Re: Re: Reimbursement for Obesity Counseling: REPENT!

[Guest guest]

We dietitians can be big whiners.

There are so many of us who refuse GOOD leadership, refuse to join dedicated

volunteers who defend legislative interests, by refusing to attend fundraisers,

refusing to meet with legislators, making ADA and the folks who support them

look like loner clowns.

Where are the 200 dietitians who show up in force to defend their own interests?

Even when it costs ZIP we cannot be bothered.

THINK. Think back to the last time you blew off a legislative event, rent your

garments and repent!

Sent from my Verizon Wireless BlackBerry

Re: Re: Reimbursement for Obesity Counseling: So What?

>

>

> Went to the ADA website and was unable to find the statement. Could you please

let us know where this statement is to be found. Better yet, please just specify

what actions were taken by the ADA prior to this Medicare decision.

> Hill, MS,RD,LD/N

> Reimbursement for Obesity Counseling: So What?

> >

> >

> >

> > But even if all of this were to move forward in tandem, physicians

> > would still be struggling to allocate time to weight management

> > counseling and away from other matters. The solution to this is for

> > physicians to initiate the counseling, and then defer to others better

> > suited to address the details. Dietitians are the obvious choice. In

> > some cases, health coaches could play this role as well. But for this

> > strategy to work, there would need to be reimbursement for that

> > counseling as well.

> >

http://www.huffingtonpost.com/david-katz-md/obesity-counseling-reimbursement_b_1\

127032.html

> >

> > --

> > Thanks, Weaver MS RD LD Medical Nutritionist/Medical

> > Assistant http://mdrdtherapy.com Medifast Take Shape For Life! Power

> > To Choose Optimal Health! 404 875-9919 Health Coach ID 30020181

> > http://victoriaweavermsrdld.tsfl.com Senior Executive Agent Insurance

> > Producers of America LLC 3755 Marconi Dr Alpharetta GA 30005

> > Affordable Health/Life Insurance For Business CEOs & Self-Employeed!

> > National Group Protection/24 Hour World/On Job Coverage/Non-Profit

> > FREE Quote http://victoriaweaver.abbaplans.com View our new

> > Testimonial Video Life Insurance for Life!

> > http://www.anallianceforlife.com/clients/video.html

> >

> >

> >

> >

[Guest guest]

We dietitians can be big whiners.

There are so many of us who refuse GOOD leadership, refuse to join dedicated

volunteers who defend legislative interests, by refusing to attend fundraisers,

refusing to meet with legislators, making ADA and the folks who support them

look like loner clowns.

Where are the 200 dietitians who show up in force to defend their own interests?

Even when it costs ZIP we cannot be bothered.

THINK. Think back to the last time you blew off a legislative event, rent your

garments and repent!

Sent from my Verizon Wireless BlackBerry

Re: Re: Reimbursement for Obesity Counseling: So What?

>

>

> Went to the ADA website and was unable to find the statement. Could you please

let us know where this statement is to be found. Better yet, please just specify

what actions were taken by the ADA prior to this Medicare decision.

> Hill, MS,RD,LD/N

> Reimbursement for Obesity Counseling: So What?

> >

> >

> >

> > But even if all of this were to move forward in tandem, physicians

> > would still be struggling to allocate time to weight management

> > counseling and away from other matters. The solution to this is for

> > physicians to initiate the counseling, and then defer to others better

> > suited to address the details. Dietitians are the obvious choice. In

> > some cases, health coaches could play this role as well. But for this

> > strategy to work, there would need to be reimbursement for that

> > counseling as well.

> >

http://www.huffingtonpost.com/david-katz-md/obesity-counseling-reimbursement_b_1\

127032.html

> >

> > --

> > Thanks, Weaver MS RD LD Medical Nutritionist/Medical

> > Assistant http://mdrdtherapy.com Medifast Take Shape For Life! Power

> > To Choose Optimal Health! 404 875-9919 Health Coach ID 30020181

> > http://victoriaweavermsrdld.tsfl.com Senior Executive Agent Insurance

> > Producers of America LLC 3755 Marconi Dr Alpharetta GA 30005

> > Affordable Health/Life Insurance For Business CEOs & Self-Employeed!

> > National Group Protection/24 Hour World/On Job Coverage/Non-Profit

> > FREE Quote http://victoriaweaver.abbaplans.com View our new

> > Testimonial Video Life Insurance for Life!

> > http://www.anallianceforlife.com/clients/video.html

> >

> >

> >

> >

[Guest guest]

Why don't you sing your emails? I'm tired of trying to figure out or guess

who you are.

Digna Cassens, MHA, RD

Cassens Associates - Diversified Nutrition Consulting Services

PO Box 581

La Habra, CA 90633

From: rd-usa [mailto:rd-usa ] On Behalf Of

NutritionResults@...

Sent: Tuesday, December 06, 2011 4:01 PM

To: rd-usa

Subject: Re: Re: Reimbursement for Obesity Counseling: REPENT!

We dietitians can be big whiners.

There are so many of us who refuse GOOD leadership, refuse to join dedicated

volunteers who defend legislative interests, by refusing to attend

fundraisers, refusing to meet with legislators, making ADA and the folks who

support them look like loner clowns.

Where are the 200 dietitians who show up in force to defend their own

interests?

Even when it costs ZIP we cannot be bothered.

THINK. Think back to the last time you blew off a legislative event, rent

your garments and repent!

Sent from my Verizon Wireless BlackBerry

Re: Re: Reimbursement for Obesity Counseling: So What?

>

>

> Went to the ADA website and was unable to find the statement. Could you

please let us know where this statement is to be found. Better yet, please

just specify what actions were taken by the ADA prior to this Medicare

decision.

> Hill, MS,RD,LD/N

> Reimbursement for Obesity Counseling: So What?

> >

> >

> >

> > But even if all of this were to move forward in tandem, physicians

> > would still be struggling to allocate time to weight management

> > counseling and away from other matters. The solution to this is for

> > physicians to initiate the counseling, and then defer to others better

> > suited to address the details. Dietitians are the obvious choice. In

> > some cases, health coaches could play this role as well. But for this

> > strategy to work, there would need to be reimbursement for that

> > counseling as well.

> >

http://www.huffingtonpost.com/david-katz-md/obesity-counseling-reimbursement

_b_1127032.html

> >

> > --

> > Thanks, Weaver MS RD LD Medical Nutritionist/Medical

> > Assistant http://mdrdtherapy.com Medifast Take Shape For Life! Power

> > To Choose Optimal Health! 404 875-9919 Health Coach ID 30020181

> > http://victoriaweavermsrdld.tsfl.com Senior Executive Agent Insurance

> > Producers of America LLC 3755 Marconi Dr Alpharetta GA 30005

> > Affordable Health/Life Insurance For Business CEOs & Self-Employeed!

> > National Group Protection/24 Hour World/On Job Coverage/Non-Profit

> > FREE Quote http://victoriaweaver.abbaplans.com View our new

> > Testimonial Video Life Insurance for Life!

> > http://www.anallianceforlife.com/clients/video.html

> >

> >

> >

> >

[Guest guest]

I gave up when I was told my input was not wanted or desired by the ADA rep. I

remember Ann Bock apolagizing for her to several at our local meeting. It still

left a bad taste in my mouth. Locally my help is not wanted simply because I am

not a member and only members can help in planning meeting etc. ADA rules.

 

Jackie Chase RD

Dillingham AK

To: " rd-usa " <rd-usa >

Sent: Tuesday, December 6, 2011 3:00 PM

Subject: Re: Re: Reimbursement for Obesity Counseling: REPENT!

 

We dietitians can be big whiners.

There are so many of us who refuse GOOD leadership, refuse to join dedicated

volunteers who defend legislative interests, by refusing to attend fundraisers,

refusing to meet with legislators, making ADA and the folks who support them

look like loner clowns.

Where are the 200 dietitians who show up in force to defend their own interests?

Even when it costs ZIP we cannot be bothered.

THINK. Think back to the last time you blew off a legislative event, rent your

garments and repent!

Sent from my Verizon Wireless BlackBerry

Re: Re: Reimbursement for Obesity Counseling: So What?

Jackie,

Where were you? Did you submit a public comment? ADA did submit comments.

Pam Charney, PhD, RD

Affiliate Associate Professor

Pharmacy

MS Student

Clinical Informatics and Patient Centered Technology

School of Nursing

University of Washington

Seattle, WA

pcharney@...

http://www.linkedin.com/in/pamcharney

> Very good reply. I would also put in why where we blindsided by this. We are

frequently asked to send out letters to our represenatives in Congress but dead

slience on this one. All Medicare changes have a public comment peroid, where

was ADA at this time?

>

> Jackie Chase RD

> Dillingham AK

>

>

[Guest guest]

Personally, this is like shutting the barn door once the horse gets out.

Another waste of taxpayer's dollars. A disproportionate of health care

dollars goes to the elderly (even when you factor in the aging process with

more health issues). Many of the medications can be discontinued that the

elderly are on. I see it all the time. End of life care is one of the most

expensive health costs, even when quality of life is poor we keep spending

and trying to get a few more days of a life which is miserable and painful.

Working with lots of elderly in my consulting, young and " old " elderly, most

of the ones I talk to don't want to make the effort to lose weight. They

will tweak their diabetic or heart healthy diet but that is about it. In

fact a report came out today that fitness has more of a positive effect on

mortality than BMI. Plus overweight elderly do better after surgery than

thin elderly.

I would prefer those dollars go for the younger population. Prevention!

This is where RDs need to be!!

On Tue, Dec 6, 2011 at 8:13 PM, Chase wrote:

> **

>

>

> I gave up when I was told my input was not wanted or desired by the ADA

> rep. I remember Ann Bock apolagizing for her to several at our local

> meeting. It still left a bad taste in my mouth. Locally my help is not

> wanted simply because I am not a member and only members can help in

> planning meeting etc. ADA rules.

>

>

> Jackie Chase RD

> Dillingham AK

>

>

> To: " rd-usa " <rd-usa >

> Sent: Tuesday, December 6, 2011 3:00 PM

> Subject: Re: Re: Reimbursement for Obesity Counseling: REPENT!

>

>

>

> We dietitians can be big whiners.

>

> There are so many of us who refuse GOOD leadership, refuse to join

> dedicated volunteers who defend legislative interests, by refusing to

> attend fundraisers, refusing to meet with legislators, making ADA and the

> folks who support them look like loner clowns.

> Where are the 200 dietitians who show up in force to defend their own

> interests?

>

> Even when it costs ZIP we cannot be bothered.

>

> THINK. Think back to the last time you blew off a legislative event, rent

> your garments and repent!

> Sent from my Verizon Wireless BlackBerry

>

> Re: Re: Reimbursement for Obesity Counseling: So What?

>

> Jackie,

>

> Where were you? Did you submit a public comment? ADA did submit comments.

>

> Pam Charney, PhD, RD

> Affiliate Associate Professor

> Pharmacy

>

> MS Student

> Clinical Informatics and Patient Centered Technology

> School of Nursing

>

> University of Washington

> Seattle, WA

> pcharney@...

> http://www.linkedin.com/in/pamcharney

>

>

>

> > Very good reply. I would also put in why where we blindsided by this. We

> are frequently asked to send out letters to our represenatives in Congress

> but dead slience on this one. All Medicare changes have a public comment

> peroid, where was ADA at this time?

> >

> > Jackie Chase RD

> > Dillingham AK

> >

> >

>

>

[Guest guest]

Personally, this is like shutting the barn door once the horse gets out.

Another waste of taxpayer's dollars. A disproportionate of health care

dollars goes to the elderly (even when you factor in the aging process with

more health issues). Many of the medications can be discontinued that the

elderly are on. I see it all the time. End of life care is one of the most

expensive health costs, even when quality of life is poor we keep spending

and trying to get a few more days of a life which is miserable and painful.

Working with lots of elderly in my consulting, young and " old " elderly, most

of the ones I talk to don't want to make the effort to lose weight. They

will tweak their diabetic or heart healthy diet but that is about it. In

fact a report came out today that fitness has more of a positive effect on

mortality than BMI. Plus overweight elderly do better after surgery than

thin elderly.

I would prefer those dollars go for the younger population. Prevention!

This is where RDs need to be!!

On Tue, Dec 6, 2011 at 8:13 PM, Chase wrote:

> **

>

>

> I gave up when I was told my input was not wanted or desired by the ADA

> rep. I remember Ann Bock apolagizing for her to several at our local

> meeting. It still left a bad taste in my mouth. Locally my help is not

> wanted simply because I am not a member and only members can help in

> planning meeting etc. ADA rules.

>

>

> Jackie Chase RD

> Dillingham AK

>

>

> To: " rd-usa " <rd-usa >

> Sent: Tuesday, December 6, 2011 3:00 PM

> Subject: Re: Re: Reimbursement for Obesity Counseling: REPENT!

>

>

>

> We dietitians can be big whiners.

>

> There are so many of us who refuse GOOD leadership, refuse to join

> dedicated volunteers who defend legislative interests, by refusing to

> attend fundraisers, refusing to meet with legislators, making ADA and the

> folks who support them look like loner clowns.

> Where are the 200 dietitians who show up in force to defend their own

> interests?

>

> Even when it costs ZIP we cannot be bothered.

>

> THINK. Think back to the last time you blew off a legislative event, rent

> your garments and repent!

> Sent from my Verizon Wireless BlackBerry

>

> Re: Re: Reimbursement for Obesity Counseling: So What?

>

> Jackie,

>

> Where were you? Did you submit a public comment? ADA did submit comments.

>

> Pam Charney, PhD, RD

> Affiliate Associate Professor

> Pharmacy

>

> MS Student

> Clinical Informatics and Patient Centered Technology

> School of Nursing

>

> University of Washington

> Seattle, WA

> pcharney@...

> http://www.linkedin.com/in/pamcharney

>

>

>

> > Very good reply. I would also put in why where we blindsided by this. We

> are frequently asked to send out letters to our represenatives in Congress

> but dead slience on this one. All Medicare changes have a public comment

> peroid, where was ADA at this time?

> >

> > Jackie Chase RD

> > Dillingham AK

> >

> >

>

>

[Guest guest]

So they told you NOT to quietly attend legislative fundraisers in a show of

support for legislators willing to champion our cause?

Look:

I find myself regretting that I didn't clear my schedule for these activities to

support my comrades in weight loss!

I don't find myself bitterly complaining that ther few folks swinging the axe

could not chop down the sequoia!

Let's focus on how to help them!

Sent from my Verizon Wireless BlackBerry

Re: Re: Reimbursement for Obesity Counseling: So What?

Jackie,

Where were you? Did you submit a public comment? ADA did submit comments.

Pam Charney, PhD, RD

Affiliate Associate Professor

Pharmacy

MS Student

Clinical Informatics and Patient Centered Technology

School of Nursing

University of Washington

Seattle, WA

pcharney@...

http://www.linkedin.com/in/pamcharney

> Very good reply. I would also put in why where we blindsided by this. We are

frequently asked to send out letters to our represenatives in Congress but dead

slience on this one. All Medicare changes have a public comment peroid, where

was ADA at this time?

>

> Jackie Chase RD

> Dillingham AK

>

>

[Guest guest]

Hi , It is imperative for Medicare to cover services because

Medicare sets the standards for all Health Insurance Benefits for

everyone, young and old! Best, V

> Personally, this is like shutting the barn door once the horse gets out.

> Another waste of taxpayer's dollars. A disproportionate of health care

> dollars goes to the elderly (even when you factor in the aging process with

> more health issues). Many of the medications can be discontinued that the

> elderly are on.  I see it all the time. End of life care is one of the most

> expensive health costs, even when quality of life is poor we keep spending

> and trying to get a few more days of a life which is miserable and painful.

>

> Working with lots of elderly in my consulting, young and " old " elderly, most

> of the ones I talk to don't want to make the effort to lose weight. They

> will tweak their diabetic or heart healthy diet but that is about it.  In

> fact a report came out today that fitness has more of a positive effect on

> mortality than BMI. Plus overweight elderly do better after surgery than

> thin elderly.

>

> I would prefer those dollars go for the younger population. Prevention!

> This is where RDs need to be!!

>

>

> On Tue, Dec 6, 2011 at 8:13 PM, Chase

wrote:

>

>> **

>>

>>

>> I gave up when I was told my input was not wanted or desired by the ADA

>> rep. I remember Ann Bock apolagizing for her to several at our local

>> meeting. It still left a bad taste in my mouth. Locally my help is not

>> wanted simply because I am not a member and only members can help in

>> planning meeting etc. ADA rules.

>>

>>

>> Jackie Chase RD

>> Dillingham AK

>>

>>

>> To: " rd-usa " <rd-usa >

>> Sent: Tuesday, December 6, 2011 3:00 PM

>> Subject: Re: Re: Reimbursement for Obesity Counseling: REPENT!

>>

>>

>>

>> We dietitians can be big whiners.

>>

>> There are so many of us who refuse GOOD leadership, refuse to join

>> dedicated volunteers who defend legislative interests, by refusing to

>> attend fundraisers, refusing to meet with legislators, making ADA and the

>> folks who support them look like loner clowns.

>> Where are the 200 dietitians who show up in force to defend their own

>> interests?

>>

>> Even when it costs ZIP we cannot be bothered.

>>

>> THINK. Think back to the last time you blew off a legislative event, rent

>> your garments and repent!

>> Sent from my Verizon Wireless BlackBerry

>>

>> Re: Re: Reimbursement for Obesity Counseling: So What?

>>

>> Jackie,

>>

>> Where were you? Did you submit a public comment? ADA did submit comments.

>>

>> Pam Charney, PhD, RD

>> Affiliate Associate Professor

>> Pharmacy

>>

>> MS Student

>> Clinical Informatics and Patient Centered Technology

>> School of Nursing

>>

>> University of Washington

>> Seattle, WA

>> pcharney@...

>> http://www.linkedin.com/in/pamcharney

>>

>>

>>

>> > Very good reply. I would also put in why where we blindsided by this. We

>> are frequently asked to send out letters to our represenatives in Congress

>> but dead slience on this one. All Medicare changes have a public comment

>> peroid, where was ADA at this time?

>> >

>> > Jackie Chase RD

>> > Dillingham AK

>> >

>> >

>>

>>

[Guest guest]

Hi , It is imperative for Medicare to cover services because

Medicare sets the standards for all Health Insurance Benefits for

everyone, young and old! Best, V

> Personally, this is like shutting the barn door once the horse gets out.

> Another waste of taxpayer's dollars. A disproportionate of health care

> dollars goes to the elderly (even when you factor in the aging process with

> more health issues). Many of the medications can be discontinued that the

> elderly are on.  I see it all the time. End of life care is one of the most

> expensive health costs, even when quality of life is poor we keep spending

> and trying to get a few more days of a life which is miserable and painful.

>

> Working with lots of elderly in my consulting, young and " old " elderly, most

> of the ones I talk to don't want to make the effort to lose weight. They

> will tweak their diabetic or heart healthy diet but that is about it.  In

> fact a report came out today that fitness has more of a positive effect on

> mortality than BMI. Plus overweight elderly do better after surgery than

> thin elderly.

>

> I would prefer those dollars go for the younger population. Prevention!

> This is where RDs need to be!!

>

>

> On Tue, Dec 6, 2011 at 8:13 PM, Chase

wrote:

>

>> **

>>

>>

>> I gave up when I was told my input was not wanted or desired by the ADA

>> rep. I remember Ann Bock apolagizing for her to several at our local

>> meeting. It still left a bad taste in my mouth. Locally my help is not

>> wanted simply because I am not a member and only members can help in

>> planning meeting etc. ADA rules.

>>

>>

>> Jackie Chase RD

>> Dillingham AK

>>

>>

>> To: " rd-usa " <rd-usa >

>> Sent: Tuesday, December 6, 2011 3:00 PM

>> Subject: Re: Re: Reimbursement for Obesity Counseling: REPENT!

>>

>>

>>

>> We dietitians can be big whiners.

>>

>> There are so many of us who refuse GOOD leadership, refuse to join

>> dedicated volunteers who defend legislative interests, by refusing to

>> attend fundraisers, refusing to meet with legislators, making ADA and the

>> folks who support them look like loner clowns.

>> Where are the 200 dietitians who show up in force to defend their own

>> interests?

>>

>> Even when it costs ZIP we cannot be bothered.

>>

>> THINK. Think back to the last time you blew off a legislative event, rent

>> your garments and repent!

>> Sent from my Verizon Wireless BlackBerry

>>

>> Re: Re: Reimbursement for Obesity Counseling: So What?

>>

>> Jackie,

>>

>> Where were you? Did you submit a public comment? ADA did submit comments.

>>

>> Pam Charney, PhD, RD

>> Affiliate Associate Professor

>> Pharmacy

>>

>> MS Student

>> Clinical Informatics and Patient Centered Technology

>> School of Nursing

>>

>> University of Washington

>> Seattle, WA

>> pcharney@...

>> http://www.linkedin.com/in/pamcharney

>>

>>

>>

>> > Very good reply. I would also put in why where we blindsided by this. We

>> are frequently asked to send out letters to our represenatives in Congress

>> but dead slience on this one. All Medicare changes have a public comment

>> peroid, where was ADA at this time?

>> >

>> > Jackie Chase RD

>> > Dillingham AK

>> >

>> >

>>

>>

[Guest guest]

Maybe they should have started with Medicaid. But does it always have to be

that way? Gastric bypass didn't start with Medicare - insurance (not all)

covered it first. Medicare came later and just recently (correct me if I am

wrong).

Plus isn't it difficult for young Dietitians to become registered due to

the lack of Internships and the cost of them?

On Tue, Dec 6, 2011 at 9:01 PM, Weaver wrote:

> **

>

>

> Hi , It is imperative for Medicare to cover services because

> Medicare sets the standards for all Health Insurance Benefits for

> everyone, young and old! Best, V

>

>

>

> > Personally, this is like shutting the barn door once the horse gets out.

> > Another waste of taxpayer's dollars. A disproportionate of health care

> > dollars goes to the elderly (even when you factor in the aging process

> with

> > more health issues). Many of the medications can be discontinued that the

> > elderly are on. I see it all the time. End of life care is one of the

> most

> > expensive health costs, even when quality of life is poor we keep

> spending

> > and trying to get a few more days of a life which is miserable and

> painful.

> >

> > Working with lots of elderly in my consulting, young and " old " elderly,

> most

> > of the ones I talk to don't want to make the effort to lose weight. They

> > will tweak their diabetic or heart healthy diet but that is about it. In

> > fact a report came out today that fitness has more of a positive effect

> on

> > mortality than BMI. Plus overweight elderly do better after surgery than

> > thin elderly.

> >

> > I would prefer those dollars go for the younger population. Prevention!

> > This is where RDs need to be!!

> >

> >

> > On Tue, Dec 6, 2011 at 8:13 PM, Chase <

> jackiechase66@...>wrote:

> >

> >> **

>

> >>

> >>

> >> I gave up when I was told my input was not wanted or desired by the ADA

> >> rep. I remember Ann Bock apolagizing for her to several at our local

> >> meeting. It still left a bad taste in my mouth. Locally my help is not

> >> wanted simply because I am not a member and only members can help in

> >> planning meeting etc. ADA rules.

> >>

> >>

> >> Jackie Chase RD

> >> Dillingham AK

> >>

> >>

> >> To: " rd-usa " <rd-usa >

> >> Sent: Tuesday, December 6, 2011 3:00 PM

> >> Subject: Re: Re: Reimbursement for Obesity Counseling: REPENT!

> >>

> >>

> >>

> >> We dietitians can be big whiners.

> >>

> >> There are so many of us who refuse GOOD leadership, refuse to join

> >> dedicated volunteers who defend legislative interests, by refusing to

> >> attend fundraisers, refusing to meet with legislators, making ADA and

> the

> >> folks who support them look like loner clowns.

> >> Where are the 200 dietitians who show up in force to defend their own

> >> interests?

> >>

> >> Even when it costs ZIP we cannot be bothered.

> >>

> >> THINK. Think back to the last time you blew off a legislative event,

> rent

> >> your garments and repent!

> >> Sent from my Verizon Wireless BlackBerry

> >>

> >> Re: Re: Reimbursement for Obesity Counseling: So What?

> >>

> >> Jackie,

> >>

> >> Where were you? Did you submit a public comment? ADA did submit

> comments.

> >>

> >> Pam Charney, PhD, RD

> >> Affiliate Associate Professor

> >> Pharmacy

> >>

> >> MS Student

> >> Clinical Informatics and Patient Centered Technology

> >> School of Nursing

> >>

> >> University of Washington

> >> Seattle, WA

> >> pcharney@...

> >> http://www.linkedin.com/in/pamcharney

> >>

> >>

> >>

> >> > Very good reply. I would also put in why where we blindsided by this.

> We

> >> are frequently asked to send out letters to our represenatives in

> Congress

> >> but dead slience on this one. All Medicare changes have a public comment

> >> peroid, where was ADA at this time?

> >> >

> >> > Jackie Chase RD

> >> > Dillingham AK

> >> >

> >> >

> >>

> >>

[Guest guest]

Maybe they should have started with Medicaid. But does it always have to be

that way? Gastric bypass didn't start with Medicare - insurance (not all)

covered it first. Medicare came later and just recently (correct me if I am

wrong).

Plus isn't it difficult for young Dietitians to become registered due to

the lack of Internships and the cost of them?

On Tue, Dec 6, 2011 at 9:01 PM, Weaver wrote:

> **

>

>

> Hi , It is imperative for Medicare to cover services because

> Medicare sets the standards for all Health Insurance Benefits for

> everyone, young and old! Best, V

>

>

>

> > Personally, this is like shutting the barn door once the horse gets out.

> > Another waste of taxpayer's dollars. A disproportionate of health care

> > dollars goes to the elderly (even when you factor in the aging process

> with

> > more health issues). Many of the medications can be discontinued that the

> > elderly are on. I see it all the time. End of life care is one of the

> most

> > expensive health costs, even when quality of life is poor we keep

> spending

> > and trying to get a few more days of a life which is miserable and

> painful.

> >

> > Working with lots of elderly in my consulting, young and " old " elderly,

> most

> > of the ones I talk to don't want to make the effort to lose weight. They

> > will tweak their diabetic or heart healthy diet but that is about it. In

> > fact a report came out today that fitness has more of a positive effect

> on

> > mortality than BMI. Plus overweight elderly do better after surgery than

> > thin elderly.

> >

> > I would prefer those dollars go for the younger population. Prevention!

> > This is where RDs need to be!!

> >

> >

> > On Tue, Dec 6, 2011 at 8:13 PM, Chase <

> jackiechase66@...>wrote:

> >

> >> **

>

> >>

> >>

> >> I gave up when I was told my input was not wanted or desired by the ADA

> >> rep. I remember Ann Bock apolagizing for her to several at our local

> >> meeting. It still left a bad taste in my mouth. Locally my help is not

> >> wanted simply because I am not a member and only members can help in

> >> planning meeting etc. ADA rules.

> >>

> >>

> >> Jackie Chase RD

> >> Dillingham AK

> >>

> >>

> >> To: " rd-usa " <rd-usa >

> >> Sent: Tuesday, December 6, 2011 3:00 PM

> >> Subject: Re: Re: Reimbursement for Obesity Counseling: REPENT!

> >>

> >>

> >>

> >> We dietitians can be big whiners.

> >>

> >> There are so many of us who refuse GOOD leadership, refuse to join

> >> dedicated volunteers who defend legislative interests, by refusing to

> >> attend fundraisers, refusing to meet with legislators, making ADA and

> the

> >> folks who support them look like loner clowns.

> >> Where are the 200 dietitians who show up in force to defend their own

> >> interests?

> >>

> >> Even when it costs ZIP we cannot be bothered.

> >>

> >> THINK. Think back to the last time you blew off a legislative event,

> rent

> >> your garments and repent!

> >> Sent from my Verizon Wireless BlackBerry

> >>

> >> Re: Re: Reimbursement for Obesity Counseling: So What?

> >>

> >> Jackie,

> >>

> >> Where were you? Did you submit a public comment? ADA did submit

> comments.

> >>

> >> Pam Charney, PhD, RD

> >> Affiliate Associate Professor

> >> Pharmacy

> >>

> >> MS Student

> >> Clinical Informatics and Patient Centered Technology

> >> School of Nursing

> >>

> >> University of Washington

> >> Seattle, WA

> >> pcharney@...

> >> http://www.linkedin.com/in/pamcharney

> >>

> >>

> >>

> >> > Very good reply. I would also put in why where we blindsided by this.

> We

> >> are frequently asked to send out letters to our represenatives in

> Congress

> >> but dead slience on this one. All Medicare changes have a public comment

> >> peroid, where was ADA at this time?

> >> >

> >> > Jackie Chase RD

> >> > Dillingham AK

> >> >

> >> >

> >>

> >>

[Guest guest]

Maybe they should have started with Medicaid. But does it always have to be

that way? Gastric bypass didn't start with Medicare - insurance (not all)

covered it first. Medicare came later and just recently (correct me if I am

wrong).

Plus isn't it difficult for young Dietitians to become registered due to

the lack of Internships and the cost of them?

On Tue, Dec 6, 2011 at 9:01 PM, Weaver wrote:

> **

>

>

> Hi , It is imperative for Medicare to cover services because

> Medicare sets the standards for all Health Insurance Benefits for

> everyone, young and old! Best, V

>

>

>

> > Personally, this is like shutting the barn door once the horse gets out.

> > Another waste of taxpayer's dollars. A disproportionate of health care

> > dollars goes to the elderly (even when you factor in the aging process

> with

> > more health issues). Many of the medications can be discontinued that the

> > elderly are on. I see it all the time. End of life care is one of the

> most

> > expensive health costs, even when quality of life is poor we keep

> spending

> > and trying to get a few more days of a life which is miserable and

> painful.

> >

> > Working with lots of elderly in my consulting, young and " old " elderly,

> most

> > of the ones I talk to don't want to make the effort to lose weight. They

> > will tweak their diabetic or heart healthy diet but that is about it. In

> > fact a report came out today that fitness has more of a positive effect

> on

> > mortality than BMI. Plus overweight elderly do better after surgery than

> > thin elderly.

> >

> > I would prefer those dollars go for the younger population. Prevention!

> > This is where RDs need to be!!

> >

> >

> > On Tue, Dec 6, 2011 at 8:13 PM, Chase <

> jackiechase66@...>wrote:

> >

> >> **

>

> >>

> >>

> >> I gave up when I was told my input was not wanted or desired by the ADA

> >> rep. I remember Ann Bock apolagizing for her to several at our local

> >> meeting. It still left a bad taste in my mouth. Locally my help is not

> >> wanted simply because I am not a member and only members can help in

> >> planning meeting etc. ADA rules.

> >>

> >>

> >> Jackie Chase RD

> >> Dillingham AK

> >>

> >>

> >> To: " rd-usa " <rd-usa >

> >> Sent: Tuesday, December 6, 2011 3:00 PM

> >> Subject: Re: Re: Reimbursement for Obesity Counseling: REPENT!

> >>

> >>

> >>

> >> We dietitians can be big whiners.

> >>

> >> There are so many of us who refuse GOOD leadership, refuse to join

> >> dedicated volunteers who defend legislative interests, by refusing to

> >> attend fundraisers, refusing to meet with legislators, making ADA and

> the

> >> folks who support them look like loner clowns.

> >> Where are the 200 dietitians who show up in force to defend their own

> >> interests?

> >>

> >> Even when it costs ZIP we cannot be bothered.

> >>

> >> THINK. Think back to the last time you blew off a legislative event,

> rent

> >> your garments and repent!

> >> Sent from my Verizon Wireless BlackBerry

> >>

> >> Re: Re: Reimbursement for Obesity Counseling: So What?

> >>

> >> Jackie,

> >>

> >> Where were you? Did you submit a public comment? ADA did submit

> comments.

> >>

> >> Pam Charney, PhD, RD

> >> Affiliate Associate Professor

> >> Pharmacy

> >>

> >> MS Student

> >> Clinical Informatics and Patient Centered Technology

> >> School of Nursing

> >>

> >> University of Washington

> >> Seattle, WA

> >> pcharney@...

> >> http://www.linkedin.com/in/pamcharney

> >>

> >>

> >>

> >> > Very good reply. I would also put in why where we blindsided by this.

> We

> >> are frequently asked to send out letters to our represenatives in

> Congress

> >> but dead slience on this one. All Medicare changes have a public comment

> >> peroid, where was ADA at this time?

> >> >

> >> > Jackie Chase RD

> >> > Dillingham AK

> >> >

> >> >

> >>

> >>

[Guest guest]

That is exactly the problem. The issue is not the covered service but the

covered provider. If Medicare excludes dietitians and encourages (pays) all

other health professionals to address the obesity problem, we are left out and

will be excluded with all health insurance benefits for young and old. in fact,

we, who are the most qualified, will lose future patients. Only those who

choose and can afford to go out of network will seek the services of a

dietitian. This is the beginning of a disaster for those of us in private

practice.

Mazarin MS, RD, CDN

From: rd-usa [mailto:rd-usa ] On Behalf Of

Weaver

Sent: Tuesday, December 06, 2011 9:01 PM

To: rd-usa

Subject: Re: Re: Reimbursement for Obesity Counseling: REPENT!

Hi , It is imperative for Medicare to cover services because

Medicare sets the standards for all Health Insurance Benefits for

everyone, young and old! Best, V

On Tue, Dec 6, 2011 at 8:28 PM, Ortiz

<nrord1@...<mailto:nrord1%40gmail.com>> wrote:

> Personally, this is like shutting the barn door once the horse gets out.

> Another waste of taxpayer's dollars. A disproportionate of health care

> dollars goes to the elderly (even when you factor in the aging process with

> more health issues). Many of the medications can be discontinued that the

> elderly are on. I see it all the time. End of life care is one of the most

> expensive health costs, even when quality of life is poor we keep spending

> and trying to get a few more days of a life which is miserable and painful.

>

> Working with lots of elderly in my consulting, young and " old " elderly, most

> of the ones I talk to don't want to make the effort to lose weight. They

> will tweak their diabetic or heart healthy diet but that is about it. In

> fact a report came out today that fitness has more of a positive effect on

> mortality than BMI. Plus overweight elderly do better after surgery than

> thin elderly.

>

> I would prefer those dollars go for the younger population. Prevention!

> This is where RDs need to be!!

>

>

> On Tue, Dec 6, 2011 at 8:13 PM, Chase

<jackiechase66@...<mailto:jackiechase66%40yahoo.com>>wrote:

>

>> **

>>

>>

>> I gave up when I was told my input was not wanted or desired by the ADA

>> rep. I remember Ann Bock apolagizing for her to several at our local

>> meeting. It still left a bad taste in my mouth. Locally my help is not

>> wanted simply because I am not a member and only members can help in

>> planning meeting etc. ADA rules.

>>

>>

>> Jackie Chase RD

>> Dillingham AK

>>

>> From: " NutritionResults@...<mailto:NutritionResults%40aol.com> "

<NutritionResults@...<mailto:NutritionResults%40aol.com>>

>> To: " rd-usa <mailto:rd-usa%40yahoogroups.com> "

<rd-usa <mailto:rd-usa%40yahoogroups.com>>

>> Sent: Tuesday, December 6, 2011 3:00 PM

>> Subject: Re: Re: Reimbursement for Obesity Counseling: REPENT!

>>

>>

>>

>> We dietitians can be big whiners.

>>

>> There are so many of us who refuse GOOD leadership, refuse to join

>> dedicated volunteers who defend legislative interests, by refusing to

>> attend fundraisers, refusing to meet with legislators, making ADA and the

>> folks who support them look like loner clowns.

>> Where are the 200 dietitians who show up in force to defend their own

>> interests?

>>

>> Even when it costs ZIP we cannot be bothered.

>>

>> THINK. Think back to the last time you blew off a legislative event, rent

>> your garments and repent!

>> Sent from my Verizon Wireless BlackBerry

>>

>> Re: Re: Reimbursement for Obesity Counseling: So What?

>>

>> Jackie,

>>

>> Where were you? Did you submit a public comment? ADA did submit comments.

>>

>> Pam Charney, PhD, RD

>> Affiliate Associate Professor

>> Pharmacy

>>

>> MS Student

>> Clinical Informatics and Patient Centered Technology

>> School of Nursing

>>

>> University of Washington

>> Seattle, WA

>> pcharney@...<mailto:pcharney%40mac.com>

>> http://www.linkedin.com/in/pamcharney

>>

>>

>>

>> > Very good reply. I would also put in why where we blindsided by this. We

>> are frequently asked to send out letters to our represenatives in Congress

>> but dead slience on this one. All Medicare changes have a public comment

>> peroid, where was ADA at this time?

>> >

>> > Jackie Chase RD

>> > Dillingham AK

>> >

>> >

>>

>>

[Guest guest]

Agreed. We are needed at the start of life much more than at the end.

However it's wrong to give the reimbursement to the ppl that are least

qualified. Don't tell me MDs and nurses are expert in obesity w/o pills and

gimmicks.

Digna Cassens, MHA, RD

Cassens Associates - Diversified Nutrition Consulting Services

PO Box 581

La Habra, CA 90633

Re: Re: Reimbursement for Obesity Counseling: So What?

>

> Jackie,

>

> Where were you? Did you submit a public comment? ADA did submit comments.

>

> Pam Charney, PhD, RD

> Affiliate Associate Professor

> Pharmacy

>

> MS Student

> Clinical Informatics and Patient Centered Technology

> School of Nursing

>

> University of Washington

> Seattle, WA

> pcharney@...

> http://www.linkedin.com/in/pamcharney

>

>

>

> > Very good reply. I would also put in why where we blindsided by this. We

> are frequently asked to send out letters to our represenatives in Congress

> but dead slience on this one. All Medicare changes have a public comment

> peroid, where was ADA at this time?

> >

> > Jackie Chase RD

> > Dillingham AK

> >

> >

>

>

[Guest guest]

Agreed. We are needed at the start of life much more than at the end.

However it's wrong to give the reimbursement to the ppl that are least

qualified. Don't tell me MDs and nurses are expert in obesity w/o pills and

gimmicks.

Digna Cassens, MHA, RD

Cassens Associates - Diversified Nutrition Consulting Services

PO Box 581

La Habra, CA 90633

Re: Re: Reimbursement for Obesity Counseling: So What?

>

> Jackie,

>

> Where were you? Did you submit a public comment? ADA did submit comments.

>

> Pam Charney, PhD, RD

> Affiliate Associate Professor

> Pharmacy

>

> MS Student

> Clinical Informatics and Patient Centered Technology

> School of Nursing

>

> University of Washington

> Seattle, WA

> pcharney@...

> http://www.linkedin.com/in/pamcharney

>

>

>

> > Very good reply. I would also put in why where we blindsided by this. We

> are frequently asked to send out letters to our represenatives in Congress

> but dead slience on this one. All Medicare changes have a public comment

> peroid, where was ADA at this time?

> >

> > Jackie Chase RD

> > Dillingham AK

> >

> >

>

>

[Guest guest]

Agreed. We are needed at the start of life much more than at the end.

However it's wrong to give the reimbursement to the ppl that are least

qualified. Don't tell me MDs and nurses are expert in obesity w/o pills and

gimmicks.

Digna Cassens, MHA, RD

Cassens Associates - Diversified Nutrition Consulting Services

PO Box 581

La Habra, CA 90633

Re: Re: Reimbursement for Obesity Counseling: So What?

>

> Jackie,

>

> Where were you? Did you submit a public comment? ADA did submit comments.

>

> Pam Charney, PhD, RD

> Affiliate Associate Professor

> Pharmacy

>

> MS Student

> Clinical Informatics and Patient Centered Technology

> School of Nursing

>

> University of Washington

> Seattle, WA

> pcharney@...

> http://www.linkedin.com/in/pamcharney

>

>

>

> > Very good reply. I would also put in why where we blindsided by this. We

> are frequently asked to send out letters to our represenatives in Congress

> but dead slience on this one. All Medicare changes have a public comment

> peroid, where was ADA at this time?

> >

> > Jackie Chase RD

> > Dillingham AK

> >

> >

>

>

[Guest guest]

I KNOW we are the experts and it angers me that others are thought to do

this job better. When I taught nursing students I used to discuss that

issue with them. Just like physical therapists are better qualified than

chiros, pharmacists better than drug reps, etc

On Tue, Dec 6, 2011 at 10:57 PM, Digna Cassens

wrote:

> **

>

>

> Agreed. We are needed at the start of life much more than at the end.

> However it's wrong to give the reimbursement to the ppl that are least

> qualified. Don't tell me MDs and nurses are expert in obesity w/o pills and

> gimmicks.

>

> Digna Cassens, MHA, RD

> Cassens Associates - Diversified Nutrition Consulting Services

> PO Box 581

> La Habra, CA 90633

>

>

> Re: Re: Reimbursement for Obesity Counseling: So What?

> >

> > Jackie,

> >

> > Where were you? Did you submit a public comment? ADA did submit comments.

> >

> > Pam Charney, PhD, RD

> > Affiliate Associate Professor

> > Pharmacy

> >

> > MS Student

> > Clinical Informatics and Patient Centered Technology

> > School of Nursing

> >

> > University of Washington

> > Seattle, WA

> > pcharney@...

> > http://www.linkedin.com/in/pamcharney

> >

> >

> >

> > > Very good reply. I would also put in why where we blindsided by this.

> We

> > are frequently asked to send out letters to our represenatives in

> Congress

> > but dead slience on this one. All Medicare changes have a public comment

> > peroid, where was ADA at this time?

> > >

> > > Jackie Chase RD

> > > Dillingham AK

> > >

> > >

> >

> >

[Guest guest]

I KNOW we are the experts and it angers me that others are thought to do

this job better. When I taught nursing students I used to discuss that

issue with them. Just like physical therapists are better qualified than

chiros, pharmacists better than drug reps, etc

On Tue, Dec 6, 2011 at 10:57 PM, Digna Cassens

wrote:

> **

>

>

> Agreed. We are needed at the start of life much more than at the end.

> However it's wrong to give the reimbursement to the ppl that are least

> qualified. Don't tell me MDs and nurses are expert in obesity w/o pills and

> gimmicks.

>

> Digna Cassens, MHA, RD

> Cassens Associates - Diversified Nutrition Consulting Services

> PO Box 581

> La Habra, CA 90633

>

>

> Re: Re: Reimbursement for Obesity Counseling: So What?

> >

> > Jackie,

> >

> > Where were you? Did you submit a public comment? ADA did submit comments.

> >

> > Pam Charney, PhD, RD

> > Affiliate Associate Professor

> > Pharmacy

> >

> > MS Student

> > Clinical Informatics and Patient Centered Technology

> > School of Nursing

> >

> > University of Washington

> > Seattle, WA

> > pcharney@...

> > http://www.linkedin.com/in/pamcharney

> >

> >

> >

> > > Very good reply. I would also put in why where we blindsided by this.

> We

> > are frequently asked to send out letters to our represenatives in

> Congress

> > but dead slience on this one. All Medicare changes have a public comment

> > peroid, where was ADA at this time?

> > >

> > > Jackie Chase RD

> > > Dillingham AK

> > >

> > >

> >

> >

[Guest guest]

I KNOW we are the experts and it angers me that others are thought to do

this job better. When I taught nursing students I used to discuss that

issue with them. Just like physical therapists are better qualified than

chiros, pharmacists better than drug reps, etc

On Tue, Dec 6, 2011 at 10:57 PM, Digna Cassens

wrote:

> **

>

>

> Agreed. We are needed at the start of life much more than at the end.

> However it's wrong to give the reimbursement to the ppl that are least

> qualified. Don't tell me MDs and nurses are expert in obesity w/o pills and

> gimmicks.

>

> Digna Cassens, MHA, RD

> Cassens Associates - Diversified Nutrition Consulting Services

> PO Box 581

> La Habra, CA 90633

>

>

> Re: Re: Reimbursement for Obesity Counseling: So What?

> >

> > Jackie,

> >

> > Where were you? Did you submit a public comment? ADA did submit comments.

> >

> > Pam Charney, PhD, RD

> > Affiliate Associate Professor

> > Pharmacy

> >

> > MS Student

> > Clinical Informatics and Patient Centered Technology

> > School of Nursing

> >

> > University of Washington

> > Seattle, WA

> > pcharney@...

> > http://www.linkedin.com/in/pamcharney

> >

> >

> >

> > > Very good reply. I would also put in why where we blindsided by this.

> We

> > are frequently asked to send out letters to our represenatives in

> Congress

> > but dead slience on this one. All Medicare changes have a public comment

> > peroid, where was ADA at this time?

> > >

> > > Jackie Chase RD

> > > Dillingham AK

> > >

> > >

> >

> >

[Guest guest]

I have to smile at your comments. For the last twenty years I have lived in El

Paso TX a 10-12 hour road trip to any real lefislative fundraisers. El Paso is

so loved by Texas that when the state published a map without El Paso on it, it

was left as is. Right now I am 378 air miles from Anchorage which is about 780

miles from the state capital of Alaska. I was active in Conn. but that was more

then twenty years ago. Even then we where told not to rock the boat and not to

upset anyone. Don't ever questions anyone nutritional education in the news ADA

might get sued. I have had congressmen send replys to me stating that Nursing

Home Administrators are better able to determine who should review diets then

dietitians. Some of us remember when three hot meals a day in a nursing home

ment hot oatmeal for all three meals. The ketchup as a vegetable contraversy got

a reply that is was none of my business. I just got tired of always being told

by the ADA not to

rock the boat, be nice.  It is a standing joke with the AKDA as I attend the

meeting about every year on who gets to as me to rejoin ADA. The year the lovely

ADA rep after talking about the evidenced based library when questioned about

using it by a intern, snapped back " You damn well better use it. "   No one asked

me that year. I really felt sorry for that poor intern and the program director.

Unfortunelty from what I have seen that is about par for the course for ADA

reps. I am not complaining, I am just tired of being told if your not active you

are part of the problem on one hand and don't rock the boat, don't make that

opposition angry they have deep pockets. So we are where we are. I think if you

really look around there are so many of us who have just written off ADA as a do

nothing organization just comitted to keep Chicago's status quo. Again no one

really wants to rock the boat after all ADA controls CDR and you might lose your

RD.

 

Jackie Chase RD

Dillingham AK

To: " rd-usa " <rd-usa >

Sent: Tuesday, December 6, 2011 4:34 PM

Subject: Re: Re: Reimbursement for Obesity Counseling: REPENT!

So they told you NOT to quietly attend legislative fundraisers in a show of

support for legislators willing to champion our cause?

Look:

I find myself regretting that I didn't clear my schedule for these activities to

support my comrades in weight loss!

I don't find myself bitterly complaining that ther few folks swinging the axe

could not chop down the sequoia!

Let's focus on how to help them!

Sent from my Verizon Wireless BlackBerry

Re: Re: Reimbursement for Obesity Counseling: So What?

Jackie,

Where were you? Did you submit a public comment? ADA did submit comments.

Pam Charney, PhD, RD

Affiliate Associate Professor

Pharmacy

MS Student

Clinical Informatics and Patient Centered Technology

School of Nursing

University of Washington

Seattle, WA

pcharney@...

http://www.linkedin.com/in/pamcharney

> Very good reply. I would also put in why where we blindsided by this. We are

frequently asked to send out letters to our represenatives in Congress but dead

slience on this one. All Medicare changes have a public comment peroid, where

was ADA at this time?

>

> Jackie Chase RD

> Dillingham AK

>

>

[Guest guest]

I have to smile at your comments. For the last twenty years I have lived in El

Paso TX a 10-12 hour road trip to any real lefislative fundraisers. El Paso is

so loved by Texas that when the state published a map without El Paso on it, it

was left as is. Right now I am 378 air miles from Anchorage which is about 780

miles from the state capital of Alaska. I was active in Conn. but that was more

then twenty years ago. Even then we where told not to rock the boat and not to

upset anyone. Don't ever questions anyone nutritional education in the news ADA

might get sued. I have had congressmen send replys to me stating that Nursing

Home Administrators are better able to determine who should review diets then

dietitians. Some of us remember when three hot meals a day in a nursing home

ment hot oatmeal for all three meals. The ketchup as a vegetable contraversy got

a reply that is was none of my business. I just got tired of always being told

by the ADA not to

rock the boat, be nice.  It is a standing joke with the AKDA as I attend the

meeting about every year on who gets to as me to rejoin ADA. The year the lovely

ADA rep after talking about the evidenced based library when questioned about

using it by a intern, snapped back " You damn well better use it. "   No one asked

me that year. I really felt sorry for that poor intern and the program director.

Unfortunelty from what I have seen that is about par for the course for ADA

reps. I am not complaining, I am just tired of being told if your not active you

are part of the problem on one hand and don't rock the boat, don't make that

opposition angry they have deep pockets. So we are where we are. I think if you

really look around there are so many of us who have just written off ADA as a do

nothing organization just comitted to keep Chicago's status quo. Again no one

really wants to rock the boat after all ADA controls CDR and you might lose your

RD.

 

Jackie Chase RD

Dillingham AK

To: " rd-usa " <rd-usa >

Sent: Tuesday, December 6, 2011 4:34 PM

Subject: Re: Re: Reimbursement for Obesity Counseling: REPENT!

So they told you NOT to quietly attend legislative fundraisers in a show of

support for legislators willing to champion our cause?

Look:

I find myself regretting that I didn't clear my schedule for these activities to

support my comrades in weight loss!

I don't find myself bitterly complaining that ther few folks swinging the axe

could not chop down the sequoia!

Let's focus on how to help them!

Sent from my Verizon Wireless BlackBerry

Re: Re: Reimbursement for Obesity Counseling: So What?

Jackie,

Where were you? Did you submit a public comment? ADA did submit comments.

Pam Charney, PhD, RD

Affiliate Associate Professor

Pharmacy

MS Student

Clinical Informatics and Patient Centered Technology

School of Nursing

University of Washington

Seattle, WA

pcharney@...

http://www.linkedin.com/in/pamcharney

> Very good reply. I would also put in why where we blindsided by this. We are

frequently asked to send out letters to our represenatives in Congress but dead

slience on this one. All Medicare changes have a public comment peroid, where

was ADA at this time?

>

> Jackie Chase RD

> Dillingham AK

>

>

[Guest guest]

I have to smile at your comments. For the last twenty years I have lived in El

Paso TX a 10-12 hour road trip to any real lefislative fundraisers. El Paso is

so loved by Texas that when the state published a map without El Paso on it, it

was left as is. Right now I am 378 air miles from Anchorage which is about 780

miles from the state capital of Alaska. I was active in Conn. but that was more

then twenty years ago. Even then we where told not to rock the boat and not to

upset anyone. Don't ever questions anyone nutritional education in the news ADA

might get sued. I have had congressmen send replys to me stating that Nursing

Home Administrators are better able to determine who should review diets then

dietitians. Some of us remember when three hot meals a day in a nursing home

ment hot oatmeal for all three meals. The ketchup as a vegetable contraversy got

a reply that is was none of my business. I just got tired of always being told

by the ADA not to

rock the boat, be nice.  It is a standing joke with the AKDA as I attend the

meeting about every year on who gets to as me to rejoin ADA. The year the lovely

ADA rep after talking about the evidenced based library when questioned about

using it by a intern, snapped back " You damn well better use it. "   No one asked

me that year. I really felt sorry for that poor intern and the program director.

Unfortunelty from what I have seen that is about par for the course for ADA

reps. I am not complaining, I am just tired of being told if your not active you

are part of the problem on one hand and don't rock the boat, don't make that

opposition angry they have deep pockets. So we are where we are. I think if you

really look around there are so many of us who have just written off ADA as a do

nothing organization just comitted to keep Chicago's status quo. Again no one

really wants to rock the boat after all ADA controls CDR and you might lose your

RD.

 

Jackie Chase RD

Dillingham AK

To: " rd-usa " <rd-usa >

Sent: Tuesday, December 6, 2011 4:34 PM

Subject: Re: Re: Reimbursement for Obesity Counseling: REPENT!

So they told you NOT to quietly attend legislative fundraisers in a show of

support for legislators willing to champion our cause?

Look:

I find myself regretting that I didn't clear my schedule for these activities to

support my comrades in weight loss!

I don't find myself bitterly complaining that ther few folks swinging the axe

could not chop down the sequoia!

Let's focus on how to help them!

Sent from my Verizon Wireless BlackBerry

Re: Re: Reimbursement for Obesity Counseling: So What?

Jackie,

Where were you? Did you submit a public comment? ADA did submit comments.

Pam Charney, PhD, RD

Affiliate Associate Professor

Pharmacy

MS Student

Clinical Informatics and Patient Centered Technology

School of Nursing

University of Washington

Seattle, WA

pcharney@...

http://www.linkedin.com/in/pamcharney

> Very good reply. I would also put in why where we blindsided by this. We are

frequently asked to send out letters to our represenatives in Congress but dead

slience on this one. All Medicare changes have a public comment peroid, where

was ADA at this time?

>

> Jackie Chase RD

> Dillingham AK

>

>

[Guest guest]

I am a big boat rocker, too, I just learned to do it on my " own time " not

at events others worked on

Michal Hogan, RD, LD, CLT

NUTRITIONRESULTS.COM

Helping patients, doctors and dietitians with the serious business of

helping folks with IBS, fibromyalgia, migraine and other effects of delayed

food hypersensitivities

In a message dated 12/7/2011 12:13:04 P.M. Eastern Standard Time,

jackiechase66@... writes:

I have to smile at your comments. For the last twenty years I have lived in

El Paso TX a 10-12 hour road trip to any real lefislative fundraisers. El

Paso is so loved by Texas that when the state published a map without El

Paso on it, it was left as is. Right now I am 378 air miles from Anchorage

which is about 780 miles from the state capital of Alaska. I was active in

Conn. but that was more then twenty years ago. Even then we where told not to

rock the boat and not to upset anyone. Don't ever questions anyone

nutritional education in the news ADA might get sued. I have had congressmen

send

replys to me stating that Nursing Home Administrators are better able to

determine who should review diets then dietitians. Some of us remember when

three hot meals a day in a nursing home ment hot oatmeal for all three

meals. The ketchup as a vegetable contraversy got a reply that is was none of

my

business. I just got tired of always being told by the ADA not to

rock the boat, be nice. It is a standing joke with the AKDA as I attend

the meeting about every year on who gets to as me to rejoin ADA. The year

the lovely ADA rep after talking about the evidenced based library when

questioned about using it by a intern, snapped back " You damn well better use

it. " No one asked me that year. I really felt sorry for that poor intern and

the program director. Unfortunelty from what I have seen that is about

par for the course for ADA reps. I am not complaining, I am just tired of

being told if your not active you are part of the problem on one hand and

don't rock the boat, don't make that opposition angry they have deep pockets.

So we are where we are. I think if you really look around there are so many

of us who have just written off ADA as a do nothing organization just

comitted to keep Chicago's status quo. Again no one really wants to rock the

boat

after all ADA controls CDR and you might lose your RD.

Jackie Chase RD

Dillingham AK

From: " _NutritionResults@..._ (mailto:NutritionResults@...) "

<_NutritionResults@..._ (mailto:NutritionResults@...) >

To: " _rd-usa _ (mailto:rd-usa ) "

<_rd-usa _ (mailto:rd-usa ) >

Sent: Tuesday, December 6, 2011 4:34 PM

Subject: Re: Re: Reimbursement for Obesity Counseling: REPENT!

So they told you NOT to quietly attend legislative fundraisers in a show

of support for legislators willing to champion our cause?

Look:

I find myself regretting that I didn't clear my schedule for these

activities to support my comrades in weight loss!

I don't find myself bitterly complaining that ther few folks swinging the

axe could not chop down the sequoia!

Let's focus on how to help them!

Sent from my Verizon Wireless BlackBerry

Re: Re: Reimbursement for Obesity Counseling: So What?

Jackie,

Where were you? Did you submit a public comment? ADA did submit comments.

Pam Charney, PhD, RD

Affiliate Associate Professor

Pharmacy

MS Student

Clinical Informatics and Patient Centered Technology

School of Nursing

University of Washington

Seattle, WA

_pcharney@..._ (mailto:pcharney@...)

_http://www.linkedin.com/in/pamcharney_

(http://www.linkedin.com/in/pamcharney)

> Very good reply. I would also put in why where we blindsided by this. We

are frequently asked to send out letters to our represenatives in Congress

but dead slience on this one. All Medicare changes have a public comment

peroid, where was ADA at this time?

>

> Jackie Chase RD

> Dillingham AK

>

>

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