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Israel detonates Hezbollah walkie-talkies in second wave after pager attack
  • So Israel planted explosives in known communication devices, that could easily be tracked or also had pinpoint tracking technology included with the explosive, then deliberately waited until the intended targets could cause collateral damage to unarmed civilians to set them off? And you argue this is different from terrorism in what way?

  • The Product is . . . Comprehensenility
  • Then fair enough, I apologize for assuming she works in private insurance. Your initial framing and argument made it seem otherwise. I still think you and I disagree on the need for widespread chart reviews for medical necessity.

    When you said doctors are not infallible, you said it in response to my claim that, in essence, the treating doctor should always get deference. It is natural to assume that you did not believe the same standard applied to reviewing doctors at Medicare since you've been arguing the same.

    As you note, treating doctors frequently appeal Medicare denials. That's a lot of wasted time and money. I see no evidence that these denials are saving more money than is being wasted fighting them. I'm having trouble finding data for traditional Medicare, but for Medicare Advantage, appeals routinely get overturned to such a degree that Congress investigated it.

    You stated earlier that doctors are required to take notes and your wife relies on these notes when making a recommendation. Doctors are notoriously bad at documentation. It's why relying on their notes to make a judgment as to medical necessity is a terrible idea. I firmly believe no one should be denied coverage because their doctor sucks at writing a report.

  • The Product is . . . Comprehensenility
  • Medicare or Medicare Advantage? Because Advantage is private. Medicare has like 5 levels of appeal, including to a federal court, most of which is free. There are systems in place to allow challenges to the reviewing doctor's denial. Private insurance typically forces arbitration.

    I have problems with Medicare's system too, especially when it comes to claims denials. If it is a covered item or procedure, the claim is not fraudulent, and the insurance provider has not met the patient to perform any exam, then going off of notes and comparing with best practices is insufficient to deny a claim. This may surprise you, but the doctors hired by insurance are not magically better than the ones treating the patient.

  • The Product is . . . Comprehensenility
  • Yes, of course you're right. That's why my surgeon friend who works in oncology has to frequently waste his time calling insurance over denied claims regarding fucking treatments for cancer patients. Truly medically unnecessary, which is why they're pretty much always reversed and when they're not, he gets to tell the patient they are going to die because someone who has never met them denied their claim as medically unnecessary. Same goes for my friend in the PICU, except she gets the added bonus of telling a little kid's parents.

    And my guess is it would have literally been cheaper for everyone involved for insurance to just pay for the $200 seat cover. Modern American insurance companies are capitalist enterprises providing a socialist benefit. And the doctors denying claims on behalf of the insurance companies are not seeing the patients in question so are basing their decision on questionable documentation and "industry standards" that are based on heavy insurance influence. All to maximize value for the company rather than ensure patient welfare, which is the fucking point of insurance.

    There is plenty of abuse of the system through over billing, but somehow fucking Medicare is the most efficient health insurance system in America. If private insurance is so great, why are they more inefficient with worse outcomes?

  • The Product is . . . Comprehensenility
  • If your wife has not seen or treated the patient, she has no basis to deny the claim as medically unnecessary. She has no idea what conditions the patient may have that would necessitate having a different seat cover. I get that you love your wife, but her job leads to significantly more pain than benefit.

  • AOC launches effort to impeach Clarence Thomas and Samuel Alito
    www.theguardian.com AOC launches effort to impeach Clarence Thomas and Samuel Alito

    Alexandria Ocasio-Cortez’s salvo seeks accountability over conservative supreme court justices’ ethics controversies

    AOC launches effort to impeach Clarence Thomas and Samuel Alito
    79
    The Theory That Men Evolved to Hunt and Women Evolved to Gather Is Wrong
  • Those are athletes. To really know, you would need to use average people going for the same time/distance at more moderate speeds. While the fastest men are probably faster than the fastest women across most any distance, I doubt we have good data on average men and women going the same distances.

  • Anon sees ghosts
  • Bright flashes usually indicate a tear. Small ones can just be monitored but if you see a big flash (it'll be sort of like lightning) and there is no environmental cause, it is an emergency. If you don't get it repaired, you could go blind. This isn't medical advice, just what I was told when I was younger. This article is basically WebMD quality, but gives a little more on what to look for.

    https://my.clevelandclinic.org/health/diseases/25107-retinal-tear

  • W.H.O. Declares Global Emergency Over New Mpox Outbreak
    www.nytimes.com W.H.O. Declares Global Emergency Over New Mpox Outbreak

    The epidemic is concentrated in the Democratic Republic of Congo, but the virus has now appeared in a dozen other African countries.

    W.H.O. Declares Global Emergency Over New Mpox Outbreak
    6
    Boeing Starliner launches for the first time carrying NASA astronauts to the ISS
    www.cnbc.com Boeing Starliner launches for the first time carrying NASA astronauts to the ISS

    Boeing launched its first Starliner flight with astronauts on Wednesday, beginning a crucial final flight test of the long-delayed spacecraft.

    Boeing Starliner launches for the first time carrying NASA astronauts to the ISS
    12
    US paused weapons shipment to Israel amid concern over Rafah, senior US official says
    www.theguardian.com US paused weapons shipment to Israel amid concern over Rafah, senior US official says

    Official says final decision has not been made on shipment of thousands of bombs, which was halted amid review of the transfer of weapons

    US paused weapons shipment to Israel amid concern over Rafah, senior US official says

    >The official, speaking on condition of anonymity, said that as Israeli leaders seemed to approach a decision on a Rafah incursion, “we began to carefully review proposed transfers of particular weapons to Israel that might be used in Rafah” beginning in April.

    >“As a result of that review, we have paused one shipment of weapons last week. It consists of 1,800 2,000lb bombs and 1,700 500lb bombs,” the official said, according to Reuters. The Associated Press and Agence France-Presse reported similar comments from a senior US official.

    6
    Top Israeli spy chief exposes his true identity in online security lapse
    www.theguardian.com Top Israeli spy chief exposes his true identity in online security lapse

    Exclusive: Yossi Sariel unmasked as head of Unit 8200 and architect of AI strategy after book written under pen name reveals his Google account

    Top Israeli spy chief exposes his true identity in online security lapse
    2
    UN Security Council resolution calls for Gaza ceasefire
    www.bbc.co.uk UN Security Council passes resolution calling for Gaza ceasefire

    The measure passes after the US refrains from using its veto, in a shift from its previous position.

    UN Security Council passes resolution calling for Gaza ceasefire

    >UN Security Council passes resolution calling for an "immediate ceasefire" in Gaza, as US shifts position by abstaining from vote

    88
    US says UFO sightings likely secret military tests
    www.bbc.co.uk US says UFO sightings likely secret military tests

    Researchers say they found "no evidence" that the US government had interactions with aliens.

    US says UFO sightings likely secret military tests
    38
    Five SAS soldiers arrested in UK on suspicion of alleged war crimes in Syria
    www.theguardian.com Five SAS soldiers arrested in UK on suspicion of alleged war crimes in Syria

    SAS has been actively deployed in Syria for the past decade, engaged in the fight against Islamic State

    Five SAS soldiers arrested in UK on suspicion of alleged war crimes in Syria

    >Five members of the SAS have been arrested by British military police on suspicion of allegedly committing war crimes while on operations in Syria.

    >The Ministry of Defence said it would not comment directly on the investigation but defence sources indicated that reports of the arrests, which had been circulating in military circles for some time, were accurate.

    >An MoD spokesperson said: “We hold our personnel to the highest standards and any allegations of wrongdoing are taken seriously. Where appropriate, any criminal allegations are referred to the service police for investigation.”

    >Details around the arrests remain limited but the SAS has been actively deployed in Syria for the past decade, engaged in the fight against Islamic State and supporting the Syrian Democratic Forces.

    >It is not certain that any of the arrests will result in a prosecution, and war crimes convictions of British soldiers are exceptionally rare. But the arrests come at a time when the activities of the SAS in Afghanistan are separately coming under scrutiny in a public inquiry examining claims that 80 Afghans were summarily killed by the unit.

    >Based in Hereford, the elite force typically operates in absolute secrecy and is ready to conduct risky missions behind the lines and in locations where the UK does not formally acknowledge a military presence.

    >Government ministers and officials decline to comment on its activities, even off the record, a practice introduced from the 1980s. Its most senior officer, the director of special forces, is only accountable to the defence secretary and the prime minister.

    2
    Explosive device detonated outside Alabama attorney general’s office
    www.theguardian.com Explosive device detonated outside Alabama attorney general’s office

    Steve Marshall, the state’s attorney general, says no staff or personnel injured by explosion in Montgomery on Saturday

    Explosive device detonated outside Alabama attorney general’s office

    >Alabama’s attorney general on Monday said that an explosive device had been detonated outside his offices over the weekend in the state’s capital city of Montgomery.

    >“Thankfully, no staff or personnel were injured by the explosion. The Alabama Law Enforcement Agency will be leading the investigation, and we are urging anyone with information to contact them immediately,” the attorney general, Steve Marshall, said in a statement.

    >The explosion occurred early on Saturday morning.

    35
    Reddit files to list IPO on NYSE under the ticker RDDT
    www.cnbc.com Reddit files to list IPO on NYSE under the ticker RDDT

    Reddit's debut will mark the first major tech initial public offering of the year and the first social media IPO since Pinterest went public in 2019.

    Reddit files to list IPO on NYSE under the ticker RDDT

    >Social media company Reddit filed its IPO prospectus with the Securities and Exchange Commission on Thursday after a yearslong run-up. The company plans to trade on the New York Stock Exchange under the ticker symbol “RDDT.”

    >Reddit said it had $804 million in annual sales for 2023, up 20% from the $666.7 million it brought in the previous year, according to the filing.

    >The company said it has incurred net losses since its inception. It reported a net loss of $90.8 million for the year ended Dec. 31, 2023, compared to a net loss of $158.6 million the year prior.

    >Its market debut, expected in March, will mark the first major tech initial public offering of the year. It’s the first social media IPO since Pinterest went public in 2019.

    >Reddit first filed a confidential draft of its public offering prospectus with the Securities and Exchange Commission in December 2021.

    80
    Footballer Dani Alves guilty of sexual assault
    www.bbc.com Footballer Dani Alves guilty of sexual assault

    Former Barcelona footballer Dani Alves found guilty of nightclub sexual assault and sentenced to four years and six months in jail

    Footballer Dani Alves guilty of sexual assault
    3
    ‘America Is Under Attack’: Inside the Anti-D.E.I. Crusade
    www.nytimes.com ‘America Is Under Attack’: Inside the Anti-D.E.I. Crusade

    The backlash against “wokeism” has led a growing number of states to ban D.E.I. programs at public universities. Thousands of emails and other documents reveal the playbook — and grievances — behind one strand of the anti-D.E.I. campaign.

    ‘America Is Under Attack’: Inside the Anti-D.E.I. Crusade
    55
    Greenland losing 30m tonnes of ice an hour, study reveals
    www.theguardian.com Greenland losing 30m tonnes of ice an hour, study reveals

    Total is 20% higher than thought and may have implications for collapse of globally important north Atlantic ocean currents

    Greenland losing 30m tonnes of ice an hour, study reveals
    27
    ‘Control the narrative’: how an Alabama utility wields influence by financing news
    www.theguardian.com ‘Control the narrative’: how an Alabama utility wields influence by financing news

    A Floodlight investigation found Alabama Power runs a news service and its foundation bought a Black newspaper. Neither reports on high electric bills or utility-related pollution

    ‘Control the narrative’: how an Alabama utility wields influence by financing news
    1
    InitialsDiceBearhttps://github.com/dicebear/dicebearhttps://creativecommons.org/publicdomain/zero/1.0/„Initials” (https://github.com/dicebear/dicebear) by „DiceBear”, licensed under „CC0 1.0” (https://creativecommons.org/publicdomain/zero/1.0/)PI
    Pips @lemmy.sdf.org
    Posts 37
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