Very interesting bacon

In Europe: I see you supported Trump as late as 2026, after he made comments about annexing Greenland and disparaging Ukraine. Have you been sent here to help destabilize the European Union and support foreign incursion into European holdings? Prove it. Wait here for ten hours while we search all of your bags.

Central and South America: Were you personally involved in bombing fishing boats, kidnapping Venezuela's president, and running concentration camps for migrants on American soil? Are you here to identify targets, or get revenge on specific individuals who spoke up against this treatment and were deported? Prove that you aren't. Wait here for ten hours while we search all of your bags.

So, my insurance has been trying to not cover my SNRI because it is new on the market and no generic available yet, so pricey.

I apply for a refill and the request gets locked for review. Again. For the 3rd time.

This time I call and immediately ask to speak to the actual doctor making these clinical decisions. Very politely. Must be a slow day because they allow it.

ME: [Teacher voice] I'm calling in regards to the SNRI you have placed a lock on. Why was this decision made?

DOC: Well, there are dozens of other medications on the market in that tier, and far cheaper for you and [insurer]. We have sent a request to your doctor to consider alternatives.

ME: I am aware of that. So, can you do me a HUGE favor and look up my prescription history really quickly and tell me how many SSRIs and SNRIs were only filled once in 2022 for me, showing they were poorly tolerated?

DOC: It looks like eight.

ME: Great job! Now, can you please look at my genetic test for psychiatric drug tolerance and tell me how many medications are listed in the safe category?

DOC: Two.

ME: Awesome! Now, can you tell me what type that other drug is that I'm not taking?

DOC: Yeah, totally, it's an MAOI.

ME: That's correct, you're really knowledgeable! Should I be taking something as dangerous as an MAOI with my other medications, or even just in general?

DOC: It's contraindicated for sure.

ME: It is! So true! So, last question since you've been incredibly smart and helpful. Is it less expensive for [insurer] to pay out for the medication knowing they already get a huge manufacturer discount anyway, or is it more expensive for them to pay for me to need potentially long-term inpatient psychiatric care?

DOC: I'll clear the code, ma'am and flag it as medically necessary. I'm sorry about this.

ME: I appreciate you SO MUCH. You have a great day now.

like even sitting in an office for eight hours a day isn’t particularly pleasant (or healthy, as we are beginning to see) but when we’re talking about doing *actual work* for that same amount time it gets pretty fucking brutal

doing literally *anything* (even leisure activities) for eight hours straight tends to be less than enjoyable but when we’re talking about things like construction, landscaping, factory work, and hell, even foodservice and retail, eight hours is a fucking ETERNITY

“I’m probably not saying that correctly”/“sorry for my pronunciation” = 👍 understandable! foreign languages often have sounds that aren’t used in English and learning to correctly pronounce unfamiliar phonemes is genuinely difficult even with help

“lol I’m not even gonna TRY to pronounce that 😂” = 👎 THIS is the problem, if treats languages other than English like they are inherently ‘weird’ or ‘overly complicated’ just because you aren’t familiar with them