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In this interview, Kleinman explores critical issues facing modern healthcare. healthcare, and offers insightful reflections on the global mental health movement. The system of healthcare today in America is toxic to good care. That is the role that the healthcare system forces them into. That’s deeply disturbing.
They can exist either within or outside of traditional healthcare systems. But within the context of mental health and the mental healthcare system, it’s unusual, isn’t it? In grad school, I had the best health insurance I’ve ever had in my whole life. And I was in this intensive outpatient program.
Then there’s the time spent onboarding and training your new employee, getting their payroll and insurance set up, and helping them settle into the role. Additional costs include paid time off, dental and vision plans, 401(k), and life insurance. No more payroll taxes, health or life insurance, or 401(k) matching, either.
In 2000, JAMA reported the US yearly estimated iatrogenic deaths: 12,000 caused by unnecessary surgeries; 27,000 caused by medication errors and other errors in hospitals; 80,000 hospital/healthcare facility acquired infections; and 106,000 “non-error” adverse effects of medication.
Additionally, since the mother must receive the drug under medical supervision for a period of 60 hours, she cannot function as the primary caregiver for her infant. Zurzuvae’s cost is estimated to be $16,000 for the 14 days and it is still not known if insurance will cover it.
I once supervised a young person who was fresh out of college and in his first full-time job. I feel very disgruntled and disrespected and it’s hard to be the only one without insurance, salary, or benefits (besides the younger intern). Is declining a reference call a red flag? I was one of the finalists for a decent position.
Said person has taken over leading/supervising work related social committees — holiday parties, summer potlucks, that sort of thing. We relocated to an area and I sought out an insurance office that was next to our temporary housing and started working there — mostly remote but I occasionally would go into the office.
Even new psychotherapists (often Licensed Master Social Workers [LMSW], who cannot even practice as clinicians independently yet, as opposed to the Licensed Clinical Social Worker [LCSW]) often do not take insurance nor offer sliding scale fees. It may be a generalization, but many seem unwilling to serve lower-income clients at all.
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