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RE: Digest Number 550

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> Date: Mon, 06 Dec 1999 11:18:07 -0600

> From: SC <sasc@...>

> Subject: Re: health care/medical savings accounts

>

> ( I had worked and paid in for 30 years and they treated me like shit

> during this process as they do everyone) I told the lawyers secretary

> that I guess I was lucky that what I owned was paid for and I didnt

lose

> my house. She said I wouldnt believe how many people they see who

become

> disabled and lose everything they have worked for and end up living

> between friends and families.

>

> I have never had a lot of money but I put all I had into my land and

> building my home. And I did most of this with my own two hands. My

> vehicles were thirty years old and I still have no indoor bath but my

> home is paid for. I worked as hard as any doctor for many years and I

Here in CA, you would have been forced to sell or mortage your home. You

are fortunate to be where you are.

If were here and you did sell or mortgage it, you would have had to use

all of the income from that sale or mortgage before qualifying as you

are not allowed to have more than a minimal amount of cash.

You can't own a home and get the assistance --- HOWEVER, you CAN be

buying a home. In other words, if the bank owns your home and you're

paying a mortgage they not only allow that, but take that payment into

consideration AGAINST any income you might have.

> I do agree with you that the insurance companies and other greedy

> businesses are to blame. So are a lot of greedy doctors and inept

ones.

> Our government is also to blame as it foster this. I dont believe that

> the hospitals and clinics should be owned by corporations. I believe

> thay should be kept non profit.

Not-for-profit is no anwser either. Not-for-profits (non-profit) are

notorious for pigeon-holing money in their loopholes, and for

squandering it as they are free of the reporting and public disclosure

requirements of publicly-held companies.

> The poor are always blamed for everything. Some are bums and so are a

> lot of rich people who have inherited wealth. So whats the diffence?

> Things and possessions, right? There are a hell of a lot of poor

people

> who work as hard or harder than rich people and still have nothing as

> well as lots of stress and worry from struggle to get by everyday. You

One of the biggest problems with this is that the middle class, which

pays well in excess of 90% of the taxes in this country, is growing

smaller day-by-day. The combination of inflation (which the government

claims does not exist), increasing taxes and workplace changes such as

consolidation, downsizing, etc., is building a coffin for these people.

That's why it's now so rare to see a single-income family where Dad

works and Mom stays home with the kids. Who can do that? And try getting

people to volunteer their time for anything - who has time? In fact,

today's dual-income families are commonly and routinely becoming 3 and 4

income families as Mom, Dad or both hold down a second, and even a third

job trying just to stay even. And yet even so they are slowly losing

ground. The result, more people in the predicament outlined above,

quickly going from middle-class to lower-middle class to low-income to

poverty in a few short years.

> If our government gives illegals free health care I dont blame them

for

Which they do, and which adds to the burden. Very hard to justify

bitterness about being abandoned while at the same time condoning acts

which aid and promote that same abandonment. It is indeed a very

frustrating and vicious circle.

> coming here. A helluva lot of Americans would go to Mexico if they

could

> get care there just as a lot go there for drugs that dont cost much.

We

> have a hugh influx of Mexicans and many illegal where I live. Almost

all

> have come to work in the chicken plants and have a better life. They

are

> mostly good family people. Luckily our little rural backwards towns

are

> working hard to prevent prejudice like I see in you.

And that is the point of choice. If health care was competitve, the

health care system in the US, including druggists and insurers would

either respond by becoming more competitive (likely), protectionist

(equally likely in the short-term) or go under (less likely). As it is

the natural competition in health care is mitigated and overburdened by

the insurance industry.

> It is not wise to spout politics and prejudices in a diverse group if

> you dont want to hear from people who disagree strongly with you. This

> is the reason I dont participate in this group much anymore.

>

>

Regards,

Geoff Crenshaw, ACC -----------------------

Captain Cook's Cruise Center ** Usual Disclaimers **

-----------------------

Religion: Man's attempt to discover God

Christianity: God's offer to save mankind

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  • 2 years later...
Guest guest

Re: Clinical Supervision

Ann, thank you for opening up this debate. I have experienced

health-visitors-

only CS and CS with our integrated nursing team. By far, the best has been

the integrated nursing team (HVs, DNs, students and auxiliary nurse) -

carried out

monthly over the last 2 years.

Maybe it has been so successful because we started with rules (the usual

stuff),

used a reflective framework ('s to start with), and made sure it was set

within a

LEARNING CULTURE, not a blame culture. None of us have been trained in CS,

by the way.In fact I would say the right attitude is the most important

thing - humanistic.

I like Malcolm's super-vision and would add Schon's thoughts about 'knowing

more

than we can say'. CS is superb for searching out tacit knowledge and

identifying it as

practical knowledge - our trade and our treasure. It enables critical

thinking that can

be returned to in time of crisis. Sorry, I can't help putting in a large

quote from Brookfield

as I have found it so inspiring (this and lying on the floor with my HV

colleague

doing Technique on a Monday morning):

'Unless we become critical thinkers during periods of crisis, we are

condemned to view

our lives as constantly changing, essentially irrational sequences of random

happenings

that are out of our control. We are like psychologically shipwrecked

voyagers, desperately

clinging to whatever piece of psychic flotsam we can find as we are tossed

in the turbulent

seas of personal and social change.'

Couldn't agree with more, management support is essential (not lip

service). We

have found this huge gap: where do we take issues that arise out of clinical

supervision?

No manager so far has shown the slightest bit of interest.

We have invited Practice Nurse and GPs to our monthly two-hour sessions but

sadly no

response (feel GPs are desperate for this but apart from not recognising the

value of CS, are

often unable to allow themselves to be vulnerable).

Would like to include clerical help and reception staff too. If they all

came, what a change

in culture that would produce!

Best wishes and good luck with your thesis.

Maggie Lavin

Digest Number 550

>

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Guest guest

Hi Ann, an addendum on our clinical supervision you

may find interesting. We spend 10 mins at the end of sessions

recording on a format the essence of what we discussed -

can be used for PREP portfolios.

Best wishes, Maggie

Digest Number 550

>

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Guest guest

Maggie what a good quote - could you give more of the reference please

'Unless we become critical thinkers during periods of crisis, we are

condemned to view our lives as constantly changing, essentially irrational

sequences of random happenings that are out of our control. We are like

psychologically shipwrecked voyagers, desperately

clinging to whatever piece of psychic flotsam we can find as we are tossed

in the turbulent seas of personal and social change.'

>From: " Maggie Lavin " <maggie.lavin@...>

>Reply-

>< >

>Subject: Re: Digest Number 550

>Date: Fri, 1 Mar 2002 21:32:43 -0000

>

>Re: Clinical Supervision

>Ann, thank you for opening up this debate. I have experienced

>health-visitors-

>only CS and CS with our integrated nursing team. By far, the best has been

>the integrated nursing team (HVs, DNs, students and auxiliary nurse) -

>carried out

>monthly over the last 2 years.

>Maybe it has been so successful because we started with rules (the usual

>stuff),

>used a reflective framework ('s to start with), and made sure it was

>set

>within a

>LEARNING CULTURE, not a blame culture. None of us have been trained in CS,

>by the way.In fact I would say the right attitude is the most important

>thing - humanistic.

>I like Malcolm's super-vision and would add Schon's thoughts about 'knowing

>more

>than we can say'. CS is superb for searching out tacit knowledge and

>identifying it as

>practical knowledge - our trade and our treasure. It enables critical

>thinking that can

>be returned to in time of crisis. Sorry, I can't help putting in a large

>quote from Brookfield

>as I have found it so inspiring (this and lying on the floor with my HV

>colleague

>doing Technique on a Monday morning):

>'Unless we become critical thinkers during periods of crisis, we are

>condemned to view

>our lives as constantly changing, essentially irrational sequences of

>random

>happenings

>that are out of our control. We are like psychologically shipwrecked

>voyagers, desperately

>clinging to whatever piece of psychic flotsam we can find as we are tossed

>in the turbulent

>seas of personal and social change.'

>Couldn't agree with more, management support is essential (not

>lip

>service). We

>have found this huge gap: where do we take issues that arise out of

>clinical

>supervision?

>No manager so far has shown the slightest bit of interest.

>We have invited Practice Nurse and GPs to our monthly two-hour sessions but

>sadly no

>response (feel GPs are desperate for this but apart from not recognising

>the

>value of CS, are

>often unable to allow themselves to be vulnerable).

>Would like to include clerical help and reception staff too. If they all

>came, what a change

>in culture that would produce!

>Best wishes and good luck with your thesis.

>Maggie Lavin

> Digest Number 550

>

>

> >

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Guest guest

Thanks Maggie-how does the group juge its effectiveness.Ann.

>From: " Houston " <annamhouston@...>

>Reply-

>

>Subject: Re: Digest Number 550

>Date: Sat, 02 Mar 2002 10:45:23 +0000

>

>Maggie what a good quote - could you give more of the reference please

>

>

>'Unless we become critical thinkers during periods of crisis, we are

>condemned to view our lives as constantly changing, essentially irrational

>sequences of random happenings that are out of our control. We are like

>psychologically shipwrecked voyagers, desperately

>clinging to whatever piece of psychic flotsam we can find as we are tossed

>in the turbulent seas of personal and social change.'

>

>

>

> >From: " Maggie Lavin " <maggie.lavin@...>

> >Reply-

> >< >

> >Subject: Re: Digest Number 550

> >Date: Fri, 1 Mar 2002 21:32:43 -0000

> >

> >Re: Clinical Supervision

> >Ann, thank you for opening up this debate. I have experienced

> >health-visitors-

> >only CS and CS with our integrated nursing team. By far, the best has

>been

> >the integrated nursing team (HVs, DNs, students and auxiliary nurse) -

> >carried out

> >monthly over the last 2 years.

> >Maybe it has been so successful because we started with rules (the usual

> >stuff),

> >used a reflective framework ('s to start with), and made sure it was

> >set

> >within a

> >LEARNING CULTURE, not a blame culture. None of us have been trained in

>CS,

> >by the way.In fact I would say the right attitude is the most important

> >thing - humanistic.

> >I like Malcolm's super-vision and would add Schon's thoughts about

>'knowing

> >more

> >than we can say'. CS is superb for searching out tacit knowledge and

> >identifying it as

> >practical knowledge - our trade and our treasure. It enables critical

> >thinking that can

> >be returned to in time of crisis. Sorry, I can't help putting in a large

> >quote from Brookfield

> >as I have found it so inspiring (this and lying on the floor with my HV

> >colleague

> >doing Technique on a Monday morning):

> >'Unless we become critical thinkers during periods of crisis, we are

> >condemned to view

> >our lives as constantly changing, essentially irrational sequences of

> >random

> >happenings

> >that are out of our control. We are like psychologically shipwrecked

> >voyagers, desperately

> >clinging to whatever piece of psychic flotsam we can find as we are

>tossed

> >in the turbulent

> >seas of personal and social change.'

> >Couldn't agree with more, management support is essential (not

> >lip

> >service). We

> >have found this huge gap: where do we take issues that arise out of

> >clinical

> >supervision?

> >No manager so far has shown the slightest bit of interest.

> >We have invited Practice Nurse and GPs to our monthly two-hour sessions

>but

> >sadly no

> >response (feel GPs are desperate for this but apart from not recognising

> >the

> >value of CS, are

> >often unable to allow themselves to be vulnerable).

> >Would like to include clerical help and reception staff too. If they all

> >came, what a change

> >in culture that would produce!

> >Best wishes and good luck with your thesis.

> >Maggie Lavin

> > Digest Number 550

> >

> >

> > >

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  • 3 months later...
Guest guest

I suspect that one reason people have problems with most diets, including CRON, is that the culture surrounding the diet encourages people to spend even more time thinking about food. Have you noticed that the standard commercial diets (e.g., Slimfast), have ads to the effect: Eat this and get thin? The posts on this and the main CR list are similar: lots of recipes, discussions of eating, etc. It is a lot harder to eat less when you are constantly encouraged to think about how much less you are eating.

I think a better strategy is either (a) to think about and do something else or (B) think about and learn how to enjoy being hungry, which is my strategy. Under (B), if you are thinking about food, it is a positive experience rather than a sense of self-deprivation.

-- Russ

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  • 4 months later...

I wore the brace with the leg cuff for a couple months and don't remember it

being so bad at all. I did sit down - in fact sat in a car to get to FLA

from VA without a problem.

I wouldn't worry about that aspect at all. in Va

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That's great to hear. Did you have to wear that particular brace because of

fusions to your sacrum? My surgeon hasn't gone into much detail yet so I'm

glad to hear that you were able not only to sit but to ride in a car.

Thanks..

a

Re: Digest Number 550

I wore the brace with the leg cuff for a couple months and don't remember it

being so bad at all. I did sit down - in fact sat in a car to get to FLA

from VA without a problem.

I wouldn't worry about that aspect at all. in Va

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