Trump fever or furor

One of the first things I do before I take a job is research the company.  High turnover is usually a sign to not go there to work.  It is a sign of chaos and problems with management.  People have mixed feelings about Trumps constant personnel shift.  Some feel that it is a sign of strength to get rid of bad people quickly.  Others think he is too difficult to work with.

Trump wants loyalty.  I would want loyalty in my company too.  I am in the process of hiring as well.  But I would want my employees to trust me that if they feel I am wrong that they can come to me without a fear of retailiation.  No person is right or wrong all the time.

Many people said to give him a chance and some time to settle in.  Most places I have worked that is 90 days.  It has been past 90 days.  I realize that transitioning from the private sector where you did not have to deal with congress or the senate or the courts will be challenging.  A CEO is not used to being questioned.  But the Presidency is different.  Companies can go bankrupt.  The united states can’t bankrupt and start over. Our founding Fathers created checks and balances to avoid one person having absolute power over any one branch of government, like monarchies.

I have never seen so much protesting in any presidency since Johnson and vietnam.  Those protests were to stop the war and not really about Johnson as a person.  We now are told not to trust the media, protestors are being paid and just read Trumps tweets and all is well.

I have skin in the game.  If my patients lose health care, I do not have patients and I close down.  I have two daughters with pre existing conditions.  I have pre existing conditions.  My husband has been in the Navy hospital for almost a month.  I am grateful.  His care has been excellent and it hasn’t cost us anything.  I have the same arrangement as his wife. I want this quality of care for everyone.  We pay premiums for our health care.

I hear repeal and replace, but no clear option.  Most people with pre existing conditions need insurance.  Your health can change at any time.  I was first denied health care insurance in 1996 due to a thyroid condition treated and managed well with medication.  I had to keep a job with insurance or i was in trouble.  My children were at one point on Medicaid.  My late husband used the VA.  I have been on four different insurance plans that denied procedures, medications, orthodics, etc.  They previous Obama system was not great- admit it.  Obama care has flaws.  But the real problem is greed.  Insurance companies are in business to make a profit and they should.  But how much money does a CEO need to make, what is fair compensation.

As a provider I am paid anywhere from 30 to 86 dollars for the same service.  Some patients pay nothing, others from 15.00 to 45.00 a co-pay. Some have deductibles some do not.  No wonder people are confused.  They blame the high costs on the government.  The government can only regulate so much.  Companies pull out of states they don’t make a profit in making less choice for care.  Allowing people to be excluded due to preexisting conditions gives them no choice.

What is the answer?  I am no expert, but I have been a patient, a provider, and have had to deal with accidents and medical surgeries.  I have worked with about 10 insurance companies and Medicaid.

My health care plan

A.) Eligible for Medicare at age 55, option to enroll or not.  This is when most medical conditions start happening.

B.) All insurance companies must cover pre existing conditions and can only charge 10% more than healthy people premiums. This way they can make some profit.

C.) Raise the income level for Medicaid and include people without children that are working. More people will qualify and won’t have to quit their job or have a kid to get medical care.

D.) Tax credits for companies that provide health insurance. Incentives for them to provide it.

.E.) Lower the tax credit to any bills exceeding 3 % of someones income. This will offset some of the costs that insurance doesn’t cover.  Include massage, accupunture, over the counter medications, etc.

F.) Cap deductibles at 1000.00. This will keep a hospital stay from being too costly.

G.) Subsidize any hospital that takes people that cannot pay for each patient. This will encourage some indigent care.

H.)  Allow private individuals to negotiate fees like the insurance companies. We should have the same playing field.

I.)  Allow individuals to buy a group plan with only two people to encourage mom and pop  businesses to get insurance.

J.) Cover preventative care, birth control and physicals and vaccinations.

L.)  Remove caps and high risk pools. Also cap the salaries of CEO’s to not exceed 1 million dollars.

M.)  Congress and the Senate must be on the same policy as their constituents.

 

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Mental health skill building

It is almost upon us.  The two and a half year wait is over.  The services for the chronically mentally ill. Portsmouth will be able to serve patients being discharged from maryview hospital, so they don’t continue to be hospitalized.  We are excited to serve medicaid patients.

The current health care crisis will affect out business.  If our clients lose medicaid coverage, we will be out of business.  The mentally ill will be under served or be on the streets.  More suicides, more shootings, more crime, more homelessness and constant hospitalizations will occur.

 

Please tell your senator to vote no.

Religion and politics once again.

Now the issue is equal pay based on gender.  Many systems are set up that way state jobs, federal and military jobs.  But many are not.  The arguments presented lately is using religion.  The Bible according to Chris Christie is that woman are less than men and it is against his religion so he vetoes and equal pay bill.  Let me be clear.  I don’t practice the same religion as Chris Christie and do not wish his views to be placed upon me.  Thankfully I live in Va.

The Equal rights amendment lacked three states of passing and Virginia is one of them.

The reason that pay should be equal is very clear.  Me and my coworker in the same job making the same pay does not take any pay away from them.  Social security is based on income.  Women live 7 years longer than men.  So woman making less money increases the chances of senior poverty.  Women will also put less money in a 401 K because there salary will drop.

Pay by the position.  If a teacher makes this wage, then all make it regardless of gender.  Commission jobs are more fair, because they pay based on how much you sell.  In some commission fields women exceed the men in commissions.

Even in hollywood and the musica industry the salaries were less, even when the female leads movie grossed more and made more money for the studio.  A way around this is to get a percentage of the profits.  Women are not as good at negotiating salaries and are often seen as bitchy if they do.

Women are more likely to raise children alone and not get as much child support.  Women pay child care, which can whittle into the pay check, almost half if the child is under 2.

How does it offend Jesus if I am paid a fair wage for a hard days work?  If you don’t want women to work, fine, make enough to support your family one your income, but don’t discriminate on those who have to or chose to work. Don’t complain about welfare that keeps women out of the workforce.

Jesus said feed my sheep, even the ewes.  You can feed them by paying them enough to live on.

So Phyllis Schafly and Chris Christie you are wrong.  Follow the constitution for government and the religious text for your personal life.  Keep your government out of my Bible and your Bible out of my government.  Thank you.  Peace out.

Virginian pilot article

I probably should not watch the news.  I get too upset over injustice.  A prisoner in our jail who was mentally ill died.  He was in jail for shoplifting candy.  Most times he would spend a few days in and be out.  He was detained for months on a mental health order.  No bed was available.  He did not get proper treatment.  He was malnourished and suicidal.  He died.  The news papers and TV are all over it.  But there are no beds it isn’t our fault.  Why was he in jail so long for a shoplifting offense.  He wasn’t even convicted.  Jail guards are not prepared to deal with chronic mental illness.  He was in solitary, which deteriorated his condition.  His family tried to get him out.  Many visits were denied due to his behaviors. If there was no bed, he should have been sent home with a mental health skill building agency to work with him.  Oh wait, there aren’t enough of those.  Why is that?  I applied in 02/15 to be a mental health skill builder provider.  I was number 178 on the list.  Now in May I am number 38 on the list.  They have two workers in Richmond processing all the applications for developmental group homes, outpatient, MHSB, TDT, IHH, IOP, substance abuse, and transitional living.  The whole state of Virginia has two workers to process at the present time 258 applications.  This isn’t the department that audits and monitors.  I bet the fraud unit to recoup medicaid money has more than two workers.

The young man needed help.  His family wanted to help him.  We let him down by trying to save money.

Do the math.  Each agency would probably hire about 10 workers at over minimum wage.   258 x 10=2,580 jobs in our state.  New graduates just out of school in all parts of the state. One of those workers could have helped him, but the paperwork has bogged down their agency.

We should be ashamed.  Call your state delegate and senator.  The next person might be someone you love.

First page of my novel

I finally have started my novel on my career as a therapist.  I will post exercpts from time to time and hope you will critique it.  I will try to be as honest as possible without giving away any client privledged information.  I also will shed light on various diagnosis, failed treatments, modalities.  I hope to have me grow as a person and learn as I write.  Many people go into this field wanting to save the world.  They have no clue.  The textbooks do not tell you about assessments in the hood, walking the park to engage the homeless, going into homes to look after children,  watching people detox,  doing therapy in a soup kitchen and jail.  It is a journey for me and for my clients. I also apologize to my first clients that I learned with and hope they got better anyway.

And don’t get me started on insurance billing.  They don’t touch that.

Snow day

I am working today, even with the snow outside. My clients come in cold, but glad I am open.  What I would like to do on a snow day?  Look outside at the snow, drinking cocoa or hot cider.  Watch happy kids with no school playing outside.  Take a nap next to a fire.

The other side of a snow day.  If you are homeless and can’t get any heat, the snow is scary.  Where can you lay where you won’t be covered in snow?  How do you keep your clothes dry?  No place to heat any cocoa and no fire.  The walk to the shelter is long and you can easily slip and fall.  You might not have the warmest of clothes or boots. That beautiful white scene becomes scary ice to navigate.

While we sit all cozy and warm, think about those less fortunate.  The house has no heat or they ran out of firewood.  The electricity is turned off.  Ran out of food and no way to get any right now.