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Joined 2 years ago
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Cake day: June 12th, 2023

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  • Here’s my hope as a 40-something who came of age when the internet was just taking off.

    I REALLY HOPE this is the push we need to move away from corporate-owned social media. I have high hopes for federated platforms and forums that are much more like what the internet was when it started (but better because now we have mobile devices).

    I realize a lot of people see social media as being some evil thing, but we also fail to realize how much good it has done. Marginalized communities have come together online and formed real movements. People living with health conditions have been connected to one another for support and also life-changing resources and care. People who were isolated because of disability found communities.

    I would like to see old-fashioned blogs and RSS make a comeback. I’d like to see forums and federated sites like Lemmy take off. I’d like to see social media sites that have been given way too much weight in society collapse. I don’t think government or reputable media outlets should ever be using a corporate for-profit entity as a means for distributing information.





  • I like mastodon but the content you see is only driven by two things: the people you follow and the hashtags you follow. Basically, you follow people and hashtags to effectively create your own “algorithm.” Once I understood this and really made an effort to follow both people and hashtags that interested me, my Mastodon feed became way more interesting than my Twitter feed.

    I also like the quality of the interactions better on Mastodon. Because of how the whole thing works, you’re not going to get bombarded with horrible stuff in most cases (at least the chances seem to be far less for that kind of thing happening).

    But it definitely takes more time and energy to curate compared to Twitter.


  • A lot of this has more to do with the mindset people approached Twitter with than the service itself. Honestly, I always approached Twitter the way you describe Mastodon here. I just wanted to find people who had interests similar to mine and connect with them, as well as find interesting news. Maybe that’s why moving from Twitter to Mastodon has been to seamless. Just a lot less anger and hate on Mastodon from what I’ve experienced. A much nicer atmosphere.


  • So a few things. This is a CVS minute-clinic visit, not a visit to a general provider. The minute clinics have contracts with insurance companies that look a bit different in terms of what and who they are permitted by the insurance companies to treat. There are some really odd variations in these contracts by insurance companies for reasons that are not always grounded in science.

    This, as you’ve noted, is an unfortunate reality of a for-profit health care system that is dictated by private companies, insurance companies, and mind-bogglingly complex contracts that sit between providers and patients. The most annoying part IMO is that insurance companies provide zero transparency into these contracts and the justification behind decisions. It’s all “business decisions” at the end of the day, not decisions that are medically sound and in the best interest of the patient.

    And for those wondering why OP maybe just didn’t go to a “regular doctor” - the U.S. has a horrible shortage of general practitioners (primary care) physicians. This shortage is worse in some areas than others. And even if you’re lucky to live in an area that has general practitioners, the waiting list to get into their practices might be long. This leaves many people relying on a “doc in the box” aka CVS Minute Clinic or some similar outfit. These doc in the box clinics often only have a nurse or nurse practitioner on site, with a supervising physician off side. They are for-profit entities and they work with the insurance companies to design their contracts to maximize profit.

    If you ever find yourself in OP’s physician, one easy way to get around this is to indicate that the visit is for something more general, like abdominal pain or unexplained fever. While the staff still might refer you off to another provider, it might be a good way to at least “get in” with someone.

    Another option is to visit a local urgent care clinic if one is available and covered by insurance. These are often staffed by actual physicians so they can treat a wider range of conditions. Many often even have testing facilities right on site for a number of issues.

    Finally, another option is to call your insurance company and see if they have an over-the-phone nurse consultant available. They can usually help direct you to the right location for treatment based on your symptoms and insurance coverage.

    But yes, OP, I agree with you that we need something better. Medicaid and Medicare have slowly been expanding and my hope is that they will eventually expand enough to cover all Americans. it has been proven that they can still operate without completely decimating the insurance industry (see Medicare and Medicaid managed care). While I don’t agree with for-profit health insurance, the reality is that they are a lobbying force that has to be worked with if we are going to get everyone universal coverage.

    Source: Health policy professional by trade, extensive experience within the health care industry