Cheryl and a lot of cats

Ok. All the things I know about packing for a trip. In a thread. With the proviso that I travelled for work, not pleasure, but I’ve tried to be generic. A thread:

@regwald Have you met me?

@TheRealMrsSpit That's a lot of caffeine

While in the Starbucks drive thru after golf today, the van in front of me order came to $32.90. How does 1 or 2 people spend that much money at the drive thru ? Wow

@StevieHerb @zerochilllll Oh hellllllloooooo there cleavage!

@StevieHerb @zerochilllll Am I allowed to say wow to your boobs?!

@DivaQBBQ I originally read this as ‘you and wine are enough’. And I thought ‘this woman understands me!

You were and are enough. Always.

@KatyMackay Sending so many hugs.

We said goodbye to this big sweet soul today. Thunder, May 5, 2012 to July 26, 2023. 💔

@StevieHerb I think it depends. Is it their habit to slough off work? Is it confusion? Could you be mistaken about what the work is?

@TimBryson16 @radlady @tim4hire Yes! Which is a terrible way to get care. Without longitudinal family care there is zero hope you catch things like pre-diabetes or the early signs of ischémie heart disease. Primary care also sends you for age and risk related screenings. Our system is built on primary care!

@TheRealMrsSpit @radlady @tim4hire These sorts of models will lead people of modest means to turn to already flooded ER's.

@TimBryson16 @radlady @tim4hire I would argue it’s the reverse. They sent you for that MRI for a reason. Delaying the diagnostic delays treatment. A barrier to primary care access sends those cases to acute. A barrier to diagnostics means no treatment.

@TheRealMrsSpit @radlady @tim4hire Private services are usually offered in areas seen to be "nonessential," not frontline access. I might choose to pay for an MRI rather than waiting 6 months. Primary care that's delayed can lead to fatal outcomes. An example would be cancer screening.

@TimBryson16 @radlady @tim4hire Oh, please don’t mis understand me, I think this is terrible and wrong. But, I can see why it does make a lot of sense. We have publicly funded and privately delivered primary care in Canada, that causes challenges.

@TheRealMrsSpit @radlady @tim4hire I get running the clinic as a business in order to reduce the tax burden, but this model means people of more modest means can't get access to health care in any sort of timely manner.

@OptomistThe @luanne_metz Here’s a good overview. ncbi.nlm.nih.gov/pmc/articles/P…

@OptomistThe @luanne_metz An average physician panel is between 1,000 to 4,000 - average of 1200, depending where you are. There are varying levels of complexity. Some patients requiring lots of care, some the docs might see every 5 years. Payments and ability to practice team based care matters too.

'Membership fees' for healthcare are on top of billings to Alberta Health for the insured services provided to you. Members are paying extra just for the items on this list below, primarily access, and maybe lots of doctor notes. In contrast, team based clinics such as the Crowfoot and Taber clinics are paid by government for a package of services provided and for quick access. They are actually penalized if they cannot get you in quickly for the services they are contracted to provide. They receive $12-50.00 more per person per year than average similar fee for service practices (vs 2300,00 as charged per person per year by the Marda Loop clinic on top of fee for service billings). The service model at these government funded clinics results in savings to the system of 182-449.00 per year. (see page 10 of our NDP Health Team proposal) 225454 (albertasfuture.ca) Of course we need more team based clinics funded.

@TheLisaEvans @SIRIUSXM @SXMTheHighway @SiriusXMHits1 @70sOn7 Cheesies. Especially for the celiacs.

Bringing these Canadian snacks to some American coworkers next week in NYC! What am I missing?

@radlady @tim4hire But. That is a big increase!

@radlady @tim4hire I say this, because having spent a lot of time with this data, clinic ownership is . . . Murky. And maybe a rapid number of clinics moved in the membership direction, or maybe 4 clinic groups of 6 clinics each.

@radlady @tim4hire If all you have is the ability to read CBC and shout ‘outrage’, I’d like another alternative to vote for please. 3? Shadow health critics? Perhaps some of them could spend less time shouting, more time listening and recommending solutions.

@radlady @tim4hire I agree! It needs fixing! It was a problem in 2012. It’s been a problem in 3 governments since. For the NDP to act shocked about this and accuse Smith of lying, when they ignored the same thing in their administration is appalling and makes me question their ability to govern

@radlady @tim4hire In the 11 years since the first, that’s 4.8 a year. I’m struggling to get to rapid.

@TheRealMrsSpit @tim4hire During the study there were 14 private clinics. Last stat I could find now have us at 53. That's a rapid increase.