Podcasts about ERS

  • 519PODCASTS
  • 845EPISODES
  • 35mAVG DURATION
  • 5WEEKLY NEW EPISODES
  • Nov 16, 2025LATEST

POPULARITY

20172018201920202021202220232024


Best podcasts about ERS

Latest podcast episodes about ERS

Beti a'i Phobol
Jâms Powys

Beti a'i Phobol

Play Episode Listen Later Nov 16, 2025 44:03


Beti George sydd yn holi'r peilot Jâms Powys.Ar hyn o bryd mae'n gweithio i gwmni awyrennau British Airways ac mae'n cyfarch y teithwyr yn Gymraeg.Ers yn blentyn bach doedd dim byd arall yn apelio fel gyrfa, ac fe ddechreuodd hedfan cyn iddo yrru car. Cawn glywed ei hanesion yn hedfan i Efrog Newydd, Nigeria a Mecsico. Mae'n sôn am gyfnod Covid ac effaith hynny ar y diwydiant, ac am newidiadau sydd tuag at danwydd mwy gwyrdd yn sgil newid hinsawdd.

White Coat, Black Art on CBC Radio
ENCORE: Virtual doctors for real ERs

White Coat, Black Art on CBC Radio

Play Episode Listen Later Nov 14, 2025 26:41


Like many of Canada's rural and remote communities, Mackenzie, B.C.'s hospital struggles to staff the ER. But once a week, a doctor hundreds of kilometres away fills in virtually. Many provinces like B.C. are using virtual care in ERs in an attempt to keep the doors open. But critics are concerned about patient safety and the need to balance virtual with in-person care.

Arauto Repórter UNISC
Direto ao Ponto - Vinicius Machado, Diretor do Instituto Binemac

Arauto Repórter UNISC

Play Episode Listen Later Nov 13, 2025 19:29


Vinicius Machado, diretor do Instituto Binemac, participou do Direto ao Ponto e fez um levantamento do Instituto Binemac, que aponta alta mortandade de animais silvestres em trecho urbano da BR-471 e ERS-409.

Assunto Nosso
Direto ao Ponto - Vinicius Machado, Diretor do Instituto Binemac

Assunto Nosso

Play Episode Listen Later Nov 13, 2025 19:29


Vinicius Machado, diretor do Instituto Binemac, participou do Direto ao Ponto e fez um levantamento do Instituto Binemac, que aponta alta mortandade de animais silvestres em trecho urbano da BR-471 e ERS-409.

3D InCites Podcast
From Hybrid Bonding To AI Power: Live At SEMICON West

3D InCites Podcast

Play Episode Listen Later Nov 6, 2025 93:06


Send us a textThe floor in Phoenix was packed, and so were the ideas. We sat down with innovators across the stack—equipment makers, metrology experts, logistics strategists, and software leaders—to map the real state of advanced packaging and what it takes to build, measure, move, and power tomorrow's chips.EV Group kicked things off with a candid look at die-to-wafer realities: activation on film frame, then 100% overlay metrology that measures tens of thousands of points per hour so every die and corner is verified. They also unveiled LithoScale XT, a fully digital, maskless lithography system printing 300 mm at 60 wph—perfect for massive AI dies and fast design turns. Lab14 widened the frame with a portfolio approach: direct-write lithography, single-wafer processing, data prep, and analysis tools working as a coordinated line, with data sharing and AI feedback baked in.Resilience and regionalization came to life through Kuehne+Nagel's on-the-ground view: supplier clustering near fabs, cross-border trucking, time-critical services, and 4PL integration that gives real-time visibility and smarter capacity planning. ERS showed where throughput meets cost: photothermal debonding with lower stress and reusable glass carriers, demo centers in Taiwan (and planned in North America), plus surge demand for warpage repair as volumes rise.Process control is moving into packaging with front-end rigor. Nova detailed metrology for hybrid bonding, chemistry monitoring of plating baths, X-ray and XPS/SIMS material insights, and the handling know-how to measure framed wafers and panels reliably. Nordson Test & Inspection highlighted AI-driven inspection, ultra-fast acoustic scanning, automated X-ray metrology, and sensor wafers that cut tool downtime and sharpen process windows. Comet showcased its CT and CA20 upgrades for 3D IC and TSV analysis.Power dominated the later conversations. Siemens argued we need to design for energy from the chip through the blade, rack, and data center, simulating real workloads and cooling to slash gigawatts—then extend that thinking into the fab, where optimizing chillers and facilities already saves serious money. Onto Innovation brought it home with execution: the PACE Center now hosts partners' tools, accelerating experiments for glass, TGV, and panel processes without waiting on public funds.If you care about hybrid bonding, maskless lithography, CT for 3D ICs, panel-scale packaging, or cutting AI's energy bill, this one is dense with takeaways and hard truths. Subscribe, share with a colleague who lives in the fab or data center, and leave a review telling us which insight you'll act on first.Support the show

Today in PA | A PennLive daily news briefing with Julia Hatmaker

ERs in Philadelphia have seen a 110 percent increase in drug-related seizures over the past five years. A health system is dropping UnitedHealthcare next year. Pennsylvania's construction industry is experiencing a slowdown. Finally, time to nominate “River of the Year.” 

Bookworm Room's Podcast
October 24, 2025 American Thinker Video Podcast

Bookworm Room's Podcast

Play Episode Listen Later Oct 24, 2025 54:13


Today's topics are what Obamacare has done to ERs, the drop in fuel prices, WaPo journalists who dare not speak “their” truth, what Google AI is alleged to have done to Robby Starbuck, and the fall of John Cleese, the avatar for all bad things from the “intellectual” left.

Campus Grenoble
Apérophonie Spéciale : Santé mentale et lien social chez les étudiant-es

Campus Grenoble

Play Episode Listen Later Oct 24, 2025


  Cette émission est animée par Maïli et Lilio, deux étudiant-es relais santé (ERS), et aujourd'hui nous nous concentrons sur l'impact du lien social sur la santé mentale chez les étudiant-es. Avec pour invité-es Alice, présidente de Alpaline, Anthony Bonnemaison,... Continue Reading →

Jean & Mike Do The New York Times Crossword
Friday, October 10, 2025 - Another fun-filled Friday frolic of a crossword

Jean & Mike Do The New York Times Crossword

Play Episode Listen Later Oct 11, 2025 14:45


Colin Adams seems to have hit the sweet spot with Friday crosswords chock-full of cracklingly good clues. Besides those mentioned in today's podcast, we also have such notables as 14D, Locales for some residents, in brief, ERS (ah, those types of residents); 32D, Sch. that's home to Mike the Tiger (and his 15,000-square-foot habitat), LSU (we're suckers for clues that reference a cohost

Veterinary Vertex
Blocked Cats, Clear Choices

Veterinary Vertex

Play Episode Listen Later Oct 4, 2025 17:53 Transcription Available


Send us a textHyperkalemia in a blocked cat can feel like a five-alarm fire—until you remember what actually fixes the problem. We sit down with Drs. Stephanie Maciorowski and Elizabeth Rozanski to unpack fresh evidence showing that the simplest path is also the strongest: start IV fluids, give calcium gluconate to stabilize the myocardium, and prioritize rapid unobstruction. The headline finding is liberating for busy ERs and general practices alike—insulin with dextrose, terbutaline, or sodium bicarbonate did not outperform the foundational approach in lowering potassium or improving outcomes.We walk through what this means at the cage-side level. Potassium often falls quickly once urine is flowing, so the early hours matter most. If a catheter won't pass, decompressive cystocentesis can reduce pressure and buy time. We compare sedation choices, discuss monitoring strategies, and highlight which lab and ECG changes deserve your attention. The conversation also tackles a bigger theme: replacing ritual with proof. Many of us learned to stack drugs out of habit or anxiety; this study suggests we can streamline, reduce risk, and still deliver excellent survival—especially when teams move decisively to address the cause rather than chasing every downstream sign.Along the way, we cover client education essentials—how to spot a block early, why immediate care matters, and what prevention looks like after discharge. For clinicians, we sketch out future research that could refine timing, trend analysis, and case stratification, including earlier potassium checkpoints and ionized calcium tracking. If you care about better outcomes, safer protocols, and fewer medication complications, this conversation offers practical, evidence-based steps you can use today.If this episode helps you rethink your protocol, share it with a colleague, subscribe for more data-driven conversations, and leave a quick review so others can find the show.JAVMA article: https://doi.org/10.2460/javma.25.04.0258INTERESTED IN SUBMITTING YOUR MANUSCRIPT TO JAVMA ® OR AJVR ® ? JAVMA ® : https://avma.org/JAVMAAuthors AJVR ® : https://avma.org/AJVRAuthorsFOLLOW US:JAVMA ® : Facebook: Journal of the American Veterinary Medical Association - JAVMA | Facebook Instagram: JAVMA (@avma_javma) • Instagram photos and videos Twitter: JAVMA (@AVMAJAVMA) / Twitter AJVR ® : Facebook: American Journal of Veterinary Research - AJVR | Facebook Instagram: AJVR (@ajvroa) • Instagram photos and videos Twitter: AJVR (@AJVROA) / Twitter JAVMA ® and AJVR ® LinkedIn: https://linkedin.com/company/avma-journals

Thoughtful Faith
Was Joseph Smith A Polygamist? The Hidden Dangers Of Denial | Ft Brian Hales

Thoughtful Faith

Play Episode Listen Later Oct 3, 2025 68:12


Did Joseph smith Practice Polygamy? We decided to explore what it would mean if the Polygamy deniers were right… and frankly, if they are right… we have some major problems.Polygamy denialist' “Faith Package”1. Accept the belief JS did not practice plural message.2. Reject, as deceptions, the testimonies of the Church's highest leaders (ERS, ZH, BS, BY, JT, WW, and LS) after 1844 regarding their eyewitness accounts of JS's introduction of the practice of plural marriage. Accept that the Church's highest leaders for 50+ years were deceivers.3. Reject D&C 132 and its teachings, including those describing how JS had authority to create eternal families.4. Reject the temple endowment because nothing concerning it was recorded during Joseph Smith's lifetime. Instead, it represents the 1877 recollection of Joseph Smith's 1843 teachings, recorded by Wilford Woodruff, who also recalled how Joseph practiced plural marriage in 1843.5. Reject President Russell M. Nelson's teachings and the recent post on the Church's website that affirm: “Joseph Smith introduced the practice, not Brigham Young.”Our LinksWebsite: http://thoughtfulfaith.orgInstagram:   / thoughtful.faith  TikTok:   / thoughtful.faith  Podcast: https://www.buzzsprout.com/1478749DISCLAIMER: The views expressed in this video are entirely the opinion of the creator and do not necessarily reflect any officially endorsed positions of the Church of Jesus Christ of Latter-Day Saints or channel sponsors.

Science Vs
The Full Moon: Is It Messing With Us?

Science Vs

Play Episode Listen Later Oct 2, 2025 43:27


People swear that weird stuff goes down on a full moon. In fact, even SERIOUS folks like the nerds who work in ERs will tell you that something is off about those nights. And what's amazing is that science has actually looked at this. And … there is some weird stuff here! From animals to ERs to our circadian rhythms to our menstrual cycles, we'll find out — is something afoot during a full moon? We talk to Emeritus Prof. of emergency medicine Dr. Wendy Coates and circadian rhythm researchers Prof. Horacio de la Iglesia, Prof. Kristin Teßmar-Raible, and Prof. Charlotte Helfrich-Förster.  Find our transcript here: https://bit.ly/ScienceVsFullMoon  In this episode, we cover: (00:00) What do people think the full moon is doing to us? (03:54) How the moon influences animals (07:47) Does the full moon make ERs busier? (15:09) Does the full moon affect our sleep? (22:11) HOW is the full moon messing with us? (31:05) Does the full moon affect our menstrual cycles? This episode was produced by Meryl Horn, with help from Wendy Zukerman, Rose Rimler, Michelle Dang, and Ekedi Fausther-Keeys. We're edited by Blythe Terrell. Mix and sound design by Bumi Hidaka. Fact checking by Marlowe Starling. Music written by Bumi Hidaka, Bobby Lord, Emma Munger, So Wylie, and Peter Leonard. Thanks to all the researchers we spoke to for this episode, including Dr. Ron Flick, Dr. Michael Smolensky, Michael Bevington, Dr. Laurel Symes, Professor Laura Prugh, and Dr. Maarten Nijsten. Special thanks to Kevin Walsh and all the folks who chatted with me about the full moon.  Science Vs is a Spotify Studios Original. Listen for free on Spotify or wherever you get your podcasts. Follow us and tap the bell for episode notifications. Learn more about your ad choices. Visit podcastchoices.com/adchoices

COSMO Köln Radyosu
Türkiye'de sanatçılara baskı – Manifest ve Mabel Matiz iki örnek

COSMO Köln Radyosu

Play Episode Listen Later Oct 1, 2025 21:16


Türkiye'de sanat dünyasına yönelik baskı giderek artıyor. Alternatif müzik grubu Manifest üyelerinin gözaltına alınması, Mabel Matiz'in şarkı sözlerinin müstehçenlik iddiasıyla soruşturma konusu yapılması, eğlence amaçlı bir YouTube kanalında dini değerler üzerinden yapılan espri nedeniyle bir kişinin tutuklanması bu baskıya sadece bir kaç örnek. Türkiye'de ifade özgürlüğü nasıl tehdit ediliyor? Avukat Hüseyin Ersöz ile yasakların ve gözaltıların hukuki dayanağı olup olmadığını konuştuk. Gazeteci Can Dündar, "adım adım ahlak polisine yaklaşmak" olarak gördüğü bu tür baskıları yorumladı. Mikrofonda Gökçe Göksu ve Eren M. Gençer var. Von Gökçe Göksu und Eren Mahir Gençer.

The Lancet Respiratory Medicine
Guy Brusselle and Celeste Porsbjerg on State-of-the-art insights into prevention, development, and management of asthma

The Lancet Respiratory Medicine

Play Episode Listen Later Sep 28, 2025 22:43


Professors Guy Brusselle and Celeste Porsbjerg join us to discuss their recent Series papers on asthma, which will be featured in a cross journal project with The Lancet, published to coincide with a Lancet journal session on asthma at ERS in Amsterdam. The Series aims to provide an overview of recent research advances related to asthma; to provide new insights into the genetics, prevention and risk factors for asthma; review advances arising as a result of the use of monoclonal antibody therapeutics; and assess remission in adult patients. Late breaking research will also be included within the journal session and linked to the Series.Continue this conversation on social!Follow us today at...https://thelancet.bsky.social/https://instagram.com/thelancetgrouphttps://facebook.com/thelancetmedicaljournalhttps://linkedIn.com/company/the-lancethttps://youtube.com/thelancettv

Hacker News Recap
September 25th, 2025 | ChatControl: EU wants to scan all private messages, even in encrypted apps

Hacker News Recap

Play Episode Listen Later Sep 26, 2025 14:33


This is a recap of the top 10 posts on Hacker News on September 25, 2025. This podcast was generated by wondercraft.ai (00:30): ChatControl: EU wants to scan all private messages, even in encrypted appsOriginal post: https://news.ycombinator.com/item?id=45374500&utm_source=wondercraft_ai(01:52): Microsoft blocks Israel's use of its tech in mass surveillance of PalestiniansOriginal post: https://news.ycombinator.com/item?id=45373564&utm_source=wondercraft_ai(03:15): Death rates rose in hospital ERs after private equity firms took overOriginal post: https://news.ycombinator.com/item?id=45372442&utm_source=wondercraft_ai(04:38): Cloudflare Email Service: private betaOriginal post: https://news.ycombinator.com/item?id=45373081&utm_source=wondercraft_ai(06:01): The story of DOGE, as told by federal workersOriginal post: https://news.ycombinator.com/item?id=45373102&utm_source=wondercraft_ai(07:24): ChatGPT PulseOriginal post: https://news.ycombinator.com/item?id=45375477&utm_source=wondercraft_ai(08:46): Improved Gemini 2.5 Flash and Flash-LiteOriginal post: https://news.ycombinator.com/item?id=45375845&utm_source=wondercraft_ai(10:09): Bundler Belongs to the Ruby CommunityOriginal post: https://news.ycombinator.com/item?id=45371061&utm_source=wondercraft_ai(11:32): Knotty: A domain-specific language for knitting patternsOriginal post: https://news.ycombinator.com/item?id=45369768&utm_source=wondercraft_ai(12:55): Demand for human radiologists is at an all-time highOriginal post: https://news.ycombinator.com/item?id=45372335&utm_source=wondercraft_aiThis is a third-party project, independent from HN and YC. Text and audio generated using AI, by wondercraft.ai. Create your own studio quality podcast with text as the only input in seconds at app.wondercraft.ai. Issues or feedback? We'd love to hear from you: team@wondercraft.ai

Washington State Farm Bureau Report
Ag Economics in the Details

Washington State Farm Bureau Report

Play Episode Listen Later Sep 25, 2025


USDA has updated its farm sector income forecast for 2025 and projects rising incomes countered by rising costs.

The Education Gadfly Show
Managing district budgets during uncertain times, with Jonathan Travers | Episode 983 of The Education Gadfly Show

The Education Gadfly Show

Play Episode Listen Later Aug 27, 2025 34:22


ERS president and managing partner Jonathan Travers joins Mike Petrilli on The Education Gadfly Show to talk about school district budgeting during uncertain times.Then, on the Research Minute, Adam Tyner shares a new report from the National Council on Teacher Quality looking at district policies on pay bumps for teachers with master's degrees, and how the money could be better spent.Recommended content:The degree dilemma: School districts spend millions on ineffective master's degree premiums —Katherine Bowser, National Council on Teacher Quality (August 2025)Close bad schools and expand good ones —Chad AldemanWhen—and why—legislated school finance reforms don't increase state education spending —Amber Northern and Jeff MurrayAn in-depth look at how Texas makes teacher merit pay work —Jessica PoinerThe ESSER hangover is here —Marguerite RozaFeedback Welcome: Have ideas for our show? Send them to thegadfly@fordhaminstitute.org

ERS Walk & Talk Podcast
Sean Duffy: Omada for Diabetes & Healthcare in your pocket

ERS Walk & Talk Podcast

Play Episode Listen Later Aug 26, 2025 24:24 Transcription Available


Sean Duffy, co-founder and CEO of Omada Health, shares how his company is supporting diabetes care by providing continuous support between doctor visits through digital health technology. His journey from medical school to creating a healthcare solution that puts a "care team in your pocket" demonstrates how technology can help bridge critical gaps in traditional healthcare delivery.Key topics discussed: • Founding of Omada and Omada for Diabetes• 15% of ERS population lives with diabetes, higher than the national average• User experience: monitoring devices, a dedicated care team, and AI-powered tools at no out-of-pocket cost• Program focuses on sustainable 5% incremental changes rather than dramatic lifestyle overhauls• AI technology helps users easily track meals and understand their personal glucose responses• Human element remains central with consistent coaches who provide accountability and personalized support• Walking after meals and other small behavioral changes can significantly impact glucose management• Future innovations will continue blending AI capabilities with human compassion and expertiseTo register for Omada for Diabetes, check out the HealthSelect Omada for Diabetes Webpage. Contact Sean directly with feedback at sean@omadahealth.com.

Rural Health Rising
August 25, 2025 News Update: $491 Billion Cut to Medicare, Overwhelmed ERs & the MCRH's Rural Health Equity Plan

Rural Health Rising

Play Episode Listen Later Aug 25, 2025 7:52


Rural Health News is a weekly segment of Rural Health Today, a podcast by Hillsdale Hospital. News sources for this episode: Phillip L. Swagel, Director, “CBO's Estimate of the Statutory Pay-As-You-Go Effects of Public Law 119-21,” August 15, 2025, https://www.cbo.gov/system/files/2025-08/61659-SPAYGO.pdf, Congressional Budget Office. Bill Heniff Jr., “Budget Enforcement Procedures: The Senate Pay-As-You-Go (PAYGO) Rule,” January 9, 2023, https://www.congress.gov/crs-product/RL31943, Congress.gov. Madeline Ashley, “CBO report warns of nearly $500B in potential Medicare cuts,” August 18, 2025, https://www.beckershospitalreview.com/finance/cbo-report-warns-of-nearly-500b-in-potential-medicare-cuts/, Becker's Hospital Review. Alex Kacik, “Looming uninsured surge may overwhelm ERs. Here's who can help.” August 18, 2025, https://www.modernhealthcare.com/providers/mh-medicaid-cuts-er-overcrowdfng-kaiser-permanente/, Modern Healthcare. Michigan Center for Rural Health, “Michigan Center for Rural Health Releases Rural Health Equity Plan Focused on Advancing Equity in Rural Michigan,” August 18, 2025, https://mcrh.msu.edu/News-and-Events/News/2025/08/RHEP-2025. Rural Health Today is a production of Hillsdale Hospital in Hillsdale, Michigan and a member of the Health Podcast Network. Our host is JJ Hodshire, our producer is Kyrsten Newlon, and our audio engineer is Kenji Ulmer. Special thanks to our special guests for sharing their expertise on the show, and also to the Hillsdale Hospital marketing team. If you want to submit a question for us to answer on the podcast or learn more about Rural Health Today, visit ruralhealthtoday.com.

Aviaciondigital
Jubilación: ¿Hasta Cuándo Volar? ¿Hasta Cuándo Controlar?

Aviaciondigital

Play Episode Listen Later Aug 25, 2025 20:30


Este episodio aborda el debate sobre la edad en la aviación comercial. Analizamos la propuesta de la IATA ante la OACI para extender la edad de los pilotos de transporte aéreo hasta los 67 años, respaldada por la creciente demanda de personal y evidencia médica que avala la salud y seguridad, bajo la regla de 'un piloto mayor, un piloto menor'.Por otro lado, examinamos la alerta de Controladores Unidos (CCUU) ante el Parlamento Europeo. Seiscientos controladores españoles denuncian la supresión de su sistema de prejubilaciones (ERS) en 2010, sin una evaluación adecuada de seguridad. Presentan evidencia científica, como la curva de Cobb y estudios de Eurocontrol, que demuestran un declive en el rendimiento psicofísico y cognitivo a partir de los 46-50 años. La sobrecarga laboral y un informe de salud 'deficiente' en un colectivo con una edad promedio superior a los 50 años representan, según los peticionarios, un riesgo crítico para la seguridad aérea europea.Este episodio explora el delicado equilibrio entre la viabilidad operativa, la demanda de personal y la seguridad aérea innegociable en dos roles clave de la aviación."

The Dental Marketer
The Non-Annoying Referral Approach Every Dental Specialist Needs | Part 1 | GMS

The Dental Marketer

Play Episode Listen Later Aug 18, 2025


How do top dental specialists quietly become the go-to experts without splashy ads or endless networking events?In this episode, we peel back the curtain on ground marketing strategies crafted specifically for dental specialists. Think orthodontists, prosthetists, periodontists, and more, who rely on referrals rather than foot traffic. We dig into the nuances of micro-niche targeting and how pinpointing the real decision-makers (those who influence consistent referrals) will change the way you build your practice's network. Using relatable examples, like ERs for endodontists or schools for orthodontists, you'll discover how symptom-based segmentation and a referral signal map can transform the way you identify and connect with the environments that matter most.Next, you'll learn powerful outreach tactics, including how to use a sphere of influence map to rank and approach referral sources strategically. This ensures your time goes to high-yield relationships, not wasted appointments. You'll understand how concentrating marketing efforts in areas rich with your ideal patients or gatekeepers can maximize your ROI. We also cover smarter, less intrusive ways to maintain momentum with referrers to make every touchpoint matter (without feeling annoying.)What You'll Learn in This Episode:How to clearly define your micro-niche and identify prime decision-makers.Where to locate high-yield referral environments and map out key referral signals.Smart tactics to segment potential patients by symptoms and life stages.The step-by-step process for building your sphere of influence map.How to rank and schedule outreach for maximum referral impact.Using heat mapping and geo-zoning to concentrate efforts where ROI is highest.The "Don't Be Annoying Plan" to stay top of mind without overwhelming referrers.Tips for psychographic personalization to connect with referrers on an emotional level.The essential art of asking the right questions and listening for referral cues.Strategies for building long-lasting, referral-rich relationships that sustain specialist practices.Hit play now to discover proven strategies for becoming the referral magnet in your dental specialty. No hype, just results!‍‍Learn More About the Ground Marketing Course Here:Website: thedentalmarketer.lpages.co/the-ground-marketing-course-open-enrollment‍Host: Michael AriasJoin my newsletter: https://thedentalmarketer.lpages.co/newsletter/‍Join this podcast's Facebook Group: The Dental Marketer Society‍Love the Podcast? Let Us Know How We're Doing on Apple Podcasts!

Vital Health Podcast
Barbara McAneny, Rafael Fonseca, and Steve Potts: Protecting Patients Amid the IRA

Vital Health Podcast

Play Episode Listen Later Jul 30, 2025 36:50


In this episode of the Vital Health Podcast, host Duane Schulthess convenes three leading voices from the 2025 BIO International Convention - prominent physicians, innovators, and advocates shaping the future of drug development in the wake of the Inflation Reduction Act (IRA). Throughout this conversation, they examine policy impacts, clinical ramifications, and patient access challenges: Barbara McAneny: Former American Medical Association President; Co‑Chair, ONCare Alliance; CEO, New Mexico Oncology Hematology Consultants, Ltd. Rafael Fonseca: Chief Innovation Officer & Getz Family Professor of Cancer, Mayo Clinic in Arizona Steve Potts: Chair, Drug Development Council, ICAN (International Cancer Advocacy Network) Key Topics: Pipeline Modality Shifts: Early‑stage developers are retooling small molecule programs into biologics, or abandoning follow‑on indications altogether to sidestep the IRA’s nine‑year exclusivity pill penalty. Clinical Trial Ecosystem: Independent and academic centers alike are seeing fewer small molecule trials, threatening orphan drug expansions and revenue streams that underwrite care. Oncology Practice Economics: Cuts to drug margins will jeopardize community practices, forcing difficult choices between patient treatment and financial survival. Patient Affordability & Copays: The cap on out‑of‑pocket oral drug costs versus the hidden burden of high copays and co‑insurance - and why eliminating them could raise premiums only modestly. PBM & Insurer Vertical Integration: Payers acquiring manufacturers and ownership of formularies are steering patients toward the highest‑rebate products at the expense of clinical judgment. Broader Systemic Ripples: From congested ERs due to unmanaged side effects to rural access collapse, plus the missed opportunity to cut PBM take‑rates instead of hampering innovation. Policy Fix Imperatives: Proposals include recalibrating exclusivity durations (extend small molecule to 13 years), automating rebate flows to CMS, and overhauling PBM incentives. This discussion covers the interplay between drug-pricing reform and the future of care, highlighting unintended consequences and pragmatic solutions. It’s essential listening for policymakers, payers, industry leaders, patient advocates, and every stakeholder invested in sustaining medical innovation and ensuring equitable patient access. Opinions expressed are those of the speakers, not the companies listed. Recorded on June 16, 2025.See omnystudio.com/listener for privacy information.

The Current
Should some rural ERs be closed permanently?

The Current

Play Episode Listen Later Jul 14, 2025 20:05


Canada's small-town ERs are in crisis, facing routine closures and severe staffing shortages. Globe and Mail health columnist André Picard argues some of those ERs might need to close, so scarce resources can be used more effectively.

The MOD Pod
Educating Patients on Urgent Eye Care • Refractive Solutions for Every Age

The MOD Pod

Play Episode Listen Later Jun 25, 2025 35:48


This month's episode of The MOD Pod features host Cecelia Koetting, OD, FAAO, Dipl ABO, speaking with Sulman Hans, OD, MS, FAAO, Dipl ABO, about his article in the July/August issue of Modern Optometry, "Keeping Eye Care Where It Belongs," which offers helpful steps to steer patients away from ERs and urgent care centers and into OD practices. Dr. Koetting also has a conversation with Rebecca Miller, OD, about her article, which walks through the various corrective options available to patients as their visual needs evolve over their lifetime.

Brad and John - Mornings on KISM
top 3 medical shows

Brad and John - Mornings on KISM

Play Episode Listen Later Jun 2, 2025 4:37


In honor of Loretta Swit, "Hot Lips" Houlihan from MASH passing away at 87 our top 3 focuses on medical shows...doctors...nurses...ERs ect

Tony Mantor: Why Not Me the World
Laura Craciun: A Son's Mental Illness and a System That Failed Him

Tony Mantor: Why Not Me the World

Play Episode Listen Later May 29, 2025 27:07 Transcription Available


Send us a textLaura Krachun shares her son's harrowing journey with serious mental illness and the systemic failures that criminalize mental health conditions instead of treating them. Her story highlights the urgent need for better policies to support individuals with psychosis and their families.• Laura's son was misdiagnosed with ADHD before eventually being diagnosed with schizoaffective disorder at age 20• Cannabis use potentially triggered or worsened his psychotic symptoms• Despite 16 attempts to get help through ERs and police, the family faced constant rejection from healthcare facilities• Anosognosia (lack of illness awareness) prevented her son from voluntarily seeking treatment• After a violent episode, her son entered the justice system rather than receiving appropriate psychiatric care• Their state's mental health department only offers services to those who volunteer, excluding those with anosognosia• The legal system spent resources on 72 court hearings rather than on treatment• Laura advocates for Assisted Outpatient Treatment laws to bridge the gap between legal and medical systems• Better education is needed for judges, lawyers, and medical professionals about serious mental illnessWe ask that you tell everyone everywhere about Why Not Me? The World, the conversations we're having, and the inspiration our guests give to everyone everywhere that you are not alone in this world.https://tonymantor.comhttps://Facebook.com/tonymantorhttps://instagram.com/tonymantorhttps://twitter.com/tonymantorhttps://youtube.com/tonymantormusicintro/outro music bed written by T. WildWhy Not Me the World music published by Mantor Music (BMI)

Wholehearted Loving
Overwhelmed, Uncertain & Spinning Out: How to Regain Focus Through Presence | Ep126

Wholehearted Loving

Play Episode Listen Later May 25, 2025 63:08


In this playful and grounding episode, Georgianna and Steph explore how to stay centered when life is full of unknowns. Whether you're spiraling through decisions about relationships, housing or career, or simply struggling with daily overwhelm, this conversation invites you to reclaim agency over your focus — and your nervous system.Through light-hearted embodiment practices, they demonstrate how small shifts in attention can restore calm, clarity, self-connection, and even joy. From hospital ERs to everyday anxiety spirals, discover how to choose what you focus on — and how to grow your peace in any moment.✨ Learn how narrowing your focus can open up unexpected possibilities✨ Enjoy the magic of playful embodiment✨ Remember that even in chaos, you get to choose your vibe"Like finding gold." - Alma W."The best therapy I've ever done for myself." - Sanjeev B.Join our monthly membership for LIVE calls & practice:http://bit.ly/4eF86reGet our Self-Compassionate Body-Based Toolkit:https://bit.ly/40Vnz3b************************************************************************Every episode begins and ends with a body-based self-connection practice, so you can grow your capacity to be with all that life brings. We also include self-reflection and journaling prompts each week, posted on our Instagram @wholeheartedloving. New episodes every Sunday at 10am PT.Learn more about us and how you can practice with us LIVE at wholeheartedloving.com.

UC Today - Out Loud
Duty of Care in 2025: How Intrado's ERS Ensures 911 Compliance

UC Today - Out Loud

Play Episode Listen Later May 14, 2025 14:44


In this essential video from UC Today, host Kieran Devlin sits down with Lauren Kravetz, Vice President of Government Affairs, André Malais, Senior Product Manager, and Rhys Rueffert, Product Manager, all at Intrado, to unpack one of the most urgent enterprise topics in 2025—duty of care and emergency readiness.With U.S. laws like Kari's Law, Ray Baum's Act, and Alyssa's Law reshaping how organizations must respond to emergencies, this conversation dives deep into the role Intrado's Emergency Routing Service (ERS) and Safety Suite play in ensuring real-time, location-accurate, and regulation-compliant responses to 911 calls.Whether you're in IT, compliance, or enterprise safety, this is a must-watch. How do enterprises ensure they're not just compliant with complex 911 regulations but genuinely prepared to protect their people?In this insightful panel discussion, Intrado's experts break down the dual challenges of regulatory compliance and proactive emergency response—and how their ERS and Safety Suite solutions work in tandem to solve both.Key Takeaways:Understanding Compliance: Learn how Intrado's ERS supports federal laws like Kari's Law and Ray Baum's Act by ensuring accurate call routing and dispatchable location delivery—even for remote or mobile usersBeyond Compliance: Discover how Intrado's Safety Suite goes further with features like silent panic buttons, emergency alerts, and integration with physical security systemsAdaptability Across Industries: See how Intrado's solutions meet evolving state-level requirements—from K-12 schools to hospitality and retail sectors—without enterprises needing to adapt to each regulation individuallyFuture of Safety Tech: Gain insight into how Alyssa's Law is shaping broader workplace safety policies across the U.S., and what it means for your organization

WGU Alumni Podcast
From ER Leader to Florida ENA President: Distinguished Graduate Christie Jandora's Journey

WGU Alumni Podcast

Play Episode Listen Later Apr 17, 2025 18:01 Transcription Available


Christie Jandora, a 2024 Distinguished Graduate at WGU, is the Director of Emergency Trauma Services at Ascension, overseeing 500 associates across five Florida counties. She joins the WGU Alumni podcast to share her journey that has been marked by resilience, passion, and purpose.  On the latest episode, learn how Christie:Plans to make an impact as the President-Elect of the Florida Emergency Nurses Association Leads multiple ERs, including a Level 1 trauma center and freestanding emergency departments Pursued nursing after losing both parents during her first semester of college Rose through nursing ranks—from LPN to master's degree—while raising her children as a single parent Completed her master's during COVID while working 50–60 hours a week And much, much more. 

Soundside
Why ER doctors are tuning into THE PITT

Soundside

Play Episode Listen Later Apr 15, 2025 15:01


A harried emergency room doctor rushes between patients; his waiting room is filled to the brim with sick and injured people, he’s dodging a RAT infestation, all while overseeing a new crop of residents getting up to speed on their ER rotation. AND oh yes… sparring with a hospital administrator who’s reminding him: He needs to get those patient satisfaction scores up. It’s all in the day in the life of Dr. Robby of “The Pitt,” the fictional Pittsbourgh Emergency Department at the heart of HBO’s buzzy new streaming show. The show has received praise from medical pros, and close readings from fans who say it portrays the financial pressure of ERs in a new and compelling way. One of those fans is the host and creator of the "An Arm and A Leg" podcast - a show about the cost of healthcare in America, co-produced with KFF Health News and distributed in partnership with KUOW. GUEST: Dan Weismann RELATED LINKS: An Arm and A Leg Podcast A Real-Life ER Doctor Examines The Pitt ‘The Pitt’ Has Impressed Real Doctors With Its Accuracy - The New York Times 'The Pitt' Wins Praise From Pittsburgh ER Staff for Being 'Most Realistic' "ER" Sues "The Pitt" Thank you to the supporters of KUOW, you help make this show possible! If you want to help out, go to kuow.org/donate/soundsidenotes Soundside is a production of KUOW in Seattle, a proud member of the NPR Network.See omnystudio.com/listener for privacy information.

Relentless Health Value
EP470: Continuing the ER and Primary Care Through Line Over to Rural Hospitals and Healthcare, With Nikki King, DHA

Relentless Health Value

Play Episode Listen Later Apr 3, 2025 35:10


So, the show today, it's sort of an encore but not really an encore because I recorded this whole new introduction that you are currently listening to. And I also did a few inserts that we popped into the show itself. Inserts from the future, you might say. For a full transcript of this episode, click here. If you enjoy this podcast, be sure to subscribe to the free weekly newsletter to be a member of the Relentless Tribe. But why did I pull this episode from 2021, you might be wondering, as an immediate follow-on to the show from last week (EP469) about possible Medicaid cuts? Well, for one thing, the show last week about Medicaid cuts was about how the cuts might impact plan sponsors. And it left me feeling a little bit like part of the story was going unsaid. So much of what happens in healthcare, we see numbers on a spreadsheet but can easily lose track of human beings. I was reading something the other day. It reminded me of the people behind these numbers. I don't know if this happened in rural America, but it easily could have. Here's the link. Someone could not get a needed surgery. This surgery had all of the medical necessity boxes checked, except the hospital would not perform the needed surgery without cash up front in prepayment. This patient, he did not have enough money to cover the prepayment. So, somebody in the hospital finance department gave him a solution: Just wait until the situation becomes life-threatening, and then I guess you can go to the ER with your newly life-threatening condition, and they will have to perform the surgery without the money up front. And here we have the theme of people not being able to afford or not being able to access primary care or, in this case, I guess something more than that—a surgery—and they wind up in the emergency room. As John Lee, MD, put it, the healthcare system in this country is like a balloon. And the way we are currently squeezing it, everybody is getting squeezed into the emergency room—which is the very most expensive place to obtain care, of course, especially when that care is non-emergent. In rural America, this is particularly true. Now, by no means am I suggesting any kind of magic bullet to this Medicaid situation. As we all know, health and healthcare are not the same thing as health insurance; and we all know enough about the issues with Medicaid. That is not what the show is about. The episode that follows with Nikki King, who is my guest today, offers some great advice when there's just such a scarcity of clinicians available; and she does a great job of it. So, I am going to spend my time with you in this intro talking about rural hospitals in rural areas—the place where many patients wind up when they cannot get primary care in their community, just exacerbating all of the issues we have with Medicaid and affording Medicaid. But yeah, even if there is adequate or even great primary care, you still kind of need a hospital. The thing is, if an economic situation emerges where, say, for example—and this is the case in a lot of rural places—let's just say a factory or two or a mine or whatever closes down. It might mean the local hospital also closes down if that local hospital was dependent on commercial lives and cost shifting to those commercial lives. Like, this is not higher math or anything. It's easy to see how a doom loop immediately gets triggered. Recall that one big reason—and Cynthia Fisher (EP457) talked about this in an episode from a few months ago—one reason why employers in rural areas are choosing to move facilities somewhere else or overseas is that hospital costs are too high in the USA in these rural areas. So, they are closing their factory down because the hospital is charging too much. The lower the volume of commercial lives, the higher the hospital winds up raising their prices for the other employers in the area. Now, there's a point that comes up a lot in 2025 in conversations about rural hospital financials or just hospital financials in general, I guess. I had a conversation with Brad Brockbank about this a while back, and I've been mulling over it ever since. There are many who strongly suggest the reason why rural and other hospitals are in trouble is squarely because they don't have enough patients with commercial insurance in their payer mix. As Nathan Kaufman wrote on LinkedIn the other day, he wrote, “The ‘tipping point' is the percent of commercial gross revenues. When most hospitals hit 25%, if they don't have commercial rates in the high 300% [over Medicare] range, things begin to unravel.” And look, I'm not gonna argue any of the points here. How would I know? For any given hospital, it could be a financial imperative to try to get 300% over Medicare out of the local employers. I don't doubt it. The question I would ask, if someone knows that hospital finances are currently dependent on cost shifting, especially in a rural area with unstable industry, what are the choices that are made by hospital boards or leadership? Is this current dependency used as a justification to level up the cost shifting to local employers just as volume diminishes keep charging more, which is ultimately going to cause even more employers to leave the area? Which seems to be kind of a default. It's like the safety valve is, charge the local employers more. The point I'm making here is not all that profound, actually. It's just to point out that safety valve, taking advantage of it, comes with downstream impact that actually worsens a situation. So, what do we do now? And similar to the Medicaid, what I just said about Medicaid, I'm not showing up with any silver bullet here. And running a hospital is ridiculously hard. So, I do not wanna minimize that. And I certainly do not wanna minimize Medicare advantage paying less than Medicare going on and the mental health crisis and the just crippling issues that a lot of rural hospitals face. Here's a link to a really interesting report by the Center for Healthcare Quality & Payment Reform (CHQPR) about the ways hospitals can restructure and rethink how they deliver services, but I will take a moment to point out some case studies of success for what happens when people crossed off go get more money from the local employers off the list. Then there's also FQHCs (Federally Qualified Health Centers) doing some amazing things even in rural areas. Listen to the episode a while back with Doug Eby, MD, MPH, CPE (EP312) about the Nuka System of Care in Alaska, serving areas so rural, you need to take a prop plane to get to them. Their patients, their members have some of the best outcomes in the entire country. Their secret: yeah … great primary care teams that include behavioral health, the doctor, the nurse, a whole crew. And look at us. We've come full circle. Primary care (good primary care, I mean) is an investment. Everything else is a cost. Lastly, let me just offer a very large update: Today, you cannot just say rural hospital anymore and automatically mean a hospital in dire financial straits struggling to, like, make the rent. Large consolidated hospital systems have bought up so many rural hospitals for all kinds of reasons that may (or maybe not) have less to do with mission and more to do with all the things I discussed with Brennan Bilberry (EP395) in the episode entitled “Consolidated Hospital Systems and Cunning Anticompetitive Contracts.” Here is the original episode with Nikki King. Nikki, let me just mention, has gotten a new job since she was on the pod. She is now the CEO of Alliance Health Centers in Indiana. Also mentioned in this episode are Alliance Health Centers; John Lee, MD; Cynthia Fisher; Patient Rights Advocate; Brad Brockbank; Nathan Kaufman; Doug Eby, MD, MPH, CPE; Nuka System of Care; and Brennan Bilberry.   You can learn more at Alliance Health Centers and by following Nikki on LinkedIn.   Nikki King, MHSA, DHA, is the chief executive officer for Alliance Health Centers, Inc. Her work serves both urban and rural populations and is focused on substance abuse, communities underserved in healthcare, affordable housing, and economic development. Before working in the healthcare industry, she worked for the Center of Business and Economic Research studying models of sustainability in rural communities. Growing up as a first-generation college student in Appalachia, she brings lived experience of rural communities and approaches her work in healthcare as pivotal in breaking the cycle of poverty. Nikki completed her DHA at the Medical University of South Carolina and her MHSA from Xavier University.   08:14 How dire is the rural hospital situation right now? 08:33 How could freestanding ERs be a potential solution for rural hospitals? 09:56 Advice from CHQPR: Rural hospitals should not be forced to eliminate inpatient care. 11:22 Why is broadband a roadblock to telehealth as a solution for rural health access? 14:52 What are other potential rural health access solutions? 15:37 The “hot potato” of nurse practitioners in the healthcare world. 16:34 “The number of residencies for physicians each year is not increasing, but the population … is increasing.” 20:28 EP312 with Douglas Eby, MD, MPH, CPE, of the Nuka System of Care. 22:00 What's the issue with maternity care in rural America? 24:09 “As healthcare becomes more and more specialized, [the] ability to treat high-risk cases is better, but access gets worse.” 27:57 How is mental health care affected in rural communities? 28:29 “Rural communities are trying very hard to hang on to what they have.” 29:52 “When you look at the one market plan that's available in a rural community, you probably can't afford it.” 31:37 What's the single biggest challenge to moving to a model that incentivizes keeping people healthy? 32:32 “The easiest low-hanging fruit … is having national Medicaid and have that put under the same hood as Medicare.”   You can learn more at Alliance Health Centers and by following Nikki on LinkedIn.   Nikki King, MHSA, DHA, discusses #ruralhospitals and #ruralprimarycare. #healthcare #podcast #changemanagement #healthcareleadership #healthcaretransformation #healthcareinnovation   Recent past interviews: Click a guest's name for their latest RHV episode! James Gelfand (Part 2), James Gelfand (Part 1), Matt McQuide, Stacey Richter (EP467), Vivian Ho, Chris Crawford (EP465), Al Lewis, Betsy Seals, Wendell Potter (Encore! EP384), Dr Scott Conard, Stacey Richter (INBW42)

The Science Pawdcast
Episode 7 Season 7: Seal Oxygen, ER Dogs and The Heart of Anesthesia with Dr. Ashley Gabrielsen

The Science Pawdcast

Play Episode Listen Later Mar 22, 2025 60:15 Transcription Available


Send us a textFrom groundbreaking research on seal oxygen perception to heart-stopping surgical techniques, we explore medical frontiers that sound like science fiction but save lives daily with cardiothoracic anesthesiologist Dr. Ashley Gabrielsen.• Gray seals can perceive blood oxygen levels rather than CO2, allowing them to adjust dive durations accordingly• Therapy dogs in ERs significantly reduce pediatric anxiety – dropping scores almost twice as much as standard care aloneThen an amazing chat with Dr. G!• During cardiac surgery, the heart can be completely stopped while a bypass machine takes over circulation• In extreme procedures, patients can be cooled to 20°C and circulation stopped briefly – being "clinically dead" before resuscitation• The brain lacks pain receptors, enabling awake brain surgeries where patients can play instruments during the procedure• Modern anesthesia techniques allow joint replacements with minimal medication and same-day mobilityDr. G's Instagram Handle @ashleesi306https://www.instagram.com/ashleesi306/Our links! Our Website!  www.bunsenbernerbmd.comSign up for our Weekly Newsletter!Bunsen and Beaker on Twitter:Bunsen and Beaker on TikTokSupport the showFor Science, Empathy, and Cuteness!Being Kind is a Superpower.https://twitter.com/bunsenbernerbmd

Montana Public Radio News
Montanans with severe mental illness face a cycle of crisis and homelessness

Montana Public Radio News

Play Episode Listen Later Mar 20, 2025 6:06


Montanans living with severe mental illness are cycling in and out of ERs, jails, shelters and the state psychiatric hospital. Many never get the long-term help they need. One Missoula woman has been caught in that cycle for years. Her daughter uprooted her life to help. MTPR's Aaron Bolton brings us their story and reports on whether proposed reforms to the state mental health system offer them hope.

Relentless Health Value
EP467: Connecting Sky-High ER Spend to Primary Care Access—Following the Dollar Through Carriers and Hospitals, With Stacey Richter

Relentless Health Value

Play Episode Listen Later Mar 13, 2025 23:09


Here's my new idea for an episode. Welcome to it. I want to talk about a major theme running through the last few episodes of Relentless Health Value. And this theme is, heads up, going to continue through a few upcoming shows as well. For a full transcript of this episode, click here. If you enjoy this podcast, be sure to subscribe to the free weekly newsletter to be a member of the Relentless Tribe. We have Matt McQuide coming up, talking about patient engagement, and Christine Hale, MD, MBA, talking about high-cost claimants. And we also have an encore coming up with Kenny Cole, MD, talking about a lot of things; but patient trust is one of them. But before I get to the main theme to ponder here, let me talk about what gets selected to talk about on Relentless Health Value. I will freely admit, how topics for shows get picked, it's not exactly a linear sort of affair. And furthermore, even if it were, I can't always get the stars to align to get a specific cluster of guests to all come on like one after the other. So, for sure, it might be less than obvious at times where my head is at—and sometimes, admittedly, I don't even know. This may sound incredibly scattershot (and it probably is), but in my defense, this whole healthcare thing, in case you didn't know, it's really complicated. Every time I get a chance to chat with an expert, I learn something new. I feel like it's almost impossible to sit in a vacuum and mastermind some kind of grand insight. Very, very fortunately, I don't need to sit in a cave and do all this heavy thinking all by myself. We got ourselves a tribe here of like-minded, really smart folks between the guests and you lot, all of you in the tribe of listeners who are here every week. Yeah, you rock! And I can always count on you to start teasing out the themes and the through lines and the really key actionable points. You email me. You write great posts and comments on LinkedIn and elsewhere. Even if I am a little bit behind the eight ball translating my instinct into an actual trend line, it doesn't slow this bus down. It's you who keeps it moving, which is why I can confidently say it's you all who are to blame for this new idea I came up with the other day after the podcast with Al Lewis (EP464) triggered so much amazing and really deep insight and dot connecting back and forth that hooked together the past six, I'm gonna say, or so shows. Let's just start at the beginning. Let's start with the topics that have been discussed in the past several episodes of the pod. Here I go. Emergency room visits are now costing about 6% of total plan sponsor spend on average. That was the holy crap moment from the episode with Al Lewis (EP464). Emergency room volume is up, and also prices are up. In that show with Al Lewis, I did quote John Lee, MD, who is an emergency room doctor, by the way. I quoted him because he told a story about a patient who came into the ER, winds up getting a big workup in his ER. Dr. Lee says he sees this situation a lot where the patient comes in, they've had something going on for a while, they've tried to make an appointment with their PCP or even urgent care, they could not get in. It's also really hard to coordinate and get all the blood work or the scans and have that all looked at that's needed for the workup to even happen. I've spoken with multiple ER doctors at this point, and they all say pretty much the same thing. They see the same scenario happen often enough, maybe even multiple times a day. Patient comes in with something that may or may not be emergent, and they are now in the ER because they've been worried about it for weeks or months. And the ER is like the only place where they can get to the bottom of what is going on with their body. And then the patient, you know, they spend the whole day in the ER getting what amounts to weeks' worth of outpatient workup accomplished and scans and imaging and labs. And there's no prior authing anything down. It's also incredibly expensive. Moving on from the Al Lewis show, earlier than that I had had on Rushika Fernandopulle, MD (EP460) and then also Scott Conard, MD (EP462). Both are PCPs, both talking about primary care and what makes good primary care and what makes bad primary care and how our current “healthcare marketplace,” as Dr. Conard puts it, incentivizes either no primary care and/or primary care where volume driven throughput is the name of the game—you know, like seeing 25 patients a day. These visits or episodes of care are often pretty transactional. If relationships are formed, it's because the doctor and/or the patient are rising above the system, not the other way around. And none of that is good for primary care doctors, nurses, or other clinicians. It's also not good for patients, and it's not good for plan sponsors or any of the ultimate purchasers here (taxpayers, patients themselves) because while all of this is going on, those patients getting no or not good primary care are somebody's next high-cost claimant. Okay, so those were the shows with Rushika Fernandopulle and Scott Conard. Then this past week was the show with Vivian Ho, PhD (EP466), who discusses the incentives that hospital leadership often has. And these incentives may actually sound great on paper, but IRL, they wind up actually jacking up prices and set up some weird incentives to increase the number of beds and the heads in them. There was also two shows, one of them with Betsy Seals (EP463) and then another one with Wendell Potter (EP384), about Medicare Advantage and what payers are up to. Alright, so let's dig in. What's the big theme? What's the big through line here? Let's take it from the top. Theme 1 is largely this (and Scott Conard actually said this flat out in his show): Primary care—good primary care, I mean—is an investment. Everything else is a cost. And those skyrocketing ER costs are pure evidence of this. Again, listen to that show with Al Lewis earlier (EP464) for a lot of details about this. But total plan costs … 6% are ER visits. Tim Denman from Premise Health wrote, “That is an insane number! Anything over 2% warrants concern.” But yeah, these days we have, on average across the country, 200 plan members out of 1000 every single year dipping into their local ER. That number, by the way, will rise and fall depending on the access and availability of primary care and/or good urgent cares. Here's from a Web site entitled ER Visit Statistics, Facts & Trends: “In the United States, emergency room visits often highlight gaps in healthcare accessibility. Many individuals turn to ERs for conditions that could have been managed through preventative or primary care. … This indicates that inadequate access to healthcare often leads to increased reliance on emergency departments. … “ED visits can entail significant costs, particularly when a considerable portion of these visits is classified as non-urgent. … [Non-urgent] visits—not requiring immediate medical intervention—often lead to unnecessary expenditures that could be better allocated in primary care settings.” And by the way, if you look at the total cost across the country of ER visits, it's billions and billions and billions of dollars. In 2017, ED visits (I don't have a stat right in front of me), but in 2017, ED visits were $76.3 billion in the United States. Alright, so, the Al Lewis show comes out, I see that, and then, like a bolt of lightning, François de Brantes, MBA, enters the chat. François de Brantes was on Relentless Health Value several years ago (EP220). I should have him come back on. But François de Brantes cemented with mortar the connectivity between runaway ER costs and the lack of primary care. He started out talking actually about a new study from the Milbank Memorial Fund. Only like 5% of our spend going to primary care is way lower than any other developed country in the world—all of whom, of course, have far higher life expectancies than us. So, yeah … they might be onto something. François de Brantes wrote (with some light editing), “Setting aside the impotence of policies, the real question we should ask ourselves is whether we're looking at the right numbers. The short answer is no, with all due respect to the researchers that crunched the numbers. That's probably because the lens they're using is incredibly narrow and misses everything else.” And he's talking now about, is that 5% primary care number actually accurate? François de Brantes continues, “Consider, for example, that in commercially insured plans, the total spend on … EDs is 6% or more.” And then he says, “Check out Stacey Richter's podcast on the subject, but 6% is essentially what researchers say is spent on, you know, ‘primary care.' Except … they don't count those costs, the ER costs. They don't count many other costs that are for primary care, meaning for the treatment of routine preventative and sick care, all the things that family practices used to manage but don't anymore. They don't count them because those services are rendered by clinicians other than those in primary care practice.” François concludes (and he wrote a great article) that if you add up all the dollars that are spent on things that amount to primary care but just didn't happen in a primary care office, it's conservatively around 17% of total dollars. So, yeah … it's not like anyone is saving money by not making sure that every plan member or patient across the country has a relationship with an actual primary care team—you know, a doctor or a nurse who they can get on the phone with who knows them. Listen to the show coming up with Matt McQuide. This theme will continue. But any plan not making sure that primary care happens in primary care offices is shelling out for the most expensive primary care money can buy, you know, because it's gonna happen either in the ER or elsewhere. Jeff Charles Goldsmith, PhD, put this really well. He wrote, “As others have said, [this surge in ER dollars is a] direct consequence of [a] worsening primary care shortage.” Then Dr. John Lee turned up. He, I had quoted on the Al Lewis show, but he wrote a great post on LinkedIn; and part of it was this: “Toward a systemic solution, [we gotta do some unsqueezing of the balloon]. Stacey and Al likened our system to a squeezed balloon, with pressure forcing patients into the [emergency room]. The true solution is to ‘unsqueeze' the system by improving access to care outside the [emergency room]. Addressing these upstream issues could prevent patients from ending up in the [emergency room]. … While the necessary changes are staring us in the face, unsqueezing the balloon is far more challenging than it sounds.” And speaking of ER docs weighing in, then we had Mick Connors, MD, who left a banger of a comment with a bunch of suggestions to untangle some of these challenges that are more challenging than they may sound at first glance that Dr. Lee mentions. And as I said, he's a 30-year pediatric emergency physician, so I'm inclined to take his suggestions seriously. You can find them on LinkedIn. But yeah, I can see why some communities are paying 40 bucks a month or something for patients without access to primary care to get it just like they pay fire departments or police departments. Here's a link to Primary Care for All Americans, who are trying to help local communities get their citizens primary care. And Dr. Conard talked about this a little bit in that episode (EP462). I can also see why plan sponsors have every incentive to change the incentives such that primary care teams can be all in on doing what they do. Dr. Fernandopulle (EP460) hits on this. This is truly vital, making sure that the incentives are right, because we can't forget, as Rob Andrews has said repeatedly, organizations do what you pay them to do. And unless a plan sponsor gets into the mix, it is super rare to encounter anybody paying anybody for amazing primary care in an actual primary care setting. At that point, Alex Sommers, MD, ABEM, DipABLM, arrived on the scene; and he wrote (again with light editing—sorry, I can't read), “This one is in my wheelhouse. There is a ton that could be done here. There just has to be strategy in any given market. It's a function of access, resources, and like-minded employers willing to invest in a direct relationship with providers. But not just any providers. Providers who are willing to solve a big X in this case. You certainly don't need a trauma team on standby to remove a splinter or take off a wart. A great advanced primary care relationship is one way, but another thing is just access to care off-hours with the resources to make a difference in a cost-plus model. You can't help everybody at once. But you can help a lot of people if there is a collaborative opportunity.” And then Dr. Alex Sommers continues. He says, “We already have EKG, most procedures and supplies, X-ray, ultrasounds, and MRI in our clinics. All that's missing is a CT scanner. It just takes a feasible critical mass to invest in a given geography for that type of alternative care model to alter the course here. Six percent of plan spend going to the ER. My goodness.” So, then we have Ann Lewandowski, who just gets to the heart of the matter and the rate critical for primary care to become the investment that it could be: trust. Ann Lewandowski says, “I 100% agree with all of this, basically. I think strong primary care that promotes trust before things get so bad people think they need to go to the emergency room is the way to go.” This whole human concept of trust is a gigantic requirement for clinical and probably financial success. We need primary care to be an investment, but for it to be an investment, there's got to be relationships and there has to be trust between patients and their care teams. Now, neither relationships nor trust are super measurable constructs, so it's really easy for some finance pro to do things in the name of efficiency or optimization that undermine the entire spirit of the endeavor without even realizing it. Then we have a lot of primary care that doesn't happen in primary care offices. It happens in care settings like the ER. So, let's tug this theme along to the shows that concern carriers, meaning the shows with Wendell Potter (EP384) on how shareholders influence carrier behavior and with Betsy Seals (EP463) on Medicare Advantage plans and what they're up to. Here's where the primary care/ER through line starts to connect to carriers. Here's a LinkedIn post by the indomitable Steve Schutzer, MD. Dr. Schutzer wrote about the Betsy Seals conversation, and he said, “Stacey, you made a comment during this fabulous episode with Betsy that I really believe should be amplified from North to South, coast to coast—something that unfortunately is not top of mind for many in this industry. And that was ‘focus on the value that accrues to the patient'—period, end of story. That is the north star of the [value-based care] movement, lest we forget. Financial outcome measures are important in the value equation, but the numerator must be about the patient. As always, grateful for your insights and ongoing leadership.” Oh, thank you so much. And same to you. Grateful for yours. Betsy Seals in that podcast, though, she reminded carrier listeners about this “think about the value accruing to the patient” in that episode. And in the Wendell Potter encore that came out right before the show with Betsy, yeah, what Wendell said kind of made me realize why Betsy felt it important to remind carriers to think about the value accruing to patients. Wall Street rewards profit maximization in the short term. It does not reward value accruing to the patient. However—and here's me agreeing with Dr. Steve Schutzer, because I think this is what underlies his comment—if what we're doing gets so far removed from what is of value to the patient, then yeah, we're getting so removed from the human beings we're allegedly serving, that smart people can make smart decisions in theoretical model world. But what's being done lacks a fundamental grounding in actual reality. And that's dangerous for plan members, but it's also pretty treacherous from a business and legal perspective, as I think we're seeing here. Okay, so back to our theme of broken primary care and accelerating ER costs. Are carriers getting in there and putting a stop to it? I mean, as aforementioned about 8 to 10 times, if you have a broken primary care system, you're gonna pay for primary care, alright. It's just gonna be in really expensive care settings. You gotta figure carriers are wise to this and they're the ones that are supposed to be keeping healthcare costs under control for all America. Well, relative to keeping ER costs under control, here's a link to a study Vivian Ho, PhD, sent from Health Affairs showing how much ER prices have gone up. ER prices are way higher than they used to be. So, you'd think that carriers would have a huge incentive to get members primary care and do lots and lots of things to ensure that not only would members have access to primary care, but it'd be amazing primary care with doctors and nurses that were trusted and relationships that would be built. It'd be salad days for value. Except … they're not doing a whole lot at any scale that I could find. We have Iora and ChenMed and a few others aside. These are advanced primary care groups that are deployed by carriers, and these organizations can do great things. But I also think they serve—and this came up in the Dr. Fernandopulle show (EP460)—they serve like 1% of overall patient populations. Dr. Fernandopulle talked about this in the context of why these advanced primary care disruptors may have great impact on individual patients but they have very little overall impact at a national scale. They're just not scaled, and they're not nationwide. But why not? I mean, why aren't carriers all over this stuff? Well, first of all—and again, kind of like back to the Wendell show (EP384) now—if we're thinking short term, as a carrier, like Wall Street encourages, you know, quarter by quarter, and if only the outlier, mission-driven folks (the knights) in any given carrier organization are checking what's going on actually with plans, members, and patients like Betsy advised, keep in mind it's a whole lot cheaper and it's easier to just deny care. And you can do that at scale if you get yourself an AI engine and press Go. Or you can come up with, I don't know, exciting new ways to maximize your risk adjustment and upcoding. There's an article that was written by Sergei Polevikov, ABD, MBA, MS, MA

School Business Insider
Strengthening School Leadership, Part 2: Budgeting & Resource Management

School Business Insider

Play Episode Listen Later Mar 11, 2025 54:19


Financial uncertainty is a constant challenge for school business officials, but how districts respond to it can determine long-term success. Instead of simply reacting to budget shortfalls, SBOs must take a strategic approach to resource allocation and financial planning. In this episode, Jonathan Travers, President & Managing Partner of Consulting at Education Resource Strategies (ERS), shares insights on managing financial uncertainty, using return on investment to guide budgeting decisions, and building long-term sustainability rather than making short-term cuts. He also discusses common mistakes districts make when facing budget constraints and how ERS provides tools and frameworks to help SBOs optimize financial strategies. Whether you're preparing for future funding shifts or trying to stabilize your district's finances, this episode offers practical insights that will help you make more informed, data-driven decisions.Resources:ERS SSROI Tool KitBudget Hold'emContact School Business Insider: Check us out on social media: LinkedIn Twitter (X) Website: https://asbointl.org/SBI Email: podcast@asbointl.org Make sure to like, subscribe and share for more great insider episodes!Disclaimer:The views, thoughts, and opinions expressed are the speaker's own and do not represent the views, thoughts, and opinions of the Association of School Business Officials International. The material and information presented here is for general information purposes only. The "ASBO International" name and all forms and abbreviations are the property of its owner and its use does not imply endorsement of or opposition to any specific organization, product, or service. The presence of any advertising does not endorse, or imply endorsement of, any products or services by ASBO International.ASBO International is a 501(c)3 nonprofit, nonpartisan organization and does not participate or intervene in any political campaign on behalf of, or in opposition to, any candidate for elective public office. The sharing of news or information concerning public policy issues or political campaigns and candidates are not, and should not be construed as, endorsements by ASBO Internatio...

Real Estate Investor Goddesses
Health is Wealth | Guest starring Sara Barthel

Real Estate Investor Goddesses

Play Episode Listen Later Mar 8, 2025 31:16


Health & Wealth: Why Real Estate Investors Must Prioritize Their Well-BeingIntroduction: Why Health Matters for InvestorsWelcome to Getting Real! I'm Monick Halm, founder of Real Estate Investor Goddesses, and today we're diving into a crucial but often overlooked topic—health.As real estate investors and entrepreneurs, we focus on deals, financial growth, and business success, but without good health, none of that matters. After spending more time than I wanted in hospitals and ERs last year, I realized that if I wasn't healthy enough to work, there would be no more deals.That's why I'm thrilled to have Sarah Bartell, a functional medicine nutritionist, with us today to discuss gut health, hormone balance, stress management, and practical steps for optimizing our well-being.Sarah is a board-certified nutritionist with a Master's in Functional Medicine and Nutrition. She specializes in digestion, hormones, energy, and weight balance using personalized lab testing, nutrition, and lifestyle interventions. She has worked with corporate wellness programs and is a former Ironman and ultramarathon athlete.Sarah explains that high-achieving women—investors, executives, and entrepreneurs—often experience unexpected health challenges in their 30s and 40s.

This Matters
The Ontario election: Healthcare on life-support

This Matters

Play Episode Listen Later Feb 21, 2025 21:59


Guest: Toronto Star health reporter Megan Ogilvie Ontario is racing towards a snap election on February 27 and for a lot of voters, two issues loom well above the rest: housing and healthcare. Both are at breaking point and both are dominating party platforms. As part of the Star's pre-election coverage, we're delving into these issues. Where do things really stand, are any of the candidates offering actual solutions, and what should you, the voters, be thinking about as you head to the polls?  Today's episode will focus on healthcare. With overflowing ERs, health-care worker burn-out and more than two million people without a family doctor, Ontario's healthcare has been in trouble for years. Can anyone bring it back on track?  Audio sources: Global News, CTV, CBC, Youtube This episode was produced by Paulo Marques and Saba Eitizaz 

Creating Wealth Real Estate Investing with Jason Hartman
2274: Trump's Tax Plan 2.0: What Real Estate Investors Need to Know with Tom Wheelwright

Creating Wealth Real Estate Investing with Jason Hartman

Play Episode Listen Later Feb 19, 2025 48:35


Jason and tax expert Tom Wheelwright discusses potential changes under a new Trump administration, including the extension of the 2017 tax act, possible reintroduction of bonus depreciation, and a reduced tax rate for manufacturers. He anticipates challenges in implementing tariffs and addressing immigration issues, which could impact the real estate market and construction costs. Wheelwright emphasizes the importance of tax planning and staying informed about policy changes. He highlights potential impacts on real estate investors, including changes to depreciation rules and the home mortgage interest deduction. The conversation covers topics like cryptocurrency regulation, value-added taxes, and the complexities of international trade. Also, Tom Wheelwright will speak at the upcoming Empowered Investor Live event in April, offering further insights on these critical economic and tax issues. Get the Early Bird Rates: April 4-6, 2025 Empowered Investor LIVE in Irvine, California  https://empoweredinvestorlive.com/ #TaxPlanning #RealEstateInvesting #TrumpTaxPlan #TariffPolicy #Immigration #ManufacturingIncentives #SolarTaxCredits #BonusDepreciation #CostSegregation #EconomicPolicy #CorporateTaxRate #ValueAddedTax #CryptoRegulation #IncomeTaxReform #TrumpAdministration Key Takeaways: 1:23 Greetings from Medellin, Colombia! Empowered Investor Live  5:17 Clip of the Day: No autism in the Amish community https://x.com/i/status/1883768171225813415 Tom Wheelwright interview 6:41 Trump 2.0: IRS vs. the ERS, SALES Tax vs. VAT and the 16th amendment 14:25 Tax Benefits and the factors that affect real estate investors under Trump 18:59 Deportations and the housing rental market 22:04 IRS needs better technology, not more auditors; safe or not safe tax deductions 28:50 Regulating and taxing crypto 30:09 Action steps, Trumps policies and bumps on the road 37:08 Tariffs, Panama and Greenland and the US as a tax haven 46:25 Exciting announcement   Follow Jason on TWITTER, INSTAGRAM & LINKEDIN Twitter.com/JasonHartmanROI Instagram.com/jasonhartman1/ Linkedin.com/in/jasonhartmaninvestor/ Call our Investment Counselors at: 1-800-HARTMAN (US) or visit: https://www.jasonhartman.com/ Free Class:  Easily get up to $250,000 in funding for real estate, business or anything else: http://JasonHartman.com/Fund CYA Protect Your Assets, Save Taxes & Estate Planning: http://JasonHartman.com/Protect Get wholesale real estate deals for investment or build a great business – Free Course: https://www.jasonhartman.com/deals Special Offer from Ron LeGrand: https://JasonHartman.com/Ron Free Mini-Book on Pandemic Investing: https://www.PandemicInvesting.com

The King's Hall
Day One: Trump's Executive Orders and the Remaking of America

The King's Hall

Play Episode Listen Later Jan 31, 2025 121:49 Transcription Available


In his first days in office, Donald Trump set about radically reshaping America with a long list of executive orders. He declared a national energy emergency in America, promised to "drill baby drill," renamed the Gulf of Mexico, and ended many national environmental engagements, including the Paris Accords. On the immigration issue, he went after cartels, began deporting illegals, and confronted foreign governments like Colombia, which at first refused to take back its citizens. Many have called this Trump's effort to "repeal the 20th Century." It may seem radical, but is it all that bad? Trump has also called for an end to the income tax, the opening of an external revenue service (ERS), and more tariffs to help encourage manufacturing to return to the U.S. In this episode, we talk about what these executive orders mean for the next four years. Talk to Joe Garrisi about managing your wealth with Backwards Planning Financial.10 Ways to Make Money with Your MAXX-D Trailer.Visit KeepwisePartners.com or call Derrick Taylor at 781-680-8000 to schedule a free consultation.Buy your beef or pork box today from Salt and Strings Butchery.Book your free consultation with Boniface Business today at https://bonifacebusiness.comPurchase your body armor at Premier Body Armor. Visit Mid State Accounting where your growth becomes your legacy: https://www.midstateaccounting.net/Your trusted data and technology partner. Visit White Tree Solutions: https://www.wtsdata.com/

Ask Dr. Drew
Dr. Kelly Victory: Paramedic Exposes “American Genocide” & Gets Fired w/ Harry Fisher – Ask Dr. Drew – Ep 444

Ask Dr. Drew

Play Episode Listen Later Jan 17, 2025 71:12


“I have been a paratrooper and a medic for an air wing, consistently put my patients, brothers and sisters, and our national interest as my top priority,” Harry Fisher, an EMT since 1997, told Dr. Peter McCullough. “When I spoke out about the horrific things I was witnessing… I was called a terrorist by social media and shunned by many of my peers.” The paramedic says he witnessed “evidence of genocide” in 2020-2024 and shares how the medical system influences the minds of clinicians until they comply. Harry Fisher is a Nationally Registered Paramedic (NRP) with extensive experience in emergency medical services. An EMT since 1997 and paramedic since 2013, Fisher served as an Army and Air Force medic before working on ambulances for many years. During the COVID-19 pandemic, he transitioned to contract work in ERs, ambulances, and ICUs. Fisher is the author of “Safe and Effective, For Profit: A Paramedic's Story Exposing American Genocide” available at https://FishersBook.com. His career has spanned Oklahoma, New York City, North Dakota, and Alaska. Find him at https://x.com/harryfisherEMTP Dr. Kelly Victory MD is the Chief of Disaster and Emergency Medicine at The Wellness Company. A board-certified trauma and emergency specialist with over 30 years of clinical experience, Dr. Kelly served as CMO for Whole Health Management, delivering on-site healthcare services for Fortune 500 companies. She holds a BS from Duke University and her MD from the University of North Carolina. Follow her at https://x.com/DrKellyVictory 「 SUPPORT OUR SPONSORS 」 Find out more about the brands that make this show possible and get special discounts on Dr. Drew's favorite products at https://drdrew.com/sponsors  • FATTY15 – The future of essential fatty acids is here! Strengthen your cells against age-related breakdown with Fatty15. Get 15% off a 90-day Starter Kit Subscription at https://drdrew.com/fatty15 • PALEOVALLEY - "Paleovalley has a wide variety of extraordinary products that are both healthful and delicious,” says Dr. Drew. "I am a huge fan of this brand and know you'll love it too!” Get 15% off your first order at https://drdrew.com/paleovalley • THE WELLNESS COMPANY - Counteract harmful spike proteins with TWC's Signature Series Spike Support Formula containing nattokinase and selenium. Learn more about TWC's supplements at https://twc.health/drew 「 MEDICAL NOTE 」 Portions of this program may examine countervailing views on important medical issues. Always consult your physician before making any decisions about your health. 「 ABOUT THE SHOW 」 Ask Dr. Drew is produced by Kaleb Nation (https://kalebnation.com) and Susan Pinsky (https://twitter.com/firstladyoflove). This show is for entertainment and/or informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment. Learn more about your ad choices. Visit megaphone.fm/adchoices

Pat Gray Unleashed
Farewell to the Gaslighter in Chief | 1/16/25

Pat Gray Unleashed

Play Episode Listen Later Jan 16, 2025 100:44


Ceasefire and hostage deal between Israel and Hamas hits a snag. Joe Biden gaslights America one last time in his farewell address before he leaves office. More confirmation hearings. Attorney general hopeful Pam Bondi destroys Democrat senators. Secretary of state hopeful Marco Rubio is strong in his hearing. PatHeads own the word "throft" now! Is California going to turn red in the wake of the wildfire mismanagement? Dallas Cowboys' new coach search continues. Explosives found in a Chicago apartment ... what was planned? Get ready for the ERS … the External Revenue Service. Will Trump ride to Puerto Rico's rescue? Caitlin Clark's stalker is one weird guy. Trump's former attorney is begging for a presidential pardon. Kamala Harris and Jill Biden hung out last night?! 00:00 Pat Gray UNLEASHED 01:01 Ceasefire between Israel & Hamas 03:58 Joe Biden's Farewell Speech 15:46 Pam Bondi's Opening Statement 17:51 Pam Bondi vs. Adam Schiff 20:47 Pam Bondi vs. Alex Padilla 23:09 Pam Bondi vs. Sheldon Whitehouse 25:21 Pam Bondi vs. Richard Blumenthal 26:02 Pam Bondi vs. Mazie Hirono 28:26 Marco Rubio Explains Trump's Directives 34:13 Marco Rubio Explains China 36:16 Marco Rubio talks Liberal World Order 42:46 Russ Vought sets Gary Peters Straight 45:01 Red Dye 3 Banned in America 50:00 English Lesson for Kris Cruz 53:34 Klaus Schwab Warning about Climate Change 57:59 California Going Red? 1:04:15 Dallas Cowboys Head Coach  1:06:21 Suspicious Items Found in Chicago 1:10:05 Trump Talks about the ERS 1:12:02 Venezuela Wants to Attack Puerto Rico 1:17:36 Caitlin Clark Stalker 1:20:15 Michael Cohen Begs Biden for a Pardon 1:28:30 Trump Inauguration Performance 1:32:27 No More Joe & Jill Biden 1:35:18 Hunter Biden's Paintings Lost Learn more about your ad choices. Visit megaphone.fm/adchoices

Bill O’Reilly’s No Spin News and Analysis
The O'Reilly Update, January 15, 2025

Bill O’Reilly’s No Spin News and Analysis

Play Episode Listen Later Jan 15, 2025 13:32


Hegseth hearing, inauguration Monday, age verification, and Trump announces the ERS. Plus, the Message of the Day, tribalism in American politics. Learn more about your ad choices. Visit megaphone.fm/adchoices

The Nick DiPaolo Show
Hateful Hirono Vs. Pistol Pete | Nick Di Paolo Show #1679

The Nick DiPaolo Show

Play Episode Listen Later Jan 15, 2025 24:49


In this episode Nick talks about Trump's ERS, Kamala's Salad Bar, Eagles Fans and more! Like what you hear?  Watch FULL episodes of The Nick Di Paolo Show on Rumble Premium! https://rumble.com/c/TheNickDiPaoloShow/exclusive MERCH - https://shop.nickdip.com/ TOUR DATES AND MORE - https://nickdip.com 2/20/2025 - Bricktown Comedy Club – Tulsa, OK 2/21/2025 - Funny Bone Westport, St. Louis, MO 3/13/2025 - Hyena's, Albuquerque, NM 4/25/2025 - Cohoes Music Hall, Cohoes, NY 5/15-16/2025 - Zanies, Rosemont, IL SOCIALS - https://bio.site/nickdipaolo

X22 Report
[DS] Warns Of Copycat Attacks & Lone Wolves,It Begins,Patriots Pushing The [DS] Players Out – Ep. 3547

X22 Report

Play Episode Listen Later Jan 14, 2025 81:36


Watch The X22 Report On Video No videos found Click On Picture To See Larger PictureThe green new scam has failed, and now the [WEF] structure is collapsing, its all falling apart. Biden forgives more student loans, they want Trump to reverse it to create chaos. Trump confirms the direction, IRS out and the ERS is in, time to end the endless. The [DS] is now putting out warnings, they have been setting the narrative with the two [FF] events. Now they are warning about copycat attacks and lone wolves. Trump and the patriots know the playbook, they know the [DS] is planning to bring chaos. It has begun the patriots are now moving in and the [DS] is moving out. The [DS] will try to stop the process but they do not control the Senate. Soon when Trump has his team in place the show moves to the next level.   (function(w,d,s,i){w.ldAdInit=w.ldAdInit||[];w.ldAdInit.push({slot:13499335648425062,size:[0, 0],id:"ld-7164-1323"});if(!d.getElementById(i)){var j=d.createElement(s),p=d.getElementsByTagName(s)[0];j.async=true;j.src="//cdn2.customads.co/_js/ajs.js";j.id=i;p.parentNode.insertBefore(j,p);}})(window,document,"script","ld-ajs"); Economy https://twitter.com/disclosetv/status/1879111141210919217 Joe Biden Forgives Student Loans for 150,000 Borrowers Just Days Before Trump Inauguration   Joe Biden canceled student loans for 150,000 borrowers on Monday one week before Trump's inauguration. “Today, my Administration is approving student loan relief for more than 150,000 borrowers – bringing the total number of Americans who have had their student debt cancelled by my Administration to over 5 million. These 150,000 borrowers include: almost 85,000 borrowers who attended schools that cheated and defrauded their students, 61,000 borrowers with total and permanent disabilities, and 6,100 public service workers,” Biden said in a statement on Monday.  NBC News reported: Last month Joe Biden backed off from two of his major student loan cancelation plans because his political career is over. It was all a political stunt. Source: thegatewaypundit.com https://twitter.com/KobeissiLetter/status/1879159433382728180 https://twitter.com/KanekoaTheGreat/status/1878888867555901649 https://twitter.com/BitcoinMagazine/status/1879117554767266055   https://twitter.com/RepThomasMassie/status/1878894793268343227 Donald J. Trump@realDonaldTrump For far too long, we have relied on taxing our Great People using the Internal Revenue Service (IRS). Through soft and pathetically weak Trade agreements, the American Economy has delivered growth and prosperity to the World, while taxing ourselves. It is time for that to change. I am today announcing that I will create the EXTERNAL REVENUE SERVICE to collect our Tariffs, Duties, and all Revenue that come from Foreign sources. We will begin charging those that make money off of us with Trade, and they will start paying, FINALLY, their fair share. January 20, 2025, will be the birth date of the External Revenue Service. MAKE AMERICA GREAT AGAIN! Political/Rights https://twitter.com/catturd2/status/1879147191656473039 Black Lives Matter Supporter Julia Roberts Says ‘F-ck You' to Los Angeles Fire Looters  Julia Roberts is extremely upset about looting — now that celebrity homes in Los Angeles are the ones being targeted. Criminals have been taking advantage of the chaos caused by the fires and are looting multimillion-dollar homes, many of which belong to Hollywood celebrities. In the week since the fires began, approximately 30 people have been arrested for looting the abandoned mansions. In an Instagram post promoting the SoCal Fire Fund on Monday, Roberts wrote, “There is so much healing and help needed. We will get through this. #F.U.Looters.” Source: thegatewaypundit.com https://twitter.com/EndWokeness/status/1879019470272000134

Down in Alabama with Ike Morgan
Are we all-in on DST?

Down in Alabama with Ike Morgan

Play Episode Listen Later Jan 14, 2025 7:52


Today we're talking freestanding ERs, Daylight Saving Time and the politics of half-staff flags. Learn more about your ad choices. Visit megaphone.fm/adchoices

White Coat, Black Art on CBC Radio
Virtual doctors for real ERs

White Coat, Black Art on CBC Radio

Play Episode Listen Later Jan 10, 2025 26:42


Like many of Canada's rural and remote communities, Mackenzie, B.C.'s hospital struggles to staff the ER. But once a week, a doctor hundreds of kilometres away fills in virtually. Many provinces like B.C. are using virtual care in ERs in an attempt to keep the doors open. But critics are concerned about patient safety and the need to balance virtual with in-person care.

The Young Turks
Reigning Trump In

The Young Turks

Play Episode Listen Later Aug 15, 2024 60:11


Nikki Haley urges Republicans to ""quit whining"" and focus on winning instead of ""talking about what race Kamala Harris is"" to the Trump campaign. JK Rowling and Elon Musk are named in the Imane Khelif cyberbullying lawsuit. Rep. Ilhan Omar will win the primary in Minnesota and break the ""squad"" losing streak. Dozens of pregnant women, some bleeding or in labor, are turned away from ERs despite federal law. Audio of J.D. Vance agreeing postmenopausal women's only role is the help raise kids unearthed. The Trump campaign just tweeted something extremely racist." HOST: Cenk Uygur (@cenkuygur), Ben Gleib (@bengleib) SUBSCRIBE on YOUTUBE: ☞ https://www.youtube.com/user/theyoungturks FACEBOOK: ☞ https://www.facebook.com/theyoungturks TWITTER: ☞ https://www.twitter.com/theyoungturks INSTAGRAM: ☞ https://www.instagram.com/theyoungturks TIKTOK: ☞ https://www.tiktok.com/@theyoungturks

The Daily Beans
Tainted Beef

The Daily Beans

Play Episode Listen Later Aug 13, 2024 44:23


Tuesday, August 13th 2024Today, NPR fact checked Trump's Mar a Lago Q and A and counted 162 lies in 64 minutes; new polling shows that for the first time this election cycle, voters trust the Democratic ticket over Trump on the economy; a former Walz student and Republican has penned an op ed warning against attacking his character; Trump has filed notice that he's going to sue the DoJ for executing the Mar a Lago search warrant; nearly 100 pregnant women are turned away from emergency rooms despite federal law; Senator Chuck Schumer says he will work to block any effort in the Senate to significantly cut the CDC's budget; plus Allison and Dana deliver your Good News.Stories162 lies and distortions in a news conference. NPR fact-checks former President Trump (NPR)A memo to the Trump campaign from a former Walz student and dormant Republican (StarTribune)Trump set to sue DOJ for $100m over Mar-a-Lago raid after classified documents case dismissed (The Independent)Dozens of pregnant women, some bleeding or in labor, are turned away from ERs despite federal law (AP News)Give to the Kamala Harris Presidential CampaignKamala Harris (MSW Media Donation Link) — Donate via ActBlueCheck out other MSW Media podcastshttps://mswmedia.com/shows/Subscribe to Lawyers, Guns, And MoneyAd-free premium feed: https://lawyersgunsandmoney.supercast.comSubscribe for free everywhere else:https://lawyersgunsandmoney.simplecast.com/episodes/1-miami-1985Subscribe for free to MuellerSheWrote on Substackhttps://muellershewrote.substack.comFollow AG and Dana on Social MediaDr. Allison Gill Follow Mueller, She Wrote on Posthttps://post.news/@/MuellerSheWrote?utm_source=TwitterAG&utm_medium=creator_organic&utm_campaign=muellershewrote&utm_content=FollowMehttps://muellershewrote.substack.comhttps://twitter.com/MuellerSheWrotehttps://www.threads.net/@muellershewrotehttps://www.tiktok.com/@muellershewrotehttps://instagram.com/muellershewroteDana Goldberghttps://twitter.com/DGComedyhttps://www.instagram.com/dgcomedyhttps://www.facebook.com/dgcomedyhttps://danagoldberg.comHave some good news; a confession; or a correction to share?Good News & Confessions - The Daily Beanshttps://www.dailybeanspod.com/confessional/From The Good NewsMaeday Rescue (IG)https://www.maedayrescue.comVelvet Revolution (Wikipedia)Minnesota DFL(dfl.org)Orconomics  J. Zachary Pike (Goodreads) Live Show Ticket Links:https://allisongill.com (for all tickets and show dates)Friday August 16th Washington, DC - with Andy McCabe, Pete Strzok, Glenn Kirschner https://tinyurl.com/Beans-in-DCSaturday August 24 San Francisco, CA https://tinyurl.com/Beans-SF Listener Survey:http://survey.podtrac.com/start-survey.aspx?pubid=BffJOlI7qQcF&ver=shortFollow the Podcast on Apple:The Daily Beans on Apple PodcastsWant to support the show and get it ad-free and early?Supercasthttps://dailybeans.supercast.com/OrPatreon https://patreon.com/thedailybeansOr subscribe on Apple Podcasts with our affiliate linkThe Daily Beans on Apple Podcasts