most influential neuroscientists in the world—co-authored “Functional Neuroimaging in Psychiatry and the Case for Failing Better,” concluding, “Despite three decades of intense neuroimaging research, we still lack a neurobiological account for any psychiatric condition.” Reflecting on the more than 16,000 neuroimaging articles published during the last 30 years, Dolan and his co-authors concluded: “It remains difficult to refute a critique that psychiatry’s most fundamental characteristic is its ignorance. . . . Casting a cold eye on the psychiatric neuroimaging literature invites a conclusion that despite 30 years of intense research and considerable technological advances, this enterprise has not delivered a neurobiological account (i.e., a mechanistic explanation) for any psychiatric disorder, nor has it provided a credible imaging-based biomarker of clinical utility.”

What about genetic correlates to “serious mental illnesses”? A 2020 study in Schizophrenia Bulletin reported that no genetic variants have been found to predict schizophrenia; as no significant difference was found in the genetic variance of people with a diagnosis of schizophrenia and people without such a diagnosis. Similarly, examining mood disorders, a 2021 investigation published in the Journal of Affective Disorders (that included 5,872 cases and 43,862 controls, and examined 22,028 genes), reported that the study “fails to identify genes influencing the probability of developing a mood disorder” and “no gene or gene set produced a statistically significant result.”

Thus, despite the fact that researchers have not found any neuro-chemical-biological-genetic evidence for any psychiatric condition, it remains taboo to challenge psychiatry’s medical model and brain disease ideas about emotional suffering and behavioral disturbances.

(…)

While it is not taboo to report psychiatry’s poor treatment outcomes, it is taboo to blame these poor outcomes on psychiatry. Former NIMH director Insel has repeatedly acknowledged psychiatry’s poor treatment outcomes, but he does not blame psychiatry for it in his 2022 book Healing. He states, “First, most people who would and should benefit from treatment are not receiving care.” However, more people are in treatment than ever, and as the New York Times reported in 2021, outcomes have gone in the “wrong direction.” Insel also tells us that “although individual treatments work, they are rarely combined to provide the kind of comprehensive care that most people need.” However, nobody, including Insel, argues that such “comprehensive care” has worsened, yet outcomes have worsened with more treatment. Why is it not taboo for the mainstream media to report treatment outcome failure, the jettisoning of the serotonin imbalance theory of depression, and the invalidity of psychiatry’s DSM diagnostic manual? The public is simply being prepared for new treatments, new theories, and new diagnostic manuals—none of which fundamentally threatens the ruling class and ruling institutions of society.

However, it remains taboo to challenge whether or not medicalizing our emotional suffering and behavioral disturbances is the best model of care. Such a challenge, as noted, is not only an existential threat to establishment psychiatry but a financial threat to Big Pharma and a mainstream media dependent on Big Pharma advertising dollars. Even more significantly, such a challenge is a political threat to the ruling class which prefers “individual defect” explanations for emotional suffering and behavioral disturbances—rather than explanations that take seriously the direct and indirect effect of an alienating and dehumanizing society. While researchers have not linked any psychiatric condition to neurobiological variables, there are many links between these conditions and socioeconomic variables. Results from a 2013 national survey, issued by the U.S. government’s Substance Abuse and Mental Health Services Administration (SAMHSA), provide extensive evidence that unemployment, poverty, and involvement in the criminal justice system are highly associated with depression and suicidality.

Moreover, in the late 1990s, the Adverse Childhood Experiences (ACE) study revealed a powerful relationship between childhood trauma (including physical and emotional abuse) with later adult emotional difficulties and behavioral disturbances. An alienating and dehumanizing society such as ours that creates extensive anxiety, powerlessness, resentment, and rage is a society that creates adults who, in their interactions with children, have little frustration tolerance; and this lack of frustration tolerance makes abuse and trauma of children more likely—resulting in the adverse childhood experiences that create later adult emotional difficulties and behavioral disturbances.

The ruling class could not care less whether psychiatric treatment consists of bloodletting, lobotomy, electroshock, SSRI antidepressants, or psychedelic microdosing. As long as the “ruling idea” of society is that our emotional difficulties and behavioral disturbances are caused by our medical defects, this keeps us diverted from just how much shit we have to eat in order to survive and how extraordinary our good luck need be for us to find joy. As Marx stated, “The ideas of the ruling class are in every epoch the ruling ideas,” and you would have to be an especially stupid member of the ruling class not to see the value of the “ruling idea” that emotional suffering and behavioral disturbances are the result of medical individual defects—and not the result of a society that is a good deal for the ruling class but is alienating and traumatizing for many of the rest of us.”

“Drug retailer CVS and health insurer Aetna announced a $69-billion merger. Walgreens made a $5.2-billion investment in primary care provider VillageMD and took a $330-million stake in home care provider CareCentrix, giving it control of both firms. Rite Aid wasn’t as aggressive, but still built up its national footprint to 5,000 stores before cutting back to about 2,100.

The companies talked about evolving into one-stop medical providers so that “patients discharged from the hospital … will be able to stop at a health hub location to access services such as medication evaluations, home monitoring and use of durable medical equipment, as needed” (according to the merger announcement by CVS and Aetna).

(…)

That wasn’t so long ago. The CVS/Aetna merger was in 2017. Walgreens took over VillageMD in 2021 and CareCentrix just last year.

Now, however, their dream of playing a central role in a restructured nationwide healthcare system seems to be fading.

The pharmacy chains have discovered that taking a larger role in the healthcare system than simply dispensing prescriptions and selling over-the-counter notions is more complicated and costlier than they expected.

“It has taken us longer than anticipated to realize the cost synergies across the combined assets,” John P. Driscoll, the head of Walgreens’ U.S. Healthcare division, told investment analysts at the company’s fourth-quarter earnings conference call on Oct. 12.

He said VillageMD would be focusing on “our highest opportunity markets” — evidently affluent urban areas — by shutting down in five markets and closing 60 VillageMD clinics over the coming year.

(…)

At CVS, executives paint the effort to remake the company into an integrated healthcare provider as very much a work in progress.

“If you think about what’s happening in America relative to healthcare,” Chief Executive Karen Sue Lynch told investment analysts at a Morgan Stanley healthcare conference in September, “it’s ... very hard for people to access care.”

She said the company’s goal is “to make sure that people have seamless connected experiences across the spectrum of healthcare. And I would argue that the businesses that we’re creating will enhance the value of consumer experience.”

The tendency of the American healthcare system to confound promises and expectations was underscored in 2021. That’s when billionaires Warren Buffett, Jeff Bezos and Jamie Dimon had to admit that their plan to solve the system’s problems, as if by sheer star power — well, to be fair, through “technology solutions” — had been obliterated.

The trio had announced their venture in 2018 to a blast of worldwide fanfare. If they couldn’t succeed, it was said, no one could. The idea was that there was some magic bullet for reducing healthcare costs that had evaded everyone for years, but that they could discover.

Less than three years later, they had been subjected to a ritual mortification. Their joint venture, christened Haven, shut down. For all their efforts, primary care had not become easier for millions of Americans to access, insurance benefits were as opaque and arcane as ever, and prescription drug pricing was still a public scandal.

The drug chains’ expansion strategies have exposed them to complexities in American healthcare — political controversies, Medicare regulations, issues of prescription drug pricing — that they had not faced in the their core businesses and have led to a string of unpleasant surprises.

Walgreens became embroiled in abortion politics in March, when it said it would not distribute or ship a drug used for medication abortions in at least 21 red states, including at least four where abortions were still legal.

The company made the announcement after a group of red state attorneys general threatened it with unspecified “consequences” for shipping the drug, mifepristone, the long-assumed legality of which had been challenged in federal court.

Walgreens’ national footprint made it vulnerable to the threat — and to a backlash from blue states such as California, where Gov. Gavin Newsom said he would stop the state from doing business with the company, or any other “that cowers to the extremists and puts women’s lives at risk.”

CVS ran into the buzzsaw of Medicare politics in August, when a New York state judge blocked the transfer of 250,000 Medicare patients to Aetna’s Medicare Advantage plan. The transfer was part of a contract worth $15 billion to Aetna over five years. Medicare Advantage plans provide more benefits to enrollees than traditional Medicare but have come under fire for costing the government too much for too scanty patient gains.

The company also disclosed a potential hit of $800 million to $1 billion in its 2024 operating income from a downgrade by government authorities in its Medicare quality rankings, known as “star ratings.”

The move of CVS into the pharmacy benefit manager business through its $24-billion acquisition of the Caremark PBM in 2007 also may not have worked out as it expected.

PBMs originated as middlemen to help health insurance plans process prescription claims, steer doctors and hospitals to the cheapest drug alternatives, and allow insurers to combine their customer bases for greater leverage in negotiations with drug manufacturers. Eventually they got blamed for driving up drug costs by extracting their own profits without producing sufficient discounts for their clients.

In August, Blue Shield of California rattled Caremark by cutting most of its ties with the PBM and turning over most of its responsibilities to four competitors, in a strategy aimed at cutting its prescription costs, which come to more than $600 billion annually, by as much as $500 million a year.

That was the second blow to Caremark in a year; in November managed care insurer Centene said it was turning pharmacy benefits for its 20 million enrollees over to Express Scripts starting next year, on a $35-billion contract.

The Blue Shield announcement drove the CVS stock price down by about 9%, a reaction that CEO Lynch called “overblown” at the Morgan Stanley conference. She also cast doubt on Blue Shield’s assertion that the PBM change would save it $500 million. “We’re not earning that kind of money on that account,” she said.

As for Rite Aid, that chain has problems all its own. The firm filed for bankruptcy protection on Oct. 16, citing a crushing debt load and excessive rent for underperforming stores. The company subsequently announced plans to close 154 stores, including 31 in California.

Rite Aid is also facing a federal lawsuit for allegedly filling unlawful prescriptions, mostly for opioids. It isn’t alone in being accused of complicity in the opioid crisis: In a 2022 legal settlement with state attorneys general, CVS agreed to pay as much as $4.9 billion over 10 years, Walgreens up to $5.52 billion over 15 years, and Walmart, which has become a major competitor in the pharmacy business, up to $2.74 billion within six years.

At this moment, it’s clear that pharmacy services remain overwhelmingly the drivers of revenue and profit for the drugstore chains. At CVS last year, pharmacy services and other retail sales provided $14 billion in operating profit on $275.8 billion in revenue, versus $6 billion in operating profit on $91.4 billion in revenue from healthcare benefits.

At Walgreens, retail pharmacy sales provided $3.7 billion in operating profit on $110.3 billion in revenue in the fiscal year ended Aug. 31, 2023, while U.S. healthcare generated a loss of $556 million on $6.6 billion in revenue.

One other factor stands between the drugstore chains and their ambitions to cast a wider net over American healthcare: The presence of well-heeled rivals with ideas of their own. Walmart, the nation’s largest retailer, offers customers low-priced prescriptions and telehealth services, and has been opening walk-in clinics around the country.

Then there’s Amazon, which may have felt burned by the failure of Haven, but acquired concierge care provider One Medical in February for $3.9 billion and offers its Amazon Prime members access to scores of generic medicines for a monthly fee.

(…)

They and their rivals in retailing and clinical services may well change the course of American healthcare in the future, but it should not be forgotten that they’re all fundamentally in it for the money. Their promises of cheaper, more efficient and more effective healthcare for the average American should be treated with the all-purpose medicine of a healthy skepticism.”

“Many pharmacy employees at some of the largest U.S. drugstore chains say they’re reaching a breaking point.

On top of verifying, filling and dispensing prescriptions, pharmacists and support staff are responsible for administering vaccines, fixing insurance issues, transferring prescriptions to other pharmacies and tending to dozens of patients in stores and over the phone, among other tasks. Those workers have said they are concerned that companies like Walgreens and CVS are placing unreasonable demands on them, without providing enough staffing or resources to safely execute tasks.

Frustrated by what they describe as increasing workloads, understaffing and cuts to their hours, pharmacy staff from Walgreens locations around the country and CVS stores in the Kansas City area have walked off the job in recent weeks — and some employees are planning to walk out again from Oct. 30 to Nov. 1.

(…)

The two companies were the biggest pharmacies in the U.S. based on prescription drug market share in 2022. Both CVS and Walgreens operate around 9,000 retail store locations across the U.S.

CVS has more than 30,000 pharmacists and 70,000 pharmacy technicians, while rival Walgreens has more than 86,000 health-care service providers, including pharmacists, pharmacy technicians and other health-related professionals.”

#psychiatry #big pharma #pharmaceutical #depression #schizophrenia #pharmacy #healthcare #american healthcare #insurance #walgreens #cvs #rite aid

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melissalwatkins · 1 year ago

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mariacallous · 2 years ago

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Exposure to poverty is deeply intertwined with the deterioration of emotional health. This linkage is often exacerbated by a lack of coordinated social support for individuals and families. To appreciate this connection and how efforts in some communities suggest ways to address it, consider three public health issues and their impact on mental health: homelessness, food insecurity, and hygiene poverty (i.e., a lack of resources to maintain personal hygiene).

Homelessness

There is a close connection between homelessness and mental health. Since the start of the COVID-19 pandemic, homelessness and associated behavioral health issues have increased. While there are widely differing estimates of the prevalence of mental disorders among individuals experiencing homelessness, a review of the research by the Substance Abuse and Mental Health Services Administration (SAMHSA) suggests that between 20% and 50% have serious mental illness. Research suggests, moreover, that the experience of being homeless often intensifies the condition of individuals with poor mental health, with factors such as increased stress aggravating previous mental illness through heightened anxiety, fear, substance use, etc.

Some believe that the best course of action for those experiencing homelessness and mental illness is to provide treatment and services first so that homeless individuals are stabilized and “housing ready,” and only then can live successfully in permanent housing. Under this approach, placement in housing would follow initial treatment. However, many jurisdictions now use a Housing First model. In this approach, an individual is placed into permanent supported housing as the first step, followed swiftly with treatment and social service supports to start addressing the individual’s physical and mental health, education, employment, and substance use issues. Studies suggest this is an improvement on “treatment first” approaches.

How communities are addressing the challenge

Philadelphia, Pennsylvania – Pathways to Housing: Pathways to Housing works with individuals experiencing homelessness to provide housing without treatment preconditions and, once participants are housed, goes on immediately to address underlying issues involving mental health, substance use, medical care, and education. After arranging housing, Pathways manages an integrated care clinic to ensure that “participants have access to a low-barrier, person-centered approach that emphasizes recovery, wellness, trauma-informed care, and the integration of physical and behavioral health care.”

Denver, Colorado – Colorado Coalition for the Homeless: The Colorado Coalition for the Homeless (CCH) operates twenty permanent supportive housing and affordable housing properties and administers housing vouchers nearly 1,300 households in the Denver area. Like Pathways, the Coalition takes steps to ensure that, once housed, residents immediately receive the physical and behavioral health services they need to be able to achieve stability. CCH provides integrated medical and behavioral health care, substance use treatment, dental, vision, and pharmacy services through an on-site Federally Qualified Health Center.

New York City, New York – Breaking Ground: Breaking Ground provides permanent supportive housing for individuals who have experienced chronic homelessness in New York City. Housing is co-located with wraparound services such as on-site medical care, psychiatric care, substance use referrals, and skills-building/employment programs. In addition to a focus on housing, Breaking Ground provides New Yorkers who remain unhoused with Street to Home services, which include 24/7 engagement and outdoor counseling and connections with available medical and social supports. Programs like this are likely to be particularly important in the context of New York City’s new plan to involuntarily hospitalize unhoused individuals with mental health conditions despite a chronic psychiatric bed shortage in city hospitals.

What else could be done to help?

Expand Housing First models to encompass more communities, including those in rural areas. As illustrated in the examples above, Housing First programs show that providing stable housing can improve the efficacy of psychiatric and substance abuse treatment as well as aid in connecting individuals to social services. A 2018 study on the effects of housing stability service use among homeless adults with mental illness found that participants who achieved housing stability had decreased use of inpatient psychiatric hospitals and emergency departments. Currently the severe shortage of affordable housing makes it very difficult in many jurisdictions to provide immediate housing for homeless individuals. Moreover, although the federal Department of Housing and Urban Development distributes emergency Section 8 housing vouchers to jurisdictions for unhoused individuals and people attempting to flee domestic violence, it is common for people to wait years for voucher assistance. Achieving the goal of stable housing for people with mental health conditions will therefore require ramped-up investment in housing as well as health and social service supports for residents.

Utilize mobile crisis intervention teams to address social and behavioral health needs of individuals experiencing homelessness that are at risk for a mental health crisis. Breakthroughs in mental health services are often the result of multi-agency partnerships. One such breakthrough has been the development of local crisis intervention teams, which use a co-response model between law enforcement, emergency medical services, and mental health providers. In a previous publication, we highlighted several successful programs using this model. Since the full launch of the 988 suicide and crisis lifeline in June of 2022, many jurisdictions are working to deploy crisis intervention teams for behavioral health emergencies in a way that is most beneficial to those in need, including those experiencing homelessness. Moreover, states can now receive an enhanced federal medical assistance percentage (FMAP) for mental health crisis systems.

Improve the coordination and continuation of services for people experiencing homelessness. Departments at all levels of government often fail people with housing and mental health problems because of administrative obstacles and budget silos. Fortunately, there have been some steps to tackle these challenges. California, Arkansas and other states, for instance, have received federal Medicaid 1115 Waivers that allow them to better coordinate housing, health care, and other services for vulnerable populations. In February 2023, Congresswoman Madeleine Dean reintroduced legislation through The Homelessness and Behavioral Health Care Coordination Act to the House of Representatives, which would authorize a Housing and Urban Development (HUD) grant to enable state/local/tribal entities to coordinate care for individuals simultaneously experiencing homelessness, behavioral health, and substance use disorders.

Food Insecurity

The U.S. Department of Agriculture (USDA) estimates that in 2021 over 34 million people—including 9 million children—were living in households that did not have enough to eat. Many of these families do not qualify for federal nutrition programs such as Supplemental Nutrition Assistance (SNAP) or the National School Lunch Program (NSLP) and are dependent on food banks or community donations. A national study found that food insecurity was associated with a 257% higher risk of anxiety and a 253% higher risk of depression among low-income families. Mothers and children appear to be at an especially high risk of mental health distress associated with food insecurity. For instance, food insecurity can exacerbate postpartum depression, and food insecurity has been found to be associated with increased behavioral and emotional dysregulation during infancy and adolescence. Food insecurity has also been associated with maternal depression and increased developmental risk in children such as decreased psychosocial function, elevated aggression, anxiety, depression, hyperactivity, and difficulties interacting with peers. In another study conducted to analyze the relationship between food insecurity and poor mental health, researchers discovered that food insecurity correlates to depression, anxiety, shame, and acute psychological stress.

What is being done in some communities?

Maryland – Frustrated by the lack of food access and overburdened charity models, the Black Church Food Security Network (BCFSN) created a self-sustaining food system at Pleasant Hope Baptist Church in Baltimore, MD. Using the community garden at the church, the organization created a pipeline for fresh food from the garden directly to community members experiencing food insecurity. The organization has grown into a partnership of Black churches across the country to provide health-related, environmental, and economic benefits to those most vulnerable.

Connecticut – Recognizing that the quality of a diet can serve as either a risk factor or protective factor to mental health, Mental Health Connecticut (MHC) partnered with the Healing Meals Community Project to deliver nutritious meals to food-insecure individuals experiencing mental illness. A 2020 small-scale pilot study conducted by the University of Hartford examined the partnership. It found the program to be effective and Healthy Meals to be “a highly workable intervention approach,” and recommended expanded community collaboration to promote nutrition education and improve food access.

California – Food Equity Round Table: Los Angeles County’s Food Equity Roundtable is comprised of a coalition of county officials and Los Angeles-area philanthropic organizations dedicated to addressing food insecurity. The goal of the Round Table is to promote cross-sector collaboration to improve access to and affordability of healthy foods, support supply chain/food system resilience, and enhance county-wide nutrition education.

What else could be done to help?

Strengthen government safety net programs to better respond to food insecurity. During the COVID-19 public health emergency, Congress extended flexibility and increased benefit levels of federal nutrition programs such as SNAP. To continue these programs and make them permanent, several bills have been introduced in Congress in the last few years, including the Closing the Meal Gap Act of 2021. Such measures would prevent millions of people from falling into food insecurity and the associated mental and physical health implications by permanently raising the baseline benefits for SNAP households, particularly for families with large medical or housing expenses. Another approach, included in the Improving Access to Nutrition Act of 2021, would eliminate time limits on SNAP eligibility. Currently, the time limit restricts many working-age adults to only three months of benefits in a three-year period unless they document sufficient hours of work. But, of course, for those with mental and behavioral health conditions, staying in the workforce can be difficult.

Improve cross-sector coordination to allow for increased support for food insecurity across the public and private sectors as well as nonprofits and philanthropic organizations. In September 2022, the Biden administration released a National Strategy on hunger, nutrition, and health. This included steps to permit Medicaid to include nutrition education and supports and other proposed actions to address hunger, reduce diet-related diseases (including mental illnesses), and nutritional disparities.

Hygiene Poverty

Inequitable access to personal care and hygiene products is an overlooked public health crisis. In the United States, data is limited on the mental health implications of what is widely described as “hygiene poverty.” Most research focuses on what is known as “period poverty,” with a 2021 study finding an association between women struggling to afford menstrual products and depression. In fact, the study found that two-thirds of the 16.9 million low-income women in the U.S. could not afford menstrual products. Meanwhile, in homeless and low-income households, chronic absenteeism in schools has been attributed in part to the mental health impacts of poor hygiene (often involving increased anxiety, bullying, and isolation). More research is certainly needed to fully establish the relationship between hygiene poverty and behavioral health in women, but for young women in low-income households, this added stress in their daily lives is a significant factor in their behavioral health.

As an example of state efforts to help support such students, the Oregon legislature allocated $700,000 to support youth-led projects designed to help tackle factors that affect mental health. One of the funded projects was for “caring closets,” within schools; these are locations with supplies of hygiene products, underwear, and other basic supplies for children from low-income families.

Unlike the public programs available to help families obtain healthcare, food, and housing, there are generally no public supports for families in need of hygiene products. The most commonly used public benefit programs (Medicaid, SNAP, and the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)) do not cover essential hygiene items such as laundry detergent, toilet paper, diapers, feminine hygiene products, toothpaste, shampoo, and deodorant.

What is being done in some communities?

Washington State – Essentials First seeks to fill in a critical gap that food banks, homeless shelters, schools, and refugee resettlement agencies across the state generally do not have the capacity to fill for critical hygiene items. Recognizing that household and personal care items were among the top tier of items Washingtonians had difficulty paying for during the COVID-19 pandemic, the organization focuses on the procuring large quantities of hygiene supplies that are distributed through existing social service networks across the state.

Massachusetts – Hope & Comfort addresses youth hygiene insecurity by providing supplies to youth-serving community organizations such as schools, Boys & Girls clubs, YMCAs, and food pantries in the greater Boston area. In a published pilot study from year one of the organization’s operations, 46% of surveyed youth said they had less stress, and another 19% said they had more confidence when given consistent and easy access to hygiene products.

What else could be done to help?

While local organizations are working to address hygiene poverty in their communities, they have limited capacity. Thus, it is important for policymakers at the state and federal level to recognize that hygiene poverty remains largely overlooked in health and social service programs and to take steps to include those needs in appropriate federal and state programs. Steps that could be taken include:

Increase flexibility for EBT cards. In late 2021 and early 2022, some states, such as Illinois, passed new laws permitting public benefits to be used to purchase diapers and menstrual hygiene products. This step does not require new programs or a new program infrastructure but is limited in that it does not provide dedicated funds specifically for hygiene products. A more complete solution would be to provide new funds under the existing program to cover essential hygiene needs.

Enable certain federal grant recipients to purchase hygiene products. Federal grant recipients providing services and supports, such as schools and homeless shelters, receive funds for a variety of uses. However, these funds typically come with tight requirements that often do not allow for the coverage of essential hygiene items, even where such coverage might further the objectives of the program. That usually forces organizations to purchase and distribute products using resources from private contributions, state and local grants, or in-kind donations.

There have been efforts in Congress to address these limitations on federal grants. In 2021, for instance, the Menstrual Equity for All Act was introduced in the House. If enacted, this would allow states to have the option to use federal grant dollars to provide students with free menstrual products in schools (currently only 15 states and DC have enacted requirements making it possible for students to access free state-funded menstrual hygiene products in schools). The legislation would, among other things, also fund pilot programs in colleges/universities for free menstrual hygiene products, allow homeless assistance providers to use grant funds that cover shelter necessities (e.g., bedding and toilet paper) to also use that money to purchase menstrual products, and require Medicaid to cover the cost of menstrual products.

Our understanding of behavioral and mental health conditions is gradually improving. This has led to advances in the development of treatment and support for populations experiencing these conditions, as well as the identification of circumstances that cause or exacerbate them. For instance, we have seen progress in dealing with the impact of warfare on many servicemen and servicewomen. There is also a greater understanding that law enforcement officers are not usually the best responders to someone experiencing a mental health crisis. Similarly, there is now greater attention being given to the effects of neighborhood violence and other sources of stress on school-aged children.

With these advances in mind, it is important for the health of individuals and communities that we continue to examine relationships between social conditions, the policies that shape them, and the impacts on behavioral health. The connection—in many cases the two-way connection—between behavioral health and homelessness, food insecurity, hygiene poverty, and other conditions needs to be studied and policies realigned to fit our increasing understanding of these relationships.

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freedomhypnosisnyc · 2 years ago

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A Guide to Understanding and Healing: Hypnotherapy in New York City

Hypnotherapy is a form of alternative medicine that uses hypnosis to create a state of deep relaxation in a person's mind, allowing access to the subconscious. This state can be used to address a variety of issues, such as anxiety, addiction, phobias, and depression. Hypnotherapy has become increasingly popular in recent years, and if you're looking for a hypnotherapist in New York City, you're in luck.

New York City is a bustling metropolis that offers a wide variety of resources for anyone looking to improve their mental health. Hypnotherapy is no exception, and there are plenty of qualified practitioners who can help you achieve your goals.

In this blog, we will explore the world of hypnotherapy, from its history and origins to its modern applications and benefits. We will also discuss the process of hypnotherapy, the different types of hypnosis, and what to expect in a typical session.

The History of Hypnotherapy

Hypnotherapy has been used for centuries as a healing tool, with its roots in ancient cultures such as the Greeks and Egyptians. However, it wasn't until the 18th century that hypnosis as we know it today was developed, with the work of Franz Mesmer, a German physician who believed that the power of suggestion could cure illnesses.

Mesmerism, as it was called, was popularized in the 19th century by James Braid, a Scottish physician who coined the term "hypnosis" and wrote extensively on the subject. From there, hypnotherapy continued to evolve and gain acceptance in the medical community as a valid form of therapy.

The Benefits of Hypnotherapy

Hypnotherapy can be used to address a wide range of issues, from anxiety and depression to phobias and addictions. By accessing the subconscious mind, hypnotherapy can help people gain insight into their thoughts and behaviors, overcome negative patterns, and create positive change in their lives.

Research has shown that hypnotherapy can be effective in treating a variety of conditions, including:

Anxiety and stress

Depression

Insomnia

Pain management

Addiction

Phobias and fears

Weight loss

Smoking cessation

Performance enhancement

The Process of Hypnotherapy

The process of hypnotherapy typically involves an initial consultation where the therapist assesses the individual's needs and determines the goals of the therapy. The individual is then guided into a relaxed state through the use of guided imagery and suggestion. The therapist may use various techniques to address specific issues such as anxiety, phobias, or addiction. Hypnotherapy sessions typically last between 60 to 90 minutes and may require several sessions to achieve the desired results. Throughout the process, the individual remains in control and aware of their surroundings.

Overall, Hypnotherapy NYC is a powerful tool that can help you achieve your goals and improve your mental health. It's important to do your research and find a hypnotherapist who is qualified, experienced, and has a track record of success. You should also make sure that you feel comfortable with your therapist and that they understand your unique needs and goals.

For those looking for a more holistic approach to hypnotherapy NYC, the Freedom Hypnosis is the perfect fit. Freedom Hypnosis provides live online sessions to help with a variety of issues, including smoking cessation, stress and anxiety relief, weight loss, confidence and self-esteem, overcoming fears, breaking bad habits, focus, motivation, and test preparation, sleep problems and pain relief, public speaking and shyness, memory enhancement, and improving sports performance. Other popular services include grief counseling, undesired behaviors, procrastination, business development, obsessions, and many more. We give a cutting-edge platform where we emphasize the inner self, achieving self-confidence, and having the freedom to be your best self.

Conclusion

Hypnotherapy New York City is a vital tool that may assist you in overcoming a wide range of mental health concerns. Anybody interested in exploring this sort of treatment will discover a multitude of resources in New York City, and with a little investigation, you may locate a hypnotherapist who can help you reach your objectives and enhance your quality of life.

Freedom Hypnosis 34–18 Northern Blvd Long Island City, NY 11101 (917) 300–1809 https://freedomhypnosisnyc.com/

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bestpsychiatristsnetwork · 9 days ago

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Top ADHD Treatment Services Near You: Meet the Best Psychiatrists Across the U.S.

Attention Deficit Hyperactivity Disorder (ADHD) affects millions of people across the United States, from children to adults. If you or someone you know is navigating life with ADHD, finding the right psychiatrist can make all the difference. Fortunately, there are highly qualified professionals in every corner of the country offering specialized ADHD treatment services. Whether you live in bustling cities like New York or sunny states like California and Florida, this guide will help you connect with the best psychiatrists for ADHD treatment near you.

Understanding ADHD and Why Specialized Treatment Matters

ADHD is a neurodevelopmental disorder characterized by symptoms such as inattention, hyperactivity, and impulsivity. It can significantly impact daily life, including relationships, work, and school performance. While ADHD is common, it requires proper diagnosis and tailored treatment plans to manage effectively.

The best psychiatrists not only provide medication and therapy but also equip patients with tools to lead balanced, fulfilling lives. With their expertise, they can personalize treatment to fit the needs of individuals, whether children, teens, or adults.

Below, we highlight states across the U.S. where you can find top ADHD treatment services and renowned psychiatrists.

California (CA): Leading ADHD Treatment in the Golden State

California is home to some of the best ADHD treatment services in the U.S. With its major cities like Los Angeles, San Francisco, and San Diego, finding expert psychiatrists is more accessible than ever.

Where to Look in California:

Los Angeles: Known for its diverse healthcare options, LA has numerous psychiatrists who specialize in ADHD treatment for both adults and children.

San Francisco: The city’s mental health services often integrate cutting-edge research and holistic therapies.

San Diego: Many psychiatrists here focus on family-centered ADHD treatments, ensuring support for children and parents alike.

California’s psychiatrists combine medication management with cognitive-behavioral therapies, giving patients well-rounded care.

Florida (FL): Expert ADHD Services in the Sunshine State

Florida is not just a vacation destination; it’s also a hub for quality healthcare. Whether you’re in Miami, Orlando, or Tampa, you’ll find some of the best psychiatrists for ADHD treatment.

Where to Look in Florida:

Miami: Known for its diverse medical community, Miami offers ADHD specialists who cater to bilingual and multicultural families.

Orlando: With its focus on pediatric care, many psychiatrists in Orlando offer early intervention programs for ADHD in children.

Tampa: Tampa’s professionals specialize in adult ADHD treatment, helping individuals succeed in work and personal life.

Florida psychiatrists use a combination of therapy, behavioral coaching, and medication to treat ADHD effectively.

Texas (TX): Comprehensive ADHD Care in the Lone Star State

Texas—with its sprawling cities like Houston, Dallas, and Austin—offers extensive ADHD treatment options. Texans have access to some of the country’s top psychiatrists and mental health clinics.

Where to Look in Texas:

Houston: The city’s large medical centers provide evidence-based ADHD treatments for all age groups.

Dallas: Dallas psychiatrists often specialize in personalized treatment plans, integrating therapy and medication.

Austin: Known for its progressive mental health services, Austin offers holistic approaches like mindfulness and behavioral therapy alongside traditional treatments.

Texas’ combination of expertise and innovation makes it a top destination for ADHD care.

New York (NY): Top ADHD Treatment Options in the Empire State

New York’s fast-paced lifestyle can be challenging for those with ADHD, but the state’s mental health services are second to none. Whether you live in NYC, Buffalo, or Albany, expert psychiatrists are available to help you manage ADHD.

Where to Look in New York:

New York City (NYC): As a hub for top psychiatrists, NYC offers a range of treatments, from medication management to executive functioning coaching for adults.

Buffalo: Buffalo psychiatrists focus on comprehensive care for children, providing early intervention and school-based support.

Albany: Albany’s psychiatrists often provide ADHD treatment tailored to adults balancing work and family life.

New York’s access to leading psychiatrists ensures patients receive the care they need to thrive.

Illinois (IL): Accessing Quality ADHD Treatment in the Midwest

Illinois, particularly Chicago, is a prime location for ADHD treatment services. The state’s psychiatrists are experienced in treating patients from diverse backgrounds.

Where to Look in Illinois:

Chicago: Chicago’s mental health professionals specialize in ADHD diagnosis and treatment for both children and adults.

Naperville: Suburban clinics in Naperville focus on family-oriented ADHD therapies.

Springfield: Psychiatrists in Springfield often integrate behavioral therapies and medication for effective ADHD management.

In Illinois, psychiatrists emphasize creating customized treatment plans that address each patient’s unique challenges.

Virginia (VA): Expert ADHD Treatment in the Commonwealth

Virginia offers excellent ADHD treatment services, especially in cities like Richmond, Virginia Beach, and Arlington.

Where to Look in Virginia:

Richmond: Richmond’s psychiatrists focus on patient-centered care, with a strong emphasis on therapy.

Virginia Beach: Coastal cities like Virginia Beach have specialists offering ADHD treatment for children and teenagers.

Arlington: Arlington’s mental health professionals often integrate coaching and therapy for adult ADHD patients.

Virginia’s balanced approach to ADHD treatment ensures long-term success for patients.

Washington (WA): Leading ADHD Care in the Pacific Northwest

Washington, particularly Seattle, offers some of the country’s best psychiatrists for ADHD treatment. Known for its progressive healthcare system, Washington is an ideal place for ADHD care.

Where to Look in Washington:

Seattle: Seattle psychiatrists focus on holistic treatments, integrating therapy, medication, and lifestyle coaching.

Spokane: Spokane’s specialists often work closely with families to create supportive environments for children with ADHD.

Tacoma: Tacoma’s mental health services cater to adults looking for practical strategies to manage ADHD symptoms.

Washington’s focus on innovative treatment approaches makes it a top choice for ADHD care.

Massachusetts (MA): Exceptional ADHD Treatment in New England

Massachusetts has a long-standing reputation for medical excellence, with cities like Boston leading the way in ADHD treatment services.

Where to Look in Massachusetts:

Boston: Boston’s psychiatrists are renowned for their expertise in diagnosing and treating ADHD in both adults and children.

Cambridge: The city’s mental health professionals often integrate research-backed therapies with medication.

Worcester: Worcester’s clinics focus on collaborative ADHD care, involving families, schools, and patients.

Massachusetts’ combination of research and treatment expertise ensures patients receive world-class ADHD care.

How to Choose the Right Psychiatrist for ADHD Treatment

Finding the right psychiatrist for ADHD treatment is essential for effective care. Here are a few tips to help you make the right choice:

Look for Specialists: Choose psychiatrists who specialize in ADHD diagnosis and treatment.

Consider Experience: Check for professionals with extensive experience in treating children, teens, or adults with ADHD.

Read Reviews: Patient reviews and recommendations can offer valuable insights.

Evaluate Services: Look for psychiatrists offering a combination of medication management, therapy, and coaching.

Check Accessibility: Ensure the psychiatrist’s clinic is within a reasonable distance or offers virtual consultations.

Final Thoughts

ADHD treatment has come a long way, and with the right support, individuals can lead successful, fulfilling lives. Whether you’re in California, Texas, New York, or any other state mentioned above, there are expert psychiatrists ready to help you navigate ADHD challenges. By taking the first step toward treatment, you’re investing in a brighter, more focused future.

Finding the best psychiatrist in the U.S. for ADHD treatment may feel overwhelming, but this guide is a great place to start. Explore the resources near you and connect with professionals dedicated to improving mental health. With the right care, ADHD can be managed effectively, empowering you or your loved one to thrive.

#psychiatrist for depression treatment #anxiety treatment psychiatrist

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treatnow · 14 days ago

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Suicide Statistics and Brain Wound Insights: PART 2

"In the past 18 months, three experienced Super Hornet pilots have died by suicide. According to their families, all had symptoms consistent with brain injuries." NYT Dave Philipps PRESS SUMMARY ON SUICIDES Dave Philipps of the New York Times continues his reporting on brain wounds inflicted on US service members using their own technology, in this case Top Gun pilots. Previously, he has looked at artillery and mortar crews, grenade instructors and Navy SEALs. In this case, Top-Gun Navy Pilots Fly at the Extremes. Their Brains May Suffer, he reports on Project Odin's Eye, which extends a study already underway with SEALs to assess the impact of Operator Syndrome. Operator Syndrome is a unique pattern of interrelated medical and behavioral health-care needs, typically experienced by Special Operations warriors, to include pilots flying high-G fighters. The symptoms closely parallel polytrauma, including "traumatic brain injury effects; endocrine dysfunction; sleep disturbance; obstructive sleep apnea; chronic joint/back pain, orthopedic problems, and headaches; substance abuse; depression and suicide; anger; worry, rumination, and stress reactivity; marital, family, and community dysfunction; problems with sexual health and intimacy; being "on guard" or hypervigilant; memory, concentration, and cognitive impairments; vestibular and vision impairments; challenges of the transition from military to civilian life; and common existential issues." Readers of this space know that many of the above symptoms can be addressed using Hyperbaric Oxygen Therapy (HBOT) for alleviation and healing of many of those brain and other bodily wounds, including behavioral and cognitive damage. Military Medicine published a piece, Cumulative Blast Impulse Is Predictive for Changes in Chronic Neurobehavioral Symptoms Following Low Level Blast Exposure during Military Training looking for predictors of long term brain health. The research looked at peak blast overpressure, impulse, total number of blasts, Time in Low-Level Blast Occupation, and Time in Service all showed strong evidence of influence on Neurobehavioral System Inventory (NSI) scores after blast exposure. In simple terms, repeated blast exposure correlates with negative brain health outcomes. Reinforcing the negative consequences of thousands of high-G-force insults to the brain, Special Warfare Combat Crewmen (SWCC) boat Veteran Anthony Smith writes in the Havok Journal: "At 65 mph, the boat slams into a wave about once every second. 3,600 impacts happen in an hour. The impacts can be as hard and severe as 125 rotational g-forces on the head and neck, producing severe whiplash and sub-concussive impact. Often, it’s only about 35 or 40 g. Pretty typical." Increasing numbers of SWCC boat operators are coming to TreatNOW for help with Allostatic Overload (Operator) Syndrome. Smith's survey of 1000 led to 314 responses. 299 of the 314 were verified SWCC operators, representing 3,584 years of SWCC experience. Of the fifteen (15) who were not SWCC, two (2) were SEALs, two (2) were fleet officers who had served in the Special Boat Teams, one (1) was a USCG Warrant Officer, and nine (9) were NSW combat service support personnel. The median age was fifty (50), and median number of years served as SWCC was eleven (11), while most completed five (5) deployments. 100% of respondents had service time on SWCC fast boats and are now living with long-term effects of traumatic brain injury (TBI), whiplash-associated disorders (WAD), and musculoskeletal disorders (MSD), including cognitive impairment, neuroendocrine dysfunction, sleep disorders, chronic pain, and psychological disorders. To summarise: A constellation of symptoms related to insults to the brain from a variety of forces in various service categories leads to brain wounding that can be addressed with Hyperbaric Oxygenation. HBOT is used safely, effectively and infrequently across the DoD. Donations and volunteers are helping the brain wounded, without national government funding, get into HBOT treatment across the US. Ten states know better and have collectively appropriated over $32 Million to treat TBI/PTSD using HBOT. The USG has to wake up and pay for HBOT treatments. The suicide epidemic needs ACTION to heal brain wounds, not only more research and public service announcements, call centers, cooperative agreements, and "lethal means safety." The continuing diagnosis and treatments aimed at "mental health" have to be expanded -- perhaps even expanded -- into "healing brain wounds." Final Note: A deep-dive into HBOT for COVID and PTSD is in the The Empowering Neurologist Podcast, Dec 09, 2024. Dr. Amir Hadanny is interviewed by Dr. David Perlmutter in "Hyperbaric Medicine Revolution." The discussion focuses on enhancing the oxygen availability to the brain for mitochondrial dysfunction, a powerful therapeutic tool across a wide variety of neurological issues like head injury/TBI/PTSD, concussion, Operator Syndrome, dementia, stroke and even long COVID. As Congressman Greg Murphy, MD (R-NC) recently put it to CBS NEWS, ” I believe it is medical malpractice not to offer this to our Veterans.” Heal Brains. Stop Suicides. Restore Lives. TreatNOW ****************************** The TreatNOW Mission is ending service member suicides. Along the way, we have learned that we can end suicidal ideation, help end symptoms of PTSD, get patients off most of their drugs, and heal brain wounds to end the effects of BLAST injury, mild TBI Persistent Post Concussive Syndrome, and polytrauma from AHI and Burn Pits. Diabetic Foot Ulcers have become a major emphasis. www.treatnow.org Information provided by TreatNOW.org does not constitute a medical recommendation. It is intended for informational purposes only, and no claims, either real or implied, are being made. Read the full article

#braininjury #brainwound #HBOT #HBOTTreatment #HealingwithHyperbarics #hyperbaricchamber #HyperbaricOxygentherapy #suicide #SuicideStatistics #VeteranSuicide #VeteranSuicidePrevention

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sahraeyll · 24 days ago

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Leading 10 Medical Billing Companies in NY: Streamline Your Revenue Cycle Today!

Top 10 Medical Billing Companies in NY: Streamline ⁤Your Revenue Cycle Today!

As⁢ healthcare continues to evolve, so too does the need for efficient and accurate medical billing. New York, the bustling hub of the medical field,‌ is home to numerous medical billing companies that can help healthcare providers streamline their revenue cycles. In this article, we will explore the ‌top 10 medical billing companies in NY, providing insights into their services, advantages, and how they can enhance your⁢ practice’s efficiency.

Why Choose a Medical Billing Company?

Outsourcing medical billing can provide several ‍benefits, including:

Increased Revenue: ⁤ Professional billing companies can‌ enhance ⁣collections and ⁤minimize errors, boosting your ⁣bottom⁤ line.

Time Savings: Free up your staff ‌to focus on patient care ‍instead ‍of paperwork.

Compliance Knowledge: Stay up-to-date with changing regulations, ensuring compliance⁣ and reducing the risk of ⁣penalties.

Advanced⁣ Technology: Benefit from the latest billing software and analytics tools.

Top 10 Medical Billing⁢ Companies in New York

Company Name

Location

Specialties

MedBillingExperts

New York, NY

Multi-specialty, Telemedicine

CareCloud

New York, NY

Physician Practices

Viscogliosi Brothers

New ⁣York, NY

Orthopedics, Spine Care

eCatalyst Healthcare Solutions

New York, NY

Behavioral Health, Radiology

AdvancedMD

Buffalo, NY

Multi-specialty

Genie Solutions

Syracuse, NY

Dental, Medical

iMarque Solutions

Albany, NY

Multi-specialty

Practice Billing Solutions

Rochester, NY

Small Practices

ProMed Billing

Yonkers, NY

Pediatrics, Family ‍Medicine

AccuMed Billing

Long Island, NY

Urgent Care, Outpatient Services

Features of the‍ Top Medical Billing Companies

Here’s what you can expect from leading medical billing companies in ⁤New York:

Comprehensive Medical Billing: From patient registration⁤ to claim submission and follow-up, top companies handle it all.

Robust Reporting: ‍ Detailed analytics and reporting that offers insights into billing performance and opportunities for improvement.

Dedicated Customer Support: Access to specialists who are⁣ just a call⁣ away for queries and assistance.

Integration with EHR: ⁤ Seamless integration with existing Electronic Health Record (EHR) systems⁣ for streamlined processes.

Case Study:⁣ How a NYC Clinic Improved Its Revenue Cycle

A prominent healthcare provider in ‌New York City faced significant challenges with their billing process, resulting in high‍ claim denial ‍rates. They partnered with MedBillingExperts, which offered tailored⁣ solutions that included:

An audit of existing‌ billing processes: Identifying bottlenecks and ‌inefficiencies.

Staff training: Providing ongoing education on ⁤coding and billing best practices.

Implementation of cutting-edge software: Enabling real-time⁣ claims ‌tracking and analytics.

24/7 support: Ensuring immediate response to challenges.

Over ⁤the course of six months, the clinic saw a 38% reduction‌ in claim denials and an increase in collections by over 25%—demonstrating the significant impact of⁣ skilled billing professionals.

Tips for Choosing‌ the Right Medical Billing Company

When searching for the perfect match for your medical billing needs, consider these tips:

Specialization: Look ⁣for ⁣companies that⁣ specialize in your area of practice.

Reputation: Check reviews and case studies to ensure they ‌have a successful history in improving revenue cycles.

Technology: Inquire about their software capabilities and integration with your existing systems.

Customer ⁤Service: Ensure they provide dedicated support and have ⁤a clear communication ⁢line.

Pricing Structure: Understand their fees and ensure they are ⁢transparent with potential costs.

Conclusion

Finding the right medical‌ billing ⁣company in New⁢ York can significantly enhance your practice’s ⁣efficiency and revenue. The ‌companies mentioned above have established their credibility through dedicated services, specialized knowledge, and effective solutions tailored to various medical practices. By leveraging their expertise, you can optimize your revenue cycle, reduce claim denials, and focus ‍more ⁣on patient care instead of administrative burdens. Start your search today, and take the first step towards streamlining your⁢ medical billing processes!

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https://medicalbillingcertificationprograms.org/leading-10-medical-billing-companies-in-ny-streamline-your-revenue-cycle-today/

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justinspoliticalcorner · 26 days ago

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Keren Landman, MD for Vox:

Americans have never been more polarized, and we dislike each other on partisan grounds now more than ever. Perhaps that’s not shocking, but what may come as a surprise is the way it’s hurting our health. “Political polarization is harming our health in just about every way,” says Matthew Motta, a political scientist and health law scholar who studies anti-science attitudes at Boston University — and “pretty much all aspects of health have become politicized.” That leads elected officials and other authority figures to make bad health policy decisions and communicate with the public in ways that link health behavior with partisan ideology. A public that sees everything through a red-or-blue lens is more likely to distrust experts, dislike policies with clear health benefits, embrace policies with clear health risks, and make self-destructive choices. These dynamics aren’t exclusive to a single party, says Jay Van Bavel, a psychologist at New York University who studies social identity and morality: Nobody is immune from the tricks polarization plays on the brain.

Experts say elevating Kennedy’s platform lifts up his worst ideas, and that may prove to be true. But given polarization’s threats, it’s worth considering whether his nomination could also depolarize public health — for good and for ill.

Polarization leads us to make bad health choices

Jonathan Oberlander, a political scientist and health policy scholar at the University of North Carolina, recently published an essay explaining how political polarization degrades people’s health through its effects on both individuals and elected officials. Political polarization shapes how people interpret risk and who they trust and listen to, which shapes what health services they access and what behaviors they partake in or don’t. This dynamic was a big reason Covid death rates so dramatically diverged between Republicans and Democrats: Party affiliation determined people’s willingness to get vaccinated, wear masks, social distance, and take other preventive measures, says Oberlander. Republicans were less likely to take these measures, and more likely to die of Covid as a consequence.

Highly polarized individuals are more likely to make self-sabotaging health choices just because “their guy” tells them to. This was true when right-leaning Americans embraced taking the antiparasite drugs ivermectin and hydrochloroquine for Covid (despite their adverse effects and cost) and refused Covid vaccines (despite evidence they were safe and saved lives), and when left-of-center Americans leaned into social distancing (despite concerns it was harmful to mental health). Polarized people are also more likely to reject policies that they feel might help people on the opposing side. The rise in what Motta calls “partisan schadenfreude” means that people are increasingly taking pleasure in the suffering of people in other parties. During Covid, he explains, “Republicans took joy in Democrats losing their jobs as a result of stay-at-home orders, whereas Democrats take joy in Republicans getting sick as a result of being infected.” Although left-wing Americans were more likely to take Covid’s risks seriously, Van Bavel notes Republicans outpaced Democrats on Ebola fears throughout the 2014 outbreak, during Barack Obama’s presidency. “It’s not that Democrats in America have a unique capacity to be attuned to the science and the risks of epidemics and pandemics,” he says; it’s that polarized people on the left and the right distrust the other party’s ability to handle any health threat.

Polarization is also creeping into our relationships with health care providers. A recent survey by communications firm Edelman found people feared the politicization of medical science as much as they feared the cost of medical care; 41 percent of respondents aged 18 to 34 said they wouldn’t trust medical advice from a provider who had a different political persuasion than they did, or would stop seeing them entirely. Health care workers — nurses in particular, as well as dentists, doctors, and pharmacists — have historically been among the most trusted sources of health information for Americans. What happens when politics disrupts that bond, especially when health care workers are in short supply? On the most essential level, polarization just makes people feel sick. Whether people are conservative or liberal, the mere perception of being politically distant from the average voter in their state raises their risk of developing depression and anxiety disorders, sleep problems, and poor physical health.

[...]

Health communicators have a role to play in that, whatever their politics, says Heather Lanthorn of the Council for Quality Health Communications, a nonprofit advocacy group. “On the numerous points where we disagree with MAHA, we need to do a better job of leveraging scientific evidence and addressing their specific concerns honestly, openly, and head-on,” she wrote in an email to Vox. Jared Polis, the Democratic governor of Colorado, may have had bridge-building in mind when he praised Trump’s choice of Kennedy last week, applauding Kennedy’s activism against vaccine mandates and, in particular, his willingness to take on the pharmaceutical and agricultural industries. Not everyone is as optimistic. Seeing Kennedy’s selection as an “olive branch” suggests a complete misunderstanding of his value to Trump, says Motta. “Kennedy is in Trump’s orbit,” he says, “because they speak the same anti-intellectual language.” Some Democrats may fantasize that Kennedy’s presence at HHS would raise trust in science and government among Republicans. However, there’s at least as big a risk his leadership would instead affirm conservatives’ misgivings while also seeding new distrust among Democrats and centrists who typically have higher levels of confidence in these institutions — just furthering the polarization health doom loop.

Political polarization in America has had stark consequences on our health, as we saw with the COVID pandemic.

#Public Health #Polarization #Robert F. Kennedy Jr.#Ebola #Coronavirus #Department of Health and Human Services #HHS

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therapycenterofny · 3 months ago

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Therapy is highly effective for ADHD treatment because it addresses both the behavioral and emotional challenges associated with the condition. Cognitive Behavioral Therapy (CBT), for example, helps individuals with ADHD develop strategies to manage time, stay organized, and improve focus. By teaching practical skills and offering coping mechanisms, therapy can significantly reduce the impulsivity and inattention common in ADHD.

In addition to behavioral strategies, therapy also provides emotional support. Many individuals with ADHD struggle with low self-esteem, frustration, and anxiety. Through ADHD-focused therapy, clients learn to better understand their condition, navigate emotional difficulties, and build self-confidence, leading to improved overall functioning and well-being.

#adult adhd #online adhd medication treatment #adhd #adhd problems #adhd things #new york medical behavioral health services

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instapayhealthcare · 3 months ago

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🌟 Attention Behavioral & Mental Health Providers in New York! 🌟

Is your billing process holding you back from focusing on patient care? 🤔 Let Instapay Healthcare Services take the burden off your shoulders with specialized Behavioral and Mental Health Billing Services tailored for your practice! 💼

✅ Maximize Revenue ✅ Reduce Claim Denials ✅ Streamline Your Revenue Cycle ✅ Stay 100% Compliant with New York’s Regulations

At Instapay Healthcare, we ensure fast, accurate billing so you can focus on what matters most—changing lives through compassionate care. Let us handle the complex billing, so your practice thrives! 💪

💡 Ready to elevate your practice? Reach out today and experience the difference with Instapay Healthcare Services.

Fax:- 9179607960 📞: +1(646) 851-2115 📧: [email protected]

#Behavioral and Mental Health Medical Billing Services in New York #Behavioral and Mental Health Medical Billing Services #Top Behavioral and Mental Health Medical Billing Services in New York #New York Mental Health Medical Billing Services #Behavioral and Mental Health Medical Billing Specialist #Outsourced Mental Health Medical Billing Services

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johnmuller12 · 1 month ago

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Veterinarian Services in New York: Compassionate Care for Your Pets

Looking for a trusted veterinarian in New York? The Downtown Veterinary Clinic offers comprehensive, proactive care for your pets, ensuring their medical, surgical, dental, and behavioral needs are met with expertise and compassion. Our team, led by Dr. Ficarra, Dr. Schaubhut, and skilled staff, partners with pet owners to provide flexible, personalized care that respects your preferences.

We specialize in senior pet monitoring and advanced dental care, ensuring your pets remain in excellent health as they age. Equipped with state-of-the-art technology, our NYC animal hospital delivers the highest standard of veterinary services. Visit us today and discover compassionate, professional care tailored to your furry friends’ needs.

Schedule an Appointment Today

Whether you’re seeking routine care or specialized services, our Manhattan animal clinic is here to help.

Our Services

At our NYC veterinary clinic, we offer a wide range of services designed to keep your pets healthy and happy:

House Calls: Perfect for pets more comfortable in their home environment, we bring quality veterinary care to your doorstep.

International Travel Certificates: Planning a trip with your pet? We handle all the necessary paperwork and certifications.

Same-Day Appointments: We’re available for those unexpected moments when your pet needs immediate attention.

Laser and Chiropractic Therapy: Advanced treatments to relieve pain and improve mobility.

Vaccinations and Spay/Neuter Services: Essential for long-term health and well-being.

Dental Care: Comprehensive dental evaluations and treatments to maintain excellent oral health.

Behavioral Consultations: Address behavioral challenges with expert advice and solutions.

Urgent Pain Relief: Quick and effective care for pets in pain.

Skin Therapy: Diagnosis and treatment for a variety of skin conditions.

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p4557 · 1 month ago

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10 RFK Jr. conspiracy theories and false claims, in his own words - The Washington Post

"children’s sexuality and gender identity.

“I want to just pursue just one question on these, you know, the other endocrine disrupters because our children now, you know, we’re seeing these impacts that people suspect are very different than in ages past about sexual identification among children and sexual confusion, gender confusion,” he said on his podcast in 2022, according to CNN.

Experts say there is no scientific evidence to back up Kennedy’s claims, which have also been spread by conspiracy theorist Alex Jones.

“That’s just leaning into the fear that hormones are going to make our kids gay or transgender. It’s a very old conspiracy theory,” said David Gorski, a Wayne State University professor of surgery and oncology and managing editor of Science-Based Medicine, which debunks misinformation in medicine. “That has no basis in evidence.”

Tablets of ivermectin in May 2021. (Soumyabrata Roy/Getty Images)

Kennedy has falsely touted ivermectin and hydroxychloroquine as effective covid treatments

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Kennedy falsely claimed in a July interview last year with Fox News that fewer people would have died of covid-19 if the United States had deployed ivermectin and hydroxychloroquine. Multiple studies have concluded that the antiparasitic and antimalarial drugs are ineffective against covid-19, despite the promotion of the drug by right-wing media.

“We racked up the highest death count in the world. We only have 4.2 percent of the globe’s population, but we had 16 percent of the covid deaths in this country, and that is … that was from bad policy. There’s … countries that did the opposite of what we did — that provided ivermectin, hydroxychloroquine, other early treatments to their populations — and had 1/200th of our death rate,” he told Watters, the Fox host.

The FDA has approved ivermectin for treating some parasitic infections, head lice and skin conditions such as rosacea — but not for the coronavirus.

In spring 2020, the FDA authorized the emergency use of hydroxychloroquine, an antimalarial drug, to treat the coronavirus. But less than three months later, the agency withdrew the drug’s authorization because the medications “were unlikely to be effective.”

Kennedy argued that covid-19 was ‘ethnically targeted’ to spare Ashkenazi Jews and Chinese people

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“Covid-19. There is an argument that it is ethnically targeted. Covid-19 attacks certain races disproportionately,” Kennedy said in a video recorded by the New York Post last July. “Covid-19 is targeted to attack Caucasians and Black people. The people who are most immune are Ashkenazi Jews and Chinese.”

There is no scientific basis to these claims. Scientists and politicians have widely decried Kennedy’s remarks as racist and antisemitic.

Kennedy claims 5G high-speed wireless network is used to ‘control our behavior’

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Kennedy has claimed that 5G high-speed wireless network service is being used to “harvest our data and control our behavior.” His claims echo long-running conspiracy theories that 5G technology causes harmful effects on health.

During the pandemic, governments in the United Kingdom and the United States issued assurances that the technology was not fueling the coronavirus. Experts have dismissed fears of detrimental health effects, pointing out the technology is no different than existing networks.

Rachel Roubein contributed to this report."

https://archive.is/2024.11.17-114421/https://www.washingtonpost.com/health/2024/11/15/rfk-jr-views-conspiracies-false-claims/#:~:text=children%E2%80%99s%20sexuality%20and,to%20this%20report.

The ascension of Robert F. Kennedy Jr., a longtime anti-vaccine activist, to the nation’s top health post has alarmed medical experts, who point to his history of trafficking in conspiracy theories as disqualifying to lead the Department of Health and Human Services.

Kennedy, whom President-elect Donald Trump selected as health secretary on Thursday, will be charged with a massive portfolio overseeing Americans’ insurance, drugs, medical supplies and food if the Senate confirms him.

“He is one of the most prominent anti-vaccine activists in the United States and globally, and he has been at this for 20 years,” said Peter Hotez, co-director of the Texas Children’s Hospital Center for Vaccine Development and dean of the National School of Tropical Medicine at Baylor College of Medicine.

Kennedy’s anti-vaccine beliefs and advocacy work prompted Hotez to write a book about his autistic daughter titled “Vaccines Did Not Cause Rachel’s Autism,” said Hotez, adding that he has spoken to Kennedy several times in the past about his views on vaccines.

Kennedy’s spokeswoman previously told The Washington Post that he is not “anti-vaccine.” When asked to respond Thursday to his history of false health claims, she pointed to Kennedy’s statement on X, thanking Trump for picking him and pledging to “Make America Healthy Again.”

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“I will provide Americans with transparency and access to all the data so they can make informed choices for themselves and their families,” Kennedy wrote.

Here are 10 false health claims Kennedy has publicly made over the years:

What to know

Kennedy has falsely linked vaccines to autism

Kennedy falsely called the coronavirus vaccine the ‘deadliest vaccine ever made’

Kennedy promotes raw milk, stem cells and other controversial or debunked medical treatments

Kennedy argues government employees have an interest in ‘mass poisoning’ the American public

Kennedy has falsely linked antidepressants to mass shootings

Kennedy incorrectly suggests AIDS may not be caused by HIV

Show all questions

Kennedy has falsely linked vaccines to autism

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Kennedy, who founded a prominent anti-vaccine group, has repeatedly linked the childhood vaccine schedule to autism — a claim that has been debunked by scientists. Kennedy has falsely blamed autism on thimerosal, a compound safely used as a preservative in vaccines, and decried the number of shots on the childhood vaccination schedule.

“I do believe that autism does come from vaccines,” he said last summer in an interview with Fox News host Jesse Watters.

In 2015, Kennedy equated vaccination to the Holocaust at a California screening for an anti-vaccination film: “They get the shot, that night they have a fever of 103, they go to sleep, and three months later their brain is gone,” he said. “This is a Holocaust, what this is doing to our country.”

Because signs of autism may appear around the same time children receive the MMR (measles, mumps, rubella) vaccine, some parents mistakenly link the two events. Vaccine safety experts, including those at the Centers for Disease Control and Prevention and the American Academy of Pediatrics, agree that the MMR vaccine is not responsible for recent increases in the number of children with autism.

Kennedy falsely called the coronavirus vaccine the ‘deadliest vaccine ever made’

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At a 2021 state House hearing on a Louisiana Department of Health proposal to require schoolchildren to be vaccinated against the coronavirus, Kennedy proclaimed the vaccine to be the “deadliest vaccine ever made.” Health officials say the coronavirus vaccines are safe and effective, saving millions of lives.

At the time, Louisiana State Health Officer Joseph Kanter condemned Kennedy’s remarks as “the intentional spread of health disinformation.” Kanter is now chief executive of the Association of State and Territorial Health Officials, which represents public health agencies across the country.

Asked by The Post last year about his previous comments, Kennedy’s spokeswoman stood by his remarks in an email that repeated misleading statements about childhood vaccines.

Kennedy promotes raw milk, stem cells and other controversial or debunked medical treatments

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Robert F. Kennedy Jr

@RobertKennedyJr

FDA’s war on public health is about to end. This includes its aggressive suppression of psychedelics, peptides, stem cells, raw milk, hyperbaric therapies, chelating compounds, ivermectin, hydroxychloroquine, vitamins, clean foods, sunshine, exercise, nutraceuticals and anything… Show more

9:25 PM · Oct 25, 2024

149K

See the latest COVID-19 information on X

Read 7.3K replies

There is a reason milk is pasteurized.

Raw milk is unsafe to consume, and the Food and Drug Administration and the CDC have strongly advised against consuming it because it can contain dangerous bacteria, such as salmonella, E. coli and listeria. It can also contain viruses, including the H5N1 bird flu virus that is causing an outbreak in dairy cattle and has sickened at least 46 people in the United States. Unpasteurized milk from infected cows can contain high levels of infectious H5N1 virus.

Stem cells, which have shown great promise for potential medical treatments, have also spawned a cottage industry of clinics marketing unproven treatments — some of which have blinded patients.

Paul Knoepfler, a professor of cell biology and human anatomy at the University of California at Davis who tracks questionable stem cell treatments, told The Post he is concerned Kennedy could become an ally of unproven stem cell clinics that have popped up across the United States, potentially exerting pressure on the FDA to back off enforcement actions and allow therapies that are not ready for clinical trial.

Kennedy argues government employees have an interest in ‘mass poisoning’ the American public

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“The agency, the USDA, the FDA have been captured by the industries they’re supposed to regulate, and they all have an interest in subsidies and mass poisoning the American public,” Kennedy told Fox News in August.

Kennedy has repeatedly spoken about wanting to eliminate industry interests from the government, but public health experts say it is slander to imply that government employees are purposefully harming Americans.

“That’s just an inflammatory statement that has no basis in reality,” Hotez said. “I’ve worked with the scientists at the [health] agencies, at CDC and FDA, at the National Institutes of Health, and they are the most dedicated civil servants the nation has ever seen.”

Kennedy has falsely linked antidepressants to mass shootings

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Kennedy has suggested mass shootings committed by young people are spurred by antidepressants and video games. Federal scientists need to be studying shootings to “see if there is connections to some of the SSRI [antidepressant] and psychiatric drugs people are taking, whether there is connections to video games,” he told Turkish state-owned TRT World in January.

The suggestion that antidepressants are linked to mass shootings has been amplified by right-wing figures such as Marjorie Taylor Greene and Tucker Carlson. But experts caution there is no credible research linking antidepressants to mass shootings. Studies show only a small percentage of mass shooters were taking medications or suffering from serious mental illness when they committed the crimes.

Kennedy incorrectly suggests AIDS may not be caused by HIV

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Kennedy has repeatedly — and falsely — suggested that the human immunodeficiency virus is not the cause of acquired immunodeficiency syndrome. The discovery of the connection between HIV and AIDS garnered a Nobel Prize in 2008 and is established science.

“They were doing phony, crooked studies to develop a cure that killed people without really being able to understand what HIV was, and pumping up fear about it constantly, not really understanding whether it was causing AIDS,” Kennedy said in an interview last summer with New York Magazine.

In his 2021 book, “The Real Anthony Fauci: Bill Gates, Big Pharma, and the Global War on Democracy and Public Health,” Kennedy wrote that he takes “no position” on whether HIV causes AIDS — then dedicated many pages to casting doubt on the science.

Kennedy falsely argues children’s gender identity can be impacted by water

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Kennedy has repeatedly argued that chemicals in the water are changing children’s sexuality and gender identity.

Experts say there is no scientific evidence to back up Kennedy’s claims, which have also been spread by conspiracy theorist Alex Jones.

Kennedy has falsely touted ivermectin and hydroxychloroquine as effective covid treatments

Return to menu

The FDA has approved ivermectin for treating some parasitic infections, head lice and skin conditions such as rosacea — but not for the coronavirus.

Kennedy argued that covid-19 was ‘ethnically targeted’ to spare Ashkenazi Jews and Chinese people

Return to menu

There is no scientific basis to these claims. Scientists and politicians have widely decried Kennedy’s remarks as racist and antisemitic.

Kennedy claims 5G high-speed wireless network is used to ‘control our behavior’

Return to menu

Rachel Roubein contributed to this report.

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