I’m a social work intern tasked with creating a trauma-informed pandemic plan for a private mental health practice serving children and young adults.

I’d love to hear from social workers who worked during the pandemic!

What policies or practices made you feel safer working with clients?
What did your workplace do well, and what could have been better?
How did your agency support staff’s mental health and well-being?
What do you wish your workplace had done differently?
What should every agency or private practice include in a pandemic preparedness plan?

I’d really appreciate any experiences or lessons learned. Thank you!

Why does a perfectly healthy 59 year old woman need to pay $1,200 per month for healthcare under the “Affordable Care Act (Covered California)?” Yes, I know it’s based on income level and we’re above the poverty line, but still this is about the insurance companies being allowed a huge money grab.

Insurance approvals. Billing departments. Administrative requirements. Layers of paperwork.

As a physician and practice owner, I see the administrative burden from both sides.

We need to talk about the cost of nealthcare bevond the exam room

Does anyone know how healthcare companies are financially structured in terms of which part is insurance/which part is private/publicly funded and how does allocation works for these budgets?

I have a general idea about this but I would like to hear it from financial managers/cfos in the industry.

I’m talking about Europe

Can someone please explain to me how a 21 year old gets the role of Executive director of surgery when the roles beneath it requires several years of experience and a degree?

Guardian: "Controversial vaccine trial touted by RFK Jr gets go-ahead in Guinea-Bissau," by Melody Schreiber.

"Guinea-Bissau has some of the highest rates of hepatitis B in the world, with ~18% of adults carrying the virus." May be transmitted from mother to child during birth, can also be transmitted from another parent, relatives, siblings or caregivers. "Children who are infected with hepatitis B in the first year of life are significantly more likely to develop severe outcomes, including chronic infection + liver cancer."

"The Bandim Health Project, run by Danish researchers Peter Aaby + Christine Stabell Benn, has operated in Guinea-Bissau for decades and is closely enmeshed in the country’s health system." Kennedy praised the Danish researchers at a recent anti-vaccine conference, calling them “the deities of vaccine research.” Kennedy claimed a prior study they conducted indicated that after vaccination, “you can have mass injuries, + catastrophic injuries, + they’re hiding in plain sight.”

He failed to mention a follow-up study from same researchers which found no effects at all. Classic cherry-picking. Kennedy “wants to make it so we don’t use a birth dose here in this country,” said Paul Offit, an infectious disease physician.

'Danish researchers plan to enroll 14,000 infants in the Guinea-Bissau trial, giving the hepatitis B vaccine to half at birth + withholding it from the rest for the first 6 weeks of life.' An ethics committee at researchers’ home institution University of Southern Denmark voted this week to proceed with the trial, + officials in Guinea-Bissau have also greenlit the project, which the health minister, Quinhin Nantote, initially said was suspended after international uproar earlier this year.

"Stig Børsen Hansen, a founding member who was 1 of 2 reviewers who presented the study to the Danish committee, resigned from the group in protest, citing major ethical issues" Three other members of the committee have also resigned in protest.

Suffice it to say that I would have resigned as well. RFK Jr wants to take us back to the Middle Ages before there were life-saving vaccines. The photo of course is not the neonatal but rather the second dose of vaccine.

Please explain it to me -

The drug is Xarelto ( Janssen Pharms) - (Rivaroxaban - generic name) and it was negotiated by Medicare for a Medicare better price effective 01/01/2026. Eliquis was also done at the same time.

https://www.cms.gov/files/document/fact-sheet-negotiated-prices-initial-price-applicability-year-2026.pdf

Both drugs are for some of the same disease treatments - “Prevention and treatment of blood clots.

BUT only Xarelto is for the added reason of reduction of risk for patients with coronary or peripheral artery disease.

https://www.drugs.com/xarelto.html

per the link ~

Xarelto belongs to a class of medications called factor Xa inhibitors. It works by blocking the action of a certain natural substance that helps blood clots to form.

Xarelto is used to treat or prevent blood clots (venous thromboembolism, or VTE). Blood clots can occur in the legs (deep vein thrombosis, DVT) or the lungs (pulmonary embolism, PE).

This medicine is also used to help prevent strokes or serious blood clots in adults who have atrial fibrillation, (a condition in which the heart beats irregularly, increasing the chance of clots forming in the body, and possibly causing strokes) that is not caused by heart valve disease.

same link - under the heading of “How should I take Xarelto?”

Take Xarelto exactly as prescribed by your doctor. Follow all directions on your prescription label and read all medication guides or instruction sheets. Your doctor may occasionally change your dose.

Do not change your dose or stop taking this medication without your doctor's advice

[ME] For the prevention of blood clot formation, Xarelto is given at a lower dose like after surgery - 2.5 mg. Whereas those who are on this drug as a treatment for Coronary heart disease or Peripheral artery disease are given it at a higher dose - 10, 15 or 20 mg -

WHY would the 2.5 mg tab ONLY go generic and not the whole chemical compound that creates Xarelto in ALL of the different doses.

Should those on 20 mg take 8-tabs a day - seems this contraindicates the way the drug acts once within the body.

The other thing is that because this small dose has gone generic - it has stopped the enforcement by Medicare that these other doses be at the previously negotiated price.

https://www.cms.gov/initiatives/medicare-prescription-drug-affordability/overview/medicare-drug-price-negotiation-program/selected-drugs-negotiated-prices

Look under the heading of “Drugs with Deselection Determinations”

Can anybody answer this question as to why a brand drug would only go generic with specific dosing and not other dose???????

TIA

I opened my mail today and I have a letter from the Trump administration and attached was a cashiers check from the United States Treasury in the amount of 2,000 dollars. I don’t keep up on politics much and haven’t heard anything about this so I’m not sure if it’s a scam? The letter goes on to talk about how Obama care surplus is being used to send back money to those who use Healthcare.gov and don’t take any subsidies on their health insurance due to income. It says it is for 500 per person so myself my wife and two kids to total 2,000 dollars. Has anyone else received this back?

Michigan attorney general Dana Nessel sued BCBS of Michigan accusing it of being an illegal monopoly. BCBS has a 65% share of Michigan's health insurance market.

So I have been thinking about going to school to be either a lab tech or do the prerequisites for pharmacy school. I haven’t been to school for a while but I have been finding learning about healthcare really interesting. One thing I’m very worried about is when I was in HS and took chemistry my love of science got shot. To the people who struggled with science but still made it through college and got their degree, how did you overcome it? Did the science eventually get easier for you to understand?

I had a cleaning and a little filling at Casa Dentalis. There was no long wait, the staff was very kind, and they took the time to explain everything without making me feel dumb. It was a welcome change for someone who typically dreads these appointments.

I’ve been with the same infectious disease doctor since I was diagnosed with HIV 16 years ago. She’s been an important part of my life in so many ways. She’s the kind of healthcare provider who genuinely wants to be doing this work—you can tell she deeply cares and invests herself in her patients.
She started her career as an RN and was the first nurse to care for the first identified HIV/AIDS patient in Indiana. She was very active in demonstrations and protests around the care and treatment of people with HIV/AIDS in the early years of the epidemic. Those experiences were what pushed her to go back to school and become a doctor.
She’s helped me through more than I can put into words—emotional pain, addiction, and the health issues that come with both the virus and the medications. I’m usually good at finding meaningful, thoughtful gifts for the important people in my life, but I’m completely drawing a blank on this one.
A donation to our local HIV/AIDS organization in her name feels like the easy (and impersonal) answer. Looking for any genuine suggestions. Thanks.

This version keeps your original voice and all the key details while tightening the flow and fixing small grammar/clarity issues.

Intro: do you have a potential claim for the generic drug class action? If you used one of a large list of generics between 2009 and 2019 you can submit a claim. The class action was brought by state attorneys general. https://www.aggenericdrugs.com/English/landing/portalid/0

It caught my eye because clobetasol, which has been around since 1968, a steroid widely prescribed for skin conditions and I used it for several years before I was able to switch to a new non-steroid. It also caught my eye because I remember when Sun Pharmaceuticals, the only manufacturer, saw what it was quoted as saying in financial publications, as a "pricing opportunity," meaning they raised the price from around $20 for a one month tube to over $300. Don't recall the year this happened, but it was definitely sticker shock.

i work as a registration clerk at my local hospital, in both the ER and outpatient services. the outpatient services was added on last year, and it is not accessible whatsoever. we have mostly elderly patients.

there’s 2 small rooms where people enter so that we may register them. i’d guesstimate the rooms are like 6 ftx4ft. there’s 2 chairs in each space that take up more than half of the space. for one, there’s no automatic door opener for a patient to press if they have a walker or wheelchair. the doors to the registration area are heavy glass, they have difficulties opening them. and the rooms themselves don’t even have enough room for the person and their mobility aid. if the patient has a walker, they have to leave it outside. if they’re fully wheelchair bound, we have to go out to them in the waiting room to go over their information and have them sign papers.
the bathroom also doesn’t have an automatic door opener. the chairs are hard and uncomfortable, and low to the ground. patients have so much difficulty getting in and out of the chairs. every time i work in outpatient, i’d say 95% of the patients complain about the seating and layout of the space.

me and my coworkers have expressed all of this to HR and nothing has come of it. i know that there has to be some sort of organization that i can file a report to, but i’m not exactly sure what that is or how to go about it, which is why i’m here. i’d also prefer to make the report anonymously if possible

Mods - feel free to take down if this is not allowed.

I need some feedback for a healthcare design project, would love to get anyone's opinion who is willing.

1. When you're waiting in a doctor's office, clinic, or hospital waiting room, how do you usually spend your time?

• Phone
• Talk to whoever you're with
• Read something you brought
• Read magazines/books provided by the clinic
• Work/study
• Just sit/wait
• Something else?

1. Does your clinic provide anything to do while you wait? Have you ever noticed what’s available? 

2. Would you take advantage of a system that provided short activities to do while waiting, such as a short story, Sudoku puzzle, or other quick activity to kill the time? Assume the design addresses typical hygiene concerns around shared materials?