Pourquoi Pas Pourqua?

1.5M ratings
277k ratings

See, that’s what the app is perfect for.

Sounds perfect Wahhhh, I don’t wanna

We have this provider who is NOT on top of her shit who gets really pissy that we’re not calling insurance companies and patient assistance foundations about approvals and appeals and shit multiple times per week. And she doesn’t talk about it TO YOU–she complains to management that you’re not doing your job.

She complains that her patients are suffering unnecessary and unacceptable delays! And I’m like funny, we needed your signature on this form and it took you TWO WEEKS to sign it and get it back to us. And then you’re mad that we didn’t follow up within the week with this patient assistance foundation even though patient assistance foundations often take 3-4 weeks to reach a determination.

I’m also like… I do not get paid enough to live on. I saw what their prior approval process looked like before I got here and it was a hot mess. Shit was backed up by SIX MONTHS. I sometimes help out with other departments prior authorizations and their lists are WAY more of a clusterfuck than mine with it taking far longer for them to get things done. I recently talked to a woman in another department who has been working here longer than I have and still didn’t know how to do stuff because no one actually trained her or gave her access to any of the websites that would make her job easier and more efficient. She didn’t even know which accesses she needed. So I showed her all that stuff.

So do I work all out at this job where I don’t get paid very much and even working at ¼ capacity, I’m still doing 100x better than what they had before and significantly better than people doing the same job in other departments?

So I gotta be honest with you–I am not going to fucking work harder. It’s not that I couldn’t, it’s just that I see no reason to. If I made enough money to cover my bills, then absolutely, I would. But I don’t. So why would I make my job stressful by calling and harassing insurance companies and PAFs every single day when I KNOW they’re not going to come to a decision for weeks? What is the fucking point? Just because YOU want a decision RIGHT NOW– doesn’t mean you’re going to fucking get it.

And it’s just so fucking rich coming from this provider who does not have her shit together enough to be pointing fingers at me.

It’s just so irritating when it’s like, THIS IS HOW INSURANCE COMPANIES AND PATIENT ASSISTANCE FOUNDATIONS IN THIS COUNTRY WORK. ¾ of our providers are immigrants, but they’ve been working here for 10+ years. They are STILL shocked and appalled and upset by the US healthcare system. But instead of being like, that’s just fucking insurance companies… this one provider is like, THIS IS YOUR FAULT, MEDICAL ASSISTANT WHO MAKES POVERTY WAGES. When it’s like, I’ve only been doing this job for like 6 months and I am the one who has to tell these MDs who have been working as medical doctors in America for 10+ years how the American health insurance system works. Like what the fuck.

personal problems
trollprincess
trollprincess

“Nobody’s going to want to sit on high-speed rail for fifteen hours to get from New York City to LA.”

Me. I will sit on high-speed rail for fifteen hours. I’ll sit on it for days. I’ll write and read and nap and eat and then do it all over again. I’ll stare out the windows and see America from ground level and not have to drive. I’ll see the Rockies and the deserts and cornfields and the Mississippi River and your house and yours and yours too. I’ll make up stories in my head about the small towns I see as we go along. I’ll see the states I’ve yet to see because driving or flying there is a fucking slog and expensive to boot. I’ll enjoy the ride as much as the destination. And then I’ll do it all over again to come the fuck home.

trollprincess

Me getting slammed with notifications on this post in particular:

image
neil-gaiman
paladin-panoply-of-pax

image

“Use your gifts and your talents to greatest possible effect while you can. Spread joy wherever possible. Laugh at jokes. Tell jokes. Make puns and bugger the embuggerances. Read books. Read my books. You might like them. You might find something else you like even more than them. Look for these things in life.

Question authority. Champion good causes. Speak out against injustice. Do not tolerate bullies or bigots or racists or anti-intellectuals or the narrow-minded. Use your education to challenge them. Broaden their perspectives. Make the world you interface with a happier place.

These are your choices. Choices you have been fortunate to have been given, so don’t waste them while you have them. Don’t look back in years to come and wish you had grasped a fleeting opportunity. Grasp it now with both hands, Live. Strive. Love.”

from A Little Advice for Life taken from ‘Terry Pratchett: from birth to death, a writer.’

—Sir Terry Pratchett; April 28, 1948 – March 12, 2015

One of the greatest compliments I've ever received is that I resemble Sam Vimes.

Mind how you go.

mievzar
clairenatural

there's a cherry blossom tree in DC that keeps blooming every year even though it shouldn't and the park service keeps thinking it's dead and then it keeps blooming! well they're removing a lot of trees to rehabilitate the area and they've said it's finally time for stumpy to go and they're going to mulch it and use the mulch to enrich all the other trees so it can help everything else keep going. and they're also going to plant spliced little pieces of it all over so that stumpy can live forever and this is genuinely sending me into a spiral

clairenatural

a photo of a cherry blossom tree on the bank of the Tidal Basin in Washington, DC. The Washington Monument is visible behind it. The tree is short, hollow and looks almost burnt. It has one branch that's in full bloom with pink cherry blossoms. There is a small bundle of red roses at the base of it.ALT

someone brought it flowers today

watertightvines

STUMPY MY BELOVED!!!!

image

For added context on what rehabilitating the area means: there are structural issues with the Tidal Basin seawall that cause flooding like this independent of rainfall. Big portions of the sidewalk in Stumpy’s section are regularly submerged, which is bad for the land and the trees themselves, not to mention an accessibility issue for visitors.

It’s sad that Stumpy and many other trees in the area will need to be cut down, but it will ensure the continued survival of the other trees in the area, and Stumpy himself will live on in his cuttings!

the-fisher-queen

I believe Stumpy will be taken to the national arboretum and his clones will return to the tidal basin after the rebuilding.

Someone left him a bottle of bourbon as an offering.

The Japanese Embassy came to pay him honor this week.


image
image

Stumpy and his cohort are part of the original gift from Japan more than 100 years ago, and many have lived this long bc the National Parks takes care of them. Normally the trees live about 40-50 years.

elbiotipo
raginrayguns

just made a tweet where I call it, as is my habit, the Nobel Memorial econ prize. Which is what it's called "Nobel Memorial Prize in Economic Sciences". People drop teh word "memorial" which makes it shorter i guess. BUt I don't, nto even in a tweet when im counting hcaracters

transgenderer

Although not one of the five Nobel Prizes established by Alfred Nobel's will in 1895,[6] it is commonly referred to as the Nobel Prize in Economics,[7] and is administered and referred to along with the Nobel Prizes by the Nobel Foundation.[8] Winners of the Prize in Economic Sciences are chosen in a similar manner as and announced alongside the Nobel Prize recipients, and receive the Prize in Economic Sciences at the Nobel Prize Award Ceremony.[6][9]

That the prize is not an original Nobel Prize has been a subject of controversy, with four of Nobel's relatives having formally distanced themselves from the Prize in Economic Sciences.[10][11]

The award was established in 1968 by an endowment "in perpetuity" from Sweden's central bank, Sveriges Riksbank, to commemorate the bank's 300th anniversary.[12][13][14][15] Laureates in the Prize in Economic Sciences are selected by the Royal Swedish Academy of Sciences.[16][17] It was first awarded in 1969 to Dutch economist Jan Tinbergen and Norwegian economist Ragnar Frisch "for having developed and applied dynamic models for the analysis of economic processes".[15][18][19]

i didnt know about this. this is really weird. its an econ award because it was created by the bank? i guess? im having trouble finding much information behind the process of its creation

grolloman

The way I've heard people talk about it here in Sweden from people who were around in the 60s the general vibe is that the people running the central bank are of course all economists who believe economics is an extremely important science. They felt left out because people talked about the Nobel prize as the biggest scientific award but their own field couldn't get it. So they took advantage of the fact that they ran the ceremony to just invent one of their own, purposefully gave it a longer name no one would use (Sveriges riksbanks pris i ekonomisk vetenskap till Alfred Nobels minne) and handed it out at the same ceremony, hoping people would get confused and think it's official. And it worked, pretty much. Most people and newspapers just call it the Nobel prize in economics unless they are especially knowledgeable and careful.

The literal translation of the Swedish name is: "Sweden's central bank's prize in economic science to the memory of Alfred Nobel". They want to be seen as a science so bad they made sure to out science in the prize name.