Just somebody's weird aunt

It also ignores the mental toll that poverty takes like maybe your home made veggie filled recipe isn’t crazy expensive but it also involves prep time and cooking time and organization in terms of fresh food that a lotta poor people can’t manage.

Not to mention if you can only afford to get to the store once every couple weeks via bus or cab then you can’t keep fresh veg on deck.

While this isn't news to anyone who works in this space, it is useful to have this water-is-wet research to affirm that Indigenous knowledge and land management are extremely effective at storing carbon and protecting biodiversity.

I want to draw special attention to this part of the article:

I get a fair number of asks and comments on my posts expressing sentiments like "human beings are a plague on this Earth", "humans ruin everything, we deserve to be wiped out", "humanity is inherently selfish, evil, and irredeemable".

I don't think the folks saying these things have bad intentions, I know their words come from a place of very understandable pain, fear, and anger. But to act as though humanity's impact on nature is inherently damaging and extractive is to erase thousands of years of Indigenous stewardship of nature. These ecosystems are thriving because there are humans living there.

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.

“I got freaks NINE days out of the week — I CAN GET MORE.”

“….—only seven days in a week.”

…