Today on Father’s Day id like to say one more thing, yes I’m my fathers daughter and yes I am here because of him and yes I’m privileged. That’s not an insult, my father has worked very hard to give me all of this. And it is my karma where I’m born and to whom I’m born. I’m proud

— Sonam K Ahuja (@sonamakapoor) June 21, 2020

It is

They were

She also looks bit better than you bb

Yeah she should start another NGO for underprivileged kids

TBH I've never seen her in one movie but this is very dramatic behaviour I must stan her now

good thing the nyt employs an ethicist to handle tough questions like this pic.twitter.com/UBfrqUXxHO

— Brandy Jensen (@BrandyLJensen) June 27, 2024

Context

Tldr: A doctor gets this pateint who is a topless stripper who has a kid and abusive boyfriend but no money (lmao). She becomes a regular patient of his. She develops cancer and tries to get a breast augmentation surgery with her money on medicaid. Based doctor stops this medical fraud and stripper leaves and is never seen again. Doctor soys out and wonders if he did the right thing and asks some libshits on the NYT for advice

Link to Article

I'm a family physician. A young woman expecting her second child came to me for obstetric care. She had a black eye — not the first one, she told me. She worked as a topless dancer, but her boyfriend was so controlling and abusive that she did not have money of her own; he didn't even let her have much gas in her car. We developed a relationship meaningful to us both.

Meaningful relationship?

About a year later, she told me that she was getting breast augmentation, at a cost of thousands of dollars, which she intended to pay for in cash from her earnings. Around the same time, I discovered pre- to early cancer in her reproductive tract, and treatment was imperative to prevent progression of the disease, or risk dire consequences. She was insured by Medicaid, which is paid for with tax dollars. I think she probably didn't report her entire income to the I.R.S. or Medicaid, or she probably would not have been eligible.

>Poors spending money wisely

I told her I didn't think I could ethically bill Medicaid for the diagnosis and management of the potential cancer while she was paying cash for breast surgery. (I was also not willing to risk my medical license, though I did not say this to her.) I told her we'd need to look at payment options and discuss them at her next appointment. She never came back. I still wonder what happened to her and pray she found a new, self-respecting way of life. I wonder if I handled it as well as I could have.

Guarantee she's either still a whore or got killed by her scrote boyfriend

From the Ethicist

Your relationship with this young woman was not that of an accountant or a tax auditor but that of a health care provider. True, she chose to disclose something that gave you grounds to believe that she had been misreporting her income. But there are people whose job it is to deal with that issue (although fraudulent claims submitted by providers are a bigger problem for Medicaid than ineligible recipients are). You say you didn't want to risk your medical license. Has anyone you know lost a medical license because a patient misrepresented her income to the state Medicaid program? Whatever your personal opinions might be about this woman's livelihood, your job was to keep her healthy, not to keep her honest

Listen sweaty, if some poor is leeching resources from our healthcare system its none of your business

Here's another question. Would society be better off if doctors were known to refuse to process Medicaid claims when patients gave them reason to suspect that they had underreported their earnings to the government? Under those circumstances, surely, such patients would learn to be more discreet around doctors — which might mean refraining from providing medically relevant information. I understand that you didn't want to be a party to fraud. It's still best if doctors aren't in the business of assessing their patients' income tier and policing eligibility. Burdening someone with high out-of-pocket expenses can be just as limiting to patient care as overt refusals to provide treatment.

>Would society be better off if doctors were known to refuse to process Medicaid claims when patients gave them reason to suspect that they had underreported their earnings to the government?

That's especially true in this case. Because her abusive boyfriend controlled her money, you were leaving it to his discretion whether to pay for her cancer diagnosis and management, and he doesn't sound like someone who could be trusted to look after her best interests. Given your specific duties of care, your priority wasn't to look after the government coffers; it was to look after your vulnerable patient.

But she was paying for it anyway? She was on medicaid lmao

Drama

When I was 23 a doctor denied me BC pills because I was a stripper and drank alcohol at work occasionally. I told her I was celibate but she insisted that bc of my job & drinking sometimes I would have s*x with random men regularly w/o condoms and get an STD if she gave me BC

This really cements my idea that doctors dont see us regular people as their peers. I've heard too many stories of doctors making decisions for their patients as if they were their guardian or parent, and it's almost always because they think they're smarter than everyone

dawg i fricking hate doctors so much

I love that we stop trusting the experts when they dont cater to whores. Its

It is not appropriate and probably actionable for a provider to speculate about whether someone really deserves their insurance and threaten to deny care. The use of 'self-respecting' says it all, their unexamined bias is the issue

And anyway breast augmentation is a work-related expense for a topless dancer. Through-and-through his excuse for not providing life-saving care is hypocritical.

being on medicaid doesn't mean you don't have any savings, wtf

in fact it does require it in most states, but WHO THE FRICK CARES. most people will elide details for patients all the time, and no one's license is at risk for not reporting a patient.

It's a good thing he included things like the abusive boyfriend and the fact that she's a dancer, those are important to the ethical analysis of denying her medical care.

Right? Curious the dr is so fixated on denying this patient CANCER CARE while painting her as frivolously prioritizing augmentation - she & indeed, her children - are victims of a coercive manipulative abusive man -obvs HE controls 💰 but ABUSE is of no concern bc 💃🏻??

Plus, like, the implication is that the boyfriend will pay for plastic surgery but won't pay for her cancer treatment, and the doctor is taking the treatment away. The thing he won't say out loud is that if she won't--or more likely can't--leave her abuser, this doctor would rather she die. I wish I believed in heck so I could hope he would burn in it.

YES. It's vocationally an ethical violation of the hippocratic oath "first do no harm" & additionally the ethical principles of (what I feel defines) humanity. Sick fkin COMMON cruel heck world scenario, wonder how the answer goes addressing that

>heck world

More like clown world

"which is paid for with tax dollars" Not tax dollars!!

Which is funny since most of the people who complain about welfare queens tend to be like this doctor, in offices that accept Medicaid out of "the kindness of their heart" (aka government grants, public service loan forgiveness, and many other benefits). Losers who are not there because they "want to help the poor" but because they were very likely rejected from competitive medical programs and now work in places that are desperate to hire anyone, so they carry a chip on their shoulder and take out their anger on the most vulnerable in society.

The real loser is the employed doctor

Boomerbook Drama

I found a picture of the doctor:

There's also a lot of comments on the NYT page but i don't have access to them . Either way, I hope you liked this post and have a wonderful weekend

closed

!football

!eurochads

@ObamaBinLaden

@Freak-Off

Rug pull at the convention? Who will they replace him with?

https://apnews.com/article/bidentrumppresidentialdebate-0e7577e9a354a69f50675494fea54ca9

https://www.bloomberg.com/opinion/articles/2024-06-28/trump-biden-debate-should-the-president-step-aside-to-save-democrats

https://theweek.com/politics/is-it-time-for-joe-biden-to-bow-out

Is it finally time for the long awaited Kennedy Restoration Dem sisters?

IT'S HIS TURN!!!

!goyslopenjoyers

Creamy Coconut Dr Pepper

Doesn't really taste like Dr Pepper at all, just coconut. Kinda good as its own thing, but was a bit of a disappointment. Mixed the rest of the bottle with pineapple rum, and was also disappointed it didn't make a good mixer.

Cheetos Pretzels

These are just normal pretzels with a healthy coating of cheetos dust. The unnaturally uniform orange on the bag made me think it was Cheetos in pretzel shape. The dust is good of course, but then you're left with a hard pretzel. Doesn't really give the essential cheetos experience of dissolving in your mouth.

Doritos Baja Fiery Mango

I have no idea why the Mtn Dew Baja Blast logo is associated with this. I think Mtn Dew had a different mango flavor years ago, but that's it.

This was pretty good, the sweet mango taste was interesting alongside the spicyness. Better than the default doritos flavors, but I'm not a huge fan of default doritos anyway.

!g*mers is they is stupid is

piss stupuid - 12 votes

disabled bility bride moneth - 27 votes

https://time.com/6993760/joe-biden-debate-disaster-democratic-panic/

This statement Zelenskyy over a month ago

Then week later this happened

So by Zelenskyy statement Russian lost 1000 soldiers in Kharkiv direction every day so how the frick did Ukraine not only didn't managed to recapture that territory but also even lost some. By Zelenskyy words 14k Russian troops shouldn't been wiped out like 3 times now.

@Szia_uram can you explain me the math behind it ? I mean we could simply suggest that Zelenskyy lying but that would been wrong, Zelenskyy wouldn't ever lie, right ?

https://twitter.com/maks_nafo_fella/status/1807404977754693710

Zelenskyy also basically declared war and ready to talk with Russia and Putin.

So many things looks comical now from this lentectual about how Ukraine laws forbids talk with Putin Russia how Zelenskyy will haw election or how Ukraine doesn't trade with Russia

So how will Zelenskyy an illegitimate guy talk with legal and officially recognised by all countries mr Putin, if Ukrainian laws forbids Zelenskyy ? Easy you use Ukrainian laws to wipe your butt.

But most insiders saying Zelenskyy will be axed in next 8 months or so.

@Szia_uram ZALUCHNYY

!g*mers !nwahs are counting the days

here lies literally who

20some to 20??

gone but not forgotten