jamesgelliott

jamesgelliott t1_je2jje2 wrote

"Choice.

Really, that's the crux of it. A person can choose to identify however they want, there's no set criteria for what would make a person choose to be identified as male or female, it's simply "What makes that person feel more comfortable?"

Yes. However a person chooses to identify, it doesn't validate their choice.

Everyone should be be treated with respect and and dignity but that doesn't mean their choice should be met with validation.

I have worked as a psych RN. It's OK to validate someone's feelings but it doesn't make it true.

As long as someone's beliefs don't infringe on other peoples rights, that's OK.

So a homeless person demanding others validate their delusion is wrong. But if a homeless person believes they are Elvis or JFK, then just leave them alone and get them help if they WANT it.

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jamesgelliott t1_jdzokfa wrote

It's not inappropriate treatment. You can't expect every MD, Nurse practitioner and Physician's assistant to know every clinical pathway for every insurance provider.

Recently I had a colonoscopy. The MD ordered a prep that wasn't covered by my insurance but it did cover an older less expensive option. The pharmacy simply had to contact the MD and get the order changed.

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jamesgelliott t1_jdzhuma wrote

Point #2 isn't correct. Even non-profit companies like Blue Cross and the various healthcare coops engage in cost containment measures.

Why pay $1000 for a newer more expensive treatment when a $100 proven treatment will work.

There are things called clinical pathways that are guidelines that start with least expensive yet generally effective treatments first.

It's why you have to get an inexpensive X-Ray before the MD can order a more expensive CT scan.

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jamesgelliott t1_jarc2lv wrote

Different jurisdictions. Louisiana must take crime far more seriously than DC or the federal government. But her crime is more than just felony theft. Charges will include financial exploitation of the elderly or infirmed because of the age of the aunt. And I'm just guessing but this probably isn't her first offense.

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jamesgelliott t1_jaawnjm wrote

Your body releases a chemical called cholecystokinin that aids with digestion and gives you the feeling of being satiated. It's also found in the central nervous system and some believe that it may give you that sleepy feeling after eating.

It makes sense that your body would want to slow down to digest too because blood flow is being directed from your muscles and to your digestive tract.

Also after eating you have just started digesting the food but it hasn't been broken down enough to be utilized immediately. Simple sugars are broken down first, then the complex carbohydrates followed by proteins then fats.

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jamesgelliott t1_ixo4s71 wrote

This is horrible advice. Don't wait until you are at the polling place to do some research. Research everything before you go to the polls so you aren't being an inconsiderate asshole that you are holding up while you "do your research"

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jamesgelliott t1_iujbm5q wrote

No. He's a good actor but unfortunately for him, he's had a few roles that absolutely bombed such as Joker and Morbius. That's caused some people to believe he is a poor actor. In reality, the directors were mostly responsible for those movies bombing and failing to utilize Leto's talent.

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jamesgelliott t1_iui4lsz wrote

If the US ever goes to a universal healthcare model, you better hope like hell it's government financed but not government run. I have worked in healthcare since 1996 with most of my experience in healthcare regulatory compliance. The places least compliant with the regulations are governmental healthcare providers.

The VA is government RUN. The staff are government employees. If you've paid anything at all to the news about the VA, you would know wait times are horrible and the quality of care is low. That's why several years ago restrictions were lifted that allowed Veterans to go outside the VA system in many instances. Sadly, Biden put back into place some restrictions.

Medicaid in my state is government FINANCED. Recipients have the freedom to go to a number of different providers. The program is administered by a private company that contracted with the state.

So to your question, what will happen to the insurance companies if the US goes to a universal healthcare model? The companies will switch what they do. That will quit selling policies but they will still process and administer the programs.

For example, you may believe Blue Cross is a health insurance company. They are but they do far more than just sell and process claims. Blue Cross is the biggest processor of Medicare claims.

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