So the specialist have rescheduled his next visit yet again, without my spouse's consent or at least tried to, this time he at least got an email we both understood to be yet another incident of this pattern of ADA & overall attempts to invalidate the basic rights of people who aren't in inpatient care, to control their own schedules in visiting Dr's. He emailed back to refuse the newest date as at this point it's a refusal of theirs to provide the service of said physician..

After last night's rains, that kept us up most of the night, neither of us really have the strength to handle a local clinic visit, so as shitty as their system is, we used their general online contact form, to message our cancelation & request of reschedule via email.

*Patient portals at neither set of Dr's offer scheduling via using said portals, so our request for emails & not portal use isn't at all hampering scheduling. The fact that they still somehow don't seem to have it register as anything but an attitude problem of ours, that we can't use voice calls to schedule & reschedule visits, rather than their not granting said reasonable accommodation of email use, is a major & continual problem.

The specialist clinic being really intollerably bad because whenever they screwup, by changing the schedule yet again & not informing us of this until we've arrived to try & checkin, they've cost us about 1.5 hours of time & 1.25 gallons of gas just to drive there, park & get from an on campus parking garage spot to their actual office, with travel on my spouse for that distance & time not being very easy lately. Yes....sometimes we've the energy to stopoff around 1/2 way back for a store trip beyond often needing to eat out to avoid seizure issues on the exhaustion, but that doesn't make the setup anymore sensible to continue. The very reason we're going there is because they're supposedly the closest place that'll treat his issues, which likely are largely responsible for how little energy he has to begin with, but for care to be possible the Dr actually has to show up for when we've scheduled an appointment with them & not have nurses trot out what amounts to my mind to a long excuse set over the reality of
"we will not treat you unless you're a pair of people who'll gladly hop to answer any & all our phone calls, continually change your schedule in whatever ways we find convenient and accept our word as we pass along second hand, the easier for us to manage & track treatment methods from the Dr, to avoid you bothering them with more visits."

#ADA #DisabilityAccessibility #MedicalCare #Communication #Anemia

@pixelate yeah, as much as this irks me, I agree. I'm not at all a programmer or coder, just a disabled person with mobility issues that basically make touchscreen use impossible.

Part of the issue for me is, even as there are organizations that cover my disabling medical conditions, none really cover quality of life measures, beyond "join a support group based on & in Facebook" & "get a caregiver to do whatever it is for you".

I'm planning on getting #Elementary within the next 2-4 months and as I can, with other projects, try to get physical keyboard smartphones to work with degoogled operating systems.

#Neuropathy #DegenerativeDiscDisease #hEDS #DisabilityAccessibility

The more I look at the tech & communications mess set of that regional medical center which is a part of the state university, the more I'm realizing that for all the money spent on the "partnerships" which amount I believe mostly data, printer & computer sales, it's still primarily a hospital thats pretty continually shortstaffed & set of attatched specialist clinics, really run completely by phone calls& post it notes..... as all their records are on computer systems that are down more than up, with a side of people accepting getting hurt & killed by all the mistakes caused by that records & communication system.

The total revenue of this mess was $1.7 billion in 2023 so this isn't a tiny setup either & that scale is why there really aren't "easy work arounds" but also why it isn't a lack of funds that's at all causing said problem.

*Most people there don't really know what's happening or why & those that do aren't in any position to really fix any of it.

#BigData #MedicalSystem #DisabilityAccessibility

@aj @acb @taylorlorenz

I agree with your ideal, however the lawsuits (which is the legal enforcement mechanism for the disability accessibility law set in the USA exists) have already set this precedence. I hate it & would love it overturned, beyond which I'd like to see the ADA changed to switch the burden of proof from disabled people to those (mostly institutions) not granting accessibility. This would include a dramatic set of changes, including to what buildings are used for poverty aid programs and in many cases medical centers.

Over 60% of medical centers, including hospitals in the USA are inaccessible to disabled people, over 70% of government buildings, where regional meetings are held, are also inaccessible in the USA. Over 90% of poverty aid application centers are also inaccessible to disabled people. Public libraries are the best subset of public infrastructure in accessibility at about 50-60% accessible. Schools and universities are probably the worst, at 20-30% accessible in their physical buildings, with their websites not being much better.

Overall to redo the all the websites & fix the government buildings would minimimally take 5-10 years even if it began tomorrow with decent plans & a budget to enact said changes, so for now, I will cede the point that our town hall meetings are held in casinos, which may explain just how big of a mess set our political situations are. The background noises of the slot machines, poker & roulette tables being a huge distraction sets, for said meetings.

(*I got back home under a week ago from a trip to my late parents place to collect some of their things & they lived in a suburb of Las Vegas, so within that definitely understand the comparison & agree this hybrid is a mess.)

My spouse and I are both disabled, with different medical conditions so this is a critical issue & problem set for us.

#DisabilityAccessibility

@acb @aj @taylorlorenz Not sure what country you're in, but in the USA, these big tech platforms have merged in effect with government, when it comes to #DisabilityAccessibility of information & access to government officials & public meetings, where instead of physically getting public buildings modified for said accessibility, they've used these platforms as said access points. This is why I view them not at all as casinos, of which there are many real options online, but as said government meeting halls.

On the one hand I keep seeing some ableds insist that every "new" custom wheelchair with a video is going to become available to every disabled person who wants to use one to improve their quality of life, nevermind that the technology been around & pretty indistinguishable in overall look in custom chairs to what said new video shows, has existed for at least 30, often over 50 years, they think this is "the one" & think it provides so much hope & inspiration to & for disabled people.... and when I point out how completely ridiculous this actually is, in the expectation that people like me, who definitely can use wheelchairs sometimes to help improve the quality of our lives, will ever actually get them, I'm told that it is me who is the problem.

On the other hand I keep seeing at least some ableds insist that cell phone hardware commonly available now is universally accessible to all disabled people, as are all other computers, even as I've seen & owned what once was very commonly available hardware which was better for my disability accessibility needs (which really the same set of medical issues that would have the chair sometimes helpful) over a decade ago..... and again this is generally pushed as an attitude problem of mine....

Ideally I'd really love both - near zero turning radii power wheelchairs custom fit & available to me for under $400 out of pocket, including the costs of my getting measured for it, so that I can actually afford to save up for & get one.....and a degoogled smartphone with a physical keyboard built at least close to military rugged standards for falls/impact resistance, as old ones were....

but if I'm going to pick one --- I'd prefer the more realistic option, which is the phone/minicomputer because even if I could afford 2 custom wheelchairs, for days we could use them on things like shopping trips together, we'd need a bigger vehicle just to make sure we could fit the chairs & ourselves without destroying said vehicle on how heavy these chairs would be.

#DisabilityAccessibility

@Tutanota Show us by your actions, not just words! So far you've shown in your actions, both for those with #MobilityImpairments on Captchas and for #blind users a screenreader issue, that your platform is not at all about #DigitalIndependence or real change, unless you've got neither disability set nor anyone you communicate with does.

#DisabledPeople are the subset of the population most denied our independence and yet which is most easily helped by modern technology, so this slight on your part is a continuation of the larger problem set, not a legitimate change to the status quo.
#DisabilityAccessibility #DisabilityRights

@the In part because of the state of my home but in part over my mostly seasonally flaring medical conditions, even as I have been pretty continually using computers of this general type consistently for about 15-20 years, I've not had them enabled to make calls for over about 10 of those years.

This is also why/how I know virtual keyboards don't work often for me at all, because of how often I've had them fail me.

*Most of when I regularly had them enabled, physical keyboards were common.

This adds to why I really do consider them very separate but also why as I basically look to complete my transition away from big tech operating system ran computers, beyond my enjoyment of having #CalyxyOS for a while on one device, I really do need this to be a complete transition to having my computers back under my control.

*When you've got Google or other AI/LLMs embedded in said setups & automatic by the provider set times for updates, you don't at all have that control at all.

#DisabilityAccessibility #Smartphones #Hardware #ComputerHardware #OpenSource #BigTech

#shitpost yes I'm perfectly capable of using touchscreen only devices if .... it isn't snowing or raining within 150 mile radius of where I am & if the temperature stays at 70-80°F at under 20% relative humidity & if I don't exercise enough or too much & if I don't stretch too much or not enough & if the pillows I sleep on don't bunch up in a bad way ....

But I find the notion of ever managing to get all these conditions consistently met to be rather ridiculous, so that's why I'm looking for ones with physical keyboards.

#DisabilityAccessibility #Tech #Enshittification

@Em0nM4stodon same, I really feel the approximate peak of modern technology in it's utility, ease of use, valued cost & lack of privacy invasions, was reached around 2000-2005 ACE. By then we had solid speech/talk to text software & hardware. Mobile phones, including smartphones were durable & had cameras or not depending on your preference. Similarly phones had GPS, & satellite or not. Screen readers were likewise fully developed.

Not everyone needs everything a piece of advanced technology & that's why I would love to see a renewed separation of different devices. Cheap mapping/direction GPS systems, separate from phones, separate from PDAs, separate from cameras.

Speed of doing every tech related task hasn't really changed for most people & if anything it's probably slower due to infrastructure decay.

*As I'm unfortunately continuing to consider which smartphone I should get over the next year & same for my spouse, it really hits me hard how it'd be better for us both if we could just get PDAs, his with a touchscreen & me with a physical keyboard that were 5g enabled. We don't make phone calls, nor answer them on the go & thusly don't need a mobile phone at all.
#Tech #NoGenAI #SurveillanceState #Innovation #Regression #DisabilityAccessibility