Notices by McNadoMD (mcnado@mstdn.social), page 3

Speaking of lifestyle things to address obesity and diabetes, has anyone asked Marty Makary and RFK where in the actual fuck they expect people to exercise in somewhere like OKC or North Denver? “Just walk around your neighborhood” is unsafe without sidewalks. Gyms cost money, and you have to get there, and many don’t have childcare while you’re there.

These wellness-focused fucks are so used to their hospital gyms and safe neighborhoods that they can’t imagine reality. Fuck ‘em.

“The driver lost control and crashed” after police used the PIT maneuver…

No, dear journalist, no. The police officer used a PIT maneuver to force the driver out of control and into a tree. The driver didn’t “lose” control. The control was removed by the officer properly performing a maneuver designed specifically for that purpose. No judgement on whether it was the right thing to do, but if I did it to someone and they hit s tree and died, I’d be charged with vehicular homicide.

Things paramedics (~$20/hr base pay) and EMTs (~$17/hr base) I work with have done for people this year:
1. Paid for prescriptions so the patient wouldn’t have to call 911 every few days (multiple patients and crews).
2. Paid for rideshares to get people places when they didn’t want an ambulance but needed help.
3. Bought and delivered meals to a patient.
4. Bought clothing for a patient and delivered it to the hospital for them.

And many more I can’t recall right now.

Conservatives:
“You have no money, so you have no car, and we have consistently voted against public transport, so you also have no buses or sidewalks, but we want you to have to get a job to be eligible for food stamps. We also cut funding the office that helps you find a job. Oh, and the people Medicaid paid to help care for your disabled family while you might have worked? We cut their funding too. So yeah, use your bootstraps to get to work while also being at home. Praise Jesus.”
Assholes.

Someone came into my mentions to spread the common misconception that undocumented immigrants are bankrupting Medicaid. So folks, say it with me now: “Undocumented immigrants are never eligible for Medicaid or CHIP.”

No really. And Emergency Medicaid coverage that pays hospitals for uncompensated care of people who are not on Medicaid but otherwise eligible accounts for less than 1% of Medicaid spending.

https://www.kff.org/racial-equity-and-health-policy/issue-brief/5-key-facts-about-immigrants-and-medicaid/

@ai6yr yup. First the ED will be full of boarders. Then, when it becomes untenable, hospitals will find a legally compliant way to dump them on the streets. Staff will get PTSD from pushing them out only to later get them back in the ED as a resuscitation. Bad for everyone.

Btw, if Republicans cut Medicaid, be prepared to see disabled elderly homeless people. Medicaid pays for about 2/3 of America’s nursing home beds. When the money stops, those people are evicted, an ambulance is called, and they wind up in the ER. They have nowhere to go, no funding for another nursing home, and no emergency medical problem. Sooner or later they stop being boarded in the ER and wind up on the streets.

Under Pete “whiskey dick” Hegseth’s leadership, the US Marine Corps changed their grooming standards in a way that will result in expulsion of mainly black Marines. Many black men have an inflammatory response to close shaving, causing painful scarring. The military knows this, and decades ago issued waivers allowing neatly kept beards for service members in this situation. Now the Marines are doing away with it. This hurts readiness, is overtly racist, and is fucking stupid.

A pediatrician in Gaza was dropped off for work. A few minutes after husband got home, Israel blew up the home, killing all but one of her ten children and severely injuring the remaining child and her husband. I’m sure her home was Hamas stronghold. The hospital is probably next. Trump has been sending bombs to Israel unconditionally for months.

https://www.bbc.com/news/articles/c0eq9lq7xr1o

My “Keep the immigrants, deport the racists” yard sign is a great nazi detector apparently.

“The Democrats need to earn my vote!”

Have you considered that you need to earn your democracy? It isn’t given. It is earned, maintained, and defended. In the case of the US, it is a two party system almost everywhere at the moment, and one of those parties doesn’t want a democracy at all.

You know why the Democrats lose?

When a Dem, right now, is asked about Joe Biden running in 2024, the correct answer is “Donald Trump and his Republicans are destroying your retirement, taking your healthcare, and illegally kidnapping people.”, but instead, they keep fucking talking about Biden and analyzing the election. Y’all, it’s over. What matters is blaming the evil fuckers doing evil for the evil they are doing. Quit distracting people.

Keep seeing local cops say “We can’t legally interfere with ICE” and “We don’t coordinate with ICE”, but I have yet to see local cops stop ICE kidnappings and confirm that the ICE guys are, in fact, federal agents. The cops doing crowd control might just be assisting in a cartel hit or human trafficking.

In case you’re wondering why ER docs aren’t saying “more business!” when we hear about medicaid cuts, the way dentists are seeing fluoride cuts, it’s because when people don’t have insurance they mostly just don’t pay their ER bill. We staff to the increased volume from people losing primary care access, and take a loss because none of that volume pays.

As an aside, I 100% agree with the dentists. Getting rid of fluoride means harm to patients, and early retirement for dentists.

I dunno, I just think that if you’re the guys who need to tell the courts that they can’t enforce contempt of court, you’re probably the bad guys right? If court orders are meaningless, doesn’t that mean you just don’t have rule of law?

Fuck you Mike Johnson. You think you’re doing the work of Christ, but you’re actually the guy that nailed him to a cross to get rid of a political risk.

Remember when Biden broke protocol and saluted those generals from the bonesaw guys country?

Me neither. Trump just did it though. Saluted Saudi generals. Dipshit.

9News in Colorado today is reporting that the Republican tax bill is currently set to cut about 1 million people from Medicaid in Colorado.

People who don’t have health insurance in the US delay care and get sick.

Large Medicaid cuts also threaten the existence of multiple hospitals in Colorado.

Once again, Republicans are looking to #makeamericasickagain

It’s all market manipulation on the backs of the rest of us.

How do folks feel who paid the tariff last week? How will folks feel in 100 days when whatever nonsense comes next? Nobody is tooling up a factory when this level of uncertainty exists. All this does is cost normal people money while billionaires and administration insiders profit from insider trading.

Lol. Trump’s guy used interpreters provided by Russia during Ukraine negotiations. I use medical interpreters daily. Some are good, some less so. One thing I know for sure — the message you send and receive is highly dependent on the skill and biases of the interpeter. Using a hostile foreign power’s interpreter is either astoundingly lazy and flagrantly negligent.

I do high stress work. I watch people die. I do surgical procedures in moving vehicles and in chaotic trauma bays. I deal with violent, drunk, and high people all the time. I can tell you this — when people make my environment more dangerous, I will look chill and work through it to keep everyone safe, but I am gonna be shaking and can’t think well for a bit afterwards every time.

When citizens surround ICE guys and scream at them, that’s what is happening to ICE. Keep it up! It does matter.