My mom lives in Hawaii. She loves to golf. She's in her late 60s and I'm happy for her. She was on the course the other day and saw a young man in his early 30s who goes to Hawaii several times a year to golf.
She was curious. 1/n
"How do you manage to get the time to go golfing at this stage in your career? What do you do? It took me forever to get this time off."
He responded, "I work in billing for health insurance companies. They can't handle all the administration so they contract it out to us." 2/n
My mom (a cancer survivor): You mean, you work for a health insurance company?
He: No, not even. I started my own company, & they pour tons of money my way to go and get them more money. I make a killing by doing the administration work they send. It pays for my golf vacays.3/n
The US pays more money for healthcare than any other country. And we do not have the best health outcomes to show. Because our system is for profit, that money is going into the hands of executives, shareholders and CEOs. It's an extractive system, which leaves providers 4/n
scrambling to get services and patients wracked with debt. Medical debt is the #1 cause of personal bankruptcy in the US, even for people with "great insurance." The system is not about health or wellness. It's about making lots of money for these executives. 5/n
The same people running those "health" systems are driving our pandemic response, which is characterized by the highest rates of illness in the world.
In order to get different outcomes, we have to start changing the systems we are working with. In CA, the @CalNurses 6/n
@CalNurses have worked with @Ash_Kalra to put an end to that extraction--leaving the dollars in the system to benefit our patients and to make care seamless for our providers. It's called #CalCare and there's legislation making its way through our state right now called #AB1400 7/n
@CalNurses@Ash_Kalra It's our way to stop hemorrhaging our healthcare dollars and put them to work for the health benefit of ALL Californians--regardless of tribal status, documentation status, age, employment.
With all the people who are sick and will be sickened by this pandemic and wildfires 8/n
@CalNurses@Ash_Kalra this could not be more timely. Let's get the kind of transformational change to advance health equity and an amazing system of health and wellness in our state of California.
@CalNurses@Ash_Kalra Sign up to get directly involved with the nurses to move this forward. We can only do this with massive public support. Let's get it done and create the best healthcare system this nation has seen.
Today I wake up grateful for Chief Caleen Sisk of @winnememwintu and her prayers for the salmon and her ceremonies to balance the water and fire in this beautiful region where we live. We share her stories of salmon in our book Inflamed. 1/n
One of the elders sent me this photo when I said I was going into the hospital to work these challenging days. It helps to know there are people out there holding it down for all of us, calling home the water, calling home the salmon, bringing the elements back into balance. 2/n
I believe what we will need to address the system level failures we are seeing is to reestablish Indigenous sovereignty in the places that have been stolen, and to create new culture together, where we learn to listen and we learn what we do not know and we become humble. 3/n
This #Delta surge shows me the cost of our siloed education system. The ID doctors and immunologists pushed the narrative that it was fine to discard the masks if you were vaccinated and encouraged full opening. They didn't see this through the lens of the sociologists, 1/n
who were looking closely at what 80% vaccination rate meant and who was counted and who was *not counted.* The way our society and economy are structured in the US is dependent on an invisible, undocumented workforce who bore the brunt of the pandemic in places like CA, 2/n
means that those rates are fuzzy. Undocumented folks make a life out of being uncounted, because their survival and keeping their families intact depend upon it.
While the work of @MargotKushel and @DrKim in the Bay has been exemplary, reaching into these and other 3/n
A List of Personal Things You Can Do to Stay Well in a Time of CoVID19:
+ Get solid sleep each night (7-8 hours)
+ Gargle warm salt water twice a day. It makes the mucosa at the back of your mouth less hospitable to viral visitors
+ Drink at least 8 glasses of water a day 1/n
+ If you have a humidifier use it properly (clean every day). Viruses have a harder time when ambient air has 40% humidity.
+ Easy on the dehydrating things like too much coffee
+ Make foods with immune boosters—garlic, ginger, turmeric, parsley, thyme, sage, bone broth 2/n
+ Elderberry syrup
+ Increase the ZINC in your diet: chickpeas, almonds, cashews, lentils, chia seeds, pumpkin seeds, oatmeal
+ Eliminate all booze (it depresses the immune system)
+ Don’t smoke (it comprises your respiratory system’s defenses) 3/n
This past year I was taking care of a woman who was poor and white from Alabama. She was in and out of the ICU with a mysterious illness that 100 doctors at UCSF could not figure out. When her young son showed up with white supremacist tattoos around his eyes, 1/n
I sat with them both and asked about their lives in Alabama. This woman had grown up eating catfish from a river that is one of the most polluted in our country, in an area where one of the most treacherous legs of the Trail of Tears originated.She was exposed to mercury, 2/n
chlorine and PFAS in the groundwater she drank from her family's well. After spending an hour listening to them describe their reality, the son came out of the hospital room with tears in his eyes. He reached to hug me and I held him as he cried, 3/n