#the healthcare quality book

[rippleofchange]

The Secrets to Exceptional Healthcare Quality: A Must-Read Book for Healthcare Professionals

Healthcare quality is not just a goal—it’s a commitment to ensuring every patient receives the best care possible. Ripple of Change is a comprehensive guide that dives deep into what it takes to deliver truly exceptional healthcare. From strategies to reduce healthcare costs to calls for systemic reform, this healthcare quality book provides the tools and knowledge needed to make a real difference.

[nevermind-i-forgot-whats-that]

Sometimes, as much as I love internet communities and spaces, I really think a lot of people have spent so much time in sanitized, morally pure echo chambers that they lose sight of realism and life outside the internet.

I live in Alabama. My fiancée and I cannot hold hands down the street without fear of homophobic assholes. We have an abortion ban with no exceptions for rape or incest. We are one of the poorest states in the US with some of the lowest scores on metrics related to quality of life, including maternal mortality, healthcare, education, and violence. It’s not a coincidence that we are also one of the most red, one of the most Republican states in the Union. In 2017 the UN said the conditions in Alabama are similar to those in a third-world country.

Trump gave a voice to the most violently racist, sexist, xenophobic groups of people who, unfortunately for most of us in the Southern U.S., run our states and have only grown more powerful since his rise to power. The Deep South powers MAGA, and we all suffer for it.

We have no protections if they don’t come from the federal government.

I know people are suffering internationally and my heart is with them. However, this election is not just about foreign policy - we have millions of Americans right here at home living in danger, living in areas where they have been completely abandoned by their local leaders. We need this win.

No candidate is perfect, but for the first time in my voting lifetime I’m excited to vote. I’m excited for the Kamala Harris/Tim Walz ticket because they are addressing the issues close to home. They’re advocating for education as the ticket to a better life, but without the crippling student debt. They’re advocating for the right to love who you love without fear and with pride. Kamala has always been pro-LGBT+ and so has Tim. Again, if you’re queer in the South, we don’t have support unless it comes from the federal government, and we absolutely will not have support if the Republicans regain the White House.

Kamala speaks in length about re-entry programs to reduce recidivism and help people who have been arrested and imprisoned regain their lives. Tim Walz supported restoring voting rights to felons. In the South, you know who comprise the majority of felons? Members of minorities. It’s one of the major tools of systemic racism and mass disenfranchisement, and arguably the modern face of slavery (there are some fantastic documentaries and books that explain the connection between the post-Reconstruction South and the disproportionate rates of imprisonment for BIPOC). Having candidates who recognize this and want to restore the freedom and rights to people who have come into contact with the criminal justice system? And keep them from having to go to prison in the first place? That’s refreshing. That’s exciting.

I would *love* to live in a country where women’s rights are respected, where LGBT+ rights and protections are a given, where we treat former criminals and individuals experiencing mental health crises with respect and dignity. I would *love* to live in a country where education is free of religious interference and each and every citizen is entitled to a fair start and equal opportunities.

But I don’t live in that country. Millions and millions of Americans find their rights and freedoms up for debate and on the ballot.

Project 2025 poses the largest threat to the future of our democracy as we know it. We are being called to fight for the future of our country.

We have to put on our oxygen masks first before we can help others.

You don’t have moral purity when you wash your hands of the millions of us who are still fighting for own freedoms right here.

The reality is that a presidential candidate is a best fit, and not a perfect fit. But comparatively speaking? Kamala is pretty damn close.

[tenth-sentence]

The committee's report was hedged with cautions: the increase in the number of mental defectives did not necessarily result from proportionately more unfortunates being born; it no doubt expressed, among other things, that more were surviving into adulthood because of improved public-health services.

"In the Name of Eugenics: Genetics and the Uses of Human Heredity" - Daniel J. Kevles

[financeprincess]

Just know that the work you put into yourself will always compound and pay you back 100x. And there’s no rush to a finish line, everything is always a work in progress. I will never regret going to college, buying books, courses, classes, investing in hobbies, traveling, the gym and workout classes, high quality organic food, good healthcare, high quality clothing, taking care of my skin/hair/nails/teeth/brows/lashes/etc. because it all snowballs into the larger picture. No one can take your education from you. No one can take your fit body and healthy, glowing appearance from you. It takes real work day in and day out to have it all together. I’ve invested thousands of dollars and countless hours into myself and I would do it all again and then some. There is no easy fix and there is no get rich quick scheme. You know what you have to do, it just takes the courage to do it.

[hyggetrait]

🚑 Welcome to the White Willow Memorial Hospital 🏥

Functioning Hours:

Open 24 hours a day, 7 days week. 

White Willow Memorial is an integrated healthcare system providing quality care to local and global communities of the Sims world. Located in the central point of Magnolia Promenade, White Willow Memorial is acclaimed for its excellent care teams and specialist. With around the clock emergency room, two state of the art surgery room, a pediatric office, and a birthing suite for any expecting patient, White Willow Memorial staff is prepared to take the best care of you and your loved ones.

Gallery Id: NicoleSimblr (check the ‘include custom content’ or it won’t show up). Click here for the lite cc version.

Finally able to share the long-awaited hospital build. I hope you all love it and it lives up to your expectations! 

Floor plan and additional information, including CC list and how to set up birth suite below. 

Floor Plan

Important Information

Enable bb.moveobjects when placing down

I tried to playtest as much as I could for birthing experience but did not have time to try out with the doctor career, so I apologize in advance for any hiccups.

I used gshade preset spring bubbles by jayica, so colors might look different for you

Please tag me if you use this build, it makes me so happy to see my lots be part of your sims stories! 

This built was primarily made to be used with pandasama’s birthing mod. I recommend potentially removing the door (or locking access) to the pediatric room and the doctors office in the second floor to ensure your sim sticks to the birthing suite. 

Speaking of the birthing suite, if I want my sim to have a regular birth using the pandasama birth mod, then I start off with the default hospital bed already in the room and when the time comes to deliver I go into build mode (bb.enablefreebuild) and switch the hospital bed for the surgery machine. If you want to go c-section route then use the birthing suite up until its time and then go into the surgery room (I recommend the one at the very end of the hallway which has the baby decor)

CC Information 

Note the “*” denotes the costom content that is not required for functional gameplay but just simply decor to add more realism. Essentially, House of Harlix, Pierisims, and Tud’s CC are must.

Tuds - 2nd Wave Set (Couches all over the hospital)

Pierisims - The Office, MCM (for offices)

Harrie - Octave, Brownstone, spoons (windows, bookshelves, clutter)

Harlix - Livin Rum' (table), Tiny Twavellers (wallpaper)

PandaSama  - Birth Mod (for sonogram machine)

CharlyPancakes - The Lighthouse Collection (books in offices)

Awingedllama* - All sets (used plants for clutter)

Brazen Lotus - Party Poppers (balloons in maternity suite)

Aeonpixels *- Medicare Ads (not necessary but recommend for posters around hospital & meternity suite)

RVSN* - Skewl is Kewl (school board, not really needed just a detail)

Syboulette -Hippocrate Set (simlish service navigation sign in hallway and ambulance (note this is very high poly, you could just get a makeshift one from the gallery like I did for the cc lite version!)

[orcboxer]

listen 20 years ago i was happy and now i'm not so as far as i'm concerned yeah the world is getting worse

I grew up in a hyperreligious, hyperconservative family and church that was constantly convinced that we were living in The End Times and the future always looked bleak and every new problem was The Worst Things Have Ever Been and we were all miserable all the time. And when you believe without question that Things Are Always Getting Worse, that implies Things Were Better In The Past. And that's like, a cornerstone of right wing ideology. On the big picture, if you can't conceive of a better future, you won't bother trying to make one, and that makes you easier to control.

Now I can't speak to your personal life, of course, and I'll admit my life is better now than it was 20 years ago (I left the church, came out as gay, started treatment for my mental health, all that jazz). But I can tell you that the quality of life of the average human has improved, and things are, overall, largely improving on many different levels globally.

Over the past century, globally speaking, the average lifespan has increased, infant mortality has decreased, poverty has greatly decreased, education has become way more accessible, voter inequality has decreased, water quality has increased, food availability has greatly increased, access to healthcare has increased -- I could go on. You'd actually be really surprised how much better things have gotten. Every person I've "quizzed" on it has greatly underestimated the quantity of statistical improvement. It's like we're all conditioned to assume the worst.

It's easy to fixate on all the problems, and it doesn't help when that's all anyone ever talks about. But that's why it's so important to keep things in perspective. If a headline is like "525 billion tons of pollution is in the ocean" you just see a big number and assume it's bad, but you have no frame of reference for it so you're really just going on vibes. You gotta ask like. How much pollution was there last year? What is being counted as pollution? How did they arrive at this number? What initiatives are being taken to remove pollution? So on and so forth.

We are constantly flooded with hyperbolic doomerism and while there absolutely are very real problems that need urgent action (like climate change), it is also completely unhelpful to anyone for us to burn ourselves out trying to be The Correct Amount Of Upset about all the problems in the world all the time. You can't fix everything, you have limits, but there are things you can help with. Do those things and let yourself feel good about it. And let yourself actually appreciate the work that other people have done to make the world a better place. So many people whose names will never grace history books have paved the way for you to do your thing, and it's a damn shame all that work goes underappreciated by most folks.

Learn to question negative statements. If someone says "The world is getting worse" you should be asking, "By what metric?" And then you should be asking, "How can we improve those numbers?" I swear to god it makes a huge difference for your mental health.

[astroismypassion]

✨PART OF FORTUNE IN SIGNS AND HOUSES SERIES: 10TH HOUSE✨

Credit: Tumblr blog @astroismypassion

ARIES PART OF FORTUNE IN THE 10TH HOUSE

You feel the most abundant when you have Aries and Capricorn Sun people in your life. You can earn money via marketing or work in dynamic and fast-paced industries, via coaching, sports management, fitness entrepreneurship, coaching and mentoring services in connection with career development, leadership skills, personal empowerment, via work in innovation management, technology development, product development, especially emerging industries. You find abundance when you are bold, take risks, focus on ambitious goals, cultivate independence, build a strong public image and when you embrace leadership qualities.

TAURUS PART OF FORTUNE IN THE 10TH HOUSE

You feel the most abundant when you have Taurus and Capricorn Sun people in your life. You can earn money via work in finance, banking, investment, wealth management. Or via working as a realtor, property manager, real estate developer, via curating, selling or managing art collections, working as a chef, restaurateur or food critic. You find abundance in work in hospitality (managing hotels, resorts, spas), via work in landscape architecture or gardening, interior design, or as a performer, producer or manager, through farming, agricultural management or sustainable food production or creating an eco-friendly business. You feel abundant when you are focused on stability, value quality, when you are patient and persistent.

GEMINI PART OF FORTUNE IN THE 10TH HOUSE

You feel the most abundant when you have Gemini and Capricorn Sun people in your life. You can earn money via work as a journalist, writer, editor, public relations, marketing, working as PR specialist, brand manager, social media strategist, work as a teacher, lecturer, educational content creator, via writing content for blogs, websites or online platforms connected with technology, lifestyle, business. You find abundance when you write books (fiction or non-fiction), via work in technology sector, via technical writing, UX writing or product management, via event planning and work as a sales representative, account manager or business strategist. You feel abundant when you network actively, when you keep learning and embrace versatility.

CANCER PART OF FORTUNE IN THE 10TH HOUSE

You feel the most abundant when you have Cancer and Capricorn Sun people in your life. You can earn money via work in healthcare as a nurse, doctor or therapist, work in interior design or home décor, helping others create comfortable and nurturing spaces, work as a chef, baker or food critic, via handmade furniture, textiles or pottery, engaging in childcare, daycare management or family support services, via work in real estate, helping families find their ideal home. You feel abundant when you use emotional intelligence, emphasize nurturing and care.

LEO PART OF FORTUNE IN THE 10TH HOUSE

You feel the most abundant when you have Leo and Capricorn Sun people in your life. You can earn money via pursuing a career in acting on stage, in film or on television, working as a musician, singer or performer, via directing or producing theatrical productions, films or TV shows, work in television, radio or digital broadcasting, you could work as a host, anchor or presenter, designer, stylist, model, painter, sculptor or graphic designer.

VIRGO PART OF FORTUNE IN THE 10TH HOUSE

You feel the most abundant when you have Virgo and Capricorn Sun people in your life. You can earn money via offering personalized health and wellness service. You can offer remote fitness coaching, such as offering personalized fitness plans and virtual training sessions. You could work in mental health professions, like counselling or psychology, work as a nutritionist, dietitian, work as a proofreader or editor, work with biology, chemistry, environmental science, mathematics or with language or having an IT role (system analysis, IT support or cybersecurity). You feel abundant when you develop organizational skills, use analytical skills and when you seek structured environments.

LIBRA PART OF FORTUNE IN THE 10TH HOUSE

You feel the most abundant when you have Libra and Capricorn Sun people in your life. You can earn money via offering dance classes, via work in art curation, gallery management or the fines arts, helping to showcase and promote artists and their work, via a career in human resources, focusing on employee relations, conflict resolution, via talent management, recruitment or career coaching. You feel abundant when you work in fashion design, graphic design, visual arts, brand management and marketing. You feel abundant when you aim for balance and harmony, emphasize fairness and justice.

SCORPIO PART OF FORTUNE IN THE 10TH HOUSE

You feel the most abundant when you have Scorpio and Capricorn Sun people in your life. You can earn money via forensic accounting, crisis counselling or support services, via a career in scientific research, forensic science, medical research, psychology, surgery, oncology, energy healing, finance, technology or wellness, via art therapy and filmmaking. You feel abundant when you embrace transformation, healing, use psychological insight, when you pursue authority and expertise.

SAGITTARIUS PART OF FORTUNE IN THE 10TH HOUSE

You feel the most abundant when you have Sagittarius and Capricorn Sun people in your life. You can earn money via travel blogging, vlogging or becoming a travel consultant. You find abundance via academic research, publishing, by becoming a travel consultant, tour guide, work in the tourism industry, work connected with educational, human rights and cultural exchange, via career as a spiritual teacher, counsellor, life coach, via theological or philosophical work, writing or teaching. You feel abundant when you cultivate optimism or enthusiasm, seek global or cultural perspectives, pursue knowledge or education and embrace exploration and travel.

CAPRICORN PART OF FORTUNE IN THE 10TH HOUSE

You feel the most abundant when you have Capricorn Sun people in your life. You find abundance via work as a financial advisor or analyst, accounting, as a property developer, manager or investor, via work in property management, overseeing rental properties, commercial spaces or large residential complexes, via civil engineering, work in educational administration (school or college management). You feel abundant when you focus on long-term goals and value pragmatism and responsibility.

AQUARIUS PART OF FORTUNE IN THE 10TH HOUSE

You feel the most abundant when you have Aquarius and Capricorn Sun people in your life. You can earn money via buying and selling collectibles (stamps, coins, vintage items), creating eco-friendly products or services (zero-waste goods, sustainable fashion). You may also find abundance in esports coaching by offering coaching services for aspiring professional gamers. You feel abundant via work in scientific research, in fields like physics, astronomy, biotechnology and environmental science, work in roles focused on research and development, via digital marketing. You feel abundant when you are pursuing unconventional paths, via networking with like-minded individuals and align with social causes.

PISCES PART OF FORTUNE IN THE 10TH HOUSE

You feel the most abundant when you have Pisces and Capricorn Sun people in your life. You can earn money via work in music as a composer, musician or performer, via a career in painting, illustration, sculpture or other visual arts, via hospice work, via work in non-profit sector, focusing on causes related to humanitarian aid, environmental conservation or social justice, work in hospitality, such as hotel management or event planning, via cultural exchange, guided tours or spiritual retreats. You feel abundant when you embrace your creative talents, cultivate compassion and empathy, when you explore spiritual and esoteric interests and when you focus on meaningful impact.

Credit: Tumblr blog @astroismypassion

[kustas]

I'd love to hear your hashtag wha critical thoughts about recent developments if you feel like sharing them :)

I'll preface this with saying that for this answer I will not be making a distinction between my personal tastes and what is "objectively worst". The TLDR is I have felt like WHA's been dipping in quality since book 8 approximately.

One of WHA's strong points is its ongoing theme of accessibility, via its premise of how magic is purposefully restricted from people, and via its characters, mostly the kids, who showcase various life issues and allow the story to talk about how to solve them. Disability is an important one and was at the center of book 8, which is one of my favorites. You get to see Tartah and Coco work together for a goal (=making their friend a better mobility aid), and by doing so they brainstorm the why and then how which allows for complex notions to be carried out and explained to the reader. Cute story with touching implications that flows well. This quote in particular sums up so well what WHA is "about"

After this we transition rather brutally to the latest ongoing arc of the Silver Eve. This arc has been ongoing for years now, and three volumes, making it the longest so far, I'll come back to that, putting a star on it [*]. It delves further into aspects of accessibility the series had talked about before - access to magic, access to healthcare, and poverty. This is where this blog's namesake gets relevant. Custas is a kid who was already poor, who got badly wounded ending up disabled, and who because of that was stuck in a situation with no good endings: he can't make money in his state and needs money to get out of his state. On top of this gets added magic, and comes back the question at the center of WHA: Is it wrong to restrict the use of magic, and how?

After the arc is kickstarted by Custas getting his share of spilled beans of magical secrets revealed, enter immediatly strong players via ch.48's introduction of the Wise Ones and the king himself. The political aspect of how the world works was not mentioned before. Great chapter, interesting stuff all around, personally answered much of my questions. Immediatly after this chapter the focus in 49 fully switches to the Knights and their job, and the rest of the chapter is dedicated to a story of a sexual assault survivor and how she made it. It's a surprising topic to see pop up and it's handled with the respect it deserves. Chapter 50 goes back to Coco and her troubles. This concludes book 9 and...it makes for a Lot of stuff to deal with. Put a Second star on that. [**]

Addressing those stars before we move on:

[*] This arc is taking forever. WHA's arcs in earlier volumes only took a few chapters. This arc has taken three books thus far and I doubt we have reach its climax yet. I personally don't like it and it raises an issue the series did not have before: Will the payoff be worth it? Where it is worrying for the future of the series is that manga serialized regularly tend to up the stakes progressively until the end and it might...not work out.

[**] Too many things at once unresolved. This has already had consequences with the progressive vanishing of something WHA was once excellent at: sneakily introducing elements that get used a few arcs later in important ways. The manga has been, for a while now, accumulating unfinished plot threads via not answering the questions it opens and instead adding more and more characters. Jumping from a group of characters to another was not an issue beforehand because unlike this arc's, chapters took place at different times and/or in totally different places. The Silver Eve is both set in time AND place, making it hard to follow because all sideplot happen at once.

Book 10 continues to accumulate ongoing unresolved plots with: the royal family being shady, Agott's struggles irt. her mother, Dagda running around confused and tracked by the Knights, Custas and Ininia jumping Tartah and Coco, and Galga's accident + relationship.

Book 11 does the same adding Agott's crush on Coco, the actual festival, Jujy's inner troubles...Funnily enough, this page is a good summary of the ongoing mess.

Instead of solving all of this stuff we instead get stakes ramped up to 100 with the introduction of what I can only describe as a kaiju attack. As much as I love the horror and drama element, given what was already going on, this does NOT strike me as a good decision.

Now, we go back to the three latest chapters. These follow the same subplot: Custas' faction change and Coco's attempts to save him. This subplot has, to me, a whole lot of issues. Way earlier on in the story, even before Dagda's ambush, I had issues with how Custas was portrayed in relation to his anger, being drawn weirdly spooky for...a frustrated poor kid? Others have also pointed out it wasn't great to have one of your only dark skinned characters be a slum kid. Obviously given my handle on here, I am still a huge fan of the character. After chapter 45 (included), I already found it a bit tasteless to have so much horrors piled on him. WHA is a rather unsubtle series at time which I really, really dislike. Sure, makes it hard to miss the point, but when you're dealing with sensitive topics it can fall into touchy territory fast...

In the latest chapters, Coco appears to save Custas, the "how" part of her plan still being a mystery. Meanwhile, a timelooped and very confused Dagda looks for him, accompanied by Lulucy, who knows them both and is unaware of their ties with forbidden magic. She ends up telling him to abandon the faction he sided with by literally ripping off the brim of his hat with her magic. Meanwhile, Lulucy starts attacking him on sight. I have so, so so many issues with all of this.

Coco's story is about knowing the system in place sucks. Custas' story is about being screwed over by the same system. The story explicitly points those two out as mirrors: Custas is what would have happened to Coco without the right support. Coco's unique POV on the pointed hat witches shows us many prior times they are not the good guys. Hell, Custas himself talks about how the pointed hat's magical gatekeeping prevented him from living a better life.

To me, the point was supposed to be: the system in place doesn't work, which results in people in need not getting help. We loop back to the accessibility I started off mentioning. Yes, before the current system, bad things happened - but the current system is still allowing other bad things to happen now. So...why is Coco pushing Custas to join the pointed hats and abandon the faction he sided with? If a character who was upholding the status quo was doing so it would make sense (like Beldaruit) but Coco as a main character exists partially to point out why the pointed hats are not good. She demonstrates it to the reader via what happens to her AND knows it as a character. It comes off as inconsistent and frankly makes little sense.

Speaking of inconsistencies...why does Lulucy not recognize Custas, a child she's known for a while? Why does the young prince, introduced as a suspicious character on behalf of his family's unknown goals, become a helpful selfless little guy? Why are the Knights, originally introduced as an antagonistic faction because they are a milita enforcing the status quo, suddenly portrayed as fighting for good as a bunch of remarkable individuals?

Ah yes, the cops. I'm going to address something really fast about them. It makes me frankly uncomfortable the author chose their faction to evoke the two very sensitive topics of sexual assault and homophobia. I think the way those topics themselves were handled without greater context was surprisingly good, and it's touching in the first place to see an author who not only cares, but uses her series, destined partially for younger readers, to explain why she cares. However, Witch Hat is a very black and white series: the bad guys are bad and ugly and you should dislike them, the good guys are good and you should like them. There are some exceptions but who have been losing steam as of late. While originally introduced as a group of individuals who act in problematic ways for their day job, the Knights have slowly lost that bad guy flavor to become a fun band of colleagues/friends. They are law enforcers who enforce unjust laws, but it seems that the author's not on board with people hating them because this is the second time she gave a Knight a tragic backstory that makes them more sympathetic to the reader. First of: I do not see what's to redeem about them if the story's about changing an unjust system, so I don't get the necessity to make them nicer. Secondly: at least in my country (which has legal gay marriage and notably less sexist than Japan) law enforcement is renowned to not help sexual assault victims or gay people. The Knights Moralis are fantasy cops and cops, in real life, tend to abandon people who need their help regarding those two issues - if not worsen them, and count a majority of sexists/homophobes among their ranks. Making your unsubtly cop stand-in faction have both characters with those issues comes off as at least a poor decision if not bad taste.

(big words from the guys introduced in the story by arresting a bunch of children who were on a rescue mission for a misunderstanding they would not have cared about. Die idgaf)

Some more surface level things:

The art. The first books of WHA are noticeably more complex in their style featuring more reaslistic proportions for the characters. Latest arc has seen art lose some of the decorative "classic" flair in the linework and characters looking simpler and stylized to look way...Younger? In a way I do not like. Yes, it's expected for manga series to see their style evolve. I also want to make this clear: I consider the pace imposed on manga artists to be inhumane and if Shirahama had decided to draw her manga as stick figures to work less I'd be down for it.

The dialog. While WHA is very in your face (you may call it preachy) the dialog in the latest chapters especially Coco's feels off. A 12yo wouldn't give off speeches about the world in the heat of battle. When it's a calm scene between two characters discussing a deep thing, sure. When it's an epic public adult figure (see: Dean), sure. I'd prefer having the kids talk like kids.

Goddamn the story has become less nuanced and subtle over the time. Scenes like Qifrey getting confronted by Tartah post mindwiping his grandpa owned. The story's current "morally grey" moments just don't do it for me anymore. No, I don't want the witch politicians of the faction you established as a mistake beforehand to continue. I don't care if the fantasy cops are offended by a grieving husband pointing out they suck. I kinda wish he'd thrown hands actually

So...yeah, that's about it. While WHA's plot beats has always been impossible for me to predict, I don't know if I can trust where the story is going anymore. The fans eating it up confuse me and I might even get hate for posting this. Truth is, while some aspects have always been more or less present in the series since the start, I've felt like the really good bits that balanced it out have been going extinct. I don't know why and it's none of my business to. Some friends have pointed out we might be reaching a point where the author ran out of pre-written story and is now improvising. What's a bit concerning to me is I've also noticed she's way less active on social media, where she used to post regular bonus material for the series, this has stopped and I hope it's not because she lost her interest for the series or way worst, is overworked. Given the conditions for mangaka it wouldn't be impossible and like previously stated, I am of the opinion that no comic book series is worth putting their author's life, health and free time down. It's more important than me disliking the comic.

And regarding Custas - him joining the atelier to study with Qifrey would not be a good ending, no matter what the fandom says. It won't be cute found family. Custas has a family who's unique member wouldn't be able to follow him as a witch. That ending would separate a very traumatized child from the only adult he has in his life that gives him unconditional love and support. Custas needs to not be seen as a criminal so the rest of his life won't be over, and also a whole bunch of cash.

I'm not excited for the anime.

[hellyeahscarleteen]

"The places where having disability can make sex different or more difficult often aren't so much about having bodies that might work or not in different ways than for others, but about lack of access to sexual partners and partnerships (both in terms of attitudes, but also per literal accessibility, like wheelchair access), lack of access to sex education, birth control⁠ or sexual healthcare that others are provided, and social issues, like finding partners who are evolved or open-minded enough in their own sexuality to accept that bodies are unique and that there are far more than just one or a few ways to be sexual.

That last bit can be and often is a problem for everyone who wants a quality sexual life, not just for disabled people. If you or a partner have ever asked yourself, each other or someone else (like us!) why you or someone else can't do something sexual you "should" be able to, why you or someone else don't like something they or you "should," or you or a partner have struggled with trying to make something work or feel good that just will not work or feel good, then it's been or is a problem for you. If you've driven yourself to tears to try and make something feel good for yourself that didn't but that a partner wants to do, if you've kept trying to do something with a partner that clearly doesn't work for them, then it's been or is a problem for you. If you've worked to try and resemble someone else's fantasy instead of being your own reality, then it's been a problem for you. If you've used a term like "real sex" to describe one given activity or way of having sex, then it's been a problem for you.

The problem isn't your body or mind or someone else's body or mind not doing what they are supposed to, because when we're doing it right, there just isn't a supposed-to in sex. I know, I know: you can pick up a ton of magazines or books that tell you there is. But they only keep saying that because they both make gobloads of money on all the folks who want to badly to believe it's all that simple and homogeneous, and because most of the folks who write that stuff themselves haven't outgrown that way of thinking, which is a pity for everyone. The problem is staying stuck in ideas about or definitions of sex that might be someone else's that work for them (or don't, but they still cling to them all the same), but which won't or don't work for you, and not recognizing that the aim is to explore and find what works for you, uniquely, rather than reading from someone else's script based in fantasy or in someone else's body or sexuality."

Heather Corrina, Disability Dharma: What Including & Learning From Disability Can Teach (Everyone) About Sex

[ohsalome]

(story taken and machine-translated from the official twitter account of the Mission of the President of Ukraine in the Autonomous Republic of Crimea)

Today's story is about a woman who was detained by the occupiers in the spring of 2022 and illegally sentenced to almost 7 years in prison. Iryna Danylovych is a nurse and citizen journalist.

She was threatened, blackmailed and forced to confess to things she did not do. Now Irina is in a Russian colony, her health is deteriorating due to the lack of quality and timely medical care.

Iryna Danylovych worked as a nurse at the Malachite rehabilitation center in Koktebel, maintained a social media page and several blog columns on the rights of healthcare workers and healthcare issues in the occupied Crimea.

The occupation forces abducted Iryna Danylovych in April 2022. She was returning from a night shift at the hospital when the occupiers searched her house and seized all her appliances, several books and documents.

There was no contact with Irina for more than a week. She was illegally detained by the FSB: she was subjected to psychological pressure, beaten, threatened with death, interrogated on a polygraph, threatened to be "taken to the forest" (ed. - meaning killed and buried in the forest) or "to Mariupol" (once again, killed), fed once a day, and not allowed to go to the restroom.

Eventually, the occupiers informed her relatives that a decision had been made to place her under "administrative arrest", allegedly because "she had transferred unclassified materials to another country". Later, they fabricated a "case" against Irina accusing her of "illegal actions with explosives."

The "proof" was the "discovery" of 200 grams of explosives in Irina's bag. And only on May 11, the lawyer managed to establish that she was in the occupation pre-trial detention center in Simferopol.

The "arrest warrant" was issued by the occupation "court" during a closed court session - without the participation of listeners, journalists, or Irina's relatives.

But the real reason for the detention is different. For covering the problems of the healthcare system, the crimes of the occupiers, as well as for protecting and promoting the rights of healthcare workers in the occupied Crimea.

Iryna was one of the first correspondents of the Crimean Process; she supported Crimean Tatar activists in the "courts"; prepared materials for the editorial office of Inzhyr Media; supported medical activists, recorded violations of rights under occupation.

According to Irina, she was kidnapped, taken to Simferopol and illegally detained in a basement, tortured and starved, and forced to sign a confession under threat of death, having been viciously planted with explosives after the "confession" had been forcibly extracted.

Complete hearing loss in the left ear, deprivation of necessary medications, suffering from headaches and earaches. This is what Iryna is going through now.

Irina was transferred to the Krasnodar Women's Correctional Colony No. 7 in Zelenokumsk. Every day, Irina's health condition deteriorated: in the occupation prisons, she gradually lost hearing in her left ear, developed otitis media, constant headaches and dizziness.

Back in July 2022, the political prisoner reported being beaten by an FSB convoy and psychological pressure exerted on her by Russian security forces. The occupiers also took away the opportunity to read, not returning the collection of poems.

To get medical help, she went on a hunger strike, but stopped it after 10 days, believing the promises of the SIZO administration, but no one has treated her and is not going to, watching the prisoner's health deteriorate.

According to her father, the colony allocates 90 minutes for the distribution of medicines twice a week: on Tuesday and Thursday. During this time, only 20-30 people out of a queue of several hundred prisoners manage to receive them.

"There are periodic fights among the patients for the opportunity to be in the front of the line and receive medicines. Iryna does not participate in this and has been deprived of access to the medicines prescribed by doctors, which we regularly send in parcels, for several months now," her father said.

Despite the illegal actions, torture and pressure, the occupiers failed to break the Ukrainian journalist, she continues to support Ukraine and believe that she will soon return home. "Only in such a strong Ukraine could such a strong you be born," said Iryna's father Bronislav.

Even behind bars, Iryna Danylovych continues to resist the occupiers and support Ukraine. The song "I am free!" performed by her is a symbol of disobedience and struggle, which the occupiers do not like, and the tattoo on her body that reads "Freedom is our religion" is her life's credo.

[rippleofchange]

Healthcare Heroes: Inspiring Tales of Compassion and Courage

Discover inspirational stories for healthcare workers of healthcare professionals who go above and beyond to make a difference in their patients' lives. From selfless acts of kindness to extraordinary feats of bravery, these inspiring tales will uplift your spirits and remind you of the incredible work being done in the healthcare field.

[misterbitches]

There are footnotes and links in this post that I think are valuable. All of these things are extremely worth reading. This is long.

Forgive me (sike idc) for injecting my ancommie art brain but: I don’t know who needs to hear it but castigating Jack as some monster instead of a kid from the fucking slums who is “stuck” in some sort of (supposed nebulous referent-less) cycle that cannot be solved as opposed to purposefully kept there by imperial colonial [racial] capitalist exploitation⁰ with some pretty difficult but clear¹ possibilities for struggle and understood solutions is a limit on our imagining of a future and want for change as well as just sullying this story (outside of critiquing the work itself) for you. I don't know why we are glossing over the fact that you have to pay to live and also global determinants of health.

Why do the poor the world over have such low quality of health and life and therefore die first? Why are they overwhelmingly black and the darker peoples of the world? The colonized or subjugated? When did we move from the right to life and health to the right to coverage or being able to afford it?²

Is it not interesting that Joke's father is a doctor and his livelihood is linked with this system? Do you think that, maybe, how the father is and his job show a congruency? Why do individuals have to go above a system and yet are still invested in this system? And since Joke was a part of this nuclear family then ousted when he dared to transgress its rule—the unit based off of generating labor and necessary for one's survival since it is the only safe financial place to land and rely on—is it not significant that he isn't acknowledged by that father over things that could save someone? I'm super tired so I'm not making as much sense as I'd like. To quote from this comprehensive piece³ on Health Communism: A Surplus Manifesto by Beatrice Adler-Bolton and Artie Vierkant:

“Illness—you point out—is the only possible form of life in capitalism. In fact, the psychiatrist, who is wage dependent, is a sick person like each of us. The ruling classes merely give him the power to “cure” or to hospitalize. Cure—this is self-evident—can’t be understood in our system to mean the elimination of illness: it serves exclusively as the maintenance of the ability to go to work where one stays sick.” (Turn Illness into a Weapon: A Polemic Call to Action by the SPK, 1972)³

Joke comes from a family with money. They aren't super rich but they have what Jack (and now Joke!) doesn't. His father is in a position where he could throw rules out the window to help his son's friend even if that has consequences. Ostensibly had Joke not done what he did, Joke would always have access to decent healthcare or money. Or he would have gotten a job that would allow him to have it or afford it. He also would lead a life where his health is most likely going to be optimal. (A bit of a stretch since we are still in a pandemic and the globe is dying and they live in a place where people are affected by MAN MADE CAPITALIST climate disaster and racist ecocide that is going to primarily affect those in rural areas and people are fucking sick but I digressss) What kind of air are these people breathing? What's in these pills? Why is there no sustained contact with health professionals (that don't suck—also a thing)? Why are we so okay with elderly alienation and their death? Poor death?

This captures several major themes of the book, namely, the impossibility of health under capitalism; the potential of solidarity between physicians and patients, despite the power dynamics that otherwise separate them; and the need to turn illness into a weapon to dismantle capitalism itself. Adler-Bolton and Vierkant write: “Health under capitalism is an impossibility. Under capitalism, to attain health you must work, you must be productive and normative, and only then are you entitled to the health you can buy. This fantasy of individual health under the political-economic conditions of capitalism only ever exists as a state one cannot be, to which one must always strive. [SPK] called this cultural imaginary of health a “biological, fascist fantasy” because it obscures the true and violent architecture of economic systems of extraction underneath the shadow of a capitalist-realist depiction of the perfect worker.” (pp. 10-11) ³ (x)

So with all this known why the fuck are people so goddamn angry at Jack? And for Tattoo too. I didn't really touch on this in all this text but my main point is that it's interesting that we don't know what we're mad at beyond a betrayal when for the both of these men they "betrayed" the rich boy. In Save's case he betrayed the poor ones, his comrades, the ones who are suffering like him. My anger towards him is much greater but I still get it. (To be clear: I am angry at him and it is even worse because it isn't directed at anyone but the poor. His friend's grandmother. And it's a tale as old as time. If he wasn't such a little bitch he would be able to withstand it but he isn't. If I think even harder I wonder if this signal's the closer one is to these types of people, the more they suture themselves to capital out of survival, the more they believe they will be protected by heinous acts but I am tired lol.)

They're all poor boys from the fucking slums but our main concern is Joke, the rich-ish boy—who is right btw cos we love robbing the rich yet still his old class position and upbringing very clearly influences how we view him and his agency. It is done to him like with Arun and the necklace—a gay boy with an abusive father—and Rosé—a woman with an abusive father(?)—and her life. They are entitled to these sympathies first!

The formatting bugs me so I'm gonna reblog the rest.

Footnotes:

⁰This is "H.L.T. Quan on Cedric Robinson, Racial Capitalism, Black Internationalism, & Cultures of Resistance" on Millenials are Killing Capitalism. "Cedric’s point is that Marx and Engels missed the significance of revolt in the rest of the world, specifically by non-Western peoples who made up the vast majority of the world’s unfree and nonindustrial labor force." (Essay from Robin D.G. Kelley's foreword to the third updated edition of Cedric Robinson's Black Marxism.) I haven't read BM yet BTW but I know a lot about it and it has influenced black anarcho-communism (black anarchism), our traditions, what revolt should require, INTERNATIONAL RADICAL SOLIDARITY, and our development. Robinson was also, like many radical intellectuals, an artist and art critic! I think it's important to put here particularly because Thailand wasn't colonized so the conception of the nation is different though not out of step with colonized history at all. Obviously. Which is answered to here and elucidated here as it seems Bangkok acts as an imperial core. It’s too easy to take them out of that history is what I’m garnering from this. I don't know how much of this is enough and I can only go by the knowledge I have gained in reading and being in these spaces because to get information on radical left in Thailand (or many parts of asia) is fucking hard and even the man I'm referencing doesn't support armed struggle currently apparently! I'll continue to research. But we have been so cut off from each other and radical thought esp from an American standpoint it's fucking pathetic. This is why I say understanding art and being critical is important. In a better world this would be an OBVIOUS articulation and revealing where people wouldn't get upset over someone like Jack just because he isn't fucking a boy on our timeline. ¹ “1968 and the “Thai Seventies" – 14th October 1973 uprising, 6 October 1976 bloodbath and after” by Giles Ji Ungpakorn who also wrote "Down with Thai Capitalism! The People Against the Military Dictatorship!" in Spectre as a response to Thiti Jamkajornkeiat ²"SPHC matched the general shift in high level development planning to technical solutions and privatisation of public services, and from the comprehensive vision of Health for All to survival rates. The health care reform that was then promoted by the evolving global health governance structure, as a subset of conservative neoliberal economic policies, gave rise to the privatisation and commercialisation of health care—from Health for All to health care that people could aford. There was a concomitant reduction in government health spending in many low-and middle-income countries with increasing dependence on multiple international donors and the reduced ability of countries to determine their own health agendas." Conclusion from Health Policies and Health Care in the Context of Neoliberal Globalisation. ³Health Communism — All Care For All People (Part 1) also read alongside this "review by Evan Sedgwick-Jell for Asylum magazine and this Q&A of Beatrice Adler-Bolton and Artie Vierkant by the New Republic." You can find the HC book online (pirateflagemoji) and/or buy it.

[pissingonmonarchy]

Creating an exit plan to become an expatriate (expat) from the United States involves a series of steps, from researching destinations to managing financial and legal obligations. Here’s a general outline to help guide you through the process:

1. Research Destination Countries

• Identify your criteria: Think about climate, cost of living, healthcare, quality of life, tax implications, and visa requirements. Consider how you want to spend your time abroad, like working, retiring, or starting a business.

• Narrow down options: Research countries that align with your criteria. For many Americans, countries in Europe, Central and South America, and parts of Asia are popular because of their expat-friendly environments.

2. Visit Potential Countries

• Plan exploratory trips: Spend a few weeks in each potential destination to experience the local lifestyle, cost of living, and culture firsthand. This can help confirm that a location fits your needs.

• Connect with local expats: Attend events or join expat communities to get insights into life in each country.

3. Understand Visa and Residency Requirements

• Research visa options: Each country has its own set of visa options, like work visas, retirement visas, digital nomad visas, and investment visas. Determine which one aligns with your goals.

• Plan for long-term residency: Many countries offer paths to permanent residency or citizenship. Find out the requirements and start the application process if your target country allows.

4. Prepare Financially

• Create a budget: Factor in moving costs, cost of living, healthcare, taxes, and emergency savings. Make sure your finances will support your lifestyle abroad.

• Understand tax obligations: U.S. citizens must file taxes regardless of where they live. Research your obligations and consider consulting an accountant with experience in expat tax law.

• Set up local bank accounts: Find out if you’ll need a local bank account and research how to transfer money internationally efficiently.

5. Secure Healthcare Coverage

• Look into healthcare options: Some countries offer affordable healthcare, while others may require private insurance. Explore local healthcare systems and check if your target country offers expat health insurance.

• Assess your U.S. healthcare: If you need continued U.S.-based healthcare coverage (like Medicare, which generally doesn’t cover you abroad), consider how you’ll handle medical needs.

6. Tie Up Loose Ends in the U.S.

• Handle legal and financial matters: Consider creating a will, assigning a power of attorney, and updating your legal documents.

• Manage property and assets: Decide whether you’ll rent out, sell, or keep your home and other properties.

• Notify institutions: Inform banks, creditors, insurance companies, and other relevant institutions about your move to avoid complications.

7. Learn the Language and Culture

• Study the local language: Even a basic understanding of the language will help with daily interactions, especially in less expat-heavy areas.

• Understand cultural norms: Adjusting to new customs and social norms will make integration smoother and more enjoyable.

8. Build a Support Network

• Join online communities: Many social media groups exist for expats in various countries. Being part of these groups can ease the transition.

• Stay connected to home: Plan regular calls with family and friends to help with homesickness and maintain relationships.

9. Make the Move

• Arrange for the physical move: Plan your relocation, including moving your belongings, storing items you’re leaving behind, and booking flights.

• Settle into your new home: Take time to get acquainted with your surroundings, set up essential services, and register with local authorities if required.

10. Maintain Flexibility

• Give yourself an adjustment period: The initial months can be a mix of excitement and culture shock. Allow time for adaptation.

• Have an exit strategy: Keep a backup plan in case you decide to return to the U.S. or move to another country in the future.

By planning each step carefully, you’ll create a smooth transition from the U.S. to your new country. Let me know if you’d like specific country recommendations or further details on any step!

[financeprincess]

I spent, at a minimum, at least $500-$1,000 a month exclusively on my self improvement. Here is most of what I spend on, in no particular order:

Education (classes, books, courses, certifications, college tuition, seminars, etc.)

Private lessons for languages, musical instruments, sports, etc.

Personal hobbies and passion projects

Crest whitening strips (great when in a pinch), Invisalign, professional whitening, preventative dental care, prescription whitening products from my dentist

Investments such as index funds, REITs, ETFs, CDs, individual stocks, commodities, appreciative luxury items, precious metals & gems, etc.

Organic food, vitamins, supplements, high quality healthcare, therapy, massages, prescriptions (Rx skincare, etc.)

New glasses & contacts (getting some bayonetta glasses from Burberry soon, very excited)

Sports, gym membership + sauna, hot yoga, Pilates, kickboxing, tennis, skiing, dance, etc.

Personal care such as bath/shower products, body care, haircare, skincare, makeup, brightening eye drops, perfume, etc.

Travel, events, concerts, festivals, etc.

Shopping (clothes, accessories, home goods, etc.)

Eating out at restaurants and going to coffee shops

Beauty treatments such as manicures, pedicures, waxes, brow tint & threading, salon blowouts, hair cuts & colors, facials, lash lift & tints, vitamin IVs, etc.

Regular visits to my dermatologist, dentist, psychiatrist, eye doctor, primary care physician, gynecologist, and any other specialists

Semi-regular appointments with a personal trainer, holistic nutritionist, and dietitian

I don't do all of these every single month, but most of these are recurring throughout the year and budgeted accordingly. Eventually I might add in more intense cosmetic work like medspa services, Botox, etc. If you can find a workplace with a great benefits package such as high quality healthcare, an HSA/FSA, health & wellness reimbursements for the gym, disability & life insurance, etc. I would highly recommend it and max out all the benefits you can.

[itsbansheebitch]

How have I Never Heard of This Cheat Code???

Hey, if you're a teenager or are in your early 20s, check out JobCorps!

100% FREE education & job training. Includes:

Dorms/Housing

Three meals a day

An allowance

"Basic" healthcare for medical, dental, eye, and mental health.

Job searching assistance

Books & supplies

Quality learning in 10 High-Growth fields

This is NOT a scam, this is a program brought to you by the Department of Labor.

They have OVER 120 campuses nationwide and OVER 100 Training Areas!!! You can find one near you and get 100% FREE education and job training in high growth jobs (we're talking 6-7 figures after a couple years of experience).

DO NOT MISS OUT!!! I'm looking into one near me as we speak, but I NEEDED to let ya'll know this existed. I've never even HEARD of it before today. It's legit, I'm not even kidding.

It's specifically made for people in low-income households, so if you're unsure if you have the money, I repeat, 100% FREE.

If you're not American, please repost anyway for American followers and mutuals!!! This could genuinely save someone from poverty or homelessness! I'm not trying to guilt trip you, I just need you to know that this is an invaluable resource!

[astrologicaldreamin]

Can you please give your thoughts on having a Taurus MC at zero degrees? Thank you and have a nice day ❤️

Hey, love! I'm still what I would consider a "baby" astrologer, so please take what resonates and leave what doesn't! I am by far a professional, but I appreciate the request to explore. ♡ Within your public image, there is a sense of security and wealth with a loyalty that either comes across as admirable or intimating to other people. The Venusian energy either invokes a natural appeal or invites a slight choke-hold of constriction within your social interactions. While I take Midheaven in Taurus as "mother earth" energy, I also see the placement encouraging the preserving qualities of Tauruses in relation to your goals. The symbol for Taurus is the bull for a very specific reason. Tauruses have a need for stability which can form an intense desire for control if not understood properly. While not bred outwardly for hostility, when provoked with an obstacle or trigger, there may be a more forward-acting aggression. On the other hand, you are most likely known for being perceived as engaging with a calm or collected energy. When in conversation, there is more passiveness, but an excitement towards the subjects of your infatuation. You most likely are inherently good with people, whether conscious or not. If there is not a constraint on the conversation to adhere to your specific desires, there is an easy flow and engagement between you and other people that may spark a sense of security within them. This energy is only intensified with your 0°. Therefore, in terms of career, I often relate the energy into something more stable, but creative. Your independence is highly important to you, but so is the recognition and communal environment to explore your creations with. This would be a very great placement for a variety of fields, but I would consider Finance, Psychology, and Literature as potential choices. Without knowing your full chart, the energy of your Midheaven in Taurus will grant endless possibilities. In its purest form, it is a never-ending cycle of endurance and care, which greatly contributes to any path. Finance, in particular, would allow a steady climb up a corporate ladder to reveal the sense of accomplishment required for fulfillment. Consultations in careers may also be important within your desire to, essentially, experience the exchange of admiration and respect within others. That energy can also contribute heavily into the field of Psychology, where the exposure of your welcoming energy can be a platform for another. The sense of a good deed would continuously invoke the idealized and romantic world viewpoint you should never feel sheltered from. In fact, it may come to no surprise if you encounter occasions where you are stopped in the middle of the grocery store and politely invited into a stranger's venting session. Within Literature, you can also hold the same effect but in differing ways. Your words and sense of beauty may allow others to heal and rejuvenate various aspects of their self-discovery or journey. It would be like picking up a book to only discover that it changed the way you define the meaning of love or the home.

In essence, I find that you would gain the most fulfillment in a career/passion that would allow you to extend an open hand but remain an independent, creative identity. No career is worthwhile unless it holds something substantial to you personally, whether that's the work itself or the achieved success attained by it. I will also mention that you may have a knack for more physically-demanding careers (Healthcare, Trade; etc). However, I also feel that having too much physical engagement would provoke persistent external pressure and dismay any internal encouragement. You may be able to take the brunt of it, but you should ask yourself whether or not you really have to.