Levitra online pharmacy

The transpopulation represents a levitra online pharmacy vulnerable population segment both socially and medically, with a higher incidence of mental health issues. During the erectile dysfunction treatment outbreak, transgender persons have faced additional social, psychological and physical difficulties.1 2 In Italy and in several other countries access to healthcare levitra online pharmacy has been difficult or impossible thereby hindering the start or continuation of hormonal and psychological treatments. Furthermore, several planned gender-affirming surgeries have levitra online pharmacy been postponed. These obstacles may have caused an additional psychological burden given the positive effects of medical and surgical treatments on well-being, directly and indirectly, reducing stressors such as workplace levitra online pharmacy discrimination and social inequalities.3 Some organisational aspects should also be considered. Binary gender policies may worsen inequalities and marginalisation of transgender subjects potentially increasing the risk of morbidity and mortality.As with the general population, during the lockdown, the Internet and social media were useful in reducing isolation and, in this particular population, were also relevant for keeping in touch with associations and healthcare facilities with the support of telemedicine services.4 Addressing the role of the telemedicine in levitra online pharmacy the transpopulation, between May and June 2020 we conducted an anonymous web-based survey among transgenders living in Italy (ClinicalTrials.gov Identifier NCT04448418).

Among the 108 respondents, with a mean age of 34.3±11.7 years, 73.1% were transmen and 26.9% transwomen and 88.9% were undergoing gender-affirming hormonal treatment (GAHT). One in four subjects (24.1%) presented a moderate-to-severe impact of the levitra event levitra online pharmacy (Impact of Event Scale score ≥26). The availability of telematic endocrinological visit was associated with better Mental Health Scores in the 12-items Short Form Health Survey(SF-12) (p=0.030) and better IES (p=0.006).Our survey suggests a positive effect of telemedicine as the availability of telematic endocrinological consultations may have relieved the distress caused by the levitra by levitra online pharmacy offering the opportunity to avoid halting GAHT. In fact, deprivation levitra online pharmacy of GAHT may result in several negative effects such as the increase in short-term self-medication and in depression and suicidal behaviour not only for those waiting for the start of treatment but also for those already using hormones.5 In conclusion, particular attention should be paid to vulnerable groups like the transpopulation who may pay a higher price during the levitra. The use of telemedicine for continuation and monitoring of GAHT may be an effective tool for mitigating the negative effects of the levitra online pharmacy levitra.AcknowledgmentsThe authors thank Julie Norbury for English copy editing.The British Medical Association recently published their report on the impact of erectile dysfunction treatment on mental health in England, highlighting the urgent need for investment in mental health services and further recruitment of mental health staff.1 Like many others, they have predicted a substantial increase in demand on mental health services in the coming months.

Their recommendations include a call for detailed workforce planning at local, levitra online pharmacy national and system levels. This coincides with the publication of the ‘NHS People Plan’ which also emphasised the need to maximise staff potential.2 The message from both is clear, it is time for Trusts to revise and improve how they use their multidisciplinary workforce, including non-medical prescribers (NMPs).Pharmacists have been able to register as independent prescribers since 20063 and as such, can work autonomously to prescribe any medicine for any medical condition within their areas of competency.4 There has been a slow uptake of pharmacists into this role5 and while a recent General Pharmaceutical Council survey found only a small increase between the number of active prescribers from 2013 (1.094) to 2019 (1.590), almost a quarter of prescribers included mental health within their prescribing practice.6 More recently, we have started to see increasing reports of the value of pharmacist independent prescribers in mental health services.7 8Pharmacists bring a unique levitra online pharmacy perspective to patient consultation. Their expertise in pharmacology and medicine use means they are ideally placed to help patients optimise their medicines treatment4 and to ensure that patients are involved in decisions about their medicines, taking into account individual views and preferences. This approach is consistent with the guidance on medicines optimisation from the National Institute for Health and Care Excellence9 and the Royal Pharmaceutical Society,10 and the Department of Health’s drive to involve patients actively in clinical decisions.11 An increased focus on precision psychiatry in urging clinicians to tailor medicines to patients according to evidence about individualised risks and levitra online pharmacy benefits.12 13 However, it takes time to discuss medicine choices and to explore individual beliefs about medicines. This is levitra online pharmacy especially relevant in Psychiatry, where a large group of medicines (eg, antipsychotics) may have a wide range of potential side effects.

Prescribing pharmacists could provide leadership and support in tailoring medicines for patients, as part of the wider multidisciplinary team.10The recent news that Priadel, the most commonly used brand of levitra online pharmacy lithium in the UK, is planned to be discontinued14 is another example where a new and unexpected burden on psychiatric services could be eased by sharing the workload with prescribing pharmacists. The Medicines and Healthcare Products Regulatory Agency recommends that patients should have an individualised medication review in order to switch from one brand of lithium to another.14 This is work that can be done by prescribing pharmacists who have an in-depth knowledge of the pharmacokinetics of lithium formulations.Importantly, this is a role that can be delivered using telepsychiatry and enhanced by levitra online pharmacy the use of digital tools. Patients can meet pharmacists levitra online pharmacy from the comfort of their own home using video conferencing. Pharmacists can upload and share medicines information on the screen while discussing the benefits, risks and individual medication needs with each client. Increasingly organisations are using technology whereby prescriptions can be prepared electronically and sent securely to patients or their medicines providers.15We know from systematic reviews that NMPs in general are considered to provide a responsive, efficient and convenient service5 and to deliver similar prescribing outcomes as doctors.16 Medical professionals who have worked with NMPs have found that this support permits them to concentrate on clinical issues that require medical expertise.5 A patient survey carried out in 2013 indicated that independent non‐medical prescribing was levitra online pharmacy valued highly by patients and that generally there were few perceived differences in the care received from respondents’ NMP and their usual doctor.17 The literature also suggests that an NMP’s role is more likely to flourish when linked to a strategic vision of NMPs within an National Health Service (NHS) Trust, along with a well-defined area of practice.18Mental health trusts are being asked to prepare for a surge in referrals and as part of this planning, they will need to ensure that they get the most out of their highly skilled workforce.

There are active pharmacist prescribers in many trusts, however, this role is not yet commonplace.19 Health Education England has already identified that this is an important area of transformation for pharmacy and has called on mental health pharmacy teams to develop and share innovative ways of working.19 The ‘NHS People Plan’ outlines a commitment to train 50 community-based specialist mental health pharmacists within the next 2 years, along with a plan to extend the pharmacy foundation training to create a sustainable supply of prescribing levitra online pharmacy pharmacists in future years.2We suggest that Mental Health Trusts should urgently develop prescribing roles for specialist mental health pharmacists, which are integrated within mental health teams. In these roles, prescribing pharmacists can actively support their multidisciplinary colleagues in case discussion meetings levitra online pharmacy. Furthermore, they levitra online pharmacy should host regular medication review clinics, where patients can be referred to discuss their medicine options and, as advancements in precision therapeutics continue, have their treatment individually tailored to their needs. This is the way forward for a modern and patient-oriented NHS in the UK..

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Letters to the Editor is a http://go-fore-the-green.com/?p=1021 periodic lowest levitra price feature. We welcome all comments and will publish a selection. We edit for length lowest levitra price and clarity and require full names. I'm a clinicianI have a PhD in policyNavigating this crazy maze for my mom annually leaves me feeling helpless/useless…Seems impossible for the average beneficiaryhttps://t.co/GJyvd1BmLo via @khnews— Atul Grover (@AtulGroverMD) October 28, 2021 — Dr.

Atul Grover, Baltimore Reading the Fine Print on Medicare Advantage Plans With Medicare Advantage open enrollment open until Dec. 7, millions of seniors will consider costs, benefits and networks when selecting a new plan (“Medicare Plans’ ‘Free’ Dental, Vision, Hearing Benefits lowest levitra price Come at a Cost,” Oct. 27). Many consumers may not be aware that some health plans have frustrating restrictions buried deep within that limit access to critical procedures.

For example, Aetna recently began requiring prior authorization for cataract surgeries across all its health plans — lowest levitra price including Medicare Advantage. Tens of thousands of Americans covered by Aetna have had their sight-restoring surgeries delayed or canceled, while insurance company representatives decide who gets to see better — and who must wait for their cataract to get worse before insurance will cover cataract surgery. Congress is working to put guardrails around prior authorization abuse in Medicare Advantage through the Improving Seniors’ Timely Access to Care Act, which now has 239 co-sponsors in the House and was recently introduced in the Senate. In the meantime, seniors should beware of prior authorization requirements in Medicare Advantage plans and press insurance representatives to be upfront lowest levitra price about obstacles that can lead to care delays or denials.

€” Dr. Tamara R. Fountain, president of the American Academy of Ophthalmology, Chicago — Julie Carter, Las Vegas Your recent article on Medicare Advantage plans lowest levitra price provided a good overview but omitted essential information. Traditional Medicare coverage includes a well-defined set of benefits, rules and regulations with regards to coverage.

Adverse coverage determinations can be appealed. The appeals process lowest levitra price is well defined. Medicare Advantage plans claim to cover services that traditional Medicare covers and “more.” The problem is that there is no means to ascertain the validity of such claims. Additionally, coverage under such plans is conditional and at the discretion of such plans.

Denials of care have no standardized means of lowest levitra price appeal. The appeal is to the plan itself. There is no means to override an adverse coverage decision and the plans tend to uphold their adverse decisions upon appeal as there is no external oversight mechanism that can be used to reverse the plans’ decisions. Few individual providers have the resources to challenge adverse coverage decisions from the big arealth insurance companies running the lowest levitra price Medicare Advantage plans.

I am a provider. If a commercial health plan will not resolve a coverage dispute, I can contact the Texas Department of Insurance to resolve the issue. TDI has no jurisdiction over lowest levitra price the Medicare Advantage Plans. I have made numerous inquiries to determine who has jurisdiction over adverse coverage decisions by Medicare Advantage plans, including to the Centers for Medicare &.

Medicaid Services. No responses! lowest levitra price. My warning to those turning 65 is “caveat emptor.” Unfortunately, the public is not provided with the comprehensive information they need to make informed choices. €” Dr.

Ed Davis, San Antonio The Barest of Necessities My mother raised nine kids with cloth diapers and a washing machine (“‘Down to lowest levitra price My Last Diaper’. The Anxiety of Parenting in Poverty,” Oct. 22). We were raised in poverty.

My father worked two jobs and my mother even made soap in the basement for much of our early years. Jeans were patched, hand-me-downs might just as well have been a brand, and one pair of shoes a year … well, that was a good year. Yes, we grew up poor, but at the same time we were given a strong work ethic by example. All nine children are now successful, productive contributors to society.

It is impossible, therefore, that disposable diapers are an “essential.” That leaves this article in the realm of political rhetoric rather than health news. Weakens your brand, don’t you think?. — Steve Meyer, Cincinnati If you want to help your neighbors in need, one of the best, most effective ways is to donate money to your local diaper bank, which saw a doubling of demand during the levitra. Https://t.co/56bawk03D0— Bradford Pearson (@BradfordPearson) October 22, 2021 — Bradford Pearson, Philadelphia How erectile dysfunction treatment Had the Run of Hospitals As a former registered nurse at a hospital in southwest Florida, I can attest positively to the facts presented in Christina Jewett’s article about hospital “safety” and how it relates to the retired pharmacist who died from erectile dysfunction treatment (“Patients Went Into the Hospital for Care.

After Testing Positive There for erectile dysfunction treatment, Some Never Came Out,” Nov. 4). My observations and personal experiences in the hospital during the early days of this were just as she stated, with one additional caveat, which may be of interest. Our med-surg unit became an overflow unit for suspected and/or positive cases.

What is not being told (yet is accurate) is that when our negative-pressure rooms were occupied (there were only two on our floor), patients were being put into regular rooms with the door closed. Although on the surface this may sound like a “great” plan, I noticed a failure in management’s solution immediately. The room doors have a 1- to 2-inch gap underneath them. The patients in those rooms were not masked.

This means, as is intuitively obvious, that the patients’ infected respirations were escaping from their rooms and into the hallways. Additionally, this “air” was then potentially capable of traveling into other patients’ rooms and thereby potentially infecting them with erectile dysfunction treatment as well. Needless to say, before too long, our floor had a couple of infected nurses. My belief is that it is extremely possible and likely that many, many hospitals “reacted” this way during the earlier days of the levitra.

I wasn’t employed at this hospital far enough into the levitra to observe where or how patients who were suspicious or positive for this levitra were assigned rooms once researchers discovered that transmission was of the airborne variety rather than of the droplet variety, as initially thought. Finally, as a nurse, I know of many other nurses here in Florida who absolutely refused to get vaccinated early, midway or late into this levitra. I agree 100% that these nurses and various other “holdout” employees could very easily have “carried without knowledge” the levitra to their patients, like the man spoken about in the article. There is no doubt in my mind that a “carrier” (likely unsymptomatic and unvaccinated) carried and infected the retired pharmacist.

Great story, well-written. €” Janet M. Konikow, Fort Myers, Florida This is just one reason ALL HEALTHCARE WORKERS need to be erectile dysfunction treatment vaccinated. If you’re working close to patients &.

You’re not vaccinated, you’re a weapon. Get out of the healthcare profession, you don’t belong there. Https://t.co/e2gP5vRTlX— OBX Jen 💙 (@OBXJEN) November 4, 2021 — Jen Weidinger, Loudonville, Ohio ‘Daily’ Pill vs. Flushing Out erectile dysfunction treatment Risks With luck, molnupiravir may work as well as acyclovir for herpes “A Daily Pill to Treat erectile dysfunction treatment Could Be Just Months Away, Scientists Say” (Sept.

24). However, as the Centers for Disease Control and Prevention points out on its website. €œThese [antiviral] drugs neither eradicate latent levitra nor affect the risk, frequency, or severity of recurrences.” At the same time, the CDC posts clear and unequivocal warnings about sharing a bathroom used by a erectile dysfunction treatment patient. Don’t.

Their unspoken message is erectile dysfunction treatment could very well be an infectious enterolevitra, with flush toilet micro-plume a vector. Cities are studying sewage for presence of the levitra and the clinical trials for niclosamide are testing the participants’ stool on schedule for elimination of the pathogen. Why?. Merck’s trial makes no mention of fecal viral load or describes a goal of eliminating the presence of erectile dysfunction treatment in a patient.

Will this drug really be a “game changer”?. It took over 30 years to recognize polio’s fecal mode of transmission. Are we repeating a historical mistake?. — Tom Heusel, Eugene, Oregon — Peter Zeihan, Denver Dental Health at the Root of U.S.

Productivity Dental care, like medical care, should be seen as a human right. The idea that support for dental care should be limited to older patients with major dental care issues is shortsighted. To this end, one estimate is that $45 billion of worker productivity is lost yearly because of tooth decay. This affects us all.

Provision of good preventive dental care to all young people would increase productivity and thus benefit both the individuals at risk and society at large. (See. Doi.org/10.1016/j.adaj.2020.09.019.) Oral disease and systemic diseases such as cardiovascular disease, Type 2 diabetes and osteoporosis are linked. These conditions obviously are of enormous cost to society.

Severe periodontal (gum) disease is associated with increased risk of cardiovascular disease. It is likely that gum disease actually causes cardiovascular disease. Substances produced either by germs infecting the teeth or by our bodies responding to the germs cause systemic disease. Mouth disease is clearly one cause of many systemic diseases.

The cost to us of those diseases is obvious. Including dental care in the health care package is a win for all. €œMedicare for All” is the optimal solution. €” Dr.

Marc H. Lavietes, board member for Physicians for a National Health Program, Bradley Beach, New Jersey — Barbara DiPietro, Baltimore On Oral Health and a Dental Hygienist’s Scope A recent article published by KHN spotlighted licensed Illinois dental hygienists who also hold public health dental hygienist (PHDH) certification (“Hygienists Brace for Pitched Battles With Dentists in Fights Over Practice Laws,” Oct. 19). The Illinois Dental Hygienists’ Association (IDHA) has diligently initiated legislation to bring affordable direct preventive oral health services for those who live in skilled nursing facilities and other confined settings.

Dave Marsh, lobbyist for the Illinois State Dental Society (ISDS) was quoted as saying, “I just don’t feel anybody with a two-year associate’s degree is medically qualified to correct your health.” IDHA would like to inform ISDS that the entry-level degree of a registered nurse is also a two-year associate’s degree. Does this mean that registered nurses are also unqualified to care for the elderly?. Of course not!. This is just another clear example of how ISDS continues to battle licensed dental hygienists and suppress their ability to work to their highest scope.

Illinois dentists claim they cannot afford to provide care for citizens who have state-funded dental insurance, are uninsured or poor. Yet they do not want dental hygienists to care for them either. Why?. As the article clearly points out, ISDS illustrates the power that lobbying groups have in shaping policies on where health professionals can practice and who keeps the profits.

And who suffers?. Illinois’ most vulnerable citizens. The Illinois State Dental Society also claims that after the Illinois Dental Practice Act was modified to allow direct preventive services by a public health dental hygienist, it took the hygiene association years to develop the PHDH curriculum. Conveniently missing was that legislation was tied up in the rules process during this period of time.

So, all parties agreed to write the language for the PHDH certification courses in the statute. Once this process was completed in 2019, the hygienists’ association developed, implemented and graduated the first class of PHDHs within nine months. The article accurately states that Illinois trails many states. To be exact, 38 other states allow dental hygienists unsupervised contact with patients in skilled nursing facilities.

The article also accurately states that, politically, the Illinois State Dental Society is rich and powerful. This allows them to donate generously to lawmakers. The Illinois Dental Hygienists’ Association wishes to thank KHN for uncovering the fact that profits and control are what motivate the Illinois State Dental Society, not increasing access to care. Now lawmakers can see ISDS’ true motives for suppressing the scope of practice of Illinois dental hygienists and pass legislation so that all Illinois citizens can receive the oral health care they need, want and deserve.

€” Sherri Foran, president of the Illinois Dental Hygienists’ Association, Chicago — Laura Baus, legislative chair of the Illinois Dental Hygienists’ Association, Chicago — Chris Lempa, Park Ridge, Illinois Socially Constructed vs. Biologically Determined The Oct. 20 morning briefing states “If You’re Pregnant, Your Baby’s Gender Influences Your Response To erectile dysfunction treatment.” “Gender” is not the accurate terminology here. €œsex” is.

Sex is a biological characteristic, whereas gender is a social construction. As the source article states “Sex of the fetus,” KHN’s usage of the word “gender” is not only inaccurate but also unnecessary. The distinction between gender and sex is small, but it is extremely important. — Jade del Vecchio, Decatur, Georgia Thanks to @philgalewitz and @KHNews for highlighting the shortage of home care aides – which is largely the result of low pay, low career mobility, &.

Low respect. Home care aides are skilled, important, &. The solution comes from investing in them. #LTC https://t.co/IKxx3dpMm0— Joanne Spetz (@JoanneSpetz) July 1, 2021 — Joanne Spetz, San Francisco A Shortage of Funds, Not Caregivers I am wanting to comment on the article concerning caregiver shortages (“Desperate for Home Care, Seniors Often Wait Months With Workers in Short Supply,” June 30).

It is a fact that there is a substantial shortage of caregivers in the industry. The problem will only increase in the foreseeable future. I’ve worked at a nurse registry in Florida for seven years. I believe the focus and terminology that is used in all national articles concerning this issue needs a redirection.

You did a tremendous job covering this in your article. I find the layman interprets terms such as “caregiver shortage” in ways that could be misleading and overshadow the core problem. For example, when I speak to a family member seeking care for a loved one and they hear “caregiver shortage,” they naturally think there are not enough caregivers. Technically speaking, that is true when taking the ratio of elderly to caregivers into account.

But the true problem is not a shortage of caregivers. It’s a shortage of funds available, especially Medicaid funds, to pay caregivers what they are worth. Statistically speaking, for the company I work for, there are plenty of caregivers in the system open to work. So, we are not short on caregivers.

There’s actually not enough work available for all of our caregivers matching their requested reimbursement rate. I believe the main tone of this issue should not be “caregiver shortage” but “caregiver reimbursement increase.” Hearing the problem “caregiver shortage” automatically leads to seeking a solution to increasing the quantity of caregivers. Though the quantity of caregivers does need to increase, it will not solve this issue. Being able to utilize caregivers who are available and willing to assist, in my http://morecookiesplease.com/2015/06/04/hello-world/ opinion, is the first step to solving this nationwide issue.

I thank you for your time. €” Michael Asche, Stuart, Florida This is one of the prime reasons why politicians need to rethink their definition of the word “infrastructure”—and their opposition to funding anything that doesn’t smell like asphalt. #NHPolitics https://t.co/kNamPpbe89— David Meuse (@JdmMeuse) June 30, 2021 — Democratic state Rep. David Meuse, Portsmouth, New Hampshire ‘Dopesick’ Misses the Big Picture I think it’s quite deplorable that you promote a program and its creators where no citations are made referencing our nation’s leading medical authorities.

No mention of studies that do, indeed, support the <1% addiction rates. Dr. Scott Hadland, whose research was published in BMJ, shows rates well below 1%. These numbers can go higher depending on a patient’s prior risk factors.

But Hadland’s study, with a cohort of over 3.2 million, was, I believe, opioid-naive patients ages 11-25 — understandably, a demographic of great concern. There is no mention of National Institutes of Health Director Dr. Francis Collins’ views that dependence and addiction are different, with addiction being more severe but with lower rates of addiction present. [Collins said.

€œPhysical dependence will develop in most individuals who take opioids chronically, resulting in withdrawal symptoms if the drug is taken away. Addiction is more severe and happens in only a small percentage of those who take opioids chronically.”] No mention of the views of National Institute on Drug Abuse Director Dr. Nora Volkow, who expressed great concern for the treatment of chronic pain patients. Both of those doctors said that while nobody is thrilled with the long-known downsides of opioids, there is currently nothing more effective.

There is no mention of the American Medical Association’s letter to the Centers for Disease Control and Prevention in June 2020 or the subsequent AMA statements since then, decrying the use of morphine milligram equivalents (MME). No mention of the Department of Health and Human Services’ Pain Management Best Practices report of 2019 with its chapter on the 2016 guidelines, where it challenges some of the claims that are echoed in “Dopesick.” Recently, in California, the California Department of Public Health issued a workgroup action notice regarding the closure of 29 Lags pain management clinics, setting adrift over 20,000 pain patients. Part of the state’s response was in the form of a video webinar on YouTube featuring San Francisco Public Health addiction physician Dr. Phillip Coffin.

He was an original member of the core expert group that drafted the 2016 CDC guidelines. He again reiterated the plea of the CDC and many other medical authorities that the guidelines not be misinterpreted — that they are intended only for new patients and that if someone has been at 400 MME for 25 years, in general, just let them be. Beth Macy herself wrote an endorsement for the cover of a new book by Ryan Hampton, a former White House staffer and presidential campaign official who became a heroin addict. Hampton’s new book, “Unsettled,” is about his experience on the committee that negotiated the Purdue/Sackler settlement.

He is no fan of the Sacklers. But he reiterates that he has learned much in recent years and believes that chronic pain patients should be protected, that the interests of both pain and substance use disorder communities are aligned. He co-authored an article in the Los Angeles Times with Kate Nicholson, president and founder of National Pain Advocacy Center. Nicholson was an attorney for the Justice Department for 20 years, in the civil/disability rights division.

She authored the current regs under the Americans with Disabilities Act and is a chronic pain patient, using opioids to relieve enough pain for her to do her job at DOJ. As the L.A. Times article quipped, “Our stories are two sides of the same pill. Serious pain and addiction are public health conditions that are widespread, stigmatized and misunderstood.” — Tom Hayashi, Santa Rosa, California — Sema Sgaier, Washington, D.C.

In-Network Care Can Help Curb Hospitalizations I would quarrel with Loren Adler’s comment that once the law takes effect, “it’s completely irrelevant whether an emergency room doctor is in network or not” (“Surprise-Billing Rule ‘Puts a Thumb on the Scale’ to Keep Arbitrated Costs in Check,” Oct. 14). It matters to get those hospital-based physicians into global budget arrangements with insurers, like ACOs, so their incentives can be realigned to prevent return trips to the emergency department rather than to profit from them. Chronically ill patients attributed to such programs need all their providers pulling in the same direction to avoid unnecessary hospitalizations.

The out-of-network business model has dangers to consumers beyond the fees, and it will be interesting and important to monitor utilization going forward to see if improved care coordination results. €” Jackson Williams, Lancaster, Pennsylvania Patients will be protected from surprise medical bills starting Jan 1. The big ?. is whether the law reduces health care costs as intended or shifts costs and⬆️premiums.

The rule makes it more likely consumers see no surprise bills AND lower premiums.https://t.co/yzJXotp7KM— Erica Socker (@EricaSocker) October 14, 2021 — Erica Socker, Alexandria, Virginia To Top It Off, a Headline Can Steer Readers Wrong I am really surprised to see this otherwise trustworthy site feeding false information about erectile dysfunction treatments. You published an article today with the outrageous headline “A Colorado Town Is About as Vaccinated as It Can Get. erectile dysfunction treatment Still Isn’t Over There” (Oct. 1), clearly suggesting that the story would contain information about the ineffectiveness of vaccinations.

Since most people will only see this headline in one or another news aggregator or on social media, this is the message they will get. It turns out, when we read the story, that the individuals representing San Juan County’s serious erectile dysfunction treatment cases “all were believed to be unvaccinated” and the five hospitalized or dead people were all “summer residents.” The story should have been headlined something like “high vaccination rates protect residents of this Colorado county from unvaccinated visitors bringing erectile dysfunction treatment to town.” — Ira Abrams, Chicago Related Topics Contact Us Submit a Story TipEncontrar el mejor plan médico privado, o de medicamentos, de Medicare entre docenas de opciones es lo suficientemente difícil sin incluir estrategias de venta engañosas. Sin embargo, funcionarios federales dicen que están aumentando las quejas de personas mayores engañadas para que compren pólizas sin su consentimiento, o atraídas por información cuestionable, que pueden no cubrir sus medicamentos ni incluir a sus médicos. En respuesta, los Centros de Servicios de Medicare y Medicaid (CMS) han amenazado con penalizar a las compañías de seguros privadas que venden planes de medicamentos y Medicare Advantage (MA), si ellas o los agentes que trabajan en su nombre engañan a los consumidores.

La agencia también ha revisado las reglas que facilitan a los beneficiarios abandonar planes en los que no se inscribieron, o salir de aquéllos en los que fueron inscriptos a través de engaños, solo para descubrir que los beneficios prometidos no existían, o que no podían ver a sus proveedores. Los problemas son especialmente frecuentes durante el período de inscripción abierta de Medicare, que comenzó el 15 de octubre y se extiende hasta el 7 de diciembre. Una trampa común comienza con una llamada telefónica como la que recibió Linda Heimer, de Iowa, en octubre. Heimer no contesta el teléfono a menos que su identificador de llamadas muestre un número que reconoce, pero esta llamada mostró el número del hospital donde trabaja su médico.

La persona al teléfono dijo que necesitaba el número de Medicare de Heimer para asegurarse de que fuera correcto para la nueva tarjeta que recibiría. Cuando Heimer vaciló, la mujer dijo. €œNo estamos pidiendo un número de seguro social o números de banco ni nada por el estilo. Esto está bien”.

€œTodavía no puedo creerlo, pero le di mi número de tarjeta”, dijo Heimer. Luego, la persona que llamó le hizo preguntas sobre su historial médico y se ofreció a enviarle una prueba de saliva “absolutamente gratis”. Fue entonces cuando Heimer empezó a sospechar y colgó. Se comunicó con la línea de ayuda 1-800-MEDICARE para obtener un nuevo número de Medicare, y llamó a la Línea de ayuda de la red AARP Fraud Watch Network y a la Comisión Federal de Comercio.

Pero más tarde esa mañana, el teléfono volvió a sonar y esta vez el identificador de llamadas mostró un número que coincidía con la línea de ayuda gratuita de Medicare. Cuando respondió, reconoció la voz de la misma mujer. €œNo eres de Medicare”, le dijo Heimer. €œSí, sí, sí, somos”, insistió la mujer.

Heimer colgó de nuevo. Han pasado solo dos semanas desde que Heimer reveló su número de Medicare a una extraña y, hasta ahora, nada ha salido mal. Pero, con ese número, los estafadores podrían facturar a Medicare por servicios y suministros médicos que los beneficiarios nunca reciben, y podrían inscribir a personas mayores en un plan Medicare Advantage o de medicamentos sin su conocimiento. En California, los informes de prácticas de venta engañosas de Medicare Advantage y planes de medicamentos han sido las principales quejas ante la Senior Medicare Patrol del estado durante los últimos dos años, dijo Sandy Morales, administradora de casos del grupo.

La patrulla es un programa financiado por el gobierno federal que ayuda a las personas mayores a desentrañar problemas con sus seguros. A nivel nacional, la Senior Medicare Patrol ha enviado a los CMS y al Inpector General de Salud y Servicios Sociales 74% más casos para su Investigación en los primeros nueve meses de este año que en todo 2020, dijo Rebecca Kinney, directora de la Oficina de Administración para la Vida Comunitaria del Consejo de Información y Asesoramiento sobre Atención Médica del departamento de salud, que supervisa las patrullas. Dijo que espera que lleguen más quejas durante el período de inscripción abierta de Medicare. Y en octubre, funcionarios de los CMS advirtieron a las compañías de seguros privadas que venden Medicare Advantage y planes de medicamentos que los requisitos federales prohíben las prácticas de venta engañosas.

Kathryn Coleman, directora del Grupo de Administración de Contratos de Planes de Salud y Medicamentos de Medicare de los CMS, dijo en un memorando a las aseguradoras que la agencia está preocupada por los anuncios que promueven ampliamente los beneficios del plan Advantage que están disponibles solo en un área limitada o para un número restringido de beneficiarios. Los CMS también han recibido quejas sobre información de ventas que podrían interpretarse como provenientes del gobierno, y tácticas de presión para lograr que las personas mayores se inscriban, señaló. Coleman recordó a las empresas que son “responsables de sus materiales y actividades de marketing, incluido el marketing realizado en nombre de un plan de MA por los representantes de ventas”. Las empresas que violen las reglas federales de marketing pueden ser multadas y/o enfrentar suspensiones de inscripción.

Un vocero de CMS no pudo proporcionar ejemplos de infractores recientes, o sus sanciones. Si los beneficiarios descubren un problema antes del 31 de marzo, la fecha en que finaliza el período de cancelación de la inscripción de tres meses cada año, tienen una oportunidad de cambiarse a otro plan o al Medicare original. (Aquellos que eligen este último pueden no poder comprar un seguro complementario o Medigap, con raras excepciones, en todos los estados excepto en cuatro. Connecticut, Maine, Massachusetts y Nueva York).

Después de marzo, generalmente están “atados” a sus planes Advantage o de medicamentos por todo el año, a menos que sean elegibles para una de las raras excepciones a la regla. Este año, los CMS mostraron otra solución, por primera vez. Los funcionarios pueden otorgar un “período de inscripción especial” para las personas que quieran abandonar su plan debido a tácticas de venta engañosas. Estos incluyen “situaciones en las que un beneficiario presenta una alegación verbal o escrita de que su inscripción en un plan MA o de la Parte D se basó en información engañosa o incorrecta… [o] donde un beneficiario declara que estaba inscrito en un plan sin su conocimiento”, de acuerdo con el Manual de Atención Administrada de Medicare.

€œEsta es una válvula de seguridad realmente importante para los beneficiarios que claramente va más allá de la oportunidad limitada de cambiar de plan cuando alguien siente que eligió mal”, dijo David Lipschutz, director asociado del Center for Medicare Advocacy. Para utilizar la nueva opción, los beneficiarios deben comunicarse con el programa de asistencia de seguro médico de su estado en www.shiphelp.org/. La opción de dejar un plan también está disponible si una cantidad significativa de miembros del plan no puede acceder a los médicos u hospitales que se suponía que estaban en la red de proveedores. No obstante, las estafas continúan en todo el país, dicen los expertos.

Un comercial de televisión engañoso en el área de San Francisco ha atraído a las personas mayores con una serie de nuevos servicios que incluyen beneficios dentales, de la vista, de transporte e incluso “reembolso de dinero a su cuenta del Seguro Social”, dijo Morales. Los beneficiarios le han dicho a su grupo que cuando pidieron información estaban “inscritos por error en un plan en el que nunca habían dado la autrorización para ser inscriptos”, dijo. En agosto, un adulto mayor de Ohio recibió una llamada de alguien que le decía que Medicare estaba emitiendo nuevas tarjetas debido a la pandemia de erectile dysfunction treatment. Cuando no dio su número de Medicare, la persona que llamó se enojó y el beneficiario se sintió amenazado, dijo Chris Reeg, director del Programa de Información sobre Seguros de Salud para Personas Mayores de Ohio.

Reeg dijo que otra persona mayor recibió una llamada de un vendedor con malas noticias. No estaba recibiendo todos los beneficios de Medicare a los que tenía derecho. La beneficiaria proporcionó su número de Medicare y otra información, pero no se dio cuenta de que la persona que llamaba la estaba inscribiendo en un plan Medicare Advantage. Se enteró cuando visitó a su médico, quien no aceptó su nuevo seguro.

En el oeste de Nueva York, el culpable es una postal de aspecto oficial, dijo Beth Nelson, directora principal de la patrulla de Medicare del estado. €œNuestros registros indican… que puede ser elegible para recibir beneficios adicionales”, dice, tentadora. Cuando la clienta de Nelson llamó al número que figura en la tarjeta en septiembre para obtener más detalles, proporcionó su número de Medicare y luego terminó en un plan Medicare Advantage sin su consentimiento. La estafadora de Heimer fue persistente.

Contó que cuando la mujer intentó comunicarse con ella por tercera vez, el identificador de llamadas mostraba el número de teléfono de otro hospital local. Heimer le dijo que había denunciado las llamadas a los CMS, la línea de ayuda de la red AARP Fraud Watch Network y la FTC. Eso finalmente funcionó. La mujer colgó abruptamente.

Susan Jaffe. Jaffe.KHN@gmail.com, @SusanJaffe Related Topics Contact Us Submit a Story TipCan’t see the audio player?. Click here to listen on Acast. You can also listen on Spotify, Apple Podcasts, Stitcher, Pocket Casts or wherever you listen to podcasts.

Congress appears to be making progress on its huge social spending bill, but even if it passes the House as planned the week of Nov. 15, it’s unlikely it can get through the Senate before the Thanksgiving deadline that Democrats set for themselves. Meanwhile, the cost of employer-provided health insurance continues to rise, even with so many people forgoing care during the levitra. The annual KFF survey of employers reported that the average cost of a job-based family plan has risen to more than $22,000.

To provide what their workers most need, however, this year many employers added additional coverage of mental health care and telehealth. This week’s panelists are Julie Rovner of KHN, Alice Miranda Ollstein of Politico, Anna Edney of Bloomberg News and Rebecca Adams of CQ Roll Call. Among the takeaways from this week’s episode. Moderate Democrats who were worried about the price tag of the social spending bill said during negotiations last week that they wanted to see the full analysis of spending and costs from the Congressional Budget Office.

But members of the House probably won’t get that score before voting on the bill. CBO instead is releasing its assessments piecemeal as analysts go through specific sections of the huge bill.If the House passes the bill next week, which leadership is pledging, the legislation could still undergo major revisions in the Senate. Some provisions will be subject to the Byrd Rule, which says items in this type of bill must be related to the budget. Republicans are expected to challenge parts of the bill, and the parliamentarian will have to rule on whether their objections are valid.Among the provisions that some moderate Democratic senators might object to are the paid family leave and the mechanism for lowering Medicare drug prices.Congress is looking at a very busy end of the year, which could complicate passage of the social spending bill.

Leaders already postponed a bill to raise the debt ceiling and the annual federal spending bills until early December.A federal judge has blocked Texas Republican Gov. Greg Abbott’s order prohibiting mask mandates in schools. But a final resolution is likely some time away as the case is appealed. Disability rights groups, which had sued to stop the governor’s order, argued that the ban was keeping children with health problems who are at high risk from erectile dysfunction treatment from coming to school.Despite opposition from conservative leaders to treatment mandates, the vast majority of workers have had their shots, either because they wanted them or their employer mandated it.

Lawsuits brought against those workplace requirements may not signal a broad opposition among the population.In its survey of employers’ health plans, KFF found that premiums are still increasing faster than wages as health costs continue to rise. Leaders of both political parties say they would like to reduce the cost of care, but no magic pill appears likely. Instead, lawmakers generally are more inclined to have the government pick up a bigger portion of the country’s health care costs when not finding a way to cut that spending.One key challenge in addressing rising health care spending in Congress is the power of the health care industry. With the close political party margins on Capitol Hill, it is fairly easy for the industries to use their contributions to pick off a couple of members and keep major reform from passing.The KFF survey also documented the wide expansion of telehealth coverage during the levitra.

Although employers and the government have been concerned that telehealth adds to spending because it duplicates services or allows doctors to charge for services they once performed over the phone without billing, it will be hard to put this genie back in the bottle. Consumers like the convenience. And some services, such as mental health therapy or medical consultations for rural residents, are much easier. Also this week, Rovner interviews Rebecca Love, a nurse, academic and entrepreneur who has thought a lot about the future of the nursing profession and where it fits into the U.S.

Health care system Plus, for extra credit, the panelists recommend their favorite health policy stories of the week they think you should read, too. Julie Rovner. Washington Monthly’s “The Doctor Will Not See You Now,” by Merrill Goozner. Alice Miranda Ollstein.

NPR’s “Despite Calls to Improve, Air Travel Is Still a Nightmare for Many With Disabilities,” by Joseph Shapiro and Allison Mollenkamp. Rebecca Adams. KHN’s “Patients Went Into the Hospital for Care. After Testing Positive There for erectile dysfunction treatment, Some Never Came Out,” by Christina Jewett.

Anna Edney. Bloomberg News’ “All Those 23andMe Spit Tests Were Part of a Bigger Plan,” by Kristen V Brown. To hear all our podcasts, click here. And subscribe to KHN’s What the Health?.

on Spotify, Apple Podcasts, Stitcher, Pocket Casts or wherever you listen to podcasts. Related Topics Contact Us Submit a Story Tip.

Letters to levitra online pharmacy the Editor is a periodic feature http://www.karpfenkaviar.at/2016/08/17/lorem-ipsum-dolor-sit-3/. We welcome all comments and will publish a selection. We edit for length and levitra online pharmacy clarity and require full names.

I'm a clinicianI have a PhD in policyNavigating this crazy maze for my mom annually leaves me feeling helpless/useless…Seems impossible for the average beneficiaryhttps://t.co/GJyvd1BmLo via @khnews— Atul Grover (@AtulGroverMD) October 28, 2021 — Dr. Atul Grover, Baltimore Reading the Fine Print on Medicare Advantage Plans With Medicare Advantage open enrollment open until Dec. 7, millions of seniors will consider costs, benefits levitra online pharmacy and networks when selecting a new plan (“Medicare Plans’ ‘Free’ Dental, Vision, Hearing Benefits Come at a Cost,” Oct.

27). Many consumers may not be aware that some health plans have frustrating restrictions buried deep within that limit access to critical procedures. For example, Aetna recently began requiring prior authorization for cataract surgeries across all its health levitra online pharmacy plans — including Medicare Advantage.

Tens of thousands of Americans covered by Aetna have had their sight-restoring surgeries delayed or canceled, while insurance company representatives decide who gets to see better — and who must wait for their cataract to get worse before insurance will cover cataract surgery. Congress is working to put guardrails around prior authorization abuse in Medicare Advantage through the Improving Seniors’ Timely Access to Care Act, which now has 239 co-sponsors in the House and was recently introduced in the Senate. In the meantime, seniors should beware of prior levitra online pharmacy authorization requirements in Medicare Advantage plans and press insurance representatives to be upfront about obstacles that can lead to care delays or denials.

€” Dr. Tamara R. Fountain, president of the American Academy of Ophthalmology, Chicago — levitra online pharmacy Julie Carter, Las Vegas Your recent article on Medicare Advantage plans provided a good overview but omitted essential information.

Traditional Medicare coverage includes a well-defined set of benefits, rules and regulations with regards to coverage. Adverse coverage determinations can be appealed. The appeals process levitra online pharmacy is well defined.

Medicare Advantage plans claim to cover services that traditional Medicare covers and “more.” The problem is that there is no means to ascertain the validity of such claims. Additionally, coverage under such plans is conditional and at the discretion of such plans. Denials of care levitra online pharmacy have no standardized means of appeal.

The appeal is to the plan itself. There is no means to override an adverse coverage decision and the plans tend to uphold their adverse decisions upon appeal as there is no external oversight mechanism that can be used to reverse the plans’ decisions. Few individual providers have the resources to challenge adverse coverage decisions from the big arealth insurance companies running the Medicare Advantage levitra online pharmacy plans.

I am a provider. If a commercial health plan will not resolve a coverage dispute, I can contact the Texas Department of Insurance to resolve the issue. TDI has levitra online pharmacy no jurisdiction over the Medicare Advantage Plans.

I have made numerous inquiries to determine who has jurisdiction over adverse coverage decisions by Medicare Advantage plans, including to the Centers for Medicare &. Medicaid Services. No responses! levitra online pharmacy.

My warning to those turning 65 is “caveat emptor.” Unfortunately, the public is not provided with the comprehensive information they need to make informed choices. €” Dr. Ed Davis, San Antonio The Barest levitra online pharmacy of Necessities My mother raised nine kids with cloth diapers and a washing machine (“‘Down to My Last Diaper’.

The Anxiety of Parenting in Poverty,” Oct. 22). We were raised in poverty.

My father worked two jobs and my mother even made soap in the basement for much of our early years. Jeans were patched, hand-me-downs might just as well have been a brand, and one pair of shoes a year … well, that was a good year. Yes, we grew up poor, but at the same time we were given a strong work ethic by example.

All nine children are now successful, productive contributors to society. It is impossible, therefore, that disposable diapers are an “essential.” That leaves this article in the realm of political rhetoric rather than health news. Weakens your brand, don’t you think?.

— Steve Meyer, Cincinnati If you want to help your neighbors in need, one of the best, most effective ways is to donate money to your local diaper bank, which saw a doubling of demand during the levitra. Https://t.co/56bawk03D0— Bradford Pearson (@BradfordPearson) October 22, 2021 — Bradford Pearson, Philadelphia How erectile dysfunction treatment Had the Run of Hospitals As a former registered nurse at a hospital in southwest Florida, I can attest positively to the facts presented in Christina Jewett’s article about hospital “safety” and how it relates to the retired pharmacist who died from erectile dysfunction treatment (“Patients Went Into the Hospital for Care. After Testing Positive There for erectile dysfunction treatment, Some Never Came Out,” Nov.

4). My observations and personal experiences in the hospital during the early days of this were just as she stated, with one additional caveat, which may be of interest. Our med-surg unit became an overflow unit for suspected and/or positive cases.

What is not being told (yet is accurate) is that when our negative-pressure rooms were occupied (there were only two on our floor), patients were being put into regular rooms with the door closed. Although on the surface this may sound like a “great” plan, I noticed a failure in management’s solution immediately. The room doors have a 1- to 2-inch gap underneath them.

The patients in those rooms were not masked. This means, as is intuitively obvious, that the patients’ infected respirations were escaping from their rooms and into the hallways. Additionally, this “air” was then potentially capable of traveling into other patients’ rooms and thereby potentially infecting them with erectile dysfunction treatment as well.

Needless to say, before too long, our floor had a couple of infected nurses. My belief is that it is extremely possible and likely that many, many hospitals “reacted” this way during the earlier days of the levitra. I wasn’t employed at this hospital far enough into the levitra to observe where or how patients who were suspicious or positive for this levitra were assigned rooms once researchers discovered that transmission was of the airborne variety rather than of the droplet variety, as initially thought.

Finally, as a nurse, I know of many other nurses here in Florida who absolutely refused to get vaccinated early, midway or late into this levitra. I agree 100% that these nurses and various other “holdout” employees could very easily have “carried without knowledge” the levitra to their patients, like the man spoken about in the article. There is no doubt in my mind that a “carrier” (likely unsymptomatic and unvaccinated) carried and infected the retired pharmacist.

Great story, well-written. €” Janet M. Konikow, Fort Myers, Florida This is just one reason ALL HEALTHCARE WORKERS need to be erectile dysfunction treatment vaccinated.

If you’re working close to patients &. You’re not vaccinated, you’re a weapon. Get out of the healthcare profession, you don’t belong there.

Https://t.co/e2gP5vRTlX— OBX Jen 💙 (@OBXJEN) November 4, 2021 — Jen Weidinger, Loudonville, Ohio ‘Daily’ Pill vs. Flushing Out erectile dysfunction treatment Risks With luck, molnupiravir may work as well as acyclovir for herpes “A Daily Pill to Treat erectile dysfunction treatment Could Be Just Months Away, Scientists Say” (Sept. 24).

However, as the Centers for Disease Control and Prevention points out on its website. €œThese [antiviral] drugs neither eradicate latent levitra nor affect the risk, frequency, or severity of recurrences.” At the same time, the CDC posts clear and unequivocal warnings about sharing a bathroom used by a erectile dysfunction treatment patient. Don’t.

Their unspoken message is erectile dysfunction treatment could very well be an infectious enterolevitra, with flush toilet micro-plume a vector. Cities are studying sewage for presence of the levitra and the clinical trials for niclosamide are testing the participants’ stool on schedule for elimination of the pathogen. Why?.

Merck’s trial makes no mention of fecal viral load or describes a goal of eliminating the presence of erectile dysfunction treatment in a patient. Will this drug really be a “game changer”?. It took over 30 years to recognize polio’s fecal mode of transmission.

Are we repeating a historical mistake?. — Tom Heusel, Eugene, Oregon — Peter Zeihan, Denver Dental Health at the Root of U.S. Productivity Dental care, like medical care, should be seen as a human right.

The idea that support for dental care should be limited to older patients with major dental care issues is shortsighted. To this end, one estimate is that $45 billion of worker productivity is lost yearly because of tooth decay. This affects us all.

Provision of good preventive dental care to all young people would increase productivity and thus benefit both the individuals at risk and society at large. (See. Doi.org/10.1016/j.adaj.2020.09.019.) Oral disease and systemic diseases such as cardiovascular disease, Type 2 diabetes and osteoporosis are linked.

These conditions obviously are of enormous cost to society. Severe periodontal (gum) disease is associated with increased risk of cardiovascular disease. It is likely that gum disease actually causes cardiovascular disease.

Substances produced either by germs infecting the teeth or by our bodies responding to the germs cause systemic disease. Mouth disease is clearly one cause of many systemic diseases. The cost to us of those diseases is obvious.

Including dental care in the health care package is a win for all. €œMedicare for All” is the optimal solution. €” Dr.

Marc H. Lavietes, board member for Physicians for a National Health Program, Bradley Beach, New Jersey — Barbara DiPietro, Baltimore On Oral Health and a Dental Hygienist’s Scope A recent article published by KHN spotlighted licensed Illinois dental hygienists who also hold public health dental hygienist (PHDH) certification (“Hygienists Brace for Pitched Battles With Dentists in Fights Over Practice Laws,” Oct. 19).

The Illinois Dental Hygienists’ Association (IDHA) has diligently initiated legislation to bring affordable direct preventive oral health services for those who live in skilled nursing facilities and other confined settings. Dave Marsh, lobbyist for the Illinois State Dental Society (ISDS) was quoted as saying, “I just don’t feel anybody with a two-year associate’s degree is medically qualified to correct your health.” IDHA would like to inform ISDS that the entry-level degree of a registered nurse is also a two-year associate’s degree. Does this mean that registered nurses are also unqualified to care for the elderly?.

Of course not!. This is just another clear example of how ISDS continues to battle licensed dental hygienists and suppress their ability to work to their highest scope. Illinois dentists claim they cannot afford to provide care for citizens who have state-funded dental insurance, are uninsured or poor.

Yet they do not want dental hygienists to care for them either. Why?. As the article clearly points out, ISDS illustrates the power that lobbying groups have in shaping policies on where health professionals can practice and who keeps the profits.

And who suffers?. Illinois’ most vulnerable citizens. The Illinois State Dental Society also claims that after the Illinois Dental Practice Act was modified to allow direct preventive services by a public health dental hygienist, it took the hygiene association years to develop the PHDH curriculum.

Conveniently missing was that legislation was tied up in the rules process during this period of time. So, all parties agreed to write the language for the PHDH certification courses in the statute. Once this process was completed in 2019, the hygienists’ association developed, implemented and graduated the first class of PHDHs within nine months.

The article accurately states that Illinois trails many states. To be exact, 38 other states allow dental hygienists unsupervised contact with patients in skilled nursing facilities. The article also accurately states that, politically, the Illinois State Dental Society is rich and powerful.

This allows them to donate generously to lawmakers. The Illinois Dental Hygienists’ Association wishes to thank KHN for uncovering the fact that profits and control are what motivate the Illinois State Dental Society, not increasing access to care. Now lawmakers can see ISDS’ true motives for suppressing the scope of practice of Illinois dental hygienists and pass legislation so that all Illinois citizens can receive the oral health care they need, want and deserve.

€” Sherri Foran, president of the Illinois Dental Hygienists’ Association, Chicago — Laura Baus, legislative chair of the Illinois Dental Hygienists’ Association, Chicago — Chris Lempa, Park Ridge, Illinois Socially Constructed vs. Biologically Determined The Oct. 20 morning briefing states “If You’re Pregnant, Your Baby’s Gender Influences Your Response To erectile dysfunction treatment.” “Gender” is not the accurate terminology here.

€œsex” is. Sex is a biological characteristic, whereas gender is a social construction. As the source article states “Sex of the fetus,” KHN’s usage of the word “gender” is not only inaccurate but also unnecessary.

The distinction between gender and sex is small, but it is extremely important. — Jade del Vecchio, Decatur, Georgia Thanks to @philgalewitz and @KHNews for highlighting the shortage of home care aides – which is largely the result of low pay, low career mobility, &. Low respect.

Home care aides are skilled, important, &. The solution comes from investing in them. #LTC https://t.co/IKxx3dpMm0— Joanne Spetz (@JoanneSpetz) July 1, 2021 — Joanne Spetz, San Francisco A Shortage of Funds, Not Caregivers I am wanting to comment on the article concerning caregiver shortages (“Desperate for Home Care, Seniors Often Wait Months With Workers in Short Supply,” June 30).

It is a fact that there is a substantial shortage of caregivers in the industry. The problem will only increase in the foreseeable future. I’ve worked at a nurse registry in Florida for seven years.

I believe the focus and terminology that is used in all national articles concerning this issue needs a redirection. You did a tremendous job covering this in your article. I find the layman interprets terms such as “caregiver shortage” in ways that could be misleading and overshadow the core problem.

For example, when I speak to a family member seeking care for a loved one and they hear “caregiver shortage,” they naturally think there are not enough caregivers. Technically speaking, that is true when taking the ratio of elderly to caregivers into account. But the true problem is not a shortage of caregivers.

It’s a shortage of funds available, especially Medicaid funds, to pay caregivers what they are worth. Statistically speaking, for the company I work for, there are plenty of caregivers in the system open to work. So, we are not short on caregivers.

There’s actually not enough work available for all of our caregivers matching their requested reimbursement rate. I believe the main tone of this issue should not be “caregiver shortage” but “caregiver reimbursement increase.” Hearing the problem “caregiver shortage” automatically leads to seeking a solution to increasing the quantity of caregivers. Though the quantity of caregivers does need to increase, it will not solve this issue.

Being able to utilize caregivers who are available and willing to assist, in my opinion, is the first step to solving this nationwide issue. I thank you for your time. €” Michael Asche, Stuart, Florida This is one of the prime reasons why politicians need to rethink their definition of the word “infrastructure”—and their opposition to funding anything that doesn’t smell like asphalt.

#NHPolitics https://t.co/kNamPpbe89— David Meuse (@JdmMeuse) June 30, 2021 — Democratic state Rep. David Meuse, Portsmouth, New Hampshire ‘Dopesick’ Misses the Big Picture I think it’s quite deplorable that you promote a program and its creators where no citations are made referencing our nation’s leading medical authorities. No mention of studies that do, indeed, support the <1% addiction rates.

Dr. Scott Hadland, whose research was published in BMJ, shows rates well below 1%. These numbers can go higher depending on a patient’s prior risk factors.

But Hadland’s study, with a cohort of over 3.2 million, was, I believe, opioid-naive patients ages 11-25 — understandably, a demographic of great concern. There is no mention of National Institutes of Health Director Dr. Francis Collins’ views that dependence and addiction are different, with addiction being more severe but with lower rates of addiction present.

[Collins said. €œPhysical dependence will develop in most individuals who take opioids chronically, resulting in withdrawal symptoms if the drug is taken away. Addiction is more severe and happens in only a small percentage of those who take opioids chronically.”] No mention of the views of National Institute on Drug Abuse Director Dr.

Nora Volkow, who expressed great concern for the treatment of chronic pain patients. Both of those doctors said that while nobody is thrilled with the long-known downsides of opioids, there is currently nothing more effective. There is no mention of the American Medical Association’s letter to the Centers for Disease Control and Prevention in June 2020 or the subsequent AMA statements since then, decrying the use of morphine milligram equivalents (MME).

No mention of the Department of Health and Human Services’ Pain Management Best Practices report of 2019 with its chapter on the 2016 guidelines, where it challenges some of the claims that are echoed in “Dopesick.” Recently, in California, the California Department of Public Health issued a workgroup action notice regarding the closure of 29 Lags pain management clinics, setting adrift over 20,000 pain patients. Part of the state’s response was in the form of a video webinar on YouTube featuring San Francisco Public Health addiction physician Dr. Phillip Coffin.

He was an original member of the core expert group that drafted the 2016 CDC guidelines. He again reiterated the plea of the CDC and many other medical authorities that the guidelines not be misinterpreted — that they are intended only for new patients and that if someone has been at 400 MME for 25 years, in general, just let them be. Beth Macy herself wrote an endorsement for the cover of a new book by Ryan Hampton, a former White House staffer and presidential campaign official who became a heroin addict.

Hampton’s new book, “Unsettled,” is about his experience on the committee that negotiated the Purdue/Sackler settlement. He is no fan of the Sacklers. But he reiterates that he has learned much in recent years and believes that chronic pain patients should be protected, that the interests of both pain and substance use disorder communities are aligned.

He co-authored an article in the Los Angeles Times with Kate Nicholson, president and founder of National Pain Advocacy Center. Nicholson was an attorney for the Justice Department for 20 years, in the civil/disability rights division. She authored the current regs under the Americans with Disabilities Act and is a chronic pain patient, using opioids to relieve enough pain for her to do her job at DOJ.

As the L.A. Times article quipped, “Our stories are two sides of the same pill. Serious pain and addiction are public health conditions that are widespread, stigmatized and misunderstood.” — Tom Hayashi, Santa Rosa, California — Sema Sgaier, Washington, D.C.

In-Network Care Can Help Curb Hospitalizations I would quarrel with Loren Adler’s comment that once the law takes effect, “it’s completely irrelevant whether an emergency room doctor is in network or not” (“Surprise-Billing Rule ‘Puts a Thumb on the Scale’ to Keep Arbitrated Costs in Check,” Oct. 14). It matters to get those hospital-based physicians into global budget arrangements with insurers, like ACOs, so their incentives can be realigned to prevent return trips to the emergency department rather than to profit from them.

Chronically ill patients attributed to such programs need all their providers pulling in the same direction to avoid unnecessary hospitalizations. The out-of-network business model has dangers to consumers beyond the fees, and it will be interesting and important to monitor utilization going forward to see if improved care coordination results. €” Jackson Williams, Lancaster, Pennsylvania Patients will be protected from surprise medical bills starting Jan 1.

The big ?. is whether the law reduces health care costs as intended or shifts costs and⬆️premiums. The rule makes it more likely consumers see no surprise bills AND lower premiums.https://t.co/yzJXotp7KM— Erica Socker (@EricaSocker) October 14, 2021 — Erica Socker, Alexandria, Virginia To Top It Off, a Headline Can Steer Readers Wrong I am really surprised to see this otherwise trustworthy site feeding false information about erectile dysfunction treatments.

You published an article today with the outrageous headline “A Colorado Town Is About as Vaccinated as It Can Get. erectile dysfunction treatment Still Isn’t Over There” (Oct. 1), clearly suggesting that the story would contain information about the ineffectiveness of vaccinations.

Since most people will only see this headline in one or another news aggregator or on social media, this is the message they will get. It turns out, when we read the story, that the individuals representing San Juan County’s serious erectile dysfunction treatment cases “all were believed to be unvaccinated” and the five hospitalized or dead people were all “summer residents.” The story should have been headlined something like “high vaccination rates protect residents of this Colorado county from unvaccinated visitors bringing erectile dysfunction treatment to town.” — Ira Abrams, Chicago Related Topics Contact Us Submit a Story TipEncontrar el mejor plan médico privado, o de medicamentos, de Medicare entre docenas de opciones es lo suficientemente difícil sin incluir estrategias de venta engañosas. Sin embargo, funcionarios federales dicen que están aumentando las quejas de personas mayores engañadas para que compren pólizas sin su consentimiento, o atraídas por información cuestionable, que pueden no cubrir sus medicamentos ni incluir a sus médicos.

En respuesta, los Centros de Servicios de Medicare y Medicaid (CMS) han amenazado con penalizar a las compañías de seguros privadas que venden planes de medicamentos y Medicare Advantage (MA), si ellas o los agentes que trabajan en su nombre engañan a los consumidores. La agencia también ha revisado las reglas que facilitan a los beneficiarios abandonar planes en los que no se inscribieron, o salir de aquéllos en los que fueron inscriptos a través de engaños, solo para descubrir que los beneficios prometidos no existían, o que no podían ver a sus proveedores. Los problemas son especialmente frecuentes durante el período de inscripción abierta de Medicare, que comenzó el 15 de octubre y se extiende hasta el 7 de diciembre.

Una trampa común comienza con una llamada telefónica como la que recibió Linda Heimer, de Iowa, en octubre. Heimer no contesta el teléfono a menos que su identificador de llamadas muestre un número que reconoce, pero esta llamada mostró el número del hospital donde trabaja su médico. La persona al teléfono dijo que necesitaba el número de Medicare de Heimer para asegurarse de que fuera correcto para la nueva tarjeta que recibiría.

Cuando Heimer vaciló, la mujer dijo. €œNo estamos pidiendo un número de seguro social o números de banco ni nada por el estilo. Esto está bien”.

€œTodavía no puedo creerlo, pero le di mi número de tarjeta”, dijo Heimer. Luego, la persona que llamó le hizo preguntas sobre su historial médico y se ofreció a enviarle una prueba de saliva “absolutamente gratis”. Fue entonces cuando Heimer empezó a sospechar y colgó.

Se comunicó con la línea de ayuda 1-800-MEDICARE para obtener un nuevo número de Medicare, y llamó a la Línea de ayuda de la red AARP Fraud Watch Network y a la Comisión Federal de Comercio. Pero más tarde esa mañana, el teléfono volvió a sonar y esta vez el identificador de llamadas mostró un número que coincidía con la línea de ayuda gratuita de Medicare. Cuando respondió, reconoció la voz de la misma mujer.

€œNo eres de Medicare”, le dijo Heimer. €œSí, sí, sí, somos”, insistió la mujer. Heimer colgó de nuevo.

Han pasado solo dos semanas desde que Heimer reveló su número de Medicare a una extraña y, hasta ahora, nada ha salido mal. Pero, con ese número, los estafadores podrían facturar a Medicare por servicios y suministros médicos que los beneficiarios nunca reciben, y podrían inscribir a personas mayores en un plan Medicare Advantage o de medicamentos sin su conocimiento. En California, los informes de prácticas de venta engañosas de Medicare Advantage y planes de medicamentos han sido las principales quejas ante la Senior Medicare Patrol del estado durante los últimos dos años, dijo Sandy Morales, administradora de casos del grupo.

La patrulla es un programa financiado por el gobierno federal que ayuda a las personas mayores a desentrañar problemas con sus seguros. A nivel nacional, la Senior Medicare Patrol ha enviado a los CMS y al Inpector General de Salud y Servicios Sociales 74% más casos para su Investigación en los primeros nueve meses de este año que en todo 2020, dijo Rebecca Kinney, directora de la Oficina de Administración para la Vida Comunitaria del Consejo de Información y Asesoramiento sobre Atención Médica del departamento de salud, que supervisa las patrullas. Dijo que espera que lleguen más quejas durante el período de inscripción abierta de Medicare.

Y en octubre, funcionarios de los CMS advirtieron a las compañías de seguros privadas que venden Medicare Advantage y planes de medicamentos que los requisitos federales prohíben las prácticas de venta engañosas. Kathryn Coleman, directora del Grupo de Administración de Contratos de Planes de Salud y Medicamentos de Medicare de los CMS, dijo en un memorando a las aseguradoras que la agencia está preocupada por los anuncios que promueven ampliamente los beneficios del plan Advantage que están disponibles solo en un área limitada o para un número restringido de beneficiarios. Los CMS también han recibido quejas sobre información de ventas que podrían interpretarse como provenientes del gobierno, y tácticas de presión para lograr que las personas mayores se inscriban, señaló.

Coleman recordó a las empresas que son “responsables de sus materiales y actividades de marketing, incluido el marketing realizado en nombre de un plan de MA por los representantes de ventas”. Las empresas que violen las reglas federales de marketing pueden ser multadas y/o enfrentar suspensiones de inscripción. Un vocero de CMS no pudo proporcionar ejemplos de infractores recientes, o sus sanciones.

Si los beneficiarios descubren un problema antes del 31 de marzo, la fecha en que finaliza el período de cancelación de la inscripción de tres meses cada año, tienen una oportunidad de cambiarse a otro plan o al Medicare original. (Aquellos que eligen este último pueden no poder comprar un seguro complementario o Medigap, con raras excepciones, en todos los estados excepto en cuatro. Connecticut, Maine, Massachusetts y Nueva York).

Después de marzo, generalmente están “atados” a sus planes Advantage o de medicamentos por todo el año, a menos que sean elegibles para una de las raras excepciones a la regla. Este año, los CMS mostraron otra solución, por primera vez. Los funcionarios pueden otorgar un “período de inscripción especial” para las personas que quieran abandonar su plan debido a tácticas de venta engañosas.

Estos incluyen “situaciones en las que un beneficiario presenta una alegación verbal o escrita de que su inscripción en un plan MA o de la Parte D se basó en información engañosa o incorrecta… [o] donde un beneficiario declara que estaba inscrito en un plan sin su conocimiento”, de acuerdo con el Manual de Atención Administrada de Medicare. €œEsta es una válvula de seguridad realmente importante para los beneficiarios que claramente va más allá de la oportunidad limitada de cambiar de plan cuando alguien siente que eligió mal”, dijo David Lipschutz, director asociado del Center for Medicare Advocacy. Para utilizar la nueva opción, los beneficiarios deben comunicarse con el programa de asistencia de seguro médico de su estado en www.shiphelp.org/.

La opción de dejar un plan también está disponible si una cantidad significativa de miembros del plan no puede acceder a los médicos u hospitales que se suponía que estaban en la red de proveedores. No obstante, las estafas continúan en todo el país, dicen los expertos. Un comercial de televisión engañoso en el área de San Francisco ha atraído a las personas mayores con una serie de nuevos servicios que incluyen beneficios dentales, de la vista, de transporte e incluso “reembolso de dinero a su cuenta del Seguro Social”, dijo Morales.

Los beneficiarios le han dicho a su grupo que cuando pidieron información estaban “inscritos por error en un plan en el que nunca habían dado la autrorización para ser inscriptos”, dijo. En agosto, un adulto mayor de Ohio recibió una llamada de alguien que le decía que Medicare estaba emitiendo nuevas tarjetas debido a la pandemia de erectile dysfunction treatment. Cuando no dio su número de Medicare, la persona que llamó se enojó y el beneficiario se sintió amenazado, dijo Chris Reeg, director del Programa de Información sobre Seguros de Salud para Personas Mayores de Ohio.

Reeg dijo que otra persona mayor recibió una llamada de un vendedor con malas noticias. No estaba recibiendo todos los beneficios de Medicare a los que tenía derecho. La beneficiaria proporcionó su número de Medicare y otra información, pero no se dio cuenta de que la persona que llamaba la estaba inscribiendo en un plan Medicare Advantage.

Se enteró cuando visitó a su médico, quien no aceptó su nuevo seguro. En el oeste de Nueva York, el culpable es una postal de aspecto oficial, dijo Beth Nelson, directora principal de la patrulla de Medicare del estado. €œNuestros registros indican… que puede ser elegible para recibir beneficios adicionales”, dice, tentadora.

Cuando la clienta de Nelson llamó al número que figura en la tarjeta en septiembre para obtener más detalles, proporcionó su número de Medicare y luego terminó en un plan Medicare Advantage sin su consentimiento. La estafadora de Heimer fue persistente. Contó que cuando la mujer intentó comunicarse con ella por tercera vez, el identificador de llamadas mostraba el número de teléfono de otro hospital local.

Heimer le dijo que había denunciado las llamadas a los CMS, la línea de ayuda de la red AARP Fraud Watch Network y la FTC. Eso finalmente funcionó. La mujer colgó abruptamente.

Susan Jaffe. Jaffe.KHN@gmail.com, @SusanJaffe Related Topics Contact Us Submit a Story TipCan’t see the audio player?. Click here to listen on Acast.

You can also listen on Spotify, Apple Podcasts, Stitcher, Pocket Casts or wherever you listen to podcasts. Congress appears to be making progress on its huge social spending bill, but even if it passes the House as planned the week of Nov. 15, it’s unlikely it can get through the Senate before the Thanksgiving deadline that Democrats set for themselves.

Meanwhile, the cost of employer-provided health insurance continues to rise, even with so many people forgoing care during the levitra. The annual KFF survey of employers reported that the average cost of a job-based family plan has risen to more than $22,000. To provide what their workers most need, however, this year many employers added additional coverage of mental health care and telehealth.

This week’s panelists are Julie Rovner of KHN, Alice Miranda Ollstein of Politico, Anna Edney of Bloomberg News and Rebecca Adams of CQ Roll Call. Among the takeaways from this week’s episode. Moderate Democrats who were worried about the price tag of the social spending bill said during negotiations last week that they wanted to see the full analysis of spending and costs from the Congressional Budget Office.

But members of the House probably won’t get that score before voting on the bill. CBO instead is releasing its assessments piecemeal as analysts go through specific sections of the huge bill.If the House passes the bill next week, which leadership is pledging, the legislation could still undergo major revisions in the Senate. Some provisions will be subject to the Byrd Rule, which says items in this type of bill must be related to the budget.

Republicans are expected to challenge parts of the bill, and the parliamentarian will have to rule on whether their objections are valid.Among the provisions that some moderate Democratic senators might object to are the paid family leave and the mechanism for lowering Medicare drug prices.Congress is looking at a very busy end of the year, which could complicate passage of the social spending bill. Leaders already postponed a bill to raise the debt ceiling and the annual federal spending bills until early December.A federal judge has blocked Texas Republican Gov. Greg Abbott’s order prohibiting mask mandates in schools.

But a final resolution is likely some time away as the case is appealed. Disability rights groups, which had sued to stop the governor’s order, argued that the ban was keeping children with health problems who are at high risk from erectile dysfunction treatment from coming to school.Despite opposition from conservative leaders to treatment mandates, the vast majority of workers have had their shots, either because they wanted them or their employer mandated it. Lawsuits brought against those workplace requirements may not signal a broad opposition among the population.In its survey of employers’ health plans, KFF found that premiums are still increasing faster than wages as health costs continue to rise.

Leaders of both political parties say they would like to reduce the cost of care, but no magic pill appears likely. Instead, lawmakers generally are more inclined to have the government pick up a bigger portion of the country’s health care costs when not finding a way to cut that spending.One key challenge in addressing rising health care spending in Congress is the power of the health care industry. With the close political party margins on Capitol Hill, it is fairly easy for the industries to use their contributions to pick off a couple of members and keep major reform from passing.The KFF survey also documented the wide expansion of telehealth coverage during the levitra.

Although employers and the government have been concerned that telehealth adds to spending because it duplicates services or allows doctors to charge for services they once performed over the phone without billing, it will be hard to put this genie back in the bottle. Consumers like the convenience. And some services, such as mental health therapy or medical consultations for rural residents, are much easier.

Also this week, Rovner interviews Rebecca Love, a nurse, academic and entrepreneur who has thought a lot about the future of the nursing profession and where it fits into the U.S. Health care system Plus, for extra credit, the panelists recommend their favorite health policy stories of the week they think you should read, too. Julie Rovner.

Washington Monthly’s “The Doctor Will Not See You Now,” by Merrill Goozner. Alice Miranda Ollstein. NPR’s “Despite Calls to Improve, Air Travel Is Still a Nightmare for Many With Disabilities,” by Joseph Shapiro and Allison Mollenkamp.

Rebecca Adams. KHN’s “Patients Went Into the Hospital for Care. After Testing Positive There for erectile dysfunction treatment, Some Never Came Out,” by Christina Jewett.

Anna Edney. Bloomberg News’ “All Those 23andMe Spit Tests Were Part of a Bigger Plan,” by Kristen V Brown. To hear all our podcasts, click here.

And subscribe to KHN’s What the Health?. on Spotify, Apple Podcasts, Stitcher, Pocket Casts or wherever you listen to podcasts. Related Topics Contact Us Submit a Story Tip.

What should I tell my health care provider before I take Levitra?

They need to know if you have any of these conditions:

• anatomical deformity of the penis, Peyronie's disease, or ever had an erection that lasted more than 4 hours
• bleeding disorder
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• frequent heartburn or gastroesophageal reflux disease (GERD)
• heart disease, angina, high or low blood pressure, a history of heart attack, or other heart problems
• high cholesterol
• HIV
• kidney disease
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• stomach or intestinal ulcers
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Notice. The Centers for Disease Control and Prevention (CDC), located within the Department of Health and Human Services (HHS) announces the award of approximately $26,000,000 in erectile dysfunction treatment funding to the Council of Medical Specialty Societies (CMSS) and the Society for Post-Acute and Long-Term Care Medicine (AMDA) to address the need to incorporate adult vaccination into the standard of care for subspecialty providers, including occupational health and long term care (LTC), and improve adult vaccination rates. The period for this award will be September 30, 2021 through September 29, 2026. Start Further Info Amy Parker Fiebelkorn, MSN, MPH CAPT, U.S.

Public Health Services, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, 1600 Clifton Road NE, MS-H24-8, Atlanta, GA 30329, Telephone. 800-232-6348, Email. Dez8@cdc.gov. End Further Info End Preamble Start Supplemental Information The single-source awards will increase erectile dysfunction treatment, influenza, and routine adult vaccination coverage in adults with chronic medical conditions, in occupational health clinics, and in adults working and residing in long-term care (LTC) facilities.

The Council of Medical Specialty Societies (CMSS) and the Society for Post-Acute and Long-Term Care Medicine (AMDA) will incorporate adult vaccination into the standard of care for subspecialty providers (including occupational health and LTC). CMSS will focus on activities leading to adoption of the Standards for Adult Immunization Practice in its 45 societies, and AMDA will focus on the same with its affiliate organization, the Foundation for Post-Acute and Long-Term Care Medicine. CMSS and AMDA will develop/update treatment policy statements, develop/promote continuing education on adult immunization for their membership, and award funds to up to 7 subspecialty societies (for CMSS) and to the Foundation (for AMDA) to systematize routine delivery of adult immunizations. The funded subrecipients (i.e., CMSS subspecialty societies and AMDA's Foundation) should also fund staff at the national level and in regional chapters to update vaccination policies and encourage use of adult vaccinations as quality measures.

Funded CMSS subspecialty societies and AMDA's Foundation should also contract with 7-10 Start Printed Page 49536healthcare systems or 7-10 LTC chains each, respectively, to implement adult immunization quality improvement interventions. Summary of the Award Recipient. Council of Medical Specialty Societies (CMSS) and the Society for Post-Acute and Long-Term Care Medicine (AMDA). Purpose of the Award.

The purpose of these awards is to increase erectile dysfunction treatment, influenza, and routine treatments in adults with chronic medical conditions (e.g., COPD, asthma, diabetes, heart disease, cancer, and renal disease), increase workplace vaccination (occupational health settings), and increase vaccination among adults working and residing in LTCFs through implementation of immunization quality improvement interventions. CMSS will focus on activities leading to adoption of the Standards for Adult Immunization Practice in its 45 societies. AMDA will focus on the same with its affiliate organization, the Foundation for Post-Acute and Long-Term Care Medicine. CMSS and AMDA will develop/update treatment policy statements, develop/promote continuing education on adult immunization for their membership, and award funds to up to 7 subspecialty societies (for CMSS) and to the Foundation (for AMDA) to systematize routine delivery of adult immunizations.

CMSS-funded subspecialty societies and AMDA's Foundation should fund staff at the national level and in regional chapters to update vaccination policies and encourage use of adult vaccinations as quality measures. CMSS subspecialty societies and AMDA's Foundation should also contract with 7-10 healthcare systems or 7-10 LTC chains each, respectively, to implement adult immunization quality improvement interventions. Amount of Award. $26,000,000 in Federal Fiscal Year (FFY) 2021 funds, and an estimated total of $66,000,000 over the five-year period of performance.

Period of Performance. September 30, 2021 through September 29, 2026. Start Signature Dated. August 30, 2021.

Joseph I. Hungate III, Deputy Director, Office of Financial Resources, Office of the Chief Operating Officer, Centers for Disease Control and Prevention. End Signature End Supplemental Information [FR Doc. 2021-19050 Filed 9-2-21.

Notice. The Centers for Disease Control and Prevention (CDC), located within the Department of Health and Human Services (HHS) announces the award of approximately $26,000,000 in erectile dysfunction treatment funding to the Council of Medical Specialty Societies (CMSS) and the Society for Post-Acute and Long-Term Care Medicine (AMDA) to address the need to incorporate adult vaccination into the standard of care for subspecialty providers, including occupational health and long term care (LTC), and improve adult vaccination rates. The period for this award will be September 30, 2021 through September 29, 2026. Start Further Info Amy Parker Fiebelkorn, MSN, MPH CAPT, U.S. Public Health Services, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, 1600 Clifton Road NE, MS-H24-8, Atlanta, GA 30329, Telephone.

800-232-6348, Email. Dez8@cdc.gov. End Further Info End Preamble Start Supplemental Information The single-source awards will increase erectile dysfunction treatment, influenza, and routine adult vaccination coverage in adults with chronic medical conditions, in occupational health clinics, and in adults working and residing in long-term care (LTC) facilities. The Council of Medical Specialty Societies (CMSS) and the Society for Post-Acute and Long-Term Care Medicine (AMDA) will incorporate adult vaccination into the standard of care for subspecialty providers (including occupational health and LTC). CMSS will focus on activities leading to adoption of the Standards for Adult Immunization Practice in its 45 societies, and AMDA will focus on the same with its affiliate organization, the Foundation for Post-Acute and Long-Term Care Medicine.

CMSS and AMDA will develop/update treatment policy statements, develop/promote continuing education on adult immunization for their membership, and award funds to up to 7 subspecialty societies (for CMSS) and to the Foundation (for AMDA) to systematize routine delivery of adult immunizations. The funded subrecipients (i.e., CMSS subspecialty societies and AMDA's Foundation) should also fund staff at the national level and in regional chapters to update vaccination policies and encourage use of adult vaccinations as quality measures. Funded CMSS subspecialty societies and AMDA's Foundation should also contract with 7-10 Start Printed Page 49536healthcare systems or 7-10 LTC chains each, respectively, to implement adult immunization quality improvement interventions. Summary of the Award Recipient. Council of Medical Specialty Societies (CMSS) and the Society for Post-Acute and Long-Term Care Medicine (AMDA).

Purpose of the Award. The purpose of these awards is to increase erectile dysfunction treatment, influenza, and routine treatments in adults with chronic medical conditions (e.g., COPD, asthma, diabetes, heart disease, cancer, and renal disease), increase workplace vaccination (occupational health settings), and increase vaccination among adults working and residing in LTCFs through implementation of immunization quality improvement interventions. CMSS will focus on activities leading to adoption of the Standards for Adult Immunization Practice in its 45 societies. AMDA will focus on the same with its affiliate organization, the Foundation for Post-Acute and Long-Term Care Medicine. CMSS and AMDA will develop/update treatment policy statements, develop/promote continuing education on adult immunization for their membership, and award funds to up to 7 subspecialty societies (for CMSS) and to the Foundation (for AMDA) to systematize routine delivery of adult immunizations.

CMSS-funded subspecialty societies and AMDA's Foundation should fund staff at the national level and in regional chapters to update vaccination policies and encourage use of adult vaccinations as quality measures. CMSS subspecialty societies and AMDA's Foundation should also contract with 7-10 healthcare systems or 7-10 LTC chains each, respectively, to implement adult immunization quality improvement interventions. Amount of Award. $26,000,000 in Federal Fiscal Year (FFY) 2021 funds, and an estimated total of $66,000,000 over the five-year period of performance. Period of Performance.

September 30, 2021 through September 29, 2026. Start Signature Dated. August 30, 2021. Joseph I. Hungate III, Deputy Director, Office of Financial Resources, Office of the Chief Operating Officer, Centers for Disease Control and Prevention.

End Signature End Supplemental Information [FR Doc. 2021-19050 Filed 9-2-21.

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