pigeon enthusiast

Bitch before enriched flour, neural tube defects like spina bifida were far more common. Even now, spina bifida clinicians and researchers are begging to have salt and maize fortified to reach groups that don’t use as much flour. Before iodized salt, the United States had a fucking GOITER BELT. Eleven years after the introduction of fluoridated water, a city in Michigan found the rate of dental caries among school children dropped a staggering 60%— in an era where tooth decay regularly fucking killed people

I’m literally not even going to start on vaccines, which are among the most successful and robustly studied public health measures in world history

I am a social worker. I have worked in community mental health and in home-based healthcare. And it is much, much easier for me to help you when the situation you're in is not yet a full-blown crisis.

"I'm out of money and have been for a while and now I haven't eaten for three days." This is a crisis. A crisis where I'm likely going to have to put you in the car and take you to the nearest food bank--except food banks require appointments now, and the next opening is in four days, so you're staring down the barrel of a week with no food. That's obviously not going to work, so, let's call eight different food banks until we've found one that has an appointment the next day...except it's in the neighboring county and you can't drive. So now I'm calling your doctor to try and brow beat an emergency plan of care update out of him so I can come back the next day and drive you to the food bank. And we haven't even started on the "constantly broke" part of the problem.

"I don't think I have enough food to make it to my next paycheck. I have (xyz) in my house and that will only last until (date)." This is bad, but not a crisis. We have a few days. We make you an appointment at the food bank and contact your brother to make sure you have a ride there. Now we can spend our visit talking about what bills are causing you the most problems and make a jump on a long-term solution, like looping in a community action agency to cover your utilities and getting you an OTC card from Medicaid to cover some of your groceries every month.

"I'm ten months behind on rent, and my landlord said I have a week to get out, or the cops will throw me out. I don't have the money, and if I get evicted, I have nowhere to go." This is a crisis. Every single thing we do here is going to be some version of a Hail Mary. In Michigan, we have the state emergency relief fund for rent issues, but process time is well over one week. There are community action agencies that we can call to assist you with payment, but they are unlikely to have sufficient funds to cover nearly a year of back rent. We can contact legal aid clinics to try and prevent your landlord from evicting you, but they may look at your case and determine that too much "fault" lies with you. Most likely, I'm going to have to put you in touch with homeless shelters and the public housing office.

"I'm two months behind on rent and I don't think I'll be able to pay next month either." This is bad, but not a crisis. This is solvable. We have time to apply for SER, or put you in contact with community action agencies. We have time to review your finances and see if you qualify for a public housing wait list or other forms of ongoing rental assistance. We have time to talk about a million possible adjustments to try and ease the burden of your rent.

"I am the sole caregiver for my elderly parent who has dementia and is emotionally volatile and fully dependent on me. I have not slept through the night in weeks and I have not had an actual break for over a year. I am having screaming meltdowns multiple times a week and I am threatening self-harm unless someone comes to collect my parent and take over all caregiver duties." This is a crisis. This is a crisis where the ethical code of my profession demands that I call 911 and report the conversation to them. They will likely come to the house and interview you. If they determine your threats were serious, they will have you forcibly committed to a psych ward. Your parent will either be dumped into a random hospital or rehab center, or left in the house on their own. Upon release from your psych hold, you will be expected to resume caregiving duties as though nothing happened. Except, now, adult protective services is actively investigating you, because it was determined you may be an ongoing danger to your parent.

"I am the sole caregiver for my demented parent, and I have not had a break in a couple of weeks, and I feel angry and weepy most of the time." This is bad, but not a crisis. We can get you in touch with volunteer groups for respite, and apply for state funded programs to get more day-to-day help, and talk about long-term planning for when the dementia symptoms get worse. We can get you the phone numbers for crisis lines and enroll you in a support group.

either way, she always has at least three kids, sometimes more. you don't want to ask when she had them, but she had to have them young because her youngest had to have been born when she was at least seventeen based on how time works. you just watch it happen. you can't save her.

she's smiling but there's something missing in her eyes - a spark that should be there. there's no passion, there's just the movements of the day. sometimes she'll give an interview where she says she barely feels like getting out of bed, and other times she says nothing. you just watch it happen. you can't save her.

her world isn't real - it's neat kitchens and made from scratch cheese. she tells you how she doesn't need feminism because she likes this life, she likes wearing pretty dresses, don't you dare pity her. you just watch it happen. you can't save her.

you scroll up to an ex tradewife in her forties talking about how her husband divorced her and left her for a younger girl, leaving her destitute and penniless and twenty years out of the workforce. you scroll again to a pretty young girl saying she doesn't need a job, her husband will take care of her. you scroll again. you just watch it happen. you can't save her.

another woman, this time in her early thirties, talking about how she just managed to leave her abusive husband and has nothing and he took the kids, warning and pleading young girls to not fall for tradwife lies. you scroll again to a young tradwife girl saying that would never happen to her, and you're just jealous of her. you just watch it happen. you can't save her.

you scroll again. a teen girl tells you that she'll just track her period, she doesn't NEED a toxic chemical like birth control. you scroll again to an obgyn pleading with young girls to understand birth control is just hormonal, and that period tracking isn't effective. you just watch happen. you can't save her.

you scroll again, and it's jd vance saying how women belong in the homes and shouldn't be allowed to vote. that their husbands should decide how they should vote. you scroll again to a domestic abuse counselor telling women their vote is private and they can lie to their husbands. you just watch it happen. you can't save her.

So:

No pretesting of the proposed AI prescribing,

The study they do have is not for relevant clinical scenarios

The physicians that will be reviewing are hired by the AI company, not independent reviewers

AI company claims NO liability for the misconduct it will inevitably perform (because there won't be a physician practicing medicine doing the decision making - AI practicing medicine without a license )

Patients won't be able to request their own health information (HIPAA violation to patients' rights to their own medical records)

Local man Paul Campbell confirmed Saturday he was raising his daughter Emma on a variety of media carefully selected to help her cultivate an appreciation for artistic quality, a move that will reportedly put the 12-year-old girl hopelessly out of touch with her generation.

Perusing his music and film collections and showing reporters distinctive, well-regarded works that will thoroughly alienate Emma from her sixth-grade classmates, Campbell said he wanted to make sure his daughter enjoyed the benefits of a cultural education he never received at her age.

The FDA is considering a petition to make all trans women on estrogen enroll in a registry as a condition of our prescriptions.

If you are in the United States, you have the power to comment on this proposed regulation. The instructions for doing so, and more about the petition, are here. I just left a comment, and it took two minutes. You can do so anonymously.

The petition is bad for other reasons too. It blatantly singles out transgender women and asks for mandatory psychiatric gatekeeping of lifesaving gender affirming care.

right now there are 61 comments on the petition and all are in support of it. Being one of the voices that pushes back is the easiest thing in the world.

If you don't like those posts about how everyone on this website doesn't care about trans women, and wouldn't lift a finger to save us from genocide, here's your chance to prove them wrong.