#rural healthcare access

[townpostin]

3-Year-Old Tanu Sabar Receives Life-Saving Heart Surgery

Dr. Sanjay Giri and team facilitate critical operation at Medanta Hospital, Patna A three-year-old girl from Baikanthpur, Chakulia block, undergoes successful heart surgery after community intervention. JAMSHEDPUR – Tanu Sabar, a three-year-old from Baikanthpur in Chakulia block, received life-saving heart surgery thanks to the efforts of Dr. Sanjay Giri and his team from Sampurna Manavta Kalyan…

[wat3rm370n]

Congress needs to ensure telehealth access continues for Medicare patients.

Telehealth for Medicare is going to expire at the end of December 2024. Private insurers tend to follow Medicare on things like this. So this can and will affect everyone’s ability to get telehealth services.

It will force disabled, terminal, high risk, immunocompromised, into in-person visits for things that absolutely don’t require in-person exams. They will force terminally ill and high risk and immunocompromised people to get mental health services in person. This will shut out many rural patients who have trouble traveling for appointments, and need telehealth access.

This will also lead to patients with highly contagious diseases such as covid to be forced to go into the doctors offices at the same time you’re there for preventative or chronic illness care. Bonus, most of these healthcare providers do not require masks at all, and may never do so again for many years as we slide backwards, no matter how bad things get, or how many serious diseases circulate. The best hope for many people is protecting access to telehealth.

✏️ My letter to reps (congressperson and us senators):

Telehealth services via Medicare must not expire. Telehealth service should be a permanent option for all patients, and covered by all insurance, including Medicare and Medicaid.

Please feel free to repurpose for your own letters to reps.

MarketWatch - 67 million Medicare recipients face ‘chaos’ if Congress cuts telehealth benefits Elderly and disabled patients could miss out on healthcare services unless an extension is passed before the end of the year By Jessica Hall Last Updated: Sept. 25, 2024 Medicare beneficiaries’ access to telehealth services will expire at the end of the year unless Congress acts, and public-health experts say that doing away with video-enabled medical care would lead to “chaos” in the healthcare system relied on by 67.4 million Americans. About 5% of Medicare’s overall outpatient visits are currently conducted via telehealth, according to Ateev Mehrotra, a professor at Brown University’s School of Public Health. Telehealth usage was as high as 42% during the height of the COVID-19 pandemic, he added. The types of medical appointments carried out via telehealth include mental-health visits, dermatological screenings and conversations with a primary-care doctor about cold or flu symptoms or about getting physical therapy. “If the rules were to expire, many people would be devastated. People are going to be frantic,” Mehrotra told MarketWatch in an interview. “Anxiety is increasing by the day because the year-end is approaching and Congress hasn’t passed these extensions.”

American Physical Therapy Association - Congress Must Act on Telehealth Flexibility Before Provisions Expire - Without action, PTs and PTAs will no longer be eligible for the provisions that have allowed them to be paid for telehealth services. Date: Friday, November 22, 2024 For PTs, PTAs, and their Medicare patients, extension of these telehealth flexibilities is critical to maintaining continuity of care. To that end, APTA and other therapy provider associations are urging Congress to extend the pandemic-era Medicare telehealth policies. We need your help in these advocacy efforts: Ask your members of Congress to pass a year-end legislative package and support extending telehealth via APTA's Patient Action Center.

KFF - What to Know About Medicare Coverage of Telehealth - Alex Cottrill, Juliette Cubanski, and Tricia Neuman - Published: Oct 02, 2024 Prior to the declaration of the COVID-19 public health emergency, Medicare coverage of telehealth was largely restricted to beneficiaries in rural areas and to certain types of providers, facilities, and services. At the time, beneficiaries were typically required to travel from their homes to approved clinical sites where they could receive care from providers at other locations. To make it easier and safer for beneficiaries to seek medical care during the pandemic, the Secretary of the Department of Health and Human Services (HHS) waived many of these restrictions in March 2020, enabling broader use of telehealth services for all Medicare beneficiaries.

[thegoblinpit]

One thing about growing up in the Bible Belt and very poor is that both 1. Childhood mortality and 2. The threat of Hell were very real and traumatic fears to my ancestors, so I was trained to say this classic prayer nightly: “Now I lay me down to sleep. I pray the Lord my soul will keep. For if I die before I wake, I pray the Lord my soul will take.”

I’m still religious, but don’t subscribe to the fear-mongering-for-followers, especially telling *children* that God is like a scary Santa that sets you on fire if you’re naughty. Anyway. I realized today that that prayer was, in part, probably supposed to make me a little frightened, especially of the ideas of death and hell. However, a second thing about growing up super poor in the Bible Belt (aka, the land of “hillbillies neither want nor deserve public assistance”) was that 1. I knew very early that childhood mortality may very well Get Me, but 2. I honestly hoped it would. I always took comfort in that prayer. It was a relief, a plea, that God might take me away any night, and I’d be in a better place forever.

I’ve always had pretty severe mental health issues, and considered the onset of my suicidal tendencies to be ~7y/o, but today, I realized there’s never been a time I was just a happy kid. I’ve been romanticizing the daydream that all of my suffering would end One Day Soon since I was old enough to speak and remember that prayer.

It makes me kind of sad that even though my disabled, single mother fought for our lives and did everything she could for me, even taught me a prayer to 1. protect my life and 2. Protect my soul if my life was too much to ask… and yet all my days I’ve been wishing, *praying* away the life she was so afraid to lose.

My mom used to tell me that when I was only four, I used to cry and say, “I just miss the good old days.” I can only assume those Good Old Days were a time between birth and 4 when her arms still had the ability to carry me, my chronic nightmares hadn’t started, and meals were guaranteed. I have no memory now of such a time. I hope I didn’t hurt her too much by showing my misery.

I don’t know why I’m saying any of this. I guess it was just a stark realization and I need to shout it into the void.

[brownpaperhag]

im so drunk @ sheema kermani

sheeeemaaaaa 😩

[icantthinkofacoolblognamesposts]

Worst part of this fallout is that parents are going to start curtailing their female wards from any type of career that MIGHT demand late night shifts or staying alone. Tell me which workplace is fully crowded 24/7? Women go to the lavatory which are usually in an out of the way area of the workplace & it takes a less than quarter of an hour to get raped.

The phenomenon of extremely violent rape/murder of typically good-looking young women who are well educated, well placed professionally is a well thought out strategy by the saffron brigade.

Do girls, women face violent incidents in india? Absolutely. Every corner of India is unsafe for women - it's on ourselves to stay safe, which means that the female in question should never venture out after nightfall, stray anywhere without permission, etc.

But this particular phenomenon that started in the national spotlight with Nirbhaiya and continues with Dr. Mamta is subtle psychological grooming to put women back "where they belong" , take India back to the "good old days" where education, literacy and even access to basic amenities were only in the hands of a few.

She has not just been raped and murdered, she was very much tortured and brutalized like Nirbhaya. It is all over the Bengali news. I don't understand why no one is talking about this.

A 2nd year Respiratory Medicine in a well known government medical college in Kolkata, West Bengal, India is found in a semi-naked state and the college/ hospital called it a suicide.

I'm a MBBS student in second year. After reading about her, what crossed my mind is the amount of times she would have felt this fear, before this worst fear of hers eventually materialized.

"A young resident doctor was found dead in the seminar room of her medical college in Kolkata. Initial autopsy report suggests possible rape and murder."

As all are saying,

She wasn't walking the street at odd hours. She wasn't wearing clothes that were provocative. She wasn't loitering in dangerous neighbourhoods.

She was a resident doctor, looking for a place to rest in her own hospital.

She had been on duty and had gone to rest in the early hours of Friday.

The one place which was supposed to guarantee her safety failed her, miserably.

Someone comes, rapes a female pg who is merely resting in a seminar hall because there is no proper place for her to rest, brutalized her and kills her. How did NO one know? The college and police initially call it a suicide. Excuse me? It is also being said that under pressure from local politicians, the Principal and Dean attempted to alter the post-mortem report. Autopsy confirms sexual assault.

What are the actions taken? One man arrested because his behavior seemed "shady". This is clearly not an act of one man. And this was a very well aware of and a well executed criminal act.

Also, all this happening in WB right when the situation of bangladesh is in turmoil and news of Bangladeshi Hindus being killed and tortured, seems wrong, VERY WRONG. Happening right before NEET-PG, as 24 lakh doctors prepare to write an exam on Sunday to be resident doctors, this news has wrapped us all in agony and rage,

What are they working so hard for? Why should they aspire to be in a system that ignores their basic needs? The minimum requirement of a workplace is safety. That should be non-negotiable.

This profession demands extereme hardwork, a lot of mental strength and Physical Assaults, harassment, low paying jobs with odd working hours with intense humiliation. Now its the worst of all seeing a bright mind losing her life in the most disrespectful state of all. This should never happen to any woman.

I'd also like to question why isn't any big media house covering this news, where are all the international news channels all this time.

What are the students in other medical colleges doing? This talks about their own safety and lives. What are the medical students across the world doing? It's time for us to stand for the most basic Human right, safety.

Yesterday when my roommate, an MBBS final year intern was heading for her night posting, I feared and prayed for her to come back safely. Thinking about it, in a few years I will also have night posting, I'll also return from my hospital duties late at night. I'll also have to go through the same fear, and I'll also have to keep praying that my worst fears don't turn into reality. So many female doctors, nursing staffs, other Healthcare workers, other working women, non-working women go through the same fear, probably multiple times a day.

It is a shame to be born in such a disgusting world and society, it is shame to witness such a brutal crime, and it is a shame to live in this fear daily.

Those RAPISTS need to be hunged infront of the whole natio...if needed burned alive. People should fear the idea of raping, more than getting raped.

[sunnygattan]

Sunny Gattan The Impact of Nurse Practitioners on Healthcare in Rural Communities

Rural communities often face significant healthcare challenges due to limited access to medical facilities and professionals. Nurse Practitioners (NPs) are crucial in bridging this gap, offering quality care, and improving health outcomes. In this blog, we explore the impact of NPs on healthcare in rural areas, with insights from Sunny Gattan, a renowned healthcare expert.

Addressing the Shortage of Healthcare Providers

One of the most pressing issues in rural healthcare is the shortage of medical professionals. Many doctors prefer to work in urban areas with more abundant resources and facilities. Rural populations now have less access to medical treatment as a result. Nurse Practitioners, like Sunny Gattan, have been instrumental in addressing this shortage. With their advanced training and ability to provide a wide range of services, NPs fill the gap left by the absence of physicians.

Nurse Practitioners can diagnose and treat illnesses, prescribe medications, and manage chronic conditions, offering comprehensive patient care. Their presence ensures that rural residents receive timely and appropriate medical attention, reducing the need for long-distance travel to urban centers for basic healthcare needs.

Enhancing Preventive Care and Health Education

Preventive care and health education are vital components of maintaining a healthy population, yet they are often overlooked in rural areas due to resource constraints. Nurse Practitioners play a pivotal role in promoting preventive care through regular check-ups, screenings, and vaccinations. She emphasizes the importance of health education in empowering individuals to take charge of their well-being.

NPs conduct community outreach programs, workshops, and health fairs to educate residents about healthy lifestyles, disease prevention, and self-care practices. This proactive approach not only helps in the early detection of health issues but also reduces the overall burden on healthcare facilities by preventing illnesses before they become severe.

Providing Culturally Competent Care

Rural communities often have unique cultural and social characteristics that can influence healthcare needs and practices. Nurse Practitioners, like Sunny Gattan, are trained to provide culturally competent care, which involves understanding and respecting the diverse backgrounds of their patients. This approach builds trust and fosters better patient-provider relationships.

By being attuned to the cultural nuances of the communities they serve, NPs can offer personalized care that aligns with the beliefs and preferences of their patients. This cultural sensitivity enhances patient satisfaction and encourages individuals to seek medical help when needed, leading to better health outcomes.

Improving Chronic Disease Management

In rural settings, chronic conditions like diabetes, hypertension, and heart disease are common. Limited access to specialists and ongoing medical care makes managing these conditions challenging. Nurse Practitioners are well-equipped to provide ongoing management and support for chronic diseases, ensuring patients receive consistent and coordinated care.

She highlights that NPs develop individualized care plans, monitor patients' progress, and adjust treatments as necessary. They also educate patients on lifestyle modifications and self-management techniques, empowering them to take control of their health. This continuous and personalized care significantly improves the quality of life for individuals with chronic conditions and reduces hospitalizations and complications.

Expanding Access to Mental Health Services

Mental health services are often scarce in rural areas, contributing to the stigma and neglect of mental health issues. Nurse Practitioners are stepping up to fill this gap by providing mental health assessments, counseling, and treatment. Sunny Gattan underscores the critical role of NPs in addressing the mental health needs of rural populations.

NPs offer a holistic approach to care, integrating mental health services into primary care settings. This approach reduces the stigma associated with seeking mental health support and ensures that patients receive comprehensive care for both physical and mental health concerns. By expanding access to mental health services, NPs are helping to create healthier and more resilient rural communities.

[watercolor-wings]

Catch me laying fucking facedown in the sand

[buttonbuckfarm]

it’s disability pride month!! I love you disabled farmers!! I love you disabled rural folks!!

rural areas can be impossible to access as a physically disabled person - no sidewalks, no public transit, minimal healthcare facilities, etc - but that doesn’t mean disabled people don’t still live out in the country. even if metropolitan areas only do the bare minimum, funding isn’t allocated to do even that in rural areas, not to mention a total lack of funding for disabled farmers, rural disability focused nonprofits, etc.

disabled people of all kinds live rurally (often in poverty). metropolitan areas aren’t the only places with diverse populations, and “the country” shouldn’t be written of as spaces that don’t need or deserve accessibility. don’t reduce disabled people down to one lifestyle! support disability access everyone, for everyone!

[useless-catalanfacts]

Translation:

El Español (newspaper): The victory of parents like Sonia: 107 schools switch Valencian for Spanish because of the Mazón law.

Response: Is it possible that Spain is the only country where it's considered a victory the fact that your children will be only monolingual instead of bilingual?

Surely not the only one (imperialist countries very often try to exterminate the languages of the countries they occupy, which also means not allowing their children to learn the language of the place they move to), but Spain and France are particularly aggressive against the local languages that aren't Spanish and French, respectively.

Schools in the Valencian Country and the Balearic Islands (where the local language is Catalan or Valencian, two historical names for the same language) are being pressured to remove the local language from the school and to teach only in Spanish. In fact, the Spanish nationalist and far right-wing government of the Balearic Islands has announced that Catalan-speaking children and Spanish-speaking children will be segregated in schools from now on (parents will choose which school to send them to, accompanied with the propaganda pushing them to choose Spanish schools), with the purpose of reducing every time more and more who gets to speak and learn the islands' language, imposing Spanish instead.

Everyone learns Spanish regardless because it's the government's language and it's everywhere (TV, radio, netflix, social media, etc), plus we study it in school as a first language anyway. It's impossible to grow up here and not learn Spanish naturally as you grow up. But the same is not true the other way around. If children from Spanish-speaking families, immigrant families, and those families who have believed the decades of being told "speaking Catalan makes you sound uneducated/rural/stupid/rude, only Spanish is good for your children's future and makes you normal", if their children are only exposed to Spanish at home and on media, and because Catalan speakers are already bilingual and have an inferiority complex so will always switch to Spanish when talking to a Spanish-speaker, these children will never learn the language of the place they live in, and they will be monolingual Spanish speakers. When the number of monolingual Spanish speakers grow, Catalan speakers will be even more marginalized and won't be able to access healthcare in our language (though we already don't half of the time), won't be able to go to the shops and talk in our language, won't be able to have services in our language, etc. And, thus, they will have made our language almost useless for our everyday life. We will disappear from public spaces, and people will stop passing down the language to their children. And the language will die, and with it our way of understanding the world, the words that describe our culture, or our ability to read what our ancestors wrote, our country's literature, or to understand the names of the places we live in.

The point was always to exterminate our language and culture, to create their made-up dream of a unified Spain where everyone is the same, which has never existed. As Franco used to say, "we want an absolute unit. With one language: Spanish. And one personality: the Spanish one".

Cultural diversity is a richness and beauty of the world, and every language has an equal right to exist. Don't let anyone convince you that your language and your people don't deserve to live.

[alphajocklover]

Thank you for reporting on this InstaJock app. It's been helpful to get more information. I work in healthcare and a lot of people ask me about it. So much so that I downloaded it myself to explore the app's features. I wouldn't use it on myself though. I just graduated from med school and I'm not about to waste that education. But one thing I've noticed is this "location feature" where it seems the quality of the jock it might change you into has to do with your surroundings. I have to drive through some more rural parts to get back home and the number of redneck jocks here is freaky. Wondering if you've got more insight into all that.

I’m really glad that my work has been helpful, and I’m also very impressed that you know so much about the app. I’ve never met another person who was able to get the app without falling into its enchantment. You must have protections like I do, or an incredibly strong will. I’m surprised people are interested in the app for healthcare reasons, but I suppose it makes sense. InstaJock turns anyone who uses it into a jock instantly, and jocks are muscular and healthy as shit. If I had to choose between being deathly ill and a dumb jock, I might do the same thing. But we’ll explore the interesting connection between InstaJock and healthcare some other time. Today let’s look at the location feature.

You’ve basically got it all figured out. InstaJock has a feature that tracks your location and turns you into a certain type of jock based on where you are. Or, more accurately, where you spend a lot of time, since it accesses your location history too. Just like all the features it can be turned on and off when setting up an account, or in settings afterwards, but unlike other features it is usually turned on to begin with. It makes sense when you think about it. The app may turn the user into a jock, but they’re still a version of themselves. So their new self should reflect their surroundings. Since you’re in a rural area, it seems most of the InstaJock users there would become redneck jocks.

It is strange that you’re seeing so many though. InstaJock is meant to spread, but… not that quickly. A guy gets turned by the app, maybe invites a couple of his old nerdy friends, and then enjoys being a buff, dumb, sexy jock. The jocks aren’t organized or intelligent enough to turn people on mass. So… someone must be directing them, telling them what to do. They’d have to be smart, but someone the jocks would listen to. There are only a handful of people who could do that. It’s probably the same person whose been using the app to torment nerds, who tricked that nerdy frat president into turning himself, who told that bullied kid InstaJock could help him steal muscles.

I have some theories on who it is. But I shouldn’t say anything until I have more proof. Be careful though. If it’s who I think it is, then our protections… may not keep either of us safe for long.

[crippled-peeper]

“I’m a trans man and I’ve never experienced not being able to access healthcare” and you go to their bio and they live in California and work a 80k a year job and genuinely believe disabled, uninsured, and rural trans men simply do not exist at all. very smart analysis. you are so important

[townpostin]

Snake Bite Claims 4-Year-Old's Life in East Singhbhum

Family struggles with medical expenses as mother survives, son contracts malaria A tragic snake bite incident in Kowali, East Singhbhum, led to the death of a young girl and hospitalization of her mother and brother. JAMSHEDPUR – A four-year-old girl died from a snake bite in Kowali, East Singhbhum, while her mother survived and her brother was hospitalized with malaria. Manisha Sardar, aged 4,…

[fearfulfertility]

The Department of Reproductive Compliance (DRC) stands at the forefront of safeguarding our nation's future, ensuring future generations' prosperity and survival. Through compassionate oversight and innovative reproductive programs, the DRC offers fertile men the opportunity to serve a higher purpose—bringing new life into the world for the benefit of all. With every pregnancy, these dedicated surrogates contribute to a brighter tomorrow, embracing their vital role in rebuilding our population. The DRC is committed to providing the utmost care, support, and guidance throughout this noble journey, fostering unity, strength, and hope for a thriving future. Together, we are creating life, one miracle at a time.

REPORTS ARCHIVE

External Affairs

Necessity for Immediate Draconian Measures

Legal Precedents in Surrogacy Enforcement

Barry the Belly

Re-Education Efforts in Rural Tennessee

Healthcare Services

Case Study: Surrogate S124-1437-L

Above Average Fetal Quotas

Paternity Compound Cost-Saving Efforts

Introduction of O-4 Visa Program

Cost of Conscripting Youth in Rural Communities

Planning & Evaluation

New Paternity Compound Construction

Enforcement of Surrogate Conscription

Surrogate Management Protocols

Operation Overdue

Surrogate Clothing Policy Review

Research & Development

Impact of Prenatal Nymphomania

Termination of Medical Intervention Research

Identifiable Traits of Fertile Male Surrogates

Administration & Management

Internal Memo - All Staff

Disciplinary Action - Unauthorized Harem

Deputy-Directors’ Team Building Event

Restricted Access

Security

Black Ops

Operation R.I.P.E.

Operation W.O.M.B.

Massage Service for Covert Insemination

Food for Wombs

Conscription of Olympic Wrestling Team

Private Chat Log - Lt. Gen. [REDACTED]

Internal Affairs

Corruption and Abuse in Paternity Compounds

Director [REDACTED], Intelligence Profile 

Internal Security

Uprising in Paternity Compound 112

Suspected Sabotage Activities

Suppression of “Whistleblower” Film

[apologynics]

The intersection of rural healthcare and women’s healthcare is incredibly important to me. The closest Planned Parenthood to where I live is nearly two hours away, and this is a “blue” (swing) state. Meanwhile, Evangelical-bankrolled “pregnancy resource clinics” that distribute Christian literature to women in crisis operate in nearly every town in the county, including mine. *I* have access to a gp and a major hospital, but many of my friends, family members, and hundreds of other women living and working in rural areas do not.

And no, I don’t care what their political views are. All women, even the farmer down the street with the Trump sign painted on her trailer, deserve access to reproductive healthcare. That is a fundamental human right.

[nancys-braids]

been up for an hour and the tears just keep coming. im a queer woman, living in a rural conservative community. i have to keep going, despite knowing everyone around me who claims to care about me as a person, voted for this. voted for a man that wants to rip away my rights. rip away the rights of my bipoc and trans friends. he's going to implement supreme court justices that will influence our lives for decades. i have to decide if i can continue to express myself in the way that makes me happy and loving women or safety. i have to live with the fact that i have to fear that the unthinkable happens, i'd have no access to reproductive healthcare. that my clients i fight so hard for everyday may not have healthcare anymore, or be able to get their treatment for their addiction. that kids with an IEP may not get the education they so deeply deserve. that human rights aren't a guarantee in this country anymore.

i'm so defeated, and have to go to the office for 10 hours, unpaid, to listen to people who voted against these rights.