Health Facilities Quotes

Emotional competence requires the capacity to feel our emotions, so that we are aware when we are experiencing stress; the ability to express our emotions effectively and thereby to assert our needs and to maintain the integrity of our emotional boundaries; the facility to distinguish between psychological reactions that are pertinent to the present situation and those that represent residue from the past. What we want and demand from the world needs to conform to our present needs, not to unconscious, unsatisfied needs from childhood. If distinctions between past and present blur, we will perceive loss or the threat of loss where none exists; and the awareness of those genuine needs that do require satisfaction, rather than their repression for the sake of gaining the acceptance or approval of others. Stress occurs in the absence of these criteria, and it leads to the disruption of homeostasis. Chronic disruption results in ill health. In each of the individual histories of illness in this book, one or more aspect of emotional competence was significantly compromised, usually in ways entirely unknown to the person involved. Emotional competence is what we need to develop if we are to protect ourselves from the hidden stresses that create a risk to health, and it is what we need to regain if we are to heal. We need to foster emotional competence in our children, as the best preventive medicine.

Racism is both overt and covert. It takes two, closely related forms: individual whites acting against individual blacks, and acts by the total white community against the black community. We call these individual racism and institutional racism. The first consists of overt acts by individuals, which cause death, injury or the violent destruction of property. This type can be recorded by television cameras; it can frequently be observed in the process of commission. The second type is less overt, far more subtle, less identifiable in terms of specific individuals committing the acts. But it is no less destructive of human life. The second type originates in the operation of established and respected forces in the society, and thus receives far less public condemnation than the first type. When white terrorists bomb a black church and kill five black children, that is an act of individual racism, widely deplored by most segments of the society. But when in that same city - Birmingham, Alabama - five hundred black babies die each year because of the lack of proper food, shelter and medical facilities, and thousands more are destroyed and maimed physically, emotionally and intellectually because of conditions of poverty and discrimination in the black community, that is a function of institutional racism. When a black family moves into a home in a white neighborhood and is stoned, burned or routed out, they are victims of an overt act of individual racism which many people will condemn - at least in words. But it is institutional racism that keeps black people locked in dilapidated slum tenements, subject to the daily prey of exploitative slumlords, merchants, loan sharks and discriminatory real estate agents. The society either pretends it does not know of this latter situation, or is in fact incapable of doing anything meaningful about it.

Emotional competence requires • the capacity to feel our emotions, so that we are aware when we are experiencing stress; • the ability to express our emotions effectively and thereby to assert our needs and to maintain the integrity of our emotional boundaries; • the facility to distinguish between psychological reactions that are pertinent to the present situation and those that represent residue from the past. What we want and demand from the world needs to conform to our present needs, not to unconscious, unsatisfied needs from childhood. If distinctions between past and present blur, we will perceive loss or the threat of loss where none exists; and • the awareness of those genuine needs that do require satisfaction, rather than their repression for the sake of gaining the acceptance or approval of others. Stress occurs in the absence of these criteria, and it leads to the disruption of homeostasis. Chronic disruption results in ill health.

It was more like a goodbye hug to a visitor by a patient involuntarily committed to a mental health facility - a hug intended to squeeze out and steal some sanity because nothing else had worked.

Szasz opposed any involuntary psychiatric intervention and, along with the Cuckoo’s Nest portrayal, paved the way for the disastrous dismantling of U.S. mental health facilities. But more generally they helped make popular and respectable the idea that much of science is a sinister scheme concocted by a despotic conspiracy to oppress the people. Mental illness, both Szasz and Laing said, is “a theory not a fact”—now the universal bottom-line argument for anyone, from creationists to climate change deniers to antivaccine hysterics, who prefer to disregard science in favor of their own beliefs.

...for if she had two characteristics in her natural state of health, they were a facility of eating and sleeping. If she could neither eat nor sleep, she must be indeed out of spirits and out of Health.

According to the UNDP (United Nations Development Programme), 54 per cent of Pakistanis face 'multi-dimentional deprivation'. meaning they lack access to proper education and health facilities and a decent standard of living. Almost two-thirds of the country lives on less than US$2 a day and about 40 per cent of Pakistani children suffer from chronic malnutrition. How can Pakistan be called an Islamic society?

The pressure to reduce health care costs is aimed only at the treatment of real diseases. There is no pressure to reduce the costs of treating fictitious diseases. On the contrary, there is pressure to define ever more types of undesirable behaviors as mental disorders or addictions and to spend ever more tax dollars on developing new psychiatric diagnoses and facilities for storing and treating the victims of such diseases, whose members now include alcoholics, drug abusers, smokers, overeaters, self-starvers, gamblers, etc.

Economic insecurity strangles the physical and cultural growth of its victims. Not only are millions deprived of formal education and proper health facilities but our most fundamental social unit—the family—is tortured, corrupted, and weakened by economic insufficiency. When a Negro man is inadequately paid, his wife must work to provide the simple necessities for the children. When a mother has to work she does violence to motherhood by depriving her children of her loving guidance and protection; often they are poorly cared for by others or by none—left to roam the streets unsupervised. It is not the Negro alone who is wronged by a disrupted society; many white families are in similar straits. The Negro mother leaves home to care for—and be a substitute mother for—white children, while the white mother works. In this strange irony lies the promise of future correction.

In 1999 the RAND Corporation published a report (the first and, so far, last of its kind) with a “conservative estimate” that more than 307 million tissue samples from more than 178 million people were stored in the United States alone. This number, the report said, was increasing by more than 20 million samples each year. The samples come from routine medical procedures, tests, operations, clinical trials, and research donations. They sit in lab freezers, on shelves, or in industrial vats of liquid nitrogen. They’re stored at military facilities, the FBI, and the National Institutes of Health.

There are countries in which the communal provision of housing, transport, education and health care is so inferior that inhabitants will naturally seek to escape involvement with the masses by barricading themselves behind solid walls. The desire for high status is never stronger than in situations where 'ordinary' life fails to answer a median need for dignity or comfort. Then there are communities—far fewer in number and typically imbued with a strong (often Protestant) Christian heritage—whose public realms exude respect in their principles and architecture, and whose citizens are therefore under less compulsion to retreat into a private domain. Indeed, we may find that some of our ambitions for personal glory fade when the public spaces and facilities to which we enjoy access are themselves glorious to behold; in such a context, ordinary citizenship may come to seem an adequate goal. In Switzerland's largest city, for instance, the need to own a car in order to avoid sharing a bus or train with strangers loses some of the urgency it has in Los Angeles or London, thanks to Zurich's superlative train network, which is clean, safe, warm and edifying in its punctuality and technical prowess. There is little reason to travel in an automotive cocoon when, for a fare of only a few francs, an efficient, stately tramway will provide transport from point A to point B at a level of comfort an emperor might have envied. One insight to be drawn from Christianity and applied to communal ethics is that, insofar as we can recover a sense of the preciousness of every human being and, even more important, legislate for spaces and manner that embody such a reverence in their makeup, then the notion of the ordinary will shed its darker associations, and, correspondingly, the desires to triumph and to be insulated will weaken, to the psychological benefit of all.

A man who lives a part, not to others but alone, is exposed to obvious psychological dangers. In itself the practice of deception is not particularly exacting. It is a matter of experience, a professional expertise. It is a facility most of us can acquire. But while a confidence trickster, a play actor or a gambler can return from his performance to the ranks of his admirers, the secret agent enjoys no such relief. For him, deception is first a matter of self defense. He must protect himself not only from without, but from within, and against the most natural of impulses. Though he earn a fortune, his role may forbid him the purchase of a razor. Though he be erudite, it can befall him to mumble nothing but banalities. Though he be an affectionate husband and father, he must within all circumstances without himself from those with whom he should naturally confide. Aware of the overwhelming temptations which assail a man permanently isolated in his deceit, Limas resorted to the course which armed him best. Even when he was alone, he compelled himself to live with the personality he had assumed. It is said that Balzac on his deathbed inquired anxiously after the health and prosperity of characters he had created. Similarly, Limas, without relinquishing the power of invention, identified himself with what he had invented. The qualities he had exhibited to Fiedler: the restless uncertainty, the protective arrogance concealing shame were not approximations, but extensions of qualities he actually possessed. Hence, also, the slight dragging of the feet, the aspect of personal neglect, the indifference to food, and an increasing reliance on alcohol and tobacco. When alone, he remained faithful to these habits. He would even exaggerate them a little, mumbling to himself about the iniquities of his service. Only very rarely, as now, going to bed that evening, did he allow himself the dangerous luxury of admitting the great lie that he lived.

The IRF is the most advanced Biosafety Level 4 research facility in the world, and it is a crown jewel of the National Institutes of Health.

Adult ducks do not require a lot of time-consuming care or specialized facilities.

There is a parallel in this to arguments that we have heard in New York City in regard to health facilities that serve the rich and poor. There, too, we were told by doctors that the more exhaustive services provided to rich patients may not represent superior health care but a form of “overutilization”—again the theory of “diminishing returns.” But here again it is not argued that the rich should therefore be denied this luxury, if that is what it is, but only that it shouldn’t be extended to poor people. Affluent people, it has often been observed, seldom lack for arguments to deny to others the advantages that they enjoy. But it is going a step further for the Wall Street Journal to pretend that they are not advantages.

If we put this whole progression in terms of our discussion of the possibilities of heroism, it goes like this: Man breaks through the bounds of merely cultural heroism; he destroys the character lie that had him perform as a hero in the everyday social scheme of things; and by doing so he opens himself up to infinity, to the possibility of cosmic heroism, to the very service of God. His life thereby acquires ultimate value in place of merely social and cultural, historical value. He links his secret inner self, his authentic talent, his deepest feelings of uniqueness, his inner yearning for absolute significance, to the very ground of creation. Out of the ruins of the broken cultural self there remains the mystery of the private, invisible, inner self which yearned for ultimate significance, for cosmic heroism. This invisible mystery at the heart of every creature now attains cosmic significance by affirming its connection with the invisible mystery at the heart of creation. This is the meaning of faith. At the same time it is the meaning of the merger of psychology and religion in Kierkegaard's thought. The truly open person, the one who has shed his character armor, the vital lie of his cultural conditioning, is beyond the help of any mere "science," of any merely social standard of health. He is absolutely alone and trembling on the bring of oblivion-which is at the same time the brink of infinity. To give him the new support that he needs, the "courage to renounce dread without any dread...only faith is capable of," says Kierkegaard. Not that this is an easy out for man, or a cure-all for the human condition-Kierkegaard is never facile. He gives a strikingly beautiful idea: not that [faith] annihilates dread, but remaining ever young, it is continually developing itself out of the death throe of dread. In other words, as long as man is an ambiguous creature he can never banish anxiety; what he can do instead is to use anxiety as an eternal spring for growth into new dimensions of thought and trust. Faith poses a new life task, the adventure in openness to a multi-dimensional reality.

The IRF had just been completed, after nine years of construction. The facility is part of the National Institute of Allergy and Infectious Diseases, which in turn is a part of the National Institutes of Health, or NIH. The IRF’s mission is to develop experimental drugs and vaccines, called medical countermeasures, that could defeat lethal emerging viruses and advanced biological weapons.

There are subtler ways of killing. Call it death by statistics. Today, white man lets his statistics do the killing for him. Indian reservations in South Dakota have the highest rates of poverty and unemployment and the highest rates of infant mortality and teenage suicide, along with the lowest standard of living and the lowest life expectancy — barely forty years! — in the country. Those statistics amount to genocide. Genocide also disguises itself in the form of poor health facilities and wretched housing and inadequate schooling and rampant corruption. Our remaining lands, eyed by a thousand local schemers only too eager to stir up trouble and division on the reservation, continue to be sold off acre by acre to pay off tribal and individual debts. No square inch of our ever-shrinking territory seems beyond the greedy designs of those who would drive us into nonexistence.

The most notorious story is the Trovan antibiotic study conducted by Pfizer in Kano, Nigeria, during a meningitis epidemic. An experimental new antibiotic was compared, in a randomised trial, with a low dose of a competing antibiotic that was known to be effective. Eleven children died, roughly the same number from each group. Crucially, the participants were apparently not informed about the experimental nature of the treatments, and moreover, they were not informed that a treatment known to be effective was available, immediately, from Médecins sans Frontières next door at the very same facility. Pfizer argued in court – successfully – that there was no international norm requiring it to get informed consent for a trial involving experimental drugs in Africa, so the cases relating to the trial should be heard in Nigeria only. That’s a chilling thing to hear a company claim about experimental drug trials, and it was knocked back in 2006 when the Nigerian Ministry of Health released its report on the trial. This stated that Pfizer had violated Nigerian law, the UN Convention on the Rights of the Child and the Declaration of Helsinki.

Not long ago, Malthusian thinking was revived with a vengeance. In 1967 William and Paul Paddock wrote Famine 1975!, and in 1968 the biologist Paul R. Ehrlich wrote The Population Bomb, in which he proclaimed that “the battle to feed all of humanity is over” and predicted that by the 1980s sixty-five million Americans and four billion other people would starve to death. New York Times Magazine readers were introduced to the battlefield term triage (the emergency practice of separating wounded soldiers into the savable and the doomed) and to philosophy-seminar arguments about whether it is morally permissible to throw someone overboard from a crowded lifeboat to prevent it from capsizing and drowning everyone.10 Ehrlich and other environmentalists argued for cutting off food aid to countries they deemed basket cases.11 Robert McNamara, president of the World Bank from 1968 to 1981, discouraged financing of health care “unless it was very strictly related to population control, because usually health facilities contributed to the decline of the death rate, and thereby to the population explosion.” Population-control programs in India and China (especially under China’s one-child policy) coerced women into sterilizations, abortions, and being implanted with painful and septic IUDs.12

At a talk I gave at a church months later, I spoke about Charlie and the plight of incarcerated children. Afterward, an older married couple approached me and insisted that they had to help Charlie. I tried to dissuade these kind people from thinking they could do anything, but I gave them my card and told them they could call me. I didn't expect to hear from them, but within days they called, and they were persistent. We eventually agreed that they would write a letter to Charlie and send it to me to pass on to him. When I received the letter weeks later, I read it. It was remarkable. Mr. and Mrs. Jennings were a white couple in their mid-seventies from a small community northeast of Birmingham. They were kind and generous people who were active in their local United Methodist church. They never missed a Sunday service and were especially drawn to children in crisis. They spoke softly and always seemed to be smiling but never appeared to be anything less than completely genuine and compassionate. They were affectionate with each other in a way that was endearing, frequently holding hands and leaning into each other. They dressed like farmers and owned ten acres of land, where they grew vegetables and lived simply. Their one and only grandchild, whom they had helped raise, had committed suicide when he was a teenager, and they had never stopped grieving for him. Their grandson struggled with mental health problems during his short life, but he was a smart kid and they had been putting money away to send him to college. They explained in their letter that they wanted to use the money they'd saved for their grandson to help Charlie. Eventually, Charlie and this couple began corresponding with one another, building up to the day when the Jenningses met Charlie at the juvenile detention facility. They later told me that they "loved him instantly." Charlie's grandmother had died a few months after she first called me, and his mother was still struggling after the tragedy of the shooting and Charlie's incarceration. Charlie had been apprehensive about meeting with the Jenningses because he thought they wouldn't like him, but he told me after they left how much they seemed to care about him and how comforting that was. The Jenningses became his family. At one point early on, I tried to caution them against expecting too much from Charlie after his release. 'You know, he's been through a lot. I'm not sure he can just carry on as if nothing has ever happened. I want you to understand he may not be able to do everything you'd like him to do.' They never accepted my warnings. Mrs. Jennings was rarely disagreeable or argumentative, but I had learned that she would grunt when someone said something she didn't completely accept. She told me, 'We've all been through a lot, Bryan, all of us. I know that some have been through more than others. But if we don't expect more from each other, hope better for one another, and recover from the hurt we experience, we are surely doomed.' The Jenningses helped Charlie get his general equivalency degree in detention and insisted on financing his college education. They were there, along with his mother, to take him home when he was released.

Risch points out that taxpayers spent $660 million building field hospitals across the country.44 Democratic Governor Andrew Cuomo and other Democratic governors kept these facilities empty to maintain bed inventories in anticipation of the flood of patients inaccurately predicted by the fear-mongering models, ginned up by two Gates-funded organizations, IMHE and Royal College of London, and then anointed as gospel by Dr. Fauci—seemingly as part of the crusade to generate public panic. With those quarantine centers standing empty, those governors sent infected elderly back to crowded nursing homes, where they spread the disease to the most vulnerable population with lethal effect. Risch points out that, “Half the deaths, in New York, and one-third nationally,45 were among elder care facility residents.

In 1978, an activist named Judi Chamberlin published one of the movement's most revered manifestos called 'On Our Own: Patient-Controlled Alternatives to the Mental Health System.' Chamberlin had been diagnosed with a mental illness and found traditional psychiatric intervention unhelpful and even traumatic. She did recover, however, and she credited that recovery to an alternative mental health care facility she stayed at in Canada. Chamberlin and many other madness pride activists believe that people with 'lived experience' should not only have a proverbial seat at the table when it comes to the creation of mental health care systems, but that such people are uniquely equipped to understand what constitutes the best treatment. A slogan Chamberlin sought to make famous was 'Nothing about us without us.

What’s most original about our city is how difficult it can be to die there. Difficulty, though, isn’t exactly right, and it would be better to talk about discomfort. It’s never pleasant to be sick, but there are cities and countries that support you in your sickness, where, in some fashion, you can let yourself go. A sick person needs softness, he likes to lean on something, that’s only natural. But in Oran, the excesses of the climate, the rate of doing business, the facile ornament, the quickness of dusk and the characteristic pleasures—these all demand good health. A patient finds himself quite alone. Think of the person who is dying, caught in the trap of a hundred walls sizzling in the heat, while at the same minute, a whole population is on the telephone or in cafés, talking about bank drafts, bills of lading, or discounts. You understand what might be uncomfortable about death, even modern death, when it arises in such a dry place.

Democrats are so keen on these “reforms,” why don’t they pursue them through the normal political channels? Why don’t the Democrats campaign to change the immigration laws? Go ahead and pass laws that allow open borders. Go ahead and limit or eliminate enforcement. Go ahead and mandate health coverage for illegals and all of Mexico, if you want to go that far. If it’s “democratic socialism” they are trying to impose, then do it through the democratic process. Yet interestingly the Democratic left seems to have no interest in this. Rather, they are in open defiance of existing laws. They portray enforcement of those laws, in a difficult atmosphere where they are flagrantly violated, as hateful, racist and Nazi-like betrayals of basic human decency. While exposing the holding facilities as overcrowded and understaffed, they work with activists in Central American countries to further overwhelm those facilities, apparently seeking the chaos that makes effective administration of the immigration laws more difficult so that more illegals get through.

Urban planning is a scientific, aesthetic and orderly disposition of Land, Resources, Facilities and Services with a view of securing the Physical, Economic and Social Efficiency, Health and well-being of Urban Communities. As over the years the urban population of India has been increasing rapidly, this fast tread urbanization is pressurizing the existing infrastructure leading to a competition over scare resources in the cities. The objective of our organization is to develop effective ideas and inventions so that we could integrate in the development of competitive, compact, sustainable, inclusive and resilient cities in terms of land-use, environment, transportation and services to improve physical, social and economic environment of the cities. Focus Areas:- Built Environment Utilities Public Realm Urban planning and Redevelopment Urban Transport and Mobility Smart City AMRUT Solid Waste Management Master Plans Community Based Planning Architecture and Urban Design Institutional Capacity Building Geographic Information System Riverfront Development Local Area Planning ICT

The rise of loneliness as a health hazard tracks with the entrenchment of values and practices that supersede any notion of "individual choices." The dynamics include reduced social programs, less available "common" spaces such as public libraries, cuts in services for the vulnerable and the elderly, stress, poverty, and the inexorable monopolization of economic life that shreds local communities. By way of illustration, let's take a familiar scenario: Walmart or some other megastore decides to open one of its facilities in a municipality. Developers are happy, politicians welcome the new investment, and consumers are pleased at finding a wide variety of goods at lower prices. But what are the social impacts? Locally owned and operated small businesses cannot compete with the marketing behemoth and must close. People lose their jobs or must find new work for lower pay. Neighborhoods are stripped of the familiar hardware store, pharmacy, butcher, baker, candlestick maker. People no longer walk to their local establishment, where they meet and greet one another and familiar merchants they have known, but drive, each isolated in their car, to a windowless, aesthetically bereft warehouse, miles away from home. They might not even leave home at all — why bother, when you can order online? No wonder international surveys show a rise in loneliness. The percentage of Americans identifying themselves as lonely has doubled from 20 to 40 percent since the 1980s, the New York Times reported in 2016. Alarmed by the health ravages, Britain has even found it necessary to appoint a minister of loneliness. Describing the systemic founts of loneliness, the U.S. surgeon general Vivek Murthy wrote: "Our twenty-first-century world demands that we focus on pursuits that seem to be in constant competition for our time, attention, energy, and commitment. Many of these pursuits are themselves competitions. We compete for jobs and status. We compete over possessions, money, and reputations. We strive to stay afloat and to get ahead. Meanwhile, the relationships we prize often get neglected in the chase." It is easy to miss the point that what Dr. Murthy calls "our twenty-first-century world" is no abstract entity, but the concrete manifestation of a particular socioeconomic system, a distinct worldview, and a way of life.

Addicts should not be coerced into treatment, since in the long term coercion creates more problems than it solves. On the other hand, for those addicts who opt for treatment, there must be a system of publicly funded recovery facilities with clean rooms, nutritious food, and access to outdoors and nature. Well-trained professional staff need to provide medical care, counseling, skills training, and emotional support. Our current nonsystem is utterly inadequate, with its patchwork of recovery homes run on private contracts and, here and there, a few upscale addiction treatment spas for the wealthy. No matter how committed their staff and how helpful their services may be, they are a drop in comparison to the ocean of vast need. In the absence of a coordinated rehabilitation system, the efforts of individual recovery homes are limited and occur in a vacuum, with no follow-up. It may be thought that the cost of such a drug rehabilitation and treatment system would be exorbitant. No doubt the financial expenses would be great — but surely less than the funds now freely squandered on the War on Drugs, to say nothing of the savings from the cessation of drug-related criminal activity and the diminished burden on the health care system.

The book of Job, based on an ancient folktale, may have been written during the exile. One day, Yahweh made an interesting wager in the divine assembly with Satan, who was not yet a figure of towering evil but simply one of the “sons of God,” the legal “adversary” of the council.19 Satan pointed out that Job, Yahweh’s favorite human being, had never been truly tested but was good only because Yahweh had protected him and allowed him to prosper. If he lost all his possessions, he would soon curse Yahweh to his face. “Very well,” Yahweh replied, “all that he has is in your power.”20 Satan promptly destroyed Job’s oxen, sheep, camels, servants, and children, and Job was struck down by a series of foul diseases. He did indeed turn against God, and Satan won his bet. At this point, however, in a series of long poems and discourses, the author tried to square the suffering of humanity with the notion of a just, benevolent, and omnipotent god. Four of Job’s friends attempted to console him, using all the traditional arguments: Yahweh only ever punished the wicked; we could not fathom his plans; he was utterly righteous, and Job must therefore be guilty of some misdemeanor. These glib, facile platitudes simply enraged Job, who accused his comforters of behaving like God and persecuting him cruelly. As for Yahweh, it was impossible to have a sensible dialogue with a deity who was invisible, omnipotent, arbitrary, and unjust—at one and the same time prosecutor, judge, and executioner. When Yahweh finally deigned to respond to Job, he showed no compassion for the man he had treated so cruelly, but simply uttered a long speech about his own splendid accomplishments. Where had Job been while he laid the earth’s foundations, and pent up the sea behind closed doors? Could Job catch Leviathan with a fishhook, make a horse leap like a grasshopper, or guide the constellations on their course? The poetry was magnificent, but irrelevant. This long, boastful tirade did not even touch upon the real issue: Why did innocent people suffer at the hands of a supposedly loving God? And unlike Job, the reader knows that Job’s pain had nothing to do with the transcendent wisdom of Yahweh, but was simply the result of a frivolous bet. At the end of the poem, when Job—utterly defeated by Yahweh’s bombastic display of power—retracted all his complaints and repented in dust and ashes, God restored Job’s health and fortune. But he did not bring to life the children and servants who had been killed in the first chapter. There was no justice or recompense for them.

My Future Self My future self and I become closer and closer as time goes by. I must admit that I neglected and ignored her until she punched me in the gut, grabbed me by the hair and turned my butt around to introduce herself. Well, at least that’s what it felt like every time I left the convalescent hospital after doing skills training for a certification I needed to help me start my residential care business. I was going to be providing specialized, 24/7 residential care and supervising direct care staff for non-verbal, non-ambulatory adult men in diapers! I ran to the Red Cross and took the certified nurse assistant class so I would at least know something about the job I would soon be hiring people to do and to make sure my clients received the best care. The training facility was a Medicaid hospital. I would drive home in tears after seeing what happens when people are not able to afford long-term medical care and the government has to provide that care. But it was seeing all the “young” patients that brought me to tears. And I had thought that only the elderly lived like this in convalescent hospitals…. I am fortunate to have good health but this experience showed me that there is the unexpected. So I drove home each day in tears, promising God out loud, over and over again, that I would take care of my health and take care of my finances. That is how I met my future self. She was like, don’t let this be us girlfriend and stop crying! But, according to studies, we humans have a hard time empathizing with our future selves. Could you even imagine your 30 or 40 year old self when you were in elementary or even high school? It’s like picturing a stranger. This difficulty explains why some people tend to favor short-term or immediate gratification over long-term planning and savings. Take time to picture the life you want to live in 5 years, 10 years, and 40 years, and create an emotional connection to your future self. Visualize the things you enjoy doing now, and think of retirement saving and planning as a way to continue doing those things and even more. However, research shows that people who interacted with their future selves were more willing to improve savings. Just hit me over the head, why don’t you! I do understand that some people can’t even pay attention or aren’t even interested in putting money away for their financial future because they have so much going on and so little to work with that they feel like they can’t even listen to or have a conversation about money. But there are things you’re doing that are not helping your financial position and could be trouble. You could be moving in the wrong direction. The goal is to get out of debt, increase your collateral capacity, use your own money in the most efficient manner and make financial decisions that will move you forward instead of backwards. Also make sure you are getting answers specific to your financial situation instead of blindly guessing! Contact us. We will be happy to help!

For three days, Charity Hospital, one of the biggest facilities in the country, had somehow fallen off the government’s disaster management radar screen, and no help from the Federal Emergency Management Agency (FEMA) or the National Guard arrived. “On day three and day four, we were told, at least twice, ‘Pack your bags, they’re coming

About 900 children are being held in the Nogales facility where they are processed and then turned over to the U.S. Department of Health and Human Services while undergoing removal proceedings. They are often reunited with their families in the U.S. before their cases play out.

What the research shows is that the charge master and commercial insurance company prices for the same test or treatment will also vary substantially even at neighboring medical facilities where, presumably, basic input costs such as rent and wages do not vary substantially. Colonoscopies in New York City can vary fourfold—between $2,025 and $8,700—depending on the hospital. This variation in price is very hard to justify. Typically, neither patients nor physicians have access to the price, so they cannot shop around for lower prices. Imagine you were shopping for a new shirt but there was no price tag and you could not know until weeks after you bought it whether the shirt cost $25 or $200. This would make shopping a crazy experience.

Kennedy, who had a mentally ill sister, also moved more actively than presidential predecessors to advance the cause of mental health. In 1963 Congress passed a Mental Retardation Facilities and Community Mental Health Centers Act, which funded local mental health centers that were to provide a range of out-patient services, including marital counseling, help for delinquents, and programs for unwed mothers and alcoholics.

The significance of world cup is that you will feel much thirsty to drink coca-cola, wear adidas products, buy sony televisions and mobiles no matter you have no money for perusing education, health facilities and all basic requirements. Your dream to drive Hyundai smoothly must be in peak now. - Anup Joshi

President Barack Obama declared the disease to be “a threat to global security”. The worsening outbreak could lead to “profound political, economic and security implications for all of us”. The U.S., said Obama, will now play a broader role in combatting the disease, deploying 3,000 troops to assist in relief efforts. Washington’s role will involve the building of healthcare facilities, the training of healthcare workers, providing home health care kits

I did request to meet with him at least once before submitting the completed work to make sure my edits met with his approval. The answer from the Pentagon was brief and absolute. “Visiting or otherwise communicating with any detainee in the detention facility in Guantanamo, unless you are legal counsel representing the detainee, is not possible,” a public affairs officer wrote. “As you are aware, the detainees are held under the Law of War. Additionally, we do not subject detainees to public curiosity.” The phrase “public curiosity” comes from one of the pillars of the Law of War, the 1949 Geneva Convention Relative to the Treatment of Prisoners of War. Article 13 of the convention, “Humane Treatment of Prisoners,” says: Prisoners must at all times be humanely treated. Any unlawful act or omission by the Detaining Power causing death or seriously endangering the health of a prisoner of war in its custody will be prohibited, and will be regarded as a serious breach of the present Convention.… Prisoners must at all times be protected, particularly from acts of violence or intimidation and against insults and public curiosity. Measures of reprisal against prisoners of war are prohibited.

Annual state spending alone for prison facilities is now estimated at about $52 to $62 billion, the bulk of which is spent building new facilities; operating and maintaining more prisons; providing food and health care for prisoners; and administration and staff salaries and benefits.

Pennsylvania's Religious Freedom Protection Act of 2002 (RFPA), removed a number of categories from its reach, including criminal offenses; motor vehicles; licensing of health professionals; the health or safety of individuals in facilities operated under the public welfare code; the safe construction and operation of health-care facilities; health and safety in construction; and mandatory reporting of child abuse.30

For the past thirty-nine years since I had graduated from college, I had called my parents on Sundays. They had expected and looked forward to the ritual. After Dad died, I still called Mom on Sundays. Most of the time I dreaded the call because she had become more and more insular and was full of complaints about the assisted living facility, the other residents, her health, everything. She had become narrow in her interests in life, more negative, more critical, and unhappier. I was reminded of something I had heard from a psychologist about what happens as we age. He said we become more of who we are, not less. Our energy to fight back the negative attributes we all possess is not as strong as we get older. So we can become more cantankerous, more irritable. I also remembered what my father had often said: “There but for the grace of God go I.” That Sunday I placed the

To the extent that I have control over my cause of death, avoiding a heart-disease death, an aneurysm death, or a cancer death isn’t my top priority. I’m more concerned about suffering a lingering cognitive decline in a long-term-care facility. And

Economic growth requires investment in things—more machines, more basic facilities like highways or broadband—and in people, who need more and better education. Knowledge needs to be acquired and extended. Some of that extension is the product of new basic science, and some of it comes from the engineering that turns science into goods and services, and from the endless tweaking and improvement of design that, over time, turned a Model-T Ford into a Toyota Camry, or my clunky personal computer of 1983 into the sleek, almost weightless, and infinitely more powerful laptop on which I am writing this book. Investment in research and development enhances the flow of innovation, but new ideas can come from anywhere; the stock of knowledge is international, not national, and new ideas disperse quickly from the places where they are created. Innovation also needs entrepreneurs and risk-taking managers to find profitable ways of turning science and engineering into new products and services. This will be difficult without the right institutions. Innovators need to be free from the risk of expropriation, functioning law courts are needed to settle disputes and protect patents, and tax rates cannot be too high. When all of these conditions come together—as they have in the United States for a century and a half—we get sustained economic growth and higher living standards.

When I was instructed to use medical oxygen to do my job at the W. M. Keck Observatory from 2001 to 2006, I was never told about the legal health information that is now posted on oxygen cylinders. My memories of the green medical oxygen cylinders that we would use daily is that they had no information on them and we were never given a recognised legal oxygen administration training course for routine daily use or a medical prescription from a doctor. We were shown the three oxygen cylinders at the facility and told to use them whenever we developed headaches, which was multiple times daily. It was common to find all three oxygen cylinders in use by other very high altitude workers and to have to line up to get a turn on the magical medical gas.

In high altitude astronomical facilities we routinely discharged large amounts of nitrogen gas into closed spaces. We were never informed by the astronomy management team about the abnormally low oxygen environments that the use of liquid nitrogen creates, how long term exposure to it manifests itself in human health and the resulting abnormal mental behaviors.

Many facilities use a written request process, but some settings now use a verbal voicemail or a kiosk system for requests. Whatever system is used, it should be confidential and only accessible by health care staff. In the simple paper request system, a locked dropbox is often available on every housing unit. Inmates obtain request slips from the housing officer, complete the information and submit to the dropbox where health care staff pick up requests on daily rounds. Access

Carlton Church Warning - Nuclear Fraud Scheme North Korea has been producing different nuclear weapons since last year. They have sent warning on the neighboring countries about their plan for a nuclear test. Not just South Korea, but other countries like China, U.S., and Japan have stated their complaints. Even the United Nations has been alarmed by North Korea’s move. During the last period of World War, a bomb has been used to attack Japan. Happened on 6th of August 1945, Enola Gay dropped an atomic bomb just 10 kilometers away from Tokyo. This is why people and organizations like Carlton Church who’s against the use of nuclear power for production of armory in war. Many protested that it is a threat to mankind and environment. Groups who are in favor of the nuclear use explained its advantage. They say it can be helpful in generating electricity that can be used for residential and commercial purposes. They also expound how it is better to use than coal mining as it is “less harmful to the environment.” Nuclear Use: Good or Bad? Groups who are against the use of nuclear reactor and weapons try to persuade people about its catastrophic result to the environment and humankind. If such facility will be used to create weapons, there is a possibility for another world war. But the pro-nuclear groups discuss the good effects that can be gained from it. They give details on how greenhouse gas effect of coal-burning can emit huge amounts of greenhouse gases and other pollutants such as sulfur dioxide nitrogen oxide, and toxic compounds of mercury to the atmosphere every year. Burning coal can produce a kilowatt-hour of electricity but it also amounts to over two pounds of carbon dioxide emissions. They also added that the amount of carbon dioxide it produces contributes to climate change. Sulfur dioxide may cause the formation of acid rain and nitrogen oxide, if combined with VOCs, will form smog. Nuclear power plants do not emit harmful pollutants or other toxic gases. Generating energy from nuclear involves intricate process, but as a result, it produces heat. These plants have cooling towers that release water vapor. If the facility has been properly managed it may not contribute disturbance in the atmosphere. It may sound better to use compared to coal. But studies have shown that the vapor that came from nuclear plants have an effect to some coastal plants. The heated water that was released goes back to lakes and seas, and then the heat will eventually diffuse into surface warming. As a result of the increased water temperature on the ocean bodies, it changes the way carbon dioxide is transferred within the air. In effect, major shifts in weather patterns such as hurricanes may occur. It does not stop there. The nuclear power plant produces radioactive waste, which amounts to 20 metric tons yearly. Exposure to high-level radiation is extremely harmful and fatal to human and animals. The waste material must be stored carefully in remote locations for many years. Carlton Church and other anti-nuclear groups persuade the public to initiate banning of the manufacturing of nuclear products and give warnings about its health hazards and environmental effects.

That means our places of worship, of course. It means our schools and universities, and our health-care facilities, the provision of our fundamental necessities, such as water and electricity and garbage collection, our food, and our natural surroundings. We must resist efforts to privatize these crucial functions. That means charter schools. It means public infrastructure such as railroads and ports and broadband. It means the fighting of our wars. Let us be adamant: money does not equal speech, that singularly human gift.

A recent survey of private US health care facilities estimated that the support staff of hospital physicians spends nineteen hours a week interacting with insurance providers in prior authorizations, while clerical staff spend thirty-six hours a week filing claims. The cost of interactions between private health care providers and private insurance providers was estimated to be $68,000 per physician per year, totaling a whopping $31 billion per year—equivalent to the GDP of the Dominican Republic in 2005.22 The interaction costs in 1999 for the entire health care system, including private and public, were estimated on the low end to be $31 billion and on the high end to be $294 billion—which is comparable to the present day GDP of Singapore or Chile.

facility

Dr. Al Rosen. He is a former accounting professor, one of the most reputable forensic accountants in North America. Dr. Rosen has consulted or given independent opinions on over 1,000 litigation-related engagements. In recent years he has written two books, which have sounded alarm bells about the state of the accounting profession, but the profession makes more money by not heeding his warnings. What concerns him should concern us all. His first book was titled “Swindlers” and went into detail about how easy it is to financially dupe investors in Canada and the U.S. His book gave examples from cases he has handled in his career. His second book “Easy Prey Investors” is also a must read for anyone investing in Canada or the U.S. In it he reveals the tricks and traps of the accounting industry that no others in the industry have the courage or the moral freedom to voice. The story below, from the UK, gives a snapshot and a link to the kind of accounting fraud that Dr. Al Rosen has long been warning us about. January 15, 2018 On Monday, Carillion, the U.K.’s second-largest construction company, announced that it would go into compulsory liquidation. Carillion is a construction company, it also provides facilities management and maintenance services such as cleaning and catering in the U.K.’s National Health Service hospitals, providing meals in 900 schools, and maintaining prisons. It holds a number of government contracts, including for the construction of a high-speed rail link and for the maintenance of roads. 43,000 employees worldwide, 20,000 work in the U.K.; the company also has a significant presence in the

In 1955 state psychiatric hospitals held more than 500,000 patients with severe mental illness. Today our jails and state prisons contain an estimated 356,000 inmates with serious mental illness, while only about 35,000 people with serious mental illness are being treated in state hospitals—stark evidence of the decimation of the public mental-health system. This reality is worth reiterating: ten times more people with serious mental illness are in our nation’s correctional facilities than in our state psychiatric hospitals.

The spin doctors in the health care industry say this is because, unlike a factory or a school, the facility doesn’t close when workers vote to strike in a health care setting. Patients still need care. Health care employers use the excuse that the agencies that specialize in recruiting scab labor (strikebreaker workers, usually hired from Southern states) require them to sign contracts that schedule this replacement labor for a minimum of five days. The scab agencies say it’s worth it only if they can charge for at least five days because they have to pay strikebreakers top dollar (often twice as much as the regular staff), put them in premium hotels, give them equally premium meal per diems, fly them last minute, and generally spend a ton of money—all to defeat mostly women workers demanding an end to income inequality and fighting for fair work rules.

The gut is also the largest storage facility for serotonin in our body. Ninety-five percent of the body’s serotonin is stored in these warehouses. Serotonin is a signaling molecule that plays a crucial role within the gut-brain axis: It is not only essential for normal intestinal functions, such as the coordinated contractions that move food through our digestive system, but it also plays a crucial role in such vital functions as sleep, appetite, pain sensitivity, mood, and overall well-being.

Established biological science clearly shows that it is time to bulldoze all manned facilities atop Mauna Kea in order to protect worker health and safety.

When sending your children to an Ivy League school, you must remember that some schools prevent Occupational Safety & Health Administration (OSHA) from visiting their training and research facilities.

The following information really should be placed on all very high altitude job adverts and company contracts: WARNING – Very high altitude commuting presents many known health risks to sea level adapted humans. Some of the documented conditions are headaches, forgetfulness, confusion, irritability, aggression, hallucinations, visions, light headedness, fatigue, fainting, sore throats, runny noses, digestive disturbances, changed personality and panic attacks. Development of cancer, anemia, high cholesterol, heart, lung, brain, and blood oxygenation issues have occurred in very high altitude workers that have resulted in disability and premature death. The nearest fully equipped hospital accident and emergency facility is typically one to two hours away. Numerous very high altitude workers have been killed due to fatal mistakes on the job. Workers are expected to use a variety of company supplied drugs to offset the daily very high altitude sickness including "RX-Only" prescription medical oxygen. Daily long term self medication is known to damage human health. The work environment is comparable to a Faraday cage and Faraday Cage Sickness (FCS) may occur in long term workers. Radiation levels are abnormally high and long term radiation sickness may result. Blood oxygen levels are typically in the region of 80% and the medical profession regards this as a health risk. Extreme night shifts are associated with causing poor health and lifelong sleep disorders. Low oxygen environments are associated with the onset of irritability, fatigue and Sleep Apnea. Repeatedly reporting observations of abnormal behaviors in workers to upper management may result in your contract not being renewed or termination without notice. Permanently sickened workers are unlikely to qualify for corporate government disability payments, which may lead to a lifetime of extreme poverty.

The Institute of Medicine report hit the public health community like buckets of ice water, waking it up but leaving it shivering in its impoverished, unheated facilities, unable to muster the energy to tackle the problem.

2. “Development that is solely defined in terms of external presence or absence of infrastructure is an: “Arrested/Provisional Development”. Its only goal is to mitigate immediate sufferings. The people’s emotions are played on, their current sufferings and hardship retards their vision, their sense of worth as humans and ultimately their expectations are miniaturized and capped. Development in other places we regard as developed nations actually is a crystallization of the collectively shared thoughts of the people on their Health, Education, Shelter, Security, Intelligence etc. We should really be asking ourselves these questions whenever we notice any so called developmental projects going on; What is our definition of schooling; what kind of schooling experience befits Humans who are Nigerians? What kind of facilities, facilitators befits Humans, Nigerians? What Objective and content should we as a people pursue? What is our definition of Market; what kind of market befits Humans, Nigerians; do you think a market should have functional drains, recycling plants, water facilities, paved parking lots, lighting facilities? Do you think Humans, Nigerians deserve these and more?

His ambition was for the company to be the employer of choice wherever it had facilities. He had personally trained Kaye Jorgensen, a personnel clerk who went on to become senior vice president of human resources, with that goal in mind. As a result, the company was on the cutting edge of workplace management practices from flexible schedules and job sharing to occupational health services to the employee recognition programs it was known for to regular employee attitude surveys intended to “ensure the work day is the best part of their day,” as Jorgensen put it.

Meanwhile, China has identified Internet Addiction Disorder (IAD) as its number-one health crisis, with more than 20 million Internet-addicted teens, and South Korea has opened 400 tech addiction rehab facilities and given every student, teacher and parent a handbook warning them of the potential dangers of screens and technology.

New York City’s fiscal health was no better than the state of its subways. Lindsay and the city comptroller, Abe Beame, were engaging in a series of fiscal gimmicks to keep the city’s operating and capital budgets afloat. They were trying to satisfy too many constituents by undertaking ambitious capital projects, minimizing fare increases, and providing some of the most generous pension benefits in the nation to municipal employees. Government agencies have two types of budgets: operating budgets and capital budgets. The operating budget pays for day-to-day expenses such as salaries, pensions, and office supplies, as well as ongoing maintenance and basic repairs, such as cleaning buses and filling potholes. The capital budget funds the construction and rehabilitation of the city’s infrastructure and facilities.

Hospitals fared equally badly. They seldom possessed isolation wards, electricity, or running water and had no diagnostic facilities, protective equipment for staff, or training in response to a public health emergency. Already overcrowded, they also lacked surge capacity in the event of an emergency.

The state also depended on the army, which many observers viewed as the most reliable tool available, rather than the health-care system, to deal with the crisis. Not surprisingly, therefore, the campaign at the outset was thoroughly militarized. Many of the coercive means adopted echoed early modern Europe’s effort to defend itself against bubonic plague, such as extraordinary executive powers, sanitary cordons, quarantines, curfews, and lockdowns. Compulsory treatment facilities surrounded by troops even closely resembled lazarettos

My message to the ignorant is that we need to abolish all ancient, traditional, and unhelpful mental health beliefs that stem from the media, movies, cultural influences, religion, or gender stereotypes. Beliefs where mental illness in itself is negatively portrayed, as well as the treatment thereof, like going to a psychologist, being admitted to a psychiatric facility, and taking medication. It’s perfectly okay for people from any culture, religious group, gender, or any walk of life to receive mental health treatment. It’s not disgraceful, weakness in character or faith, or taboo.

When we work, we contribute. It doesn’t matter if we work for ourselves or someone else, at home or in an office, store, restaurant, health-care facility, or stand-alone company. It doesn’t matter whether we get paid for our efforts or not. If we’re using our gifts to develop more love in this world, we are working. If someone or something is blocking our gifts or our ability to use them in this world, we’ll be frustrated, angry, depressed, anxious, and maybe even ill.

Examples of publicly traded healthcare REITs include: • National Health Investors (NHI), which specializes in a variety of senior-related properties such as skilled nursing facilities and memory care facilities and has a yield of 5.01 percent. • Medical Properties Trust (MPW), which holds properties including women’s and children’s hospitals and community hospitals and yields 5.90 percent. • Physicians Realty Trust (DOC), which holds strategically located healthcare properties associated with hospitals or physician organizations and yields 5.25 percent.

Prisons themselves could actually start preventing violence, rather than stimulating it, if we took everyone out of them, demolished the buildings, and replaced them with a new and different kind of institution — namely, a locked, secure residential college, whose purpose and functions would be educational and therapeutic, not punitive. It would make sense to organize such a facility as a therapeutic community, with a full range of treatments for substance abuse and any other medical and mental health services needed to help the individual heal the damage that deformed his character and stunted his humanity. If it seems utopian to replace prison with schools, let me remind you that prisons already are schools and always have been — except that they are schools in crime and violence, in humiliation, degradation, brutalization and exploitation, not in peace and love and dignity. I am merely suggesting that we replace one already existing type of school with another. Such a program would enable those who have been violent to adopt non-violent means for developing the feelings of self-esteem and self-respect, for being respected by others, and of being able to take legitimate and realistic pride in their skills and knowledge and achievements, which all human beings need if they are to be able to find alternatives to violent behavior when their self-esteem is threatened. It would also enable them to become employable and self-sufficient, and to make a productive contribution to society when they return to the community. But before that can happen, we will have to renounce our own urge to engage in violence — that is, punishment — and decide that we want to engage in educational and therapeutic endeavors instead, so as to facilitate maturation, development, and healing.

they were as different from all the denizens of Laguna Honda—doctors, nurses, patients, and administrators—as their virtual health care and rehabilitation facility would be from the hospital we knew so well. It

Please continue. The creature you mentioned—the one with the wings. Was it one of the Kindred?” I nod. “He’s called Alevar. Creepy little dude. But I’m going to need a health break before I go any further.” I do need to use the facilities, but I also need a moment. The memory of being with Daryn is so real, it’s like I can still feel her head on my chest. I have to shake it off. I just need a second to lock it back down. Cordero frowns. “Health break?” I was trying to be tactful but I guess she wants details, which I can respect. “I gotta hit the head. And trust me. You don’t want to keep War away from a toilet when he needs one.” Texas and Beretta laugh right away. They know I’m messing around, but I’ve really scared the civvie. The look on Cordero’s face is priceless. “I’m just playing with you, Cordero. I drank all that water. It’s just biology. You know. Natural.” “Five-minute break.” Cordero pushes up from her desk. “You know your orders,” she says to Texas. “Make sure everyone is on alert.” “I don’t have to go that bad

Issues that China Convoy nurses confronted remain relevant today: the struggle to build healthcare facilities that are sustainable and tailored to local needs; the battle against agendas driven by political or economic rather than healthcare needs; the dogged leadership and personal resilience required to provide compassionate care and high standards of nursing service in difficult and dangerous circumstances; and the recognition that health and human security are inextricably interwoven.

Perhaps it is the plight of the mentally ill who best illustrate this pincer movement. By the end of the1990s, both Democratic and Republican dismantling of social services and the rise of the carceral state effected a major shift in how the U.S. cares for the mentally ill. Consider the words of Tom Dart, the Sheriff responsible for supervising Chicago’s Cook County Jail, the largest single-site jail in the country, housing 10-12,000 prisoners, a population larger than many Illinois town populations. “Cook County Jail has become the state of Illinois’ largest “mental health hospital,” reports Dart. One third of the jail’s confines suffer from serious mental illness, and the facility is not equipped, he emphasizes, to be such a hospital.

This way of treating the mentally ill is a national crisis, an “ongoing and spreading nightmare” across other states. Prisons today serve as the largest mental health institutions in 44 of 50 states. Dart notes that nationally, “10 times as many mentally ill individuals are currently incarcerated as reside in our state hospitals.”[66] Many psychiatric hospitals and facilities have been closed, as have our schools, while prisons continue being built.[67] Dart cites the National Alliance on Mental Illness, reminding that “states collectively cut $4.35 billion in mental health spending between 2009 to 2012.” While there are violent-prone mentally ill in the jails, these, Dart emphasizes, are the exceptions: “These mentally ill are not hardened criminals. The vast majority of these inmates are charged with low-level crimes of survival: prostitution, trespassing, disorderly conduct. Many are facing drug charges . . . They are, for the most part, good people who suffer from an illness beyond their control and simply need their government to have its priorities straight.

no matter whether the individual motivations and behaviour of ordinary white people were racist or not, all whites benefited from social structures and organizational patterns that continually disadvantaged blacks, while allowing whites to stay well ahead in living standards, including housing, health and life span, neighbourhood amenities and safety, educational facilities and achievement, level of employment, and income and wealth.

Rolling Stone, the onetime banner of the counterculture, had by 2021 devolved into a reliable mouthpiece for medical cartel orthodoxies.89 In October 2021, Rolling Stone announced that it had removed from its website a 2005 article linking mercury in vaccines to brain injuries in children. Rolling Stone also reported that Oklahomans overdosing on ivermectin horse dewormer were causing emergency rooms to be “so backed up that gunshot victims were having hard times getting” access to health facilities.

Half the deaths, in New York, and one-third nationally,45 were among elder care facility residents.

In 2002–2003, the World Bank conducted a World Absenteeism Survey in Bangladesh, Ecuador, India, Indonesia, Peru, and Uganda and found that the average absentee rate of health workers (doctors and nurses) was 35 percent (it was 43 percent in India).28 In Udaipur, we found that these absences are also unpredictable, which makes it even harder for the poor to rely on these facilities. Private facilities offer the assurance that the doctor will be there. If he isn’t, he won’t get paid, whereas the absent government employee on a salary will.

After decades of neoliberal austerity, local governments have no will or ability to pursue the kinds of ameliorative social policies that might address crime and disorder without the use of armed police; as Simon points out, government has basically abandoned poor neighborhoods to market forces, backed up by a repressive criminal justice system. That system stays in power by creating a culture of fear that it claims to be uniquely suited to address.44 As poverty deepens and housing prices rise, government support for affordable housing has evaporated, leaving in its wake a combination of homeless shelters and aggressive broken-windows-oriented policing. As mental health facilities close, police become the first responders to calls for assistance with mental health crisies. As youth are left without adequate schools, jobs, or recreational facilities, they form gangs for mutual protection or participate in the black markets of stolen goods, drugs, and sex to survive and are ruthlessly criminalized. Modern policing is largely a war on the poor that does little to make people safer or communities stronger, and even when it does, this is accomplished through the most coercive forms of state power that destroy the lives of millions

Ancient Master Requirements: Talent attribute two or more Tiers above lowest-Tier attribute Know three or more forms of Magic Race: Most Focus: Magic Zeal or Conviction one Tier lower than Willpower Restrictions: Must never reject an opportunity to learn a new type of magic (but see below). May not voluntarily increase Zeal or Conviction May not use or learn Divine Magic Some part of him was impressed at the depth of the class system, but that part was small indeed. Most of him was howling “get to the kewl powerz.” The knowledge slid into his mind, and he began to smile. Passive Abilities: Calculate aether-derived %RESOURCE% using an improved formula: 50+(Talent*50) Increased facility with improvised magic Decreased ability to use known spellforms Base aether to %RESOURCE% conversion ratio is 100% Basic Abilities: %RESOURCE%bolt (3 %RESOURCE% / damage, global cooldown, attack spell) Fires a bolt of %RESOURCE% energy at the target Gnostic Reflection (100 %RESOURCE%, 30s cooldown, mental trigger) Absorbs the energy of one spell targeting the caster, then targets the spell’s source with an identical spell using the caster’s parameters. Unknown magic types will not be replicated but can contribute to learning that type of magic. %RESOURCE% Metamorphosis (100 percent of current %RESOURCE%, 1/day, mental trigger) Converts all surrounding energy in a (Tier*Talent) meter radius as well as the caster’s physical form into %RESOURCE% for up to 60 seconds. During this time, damage to Health is applied to %RESOURCE%, only abilities or effects which use %RESOURCE% will function within the ability’s

Ancient Master Requirements: Talent attribute two or more Tiers above lowest-Tier attribute Know three or more forms of Magic Race: Most Focus: Magic Zeal or Conviction one Tier lower than Willpower Restrictions: Must never reject an opportunity to learn a new type of magic (but see below). May not voluntarily increase Zeal or Conviction May not use or learn Divine Magic Some part of him was impressed at the depth of the class system, but that part was small indeed. Most of him was howling “get to the kewl powerz.” The knowledge slid into his mind, and he began to smile. Passive Abilities: Calculate aether-derived %RESOURCE% using an improved formula: 50+(Talent*50) Increased facility with improvised magic Decreased ability to use known spellforms Base aether to %RESOURCE% conversion ratio is 100% Basic Abilities: %RESOURCE%bolt (3 %RESOURCE% / damage, global cooldown, attack spell) Fires a bolt of %RESOURCE% energy at the target Gnostic Reflection (100 %RESOURCE%, 30s cooldown, mental trigger) Absorbs the energy of one spell targeting the caster, then targets the spell’s source with an identical spell using the caster’s parameters. Unknown magic types will not be replicated but can contribute to learning that type of magic. %RESOURCE% Metamorphosis (100 percent of current %RESOURCE%, 1/day, mental trigger) Converts all surrounding energy in a (Tier*Talent) meter radius as well as the caster’s physical form into %RESOURCE% for up to 60 seconds. During this time, damage to Health is applied to %RESOURCE%, only abilities or effects which use %RESOURCE% will function within the ability’s area, %RESOURCE% pool is doubled, and %RESOURCE% regeneration is halted. When the effect expires, caster returns to physical form with a percentage of %RESOURCE% based on their Tier remaining.

Working at research facilities has cost many people their health and for some, it has led to premature death.

African Americans are 75 percent more likely than the average American to live in so-called fence-line communities. These are defined as areas near facilities that emit hazardous waste. Breathing air poisoned by emissions is the most direct, unavoidable consequence of life in a fence-line community, depriving residents of their most fundamental right, the right to breathe. Installing facilities that inflict negative health, social, and economic outcomes on communities that generally didn’t want them has been called a new kind of Jim Crow.

I met Dr. Freeman in 1991 when he came to Harvard to talk to my fellowship program about his New England Journal of Medicine article. With calm deliberation, this tall, elegant physician disrupted my vision of Harlem and other Black communities throughout the United States. He detailed a cascade of health conditions triggered by inadequate facilities, lack of access to health insurance, and a shortage of medical personnel, healthy food, safe neighborhoods, and basic education. He called the problem a national tragedy, an emergency analogous to a hurricane, flood, or other ruinous natural disaster, yet one for which no one was sounding the alarm.

I have extensive training in grief and loss, having worked with adults, children and teens at Our House Grief Support Center. I have presented on the topic of grief throughout Los Angeles County, at schools, conferences and mental health facilities.

Societally, we will need to see shifts in how we—including the medical community—approach wellness. Instead of hospitals being repositories for the sick, they will need to become wellness centers after recovery or treatment reverses major issues. That is, they will need to focus on prevention, on health optimization, on opportunities to reboot our bodies. Many more people will recover from illness at home, as hospitals will bring those facilities and services to you, and less expensively. Note: With a decrease in fertility we expect more stabilization of pediatric and delivery centers, and with an increase in longevity we will see growth of plastic surgery and cosmetic procedures.

It is extremely rare for mental health workers to be killed by patients. It happens about once a year in this country. In most instances, the victims have been young female caseworkers. The homicides most frequently occurred while the victims were visiting residential treatment facilities. And the most likely perpetrators were males with schizophrenia.

Consumer Assessment of Healthcare Providers and Systems (CAHPS) This survey initiative began in 1995, before the Agency became involved in patient safety, in response to the recognition that quality of care issues that are important to consumers, such as communication skills of providers and ease of access to healthcare, were often overlooked. The obvious way to find out about them was to ask patients. The Agency began to fund, oversee, and work closely with a consortium of research organizations to conduct research on patient experience and develop the survey. The survey has since been expanded to ask patients to evaluate their experiences with health plans, providers, and healthcare facilities regarding care coordination , shared decision-making, and patient engagement . The survey is now widely used by healthcare organizations, health plans, purchasers, consumer groups, and accreditation organizations to evaluate providers and improve quality and safety of care. It has been a major factor in teaching clinicians and hospitals to be more aware of patient’s concerns and to engage them more meaningfully in their care. It has magnified their voice

What is needed is not a rejection of the positive role of the market mechanism in generating income and wealth, but the important recognition that the market mechanism has to work in a world of many institutions. We need the power and protection of these institutions, provided by democratic practice, civil and human rights, a free and open media, facilities for basic education and health care, economic safety nets, and of course, provisions for women's freedom and rights

boot in front of the other and find myself in front of the stairs. “She was brought in yesterday. A hunter called in that he’d found her in a makeshift shelter he uses. Not far from the bottom of the rapids where you say she fell into the river. She made it there . . . Being stabilized and awaiting transport to a bigger medical facility. We’re hoping she pulls through.” I climb the stairs, push open the door. It’s an average, small health care facility. Inside I see an admitting desk behind a glass screen. A waiting area.

Given that I have traced the primary cause of my disabling sickness to the toxic environment of high altitude astronomical research facilities, I am now expecting those that willfully damaged my health to go to jail.

With the benefit of hindsight, I realized that astronomers had successfully avoided fully researching the harmful biological effects that their high altitude facilities were having on their workers health and safety.

Mauna Kea Sickness (MKS) needs to be thoroughly researched and characterized by the medical profession before any more very high altitude workplaces are built on the summit. It is likely that once Mauna Kea Sickness is well characterized, all of the manned summit facilities would need to be removed on the grounds of health and safety.

We drive the captured animals to the red wolf health-care facility for processing and treatment. Inside, a large cage with metal bars holds a seventy-pound male red wolf in the workshop area. He lies stretched out against the back wall, his head resting on straw. No matter how nonchalant he poses, no matter the disinterest he feigns, he keeps tabs on the exact movement of each person in the room. He’s easily the largest red wolf I’ve yet seen, and if I happened upon him in the woods, there is no chance I’d mistake him for a needle-nosed coyote.

The observatory management team were advised not to allow an infant to stay at the high altitude observatory by their observatory director and the National Optical Astronomical Observatory (NOAO) health and safety manager. They ignored both of them and allowed the infant to stay at the industrialized research facility. The industrial facility was regarded as health and safety risk to the infant and had infestations of rodents and scorpions. It was regularly sprayed with pesticides by pest control.

The large amount of mercury at the observatory facility was one of the reasons why I wanted Occupational Health and Safety Administration (OSHA) to visit the facility and provide legal guidance. I attribute my mercury poisoning to be directly related to the observatory management preventing the arranged OSHA visit from taking place.

I found it strange that I had a large benign tumor on the tendon sheaths of the knee joint. As the tumor grows in the joint, it damages the surrounding bone and tissues if not removed promptly. I later researched the toxicity of very high altitude facilities and realized that I was working in a very abnormal biological environment that was clearly doing strange things to workers health.

Access is one of those words that should raise red flags when you encounter them in statistics. People having access to health care might simply mean they live near a medical facility, not that the facility would admit them or that they could pay for it. As you learned above, C-SPAN is available in 100 million homes, but that doesn’t mean that 100 million people are watching it. I could claim that 90 percent of the world’s population has “access” to Weaponized Lies by showing that 90 percent of the population is within twenty-five miles of an Internet connection, rail line, road, landing strip, port, or dogsled route.

When I was growing up, I thought it would be really cool to work at an astronomical observatory. I accomplished that ambition as an adult and worked at the world’s premier astronomical facilities. Unfortunately, my ambitions created the nightmare of ill health and disability. I now campaign for the closure of known biologically toxic astronomical facilities.

Not only do our doctors need to be experts in working with patients; they need to work within the growing health-care team in a facile manner.

Located in the heart of Westmont, Illinois, the Immediate Care Center of Westmont is your trusted partner in healthcare excellence. With a commitment to patient-centered care, a dedicated team of medical professionals, and state-of-the-art facilities, this immediate care center stands as a beacon of health and well-being for the community.

The health-care system in the United States is a vast, complex, and expensive one, but it responds to market incentives. Facilities for testing and treatment are concentrated in wealthy areas, forcing people who live elsewhere to find their way to substandard facilities.