Hey at least it's interesting to watch an empire crumble, right? Right?
Any examples?
What you are saying is generally true. The only real oversight in ensuring things are moving forward is us ourselves as patients. It's our responsibility as patients to take charge of our health.
That being said, P2P is sadly a standard aspect of American medical practice. Essentially anyone in a direct patient contact position position has done them. In the clinic or hospital, it may be your primary clinician handling it but it doesn't necessarily have to be. It can be handled by other clinical staff or a group of nonclinical doctors also.
You dont have to worry about P2P since it will get taken care of (whether the service will be covered by insurance is another story). Instead I'd focus on keeping disconnected parts of the system abreast of your medical conditions and current list of medications. Because health information is protected there really isn't a great solution for centralizing this data yet so if you go to a clinic that's on a different EMR, they're not going to have all of the necessary information available to them.
This is advice for doctors, not patients.
Usually doctors do the peer to peer and then the patient can appeal once services are denied (which is almost always the case if you've reached the peer to peer stage).
I've used this before with mild succees. It's far from reliably effective. You're more likely to get the decision over turned at the appeal stage, the problem being that precious time is lost while going through that process.
I do like to schedule an appointment so that patients are part of the peer to peer call. That way they can tell the doctor, nurse, PA, NP or whichever other service reimbursement bouncer the insurance company has hired that they're putting a curse on them and their family.
Generally the hospital has checks and balances to prevent fraudulent billing (well not in this case, apparently).
My bigger issue with the RVU system is how it promotes sub sub specialization into procedure based specialties which are the antithesis of preventative medicine. The system valuee family medicine doctors the least despite the massive shortage in their services (especially in rural communities).
So, the surgeon that fixes the broken hip gets paid more than the doctor that gets the bone density scan done and starts meds that support bone health. The cardiologist that opens up the blocked vessel gets more than the PCP who takes the time to counsel on athersclerotic cardiovascular disease and controls risk factors medically and with lifestyle.
I'm not saying the surgeon / proceduralist shouldn't get paid more. I'm just saying that when your system incentivizes 'wait for the problem to happen and then fix it' you're going to have some bad health outcomes.
Yea exactly! The user sets an interval and then the app sends a push notification saying 'its been x hours since last feeding' or diaper change etc. Ideally can choose ringtone, vibrate or of its just a regular notification and it would be available for specifically recurring activities (feeding, diaper change, sleeping and pumping).
Also an option to record in imperial units (ounces) would be great too!
It appears that the home screen doesn't refresh upon adding an entry also. Have to toggle to a different view and come back for the timer and summary to refresh. Ideally it would update immediately.
The reason for Modi's approval is very similar to Trumps. He's very good at blaming the other (in this case Muslims and several other groups).
He's also in power at a time when India was inevitably going to grow stronger economically and people can feel that. GDP is growing at 7-8% annually which is massive for a country of India's size, even if GDP per capita leaves a lot to be desired.
Though India is developing at a steady pace now and is on a trajectory to be a developed nation in two decades, I don't think I'd rush to give Modi credit for that. It's a relatively untapped market that constitutes a fifth of humanity. It was bound to grow barring war, natural disaster, crippling geopolitical / trade tensions etc. He's just at the right place at the right time and had the right type of divisive rhetoric that seems to be hot all over the world right now.
You're right. They also didn't create colorism, which has existed in every human society since the dawn of time.
What they did do is institutionalize and entrench caste. They applied their racialized view of the world and interpreted caste as "low caste = dark skin = bad" and "high caste = fair skin = good" There is nothing in ancient Indian literature that connects caste to skin tone.
There is however significant literature tying caste to virtue. Low caste individuals in India are disenfranchised similar to African Americans in the US.
The British didn't help the issue by identifying certain castes as innately criminal, subjecting them to constant police surveillance and even imprisoning them premptively.
The Indian government, at its inception, outlawed caste discrimination and there are several affirmative action plans in place to provide increased oppurunities to disenfranchised castes but, similar to the African American community in the US, execution of such plans and positive outcomes are still lacking.
During his visit to Kerala, India in 1959, Martin Luther King Jr. was being introduced by a school principal: "Young people, I would like to present to you a fellow untouchable from the United States of America" Initially shocked, he reflected and then responded: "Yes, I am an untouchable, and every Negro in the United States is an untouchable"
Just installed it today. Significantly improved voice typing over Google and its processed locally on your device, not server side like everything Google.
I find that in many cases, if you actually click the link to find the sourced information, it's not there. I've experienced this with nearly every LLM front-end platform.
It was made by the creator of ente which is a free (5 GB) open source alternative to Google Photos. There are paid plans for more storage.
The creator was a Google developer who left after he found out Google was helping the US military train drones with AI.