Stacy Avenue

It was passed in 2021 (thank you Biden) and essentially states that if you don’t have insurance or your insurance doesn’t cover a service you need (or want) you are entitled to a Good Faith Estimate of the cost of care. (If your insurance does cover the service, you should be able to estimate the cost of care based on your deductible and co-pay.)

As a healthcare provider who does not accept any insurance, I am very careful to not violate The No Surprises Act. Why? Because for every penny more than $400 that the Good Faith Estimate was “off” (or if it wasn’t provided), you are entitled to a refund for that amount.

What if you're not risking death but permanent disability? Or even temporary disability? What if you can't take the meds that give you an acceptable quality of life while you're pregnant? Why should pregnancy deprive you of bodily autonomy?

I've been pro-choice for a long time (Roe vs. Wade happened when I was in high school) and there's an amazing statistic that I only learned a couple of years ago: THE MAJORITY OF PEOPLE WHO HAVE ABORTIONS ALREADY HAVE AT LEAST ONE CHILD. Sometimes it's not just your own life or health that abortion protects. It's the lives of others who are already dependent on you as a parent.

I was angsting around, all “the world is terrible” and “people are evil” and “humans are a blight upon the earth” and “everyone is stupid” and Vimes showed up and said, “Yeah, and?”

So what? So they’re stupid and petty - save them anyway. So they’re selfish - save them anyway. So it’s all fucked and there’s never going to be a happy ending - save them anyway. Do it anyway. You don’t get to opt out of caring just because they’re grubby and ignorant and reactionary and petty because so are you and that’s all we’ve got.

There was one episode with a trans woman getting different gender-affirming operations, including breast implants. It showed the procedure, and (what I found so fascinating that it's stuck with me for decades), as soon as the doctor put the implant in, a censor blur popped up on the nipple.

And you just know there was a meeting between the TLC lawyers and the editors and producers of the show to discuss what the difference was between a "man nipple" (can be shown) and a "woman nipple" (no no must obscure, 'tis naughty). And they decided that as soon as the implant goes in and the nipple has more mass behind it, that's the moment when it becomes a woman's nipple and must be hidden to comply with TV rules.

But it's the same nipple. On the same person. I know what it looks like; I just saw it. But TV and obscenity rules are rules, and the rules say woman nipple = sexual and therefore explicit, but man nipple = neutral, just fine.