Sexual harrassment

The news has been bombarded with allegations, victims and famous powerful men going down for abusing women, and girls.  It seems that allegations aren’t believed if they are from a long time ago.  I have many clients who were in their 40s and 50’s and revealed abuse for the first time.  Some did mention it to their family and were not believed so they didn’t mention it again. The length of time does not make it a lie.  Women can have flashbacks for years and can remember vividly the event even decades afterwards.  They can remember the shoes, the smell of cologne, a song playing in the background. They don’t tell people because they do not want to be treated like the women in the news.  They need to be heard.  Roy Moore has suspicious behavior that deserves a look.

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I passed!!!

I passed my inspection.  Finally mental health skill building is on the way.  What is mental health skill building?  It helps patients who have been hospitalized for a psychiatric disorder overnight and given a diagnosis of an AXIS one disorder and a prescription.  It is to keep them from being hospitalized.  It is to go into their home for up to 12 hours a week to work on medication management, stress management, symptom and diagnosis education, budgeting, household management, parenting, substance abuse, etc.  They can have it for six months at a time.

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.

 

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.

The Election and it effects on kids.

My clients are from the age of 5 to 18 for kids.  They come from all ethnic backgrounds and social economic status.  One little black girl asked me why Donald Trump didn’t like her.  She is 10.  A 16 year old white kid bragged that Trump was going to win big and everyone just better like it.  A 6 year old wanted to know why he got in trouble for grabbing a girl at school because Trump says they really like it.  A girl said she didn’t trust Hillary because she wasn’t good at email, because she was old like her grandma.  My Mexican client who was born here said several people yelled at him at school and told him they were going to build a wall and throw his ass out.  All of these children get in trouble for fighting and did before the election.  My sexual trauma clients are being triggered and they believe that Trump and Clinton are perps and are scared.  Many think they are fat when they aren’t fat.  My suggestion is to not have children watch the news if they aren’t old enough to vote.  We have three weeks left.  Save the children.

My clients ask me who I am voting for and I don’t tell them.  It isn’t my job to sway political opinions.  I just tell them to vote or have their parents vote.  Many of my chients are disabled and recieve services.  They worry about losing them. They already have anxiety problems.  Some are low IQ and can’t decern the rhetoric and fact check.  One was afraid that they were going to take him to jail and knock his door down looking for Mexicans and guns.  They already have issues with the police.

I have to walk the fine line between safety, knowledge and not swaying someones vote.

My advise to someone with mental issues, if you know who you are going to vote for don’t turn on the news or look at it on the internet and mute the commercials.  Don’t watch the next debate.

I can’t wait until November 9th 2016.  Let all of this be over.

 

 

Number 19

I am number 19.  It has been a long wait from 02/15 to get to Number 19.  While I wait clients are not being services, jobs are not being created and the government has slowed it down.

The 16th of the month is the next time I can check.  I am afraid to get my hopes up, but it did drop 8 numbers.  If it does that again, I will be number 11.  Other times it only moved 3 or none.  It used to move about 20 a time.  I was excited and prepared to start interviewing and looking at electronic billing systems.

Now I am waiting until the number is under 10 to start on the electronic billing.  I will start collecting resumes in September to prepare for a quick move down the line.  I will start marketing for clients when I am under 5.  It is hard to plan a business when you don’t know when to start it.

Number 27

I am number 27 on the list for Mental Health Skill Building. I applied for it in Feburary 2015.  Yes that is right almost a year and a half ago. What is mental health skill building?  It is an in home service for the chronic mental health patients that have been hospitalization. We help them go to their medical appointments, their medications, socialization, and other needed services for 10 hours a week.  There professionals have a bachelors or better.  They are paid well.  They keep people out of the hospital.

These agencies like mine can hire about 10 people.  Right now an agency is number 285 on the list. That is 2,850 jobs waiting for almost 10,000 clients. We have shootings of and by mentally ill people.  The hospitals are full and can’t keep them.

I called to find out why.  They have two people for the whole state of Virginia to process the paperwork.  Virginia has 8.401 million people. If 10 % are mentally ill, that is 840,000 people.  These workers have to verify information, do office inspections, background checks and see if forms and procedures match current laws.  2 people.

If they move 3 steps a time, it will take an additional 9 months for my application to start the process.  That will be next year. How long can our mentally ill people wait?  How many jobs go unfilled?

I have contacted the papers, and wrote a Senator.  I am pushing on.  Next I go to television. I want to serve the disadvantaged, employ people.  Do my civic duty.

Number 27 is not so great after all.