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This #ESCsnacks discussion around the new ESC Consensus Statement on Mental Health has a two-fold aim: ▶️To highlight how patients can actively shape ESC scientific documents—and even be at the heart of them. ▶️To emphasise why #MentalHealth is a critical factor for cardiovascular professionals in patient care. Hear from...

12,152 görüntüleme • 10 ay önce •via X (Twitter)

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The “scientific consensus” talking point was succinctly dismantled by Dr. Judith Curry in her interview with John Stossel back in October. 𝗝𝗼𝗵𝗻 𝗦𝘁𝗼𝘀𝘀𝗲𝗹: “The overwhelming scientific consensus. That’s what people still believe.” 𝗗𝗿. 𝗝𝘂𝗱𝗶𝘁𝗵 𝗖𝘂𝗿𝗿𝘆: “. . . when you talk about ‘scientific consensus,’ like the Earth orbits the sun, you don’t need to say ‘There’s a consensus that the Earth orbits the sun,’ it’s a well-known fact. When you’re talking about consensus, it’s usually on a topic where there is disagreement, and a government has asked a group to come to some sort of an agreement on what’s what. You see it in science, you see it in. . . medical boards. . . So, it’s a manufactured consensus. It’s a consensus of scientists, which is different than a scientific consensus. . .” Dr. Curry goes on to explain that there is no consensus on the most contentious issues of climate change, such as extent of human contribution and the impacts. 𝗗𝗿. 𝗝𝘂𝗱𝗶𝘁𝗵 𝗖𝘂𝗿𝗿𝘆: “. . . there’s a true scientific consensus on very little of this, you know that, • The temperatures have been increasing for over a hundred years. • That burning of fossil fuels emits CO₂ into the atmosphere. • And, CO₂ has a radiation spectrum that sort of keeps the Earth’s surface warm, all other things being equal. Beyond that, there’s no real big consensus on anything. The most consequential issues we don’t have a consensus on: • How much of the recent warming is caused by fossil fuels? We still don’t know. • Is fossil fuel and is warming dangerous? This is the weakest part of the argument. There’s no agreement as to whether warming is dangerous.” 🔗 You can watch the full 40+ minute interview here:

Chris Martz

112,060 görüntüleme • 2 yıl önce

American Surgeon shows the actual letter from UnitedHealthcare DENYING a patient in emergency condition from receiving care “This is a woman who was in the emergency room with pulmonary embolisms” “I think we all knew this would happen. I had another patient come in and share with me that UnitedHealthcare denied her inpatient's day. So this is a patient who had shortness of breath and some chest pain, and she just knew that something wasn't right in her body. She had a family history of blood clots and she'd had a deep flap surgery a couple of weeks ago. She went to the hospital and they saw her and they found that she had a life threatening condition known as pulmonary embolisms. So she was admitted to the hospital and taken care of really well by the doctors there. And they ordered all the right things. After a couple of days, she was discharged. She got a letter from UnitedHealthcare explaining that they didn't agree with the level of her care and that they would not cover it. So I'm gonna share some of the language of that letter with you, and I want you to know that my patient that we talked about previously who had her surgery denied had almost exactly the same letter shared. So there's some troubling things in this letter. I think this term is really interesting. United is saying they reviewed the request for inpatient admission. So let's all just pause and consider that. This is a woman who was in the emergency room with pulmonary embolisms, and the doctor wasn't really requesting anything. They were saying this patient needs to be in the hospital. But an insurance company sees this as a request, and that's part of this prior auth environment that we're living in. So I think it's important as patients and as physicians to just acknowledge that this is our reality now. Someone can think that there's a good medical decision for you and can write orders and wanna do the right thing for you, but your insurance company is seeing that as a request and deciding whether or not they wanna do it. One of the criteria that this insurance company used to decide whether or not to accept or deny this request was whether it's medically necessary. And it's so interesting that we're letting insurance companies and the doctors who work for insurance companies determine what's medically necessary and not just the doctor in front of the patient in the emergency room. So this is a really bold statement from UnitedHealthcare for my patient. They say you did not have to be admitted as an inpatient to the hospital for this care. I think we all need to just reflect on that. An insurance company is telling a patient and her doctor that they disagree with the plan of care to keep that patient safe. I know that this is boiling down to whether it's an inpatient admission or an observation admission, and that's really about money. But what I wanna point out to you is they're making medical decisions. This insurance company is actually weighing in and disagreeing with a doctor who made a medical decision to admit this patient for her safety. So this specific sentence, when a doctor or facility treats a patient above the recommended level of care, we cannot cover it. What the heck? That's what we do. We go above and beyond as physicians. It's clear that insurance companies don't, and they're actually saying it here.”

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