Had another sleep study. I now have sleep apnea—which is severe enough to qualify me for a CPAP, but only if I had commercial insurance. According to Medicare, I don’t stop breathing quite enough to qualify.

Sleep apnea increases with age. It seems like it would be smart, cost-effective preventive medicine to reduce cardiac stress and potentially prevent a cardiac event. I’m having a hard time making this make sense.

#Medicare #SleepApnea

Once a Year, Seattle Center Becomes a Medical Clinic

Behind a partition at Seattle Center’s Exhibition Hall Seattle Center’s Exhibition Hall, dental drills wheezed. Couple Andrea and Xavier waited patiently on the other side.  Touching her left cheek, Andrea said she’d felt pain in her mouth off and on for two years. She suspected a cavity. Her teeth throbbed when she ate sweets. She’s […]

The Stranger

The Truth About No Tax on Tips Why It’s a Drop in the Bucket for Workers

“No tax on tips” sounds helpful, but most workers gain little. Here’s why it’s a distraction from real economic reform.

#EconomicInequality #GOPPolicyCritique #laborRights #Medicare #minimumWage #noTaxOnTips #payrollTaxes #ProgressivePolitics #SocialSecurity #taxPolicy #taxReform #tippedWorkers #wageStagnation #wealthInequality #workingClass https://wp.me/p1OjMZ-oSC

Medicare patients who believe they are being discharged from the hospital too soon can use the Beneficiary and Family Centered Care Quality Improvement Organization (BFCC-QIO) to request an expedited review **FROM THE PHYSICIAN, NOT THE CASE MANAGER** that temporarily maintains coverage while the decision is made. The discharge process will be paused for this process to play out.

To utilize this right, patients and their families must follow a strict sequence:
1. Obtain the Important Message from Medicare (IM) or Hospital-Issued Notice of Non-Coverage (HINN) from the hospital.

2. Request an appeal from the BFCC-QIO by calling the number listed on the hospital’s discharge notice no later than midnight on the day of the scheduled discharge. If you miss the deadline, you'll likely be on the hook for whatever horse shit number the hospital charges you.

3. Once the appeal is filed, the hospital must provide a Detailed Notice of Discharge (DND) by noon the day after the hospital is notified. This document explains the medical and coverage reasons for the discharge.

4. A doctor not affiliated with the hospital will review your medical records to determine if the discharge is medically necessary. The BFCC-QIO must issue a decision within one day of receiving the necessary information.

5. If the BFCC-QIO agrees with the hospital, you have until noon of the following day to request a reconsideration. The BFCC-QIO has 72 hours (or up to 14 days with an extension) to issue this final determination.

For assistance beyond the appeal, such as clarifying discharge plans without initiating a formal appeal, patients can request Immediate Advocacy Discharge Assistance (IADA) from the BFCC-QIO, though this service can't help you with discharge dates or involve itself in clinical reviews.

More info here: https://www.cms.gov/medicare/quality/quality-improvement-organizations/family-centered-care

Like with all things in our society, if you don't know your rights, you don't have any.

#Medicare #patientrights #medicaldebt #patientadvocacy

Beneficiary and Family Centered Care (BFCC)-QIOs | CMS

Beneficiary and Family Centered Care (BFCC)-QIOsBeneficiary and Family Centered Care-Quality Improvement Organizations (BFCC-QIO) help Medicare beneficiaries with their concerns about the quality of care they receive from a Medicare provider. The Quality Improvement Organization (QIO) is a group of health quality experts, providers, and consumers organized to improve the quality of care delivered to people with Medicare.

Another example of big pharma putting profits first: Eli Lilly has declined to list its diabetes and weight-loss drug, Mounjaro, on the PBS, arguing the price offered by the Australian government isn’t high enough.That decision could leave around 450,000 Australians with type 2 diabetes without affordable access, while the company holds out for higher returns.It’s a familiar pattern—medications often built on publicly funded research end up priced out of reach for many. It raises a bigger question about who these treatments are really for: patients or shareholders.

#medicare #PBS #BigPharma #HealthcareForAll #Greed #diabetes

https://www.afr.com/companies/healthcare-and-fitness/drug-company-lilly-refuses-to-list-mounjaro-on-pbs-says-price-too-low-20260424-p5zqpq

Eli Lilly refuses to list Mounjaro diabetes drug on PBS due to pricing dispute

American pharmaceutical giant says the federal government has benchmarked the value of the diabetes drug against a 20-year-old medicine no longer sold in Australia.

Australian Financial Review

Jess Craven (@jesscraven101) yes from her substack, message-not-platform-okay?: "Trump has been cutting Medicaid and Medicare, claiming it’s about eliminating waste, fraud, and abuse. But @protectourcare found he’s granted clemency to at least 68 people convicted of fraud — including executives whose schemes cost #Medicare and #Medicaid more than $1.6 billion…"

Plundering the Public health and retirement savings we've already paid for in order to ensure poverty and the societal nonparticipation of the next six generations of plutocrats - in addition to reinforcing the system of protection for current-day, corporate crime and criminals.

https://substack.com/@jesscraven101/note/c-248089097?r=y1t3y

Jess Craven (@jesscraven101)

Trump has been cutting Medicaid and Medicare, claiming it’s about eliminating waste, fraud, and abuse. But Protect Our Care found he’s granted clemency to at least 68 people convicted of fraud — including executives whose schemes cost Medicare and Medicaid more than $1.6 billion. The New York Times found more than $700 million in court-ordered restitution wiped out. This video breaks down the specific cases and what they tell us about who this “fraud war” is really targeting.

Substack

Charlie Teo’s case is a reminder that medicine isn’t about celebrity, ego, or headlines — it’s about accountability, standards, and patient safety. If the system says you’re not fit to practise here, that shouldn’t be spun as persecution.

#auspol #medicare #healthcare

https://www.news.com.au/lifestyle/health/health-problems/final-nail-in-the-coffinteo-facing-cruel-permanent-ban-from-practising-medicine-in-australia-china-baffled-by-decision/news-story/5625ea7dc839e39c3da9a6a8a8d0e76c

Tommy Douglas: The Father of Canadian Medicare 🇨🇦

Tommy Douglas, a former Premier of Saskatchewan, is widely regarded as the father of Medicare in Canada. He introduced universal, publicly funded healthcare in Saskatchewan in 1962, a model that was later adopted nationwide. Douglas's vision of accessible healthcare for Canadians has had a profound and lasting impact on Canadian society. 🧑‍⚕️ 🇨🇦 #Canada #TommyDouglas #Medicare #Politics

https://en.wikipedia.org/wiki/Tommy_Douglas

Trump’s approach to #Medicaid and #Medicare cuts, framed as targeting waste and fraud, contrasts sharply with his history of granting clemency to at least 68 individuals convicted of fraud. These include executives linked to schemes costing over $1.6 billion.

Jessica Craven highlights that Trump’s actions have erased more than $700 million in court-ordered restitution. A former pardon attorney no... https://instagr.am/p/DXfthNyDHkY/

voteinorout on Instagram: "Trump’s approach to #Medicaid and #Medicare cuts, framed as targeting waste and fraud, contrasts sharply with his history of granting clemency to at least 68 individuals convicted of fraud. These include executives linked to schemes costing over $1.6 billion. Jessica Craven highlights that Trump’s actions have erased more than $700 million in court-ordered restitution. A former pardon attorney noted Trump favors those “he sees something of himself” in. This raises questions about the true targets of his so-called “fraud war.” Protect Our Care’s findings shed light on these discrepancies, challenging the narrative of a genuine crackdown on fraud. #ProtectOurCare — Trump has been cutting Medicaid and Medicare, claiming it’s about eliminating waste, fraud, and abuse. But Protect Our Care found he’s granted clemency to at least 68 people convicted of fraud — including executives whose schemes cost Medicare and Medicaid more than $1.6 billion. The New York Times found more than $700 million in court-ordered restitution wiped out. And Trump’s own fired pardon attorney said he favors fraud by people “he sees something of himself” in. This video breaks down the specific cases and what they tell us about who this “fraud war” is really targeting. Link to @protect.our.care report in first comment. Follow @jesscraven101 for more. Help this information get to more voters. 🇺🇸 A well-informed electorate is a prerequisite to Democracy. - Thomas Jefferson"

146 likes, 9 comments - voteinorout on April 23, 2026: "Trump’s approach to #Medicaid and #Medicare cuts, framed as targeting waste and fraud, contrasts sharply with his history of granting clemency to at least 68 individuals convicted of fraud. These include executives linked to schemes costing over $1.6 billion. Jessica Craven highlights that Trump’s actions have erased more than $700 million in court-ordered restitution. A former pardon attorney noted Trump favors those “he sees something of himself” in. This raises questions about the true targets of his so-called “fraud war.” Protect Our Care’s findings shed light on these discrepancies, challenging the narrative of a genuine crackdown on fraud. #ProtectOurCare — Trump has been cutting Medicaid and Medicare, claiming it’s about eliminating waste, fraud, and abuse. But Protect Our Care found he’s granted clemency to at least 68 people convicted of fraud — including executives whose schemes cost Medicare and Medicaid more than $1.6 billion. The New York Times found more than $700 million in court-ordered restitution wiped out. And Trump’s own fired pardon attorney said he favors fraud by people “he sees something of himself” in. This video breaks down the specific cases and what they tell us about who this “fraud war” is really targeting. Link to @protect.our.care report in first comment. Follow @jesscraven101 for more. Help this information get to more voters. 🇺🇸 A well-informed electorate is a prerequisite to Democracy. - Thomas Jefferson".

Instagram
Q Toon: Breaking Bad News to the Boss

The Absolutely Corrupt Trump Regime™ was dealt a setback in its persecution campaign against transgender Americans last week. A federal jud...