text:
In this series
Day 1
At the Walla Walla VA, doctor disillusionment
A former VA doctor's parting words for the system
VA proves to be another battle for veterans
Day 2
Careers in the balance: Fears of retaliation for those who speak up
Woman's VA career pulled up short after raising concerns
Editor's note: This is the first of a two-day Union-Bulletin series on staff and service delivery problems within the Jonathan M. Wainwright Memorial Veterans Affairs Medical Center in Walla Walla and its outlying community based outpatient clinics it administers regionally.
Veterans services
Under the U.S. Department of Veterans Affairs' health system in the Walla Walla regis area — called VISN 20 — most veterans get care in three types of facilities:
Community Based Outpatient Clinic (CBOC)
The Jonathan M. Wainwright Memorial Veterans Affairs Medical Center in Walla Walla oversees these satellite clinics in Richland and Yakima in Washington; LaGrande, Boardman and Enterprise in Oregon; and Lewiston and Grangeville in Idaho.
Services in the Yakima clinic include:
Primary care visits with a physician, physician's assistant, nurse practitioner, nurse and health technician.
Diabetes education.
Bladder scans, skin biopsies and basic lung function testing.
Incision and draining of superficial abscesses.
Imaging of the retina, sent to an eye specialist elsewhere for interpretation.
Blood draws.
Traumatic brain injury initial screening and secondary assessment.
Mental health assessment, counseling and medication management.
Nutrition and pharmacy counseling.
Vaccinations and some other injections.
Pelvic exams.
Jonathan M. Wainwright Memorial Veterans Affairs Medical Center
The Walla Walla VA provides all the services listed above, as well as:
Post-surgical and diabetes-related wound and skin care provided by home health nurses.
Exams of the esophagus, stomach, colon, bladder.
Optometry consults; some eyewear fittings.
Residential treatment for chemical dependency.
Complete lung function testing.
In-depth imaging via ultrasound, X-ray and CT scans.
Basic lab analysis of blood.
Intravenous infusion of medications.
Scanning of documents into the medical record.
Medications provided on site.
Hearing assessments.
Dental care.
Home-based primary care.
Non-VA treatment determinations.
Pre-surgical evaluations.
Travel arrangements.
VA Puget Sound Health Care System in Seattle
Seattle VA provides all the services above. Additional services not available at the Walla Walla VA or Yakima CBOC include:
Gynecologic consultation and procedures.
Nuclear medicine imaging, including nuclear stress tests for cardiac evaluation, cardiac catheterization.
Rehabilitation, including physical, occupational, recreational and speech therapy.
Post-traumatic stress disorder and psychiatric inpatient treatment.
Polytrauma rehabilitation, including traumatic brain injury evaluation.
Cancer chemotherapy, bone marrow biopsy.
Magnetic resonance imaging.
Inpatient hospital care, including critical care.
VA emergency room services 24 hours a day, seven days a week.
Source: U.S. Department of Veterans Affairs, Jonathan M. Wainwright Memorial Veterans Affairs Medical Center officials and Walla Walla VA employees who requested anonymity for fear of workplace retribution.
WALLA WALLA — Dr. Jonathan Hibbs understood what it would mean to walk away last month from an institution like the U.S. Department of Veterans Affairs.
Not being allowed to do his best doctoring for some of the nation's most vulnerable patients, however, was a final straw in eight years of working for the institution, some of that time spent in medical management at Jonathan M. Wainwright Memorial Veterans Affairs Medical Center.
From believing in the VA's mission to eventual disillusion, Hibbs said he has come to see the agency is all about policy, not people.
The physician saw the agency trip over its own rules again and again. While he was medical director of the Yakima community-based outpatient clinic (CBOC) — which reports to Walla Walla's VA as part of that network — Hibbs said he came to regard the health care system as top-down management designed to work against employees and patients.
Take something straightforward, such as a colonoscopy doctors advise for patients age 50 and up.
"Every patient I had has to travel to Walla Walla to get a colonoscopy," Hibbs explained. "They have to go to the toilet for hours beforehand, they can't eat. then they want them to travel to Walla Walla, with someone, for the procedure? A lot of my patients lead chaotic lives and they don't have someone who can come with them."
Once the procedure is over, those same men and women have to turn around and travel two hours or so back home. They're in a state of discomfort, partially sedated and unable to drive, Hibbs said, and getting folks to agree to the ordeal has been difficult.
"The point being that colonoscopy is something we want lots of patients to have," he said. "It's usually not something the patient initiates, it's something we ask them to do to prevent a disease they can't even see nor feel. Yet at the same time we're trying to persuade them to do it, we make it difficult.
And that difficulty, he added, is unnecessary.
"We do this even though there is a clinic that does many colonoscopies a day right in their hometown of Yakima. That isn't patient-centered care; it's facility-centered care — I'm essentially placing the needs of the Walla Walla VA above the needs of my patient, and I'm not OK with that."
Officials at the Walla Walla VA, however, said some colonoscopies are provided to veterans at non-VA providers in their communities. As well, veterans from Yakima can come to Walla Walla the night before.
"We lodge them and they can do the prep here," said Brian Westfield, who came on board as director in 2008.
But for Hibbs, the final straw came when he was no longer allowed to treat the VA's vulnerable patients responsibly and with honor. He left the Yakima CBOC on July 25.
The departure terminated a practice he always hoped would make a difference, he said.
"I can't live with the policies we are pursuing at this time," said Hibbs. "I can't stay here any longer. I want the VA to succeed but it's failing."
Leading by "intimidation"
Hibbs' residency training in internal medicine in Minneapolis included rotations at that VA facility. Later he worked for Walla Walla's VA as an infection-control specialist and part of the ethics committee.
By his second year or so here, Hibbs realized it would not be an easy place to work.
"I was talking about redesigning the clinic, changing the way the work was organized to be rational," he said. "I was heavily involved, listening to staff members. We had meetings, we spent a lot of time processing what needed to be done."
Hibbs said he believed it made good sense to involve employees in finding solutions and addressing their unhappiness at not being listened to in the past.
"But while we were doing all this," he said, "one of the nurses told me 'You know, Jon, this is great but it's going nowhere ... you are giving people false hope. Nothing is going to happen.'"
The doctor refused to believe that. Now he knows exactly what that nurse meant. When the new plan — flow charts, the whole works — was scrapped by his superiors, he was appalled.
"They told me 'If we want ideas, we'll ask you.'"
It was further suggested Hibbs had intimidated people into going along with the redesigned approach, an allegation that didn't fit with his "new kid on the block" position at the time, he said. "But administration rules that way, it's the language they speak. I have seen that in Walla Walla and other places. They lead by intimidation."
It was his first experience with the disillusion of running up against policy, Hibbs recalled. There would be countless more before his VA career was over.
Whether situations are crises or routine, the organization's mindset is harming veterans, he maintains, "and it's not seen by the public."
Policy before procedure
Start with crises. Veterans who first go to the Yakima CBOC with an emergency situation, like bleeding gut or a heart attack, are sent to hospital emergency rooms as protocol demands, the doctor explained. "The VA will usually pay for that."
But should that same veteran go directly to either of Yakima's two hospitals, without passing "go" at the CBOC, the VA often balks at paying those bills, especially if the chest pain turns out not to be a heart attack. Even though the more direct route to care is medically safer, VA payment system encourages veterans to waste steps and time in getting help, Hibbs said.
"And the VA is following its own rules in doing that. They say it was not an emergency. But the veteran doesn't know that."
Surgeries that can be planned — hip replacement and gall bladder removal, for example — are routed to Portland, Seattle and Spokane VA hospitals, Hibbs said. "Or, God help us, Boise. It's a long way to get to Boise, and if you're miserable, it's a really long drive."
Hibbs calls the situations horrendous. The veterans he's cared for generally do not have the resources for such trips: Gas, lodging, meals for themselves and often for someone who has come along to help add up, he pointed out.
Most diagnostic tests, for example, require travel to Walla Walla or elsewhere to meet policy, according to Hibbs and VA officials.
And when veterans are put on the road for care, that policy has resulted in highway collisions — some fatal — involving veterans in Washington and other states over the past few years, Hibbs said.
He supplied a number of news reports, including one about a 51-year-old veteran who died when a VA van driven by a volunteer drifted off the road and crashed while en route to a VA clinic in White City, Ore., in 2011.
In winter of 2008, five veterans from Yakima were headed to Seattle for appointments over Snoqualmie Pass when the van transporting them skidded on an icy road and struck a median. At least one suffered injuries, and responders had difficulty getting to the scene.
"The veterans involved in these crashes were traveling to central VA facilities in service vans to receive scheduled services that could have been offered by non-VA facilities closer to home," Hibbs pointed out. "Nobody makes a fuss about it because each crash is treated like a sad but isolated accident. The systems problem doesn't appear until you put a bunch of the incidents together."
There is also the hardship of patients being away from friends and family, plus getting care from physicians they have no prior relationship with, he said.
Hibbs said it boils down to this — Walla Walla and other centers get the equipment and Yakima'a clinic doesn't.
Westfield said he has field discretion to purchase community care for a veteran if it's in the best interest of the patient.
"We do purchase care when it makes sense," he said.
Westfield said he uses a 60-driving-minutes radius from VA facilities as a guideline when determining where to purchase non-VA care for veterans.
In 2013, Jonathan M. Wainwright Memorial Veterans Affairs Medical Center officials authorized $21.6 million for non-VA services, including home health, dental and vision care.
That's about 25 to 30 percent of the total budget for the Walla Walla center's region, which included CBOC's in Richland and Yakima in Washington, LaGrande, Boardman and Enterprise in Oregon, and Lewiston and Grangeville in Idaho.
Caution must be taken any time a patient goes outside the VA health system, however, Westfield said.
"I think it could potentially disrupt the care process," he said. "It can create care that is not well coordinated, so partnerships need to be developed to make this an effective program."
An unsent letter
Dr. Don Hill is a Yakima physician who worked with Hibbs from 2008 to 2011 before also quitting the VA. He, too, can be counted in the demographic of the disillusioned.
A Navy Reserves corpsman who served in Vietnam from 1969-71, Hill then became a doctor and served in the U.S. Air Force from 1990-1994. After he left the Air Force, he said, he intended to bring what he could to the Veterans Health Administration.
Like many physicians, Hill trained within the U.S. Department of Veterans Affairs health care system. When an opening was advertised for Yakima CBCO, Hill recalled being eager yet realistic about doctoring while operating in a government system.
Three years inside that perimeter found Hill discouraged and pessimistic, he wrote in a 2012 letter to Rep. Doc Hastings, R-Pasco, a letter Hill said he regrets never mailing.
Hill said problems for providers in the Walla Walla VA system are numerous. Despite a conscientious clinic staff, patient care is too often thwarted by demands from those in authority at Walla Walla.
His list of hurdles includes:
• Results — labs and imaging, for example — for patients sent to Walla Walla were often delayed in getting back to the Yakima clinic.
"Those had to be scanned in Walla Walla; we were not permitted to do that in Yakima for some reason," Hill said. "Then I would not have the report for when the patient came back in."
• Referrals for diagnostic testing and specialty care often reflect more of a concern for preserving equipment and specialists within the parent facility — Walla Walla, Spokane, Seattle, etc. — than for the safety and benefit of the patient.
• Patients with established non-VA providers are required to be seen in the Yakima clinic to get approval for prescriptions ordered by that outside doctor, Hill said. Those prescriptions would then be entered into the computer system under the VA provider's name so they could be dispensed by a VA pharmacy service, usually through the mail from the Walla Walla VA hospital.
It's a process Hill described as unnecessary and wasteful.
"Why not allow a local pharmacy to bill the VA for the same prescription?" he said.
• Patients, many sick and elderly, are mandated to attend group visits for chronic disease management.
"We are asking them to drive 100 miles in some cases, asking them to come in and be seen just for their blood pressure problem, for example," Hill said. "These are people with cancer, arthritis, hypertension, all kinds of health issues and we are asking them to come all that way for one of those things. It's all about making your numbers look good. I refused to do it."
Yet no one at the top ever asks for solutions from those at the bottom, he said. It's like being in a war zone surrounded by a giant and entrenched bureaucracy."
"It's us-against-them. We have to struggle against these administrators," said Hill. "If we can't get it right for the veterans who have sacrificed to preserve our freedoms, what will it be like for the rest of our citizens?"
To Hibbs, too many VA employees believe federal investigations will save the system.
"They think, 'It will be painful but they will shine the light in the corners,'" he explained. "But the (Office of Inspector General) inspects us for our own policies and most of our problems are caused by our own policies. Policies are made by people who don't see patients.
"We think the rules are here to protect us and they do, but not from all problems. Some rules, and the ways they are implemented, are actually hurting us and they are hurting veterans."
More like this story
PearlY 7 months ago
If only we had a single-payer system, we could all receive our care through something like the VA, but without the ability to escape it if it's too inconvenient or dangerous.
NewInWW 7 months ago
You seem to be confusing single payer with a semi-closed provider network.
DebB 7 months ago
In the interest of journalistic professionalism, it would behoove the U-B to run articles which compare and contrast all sides of the discussion. There are equally as many, if not more, satisfied users and employees alike, affiliated with the VA in Walla Walla and the VA at large. VA employees are not allowed to discuss anything with the media, as a matter of policy, but veterans can. It is incredibly easy to get on the bandwagon and look for trouble. Any healthcare system, any organization, no matter the size, the type, is subject to employee unrest, disagreement, unhappiness. This is not the story. Why not explore the longevity of staff who stay and call the VA in Walla Walla their employer?Why not find veterans and talk to them about what they receive for care? I worked for the VA for a decade; I never met more professional, compassionate staff. Not all staff are this, but most. But this is no different than in any other profession. I have heard it all, seen it all and yet, feel there is far, far more to this discussion than the disgruntlement of former employees. All sides need to be explored. Not the just the easy low hanging fruit. By and large, providers who go to work for the Federal healthcare system are in shock when they go to work for a government run system, coming from a private or for profit organization. Why? Politicians make the VA's rules - politicians - we elect them - they know little about VA healthcare and yet they are the sole decision makers. And yes, its bureaucratic - that is no surprise! It's run on Federal regulations. In as much as innovation is valued and needed, there is no place for it in the current VA or any other Federal system, healthcare or no. Again, Federal regulations, made by elected officials who we elect, make the rules. -continued
DebB 7 months ago
-continued I am veteran user also, having used services from the Walla Walla VA, Portland, Seattle, Yuma. I have received care from OHSU, Walla Walla General and St Mary, Kadlec in Tri-Cities. How can I complain about cost-free care from providers in our communities which others in my community pay for? Do you think there is anything better out there? Although veterans have to drive for their healthcare, there is FREE transportation provided by Disabled American Veterans (DAV), People for People, other transportation networks. In the case of need, the VA provides mileage to veterans to help offset the cost of gas. Why are we talking about veterans having to drive to appointments to see specialists? People who pay plenty for their private healthcare insurance also drive out of town, at a distance, for specialist care, without assistance. My 89 year old father is alive today because the VA allowed him the use of a $300 a pill for his cancer treatment. I had a child using the same pill at the same time for a different diagnosis and my co-payment for her same pill was $30 a pill - my Dad's was free. Did you know non-service connected veterans are now eligible for dental care? Now that's a story - check it out. Do you know what PC3 is? Check it out U-B, veterans now have a more enhanced body of care in their communities thanks to evolving policies (overdue, but here now, at no cost). This is a real story! Would love to read about it in the paper. Let's talk how the system works; let''s talk about how the system is built, what its' constraints are -let's talk about how decisions are made and what embodies a Federal government healthcare system. Let's explore all the right things, not the emotional, trending thing.
InsideLook 3 months, 3 weeks ago
One major problem with the Walla Walla VA Medical Center is that the leadership have no skin in the game. The top executive, Brian Westfield, lives two hours away from the medical center in Oregon and telecommutes from his spare bedroom in his pajamas. That is analogous to the commander of a battleship leading his crew while they are deployed in battle from his living room in Virginia Beach while wearing sweat pants and watching tv. It just leaves one with a complete loss of faith in leadership. The word "ChickenHawk" comes to mind.


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Dr. Kristine A. Campbell, MD
- 675 E 500 S Ste 300
Salt Lake City, UT 84102
- 2 Locations
- (801) 662-3600
Dr. Kristine A. Campbell graduated from the Johns Hopkins University School of Medicine in 1996. She works in Salt Lake City, UT and 1 other location and specializes in Pediatrics. Dr. Campbell is affiliated with Primary Childrens Hospital and University Of Utah Hospital. She speaks English and Spanish.
Gender: Female
Languages Spoken: English, Spanish
Medical School: Johns Hopkins University School of Medicine; Graduated 1996
*This physician has multiple office locations. See Office Information for details.

subset: commoncrawl


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Gus* Modern Jane Chair
Gus* Modern Jane Chair
Additional Documents
Weights & Dimensions
|Chair Design: Club chair
|Upholstered: Yes
|Frame Material: Wood
|Seat Spring Type: No-sag spring
|Tufted Cushions: Yes
|Style: Contemporary
|Swivel: No
|Arms Included: Yes
|Commercial Use: Yes
|Country of Manufacture: Imported
Questions & Answers (1)
"Hi, what is the arm width and the seat cushion width?" asked by Teresia
Still have questions about this product? We're here to help
Gus* Modern Jane Chair
About the Designer
David Podsiadlo
David studied Industrial Design before contributing to a number of architectural and interior design firms in Toronto. In 1999 he co-founded Stylegarage in the city's West Queen West neighborhood, which served as a retail outlet for his furniture designs, emphasizing raw materials, clean lines, and basic forms. After quickly gaining local notoriety for his contemporary, unfussy approach to furniture, David and his partners launched Gus* in 2001, taking his designs to a North American market and earning the "Best New Collection" distinction at the 2001 International Gift Fair in Manhattan. Collecting accolades ever since, David continues to serve as partner and Lead Designer at Gus*
About the ManufacturerWith Gus* Modern, the focus is on making great design practical. Designer David Podsiadlo takes his inspiration from everyday objects and industrial forms. With a nod to mid-century Modernist designs, the Gus* Design Group has created furniture, accent pieces, and accessories that are elegantly functional.
|5 star
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Looks good but not durable for daily use
Substance_jdno from Northern VA– Verified Buyer
I orders the Jane bi-sectional and chair in colburn Soapstone. I've had the product for over 2 months now and the fabric pills really easy. Brushing off pills often. Cushions are very firm so I think they may be durable but only time will tell. This product would probably be better in a formal living room that is not often used. Very dissapointing for a 4$$$ set. Definitely don't get the soapstone fabric, maybe the urban tweed is more durable.[...] 2 main cushions smelled of mold. [...] It took me 2 bottles of Fabreeze antimicrobial and a few days of all day sunlight to get the mold smell off. At least now I might have replacement cushions for when this cheap upholstery wears off.
OUR SKU # GUS1007Jane Chair is also sometimes listed under the following manufacturer numbers: ECCHJANE-lautun , ECCHJANE-TP, ECCHJANE-tt, ECCHJANE-ui, ECCHJANE-ut, ECSCJANE-bf, ECSCJANE-cd, ECSCJANE-cs, ECSCJANE-tt, ECSCJANE-ut


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MARCH 5th-22nd
Performances are on Thursday, Friday and Saturday evenings at 7pm
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To get laid. Also see crush box
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Yeah I totally slayed that girl
by fratlife012 October 27, 2009
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Legislative auditor looks at MN workforce programs
ST. PAUL, Minn. (AP) -- Minnesota's legislative auditor will report on how well the state's workforce programs are doing their work.
The state has 47 such programs to help job seekers, and in the midst of a recession they're more important than ever. The auditor's report will be delivered to a House committee today.
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Sears Craftsman 1/2 HP Garage Door (Not)Opener
I have a chain-drive Craftsman 1/2 HP Garage Door opener. It stopped about 12" from the floor this afternoon and the chain jumped off the sprocket. I put the chain back on and pressed the button - Jumped again. Put the chain on, pressed it once more. The sprocket scheered off. Is it worth fixing? How? What would have been causing the problem. There is nothing in the way of the door or the tracks. I even turned the up and down force controlst to normal.
My dad just experiance this issue on his garage door recently.
You can get the new parts from Sears and replace the gear and sprocket. Average hand tools, (don't need a torch or a welder)lol to do this. The parts took about a week to get and total time replacing it was about an hour start to finish.
Price for the parts was far more economical than replacing the unit.
Be sure to unplug the unit before servicing and oil/grease the track the chain travels on as well as the door rollers and tracks.
Good luck


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MelissaRae82's Mom Answers Activity
MelissaRae82 is a star in these topics:
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first trimster and the father is yelling
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Let me introduce you to lemon linguine, one of my new favorite side-dishes. This creamy, lemony pasta pairs perfectly with roast chicken or pork. It's also a great light meal on it's own. The best part? Just how easy it is to throw together!
Continue reading "Add a Lemon Linguine Side Dish to Dinner Tonight"


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Steelers Style show highlights include an impromptu breakdance
"Let's have some fun, and let's try not to laugh when these guys come out," said Pittsburgh Steelers coach Mike Tomlin as his roster primped backstage before strutting down the runway for the Steelers Style fashion show.
Fandemonium accurately described the scene in the East Club Lounge of Heinz Field, where an army of 750 admirers started off the evening by perusing the Steelers Style Lounge — a genius addition to the festivities this year — that satisfied any black-and-gold retail fashion cravings.
Spotlight on, emcee Bob Pompeani did the honors and DJ Bonics soundtracked the evening for an audience that included Dr.Thomas andJoy Starzl, Cindy Citrone, Athena Sarris, Jim andCathy Garraux, Clyde Jones and co-chairs Mike andKiya Tomlin and Greta andArt Rooney II.
The roar paled in comparison, however, to the response that Troy Polamalu and his sons Paisios andEphraim received as Paisios brought down the house with an impromptu breakdance punctuated with signature Michael Jackson moves to the tune of "Thriller."
The event benefited the Thomas E. Starzl Transplantation Institute at UPMC and the UPMC Sports Medicine Concussion Program.
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I have some kind of mold on all my peonies. The spent blooms look rotted and there's a black and white mold on the leaves. We've had a very wet summer in Western New York and I'm thinking that's the cause. Should I cut them all the way back?
Yes I am sure the constant wet foliage in the warm summer temperatures have contributed to your mold problem. The mold is producing spores which is or will infect more and more of your garden. Plants vary in their resistance to the growth of mold so some plants will be OK. If your peonies are mostly consumed with the mold I would go ahead and cut them down, removing all cut material to the trash to be hauled away. They will come back next year though not with the usual vigor because you will be removing the foliage that is normally feeding the roots through the summer. Peony roots contain large storage capacity so your plants will be OK next year. After cutting down the peonies I would spray the ground well with a Bordeaux formula to try and prevent the spores from living over to next years growth. Al


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You are here:
Health Policy
Health Policy
Insurance Companies
Health Insurance
Group Insurance
Critical Illness
Seven little-known benefits your health insurance policy lets you avail of
July 18, 2012
Preeti Kulkarni , ET Bureau
Most individuals simply assume that their health insurance policy pays only for the hospitalisation expenses. However, contrary to this common belief, many health policies foot the bill for associated expenses, too. There are several under-publicised benefits in health insurance that remain unused due to lack of awareness. Irrespective of whether your insurer or advisor has educated you about these benefits, it would be a great idea to read the policy document yourself. Remember, the utility of your cover depends not only on its features, but also how well you are able to utilise them.
Health policy clauses you shouldn't overlook before purchase or renewal
July 4, 2012
Preeti Kulkarni , ET Bureau
Have you gone through your health policy document? Ask this question to an average insurance policyholder and the answer is likely to be in the negative, especially if they have never made a claim. In fact, most health insurance policyholders refer to their policy wordings only when their claim is rejected. Even the language used by insurers is complex and riddled with legalese. To reduce the confusion, the Insurance Regulatory and Development Authority (Irda)
Q&A: Mutual Funds
June 13, 2012
Pankaj Mathpal , CFP, Managing Director, Optima Money Managers Mis-selling of policy HDFC Standard sold me a savings assurance policy in January 2010. The monthly premium wasRs10,000 and tenure was 10 years. The premia was remitted for 16 months. Only later did I realise the information given by the company's executive when selling the policy was false and misleading. The company has also not accepted my request for adding my daughter's name to the list of nominees saying I already have my mother named as the nominee.
Sound move: Irda seeks to mandate insurers to offer health policies to senior citizens
June 4, 2012
ET Bureau
Insurance regulator Irda wants insurance companies to stop their current discrimination against senior citizens . People up to 65 years of age would be able to buy a new cover and renew their insurance thereafter as long as they want, according to Irda's new draft rule. This is wholly welcome. Old age is when people need health insurance the most. Rightly, Irda has sought to redress this by allowing insurers to price their products commensurate to costs. The draft rules on health policies say an insurer can raise the premium based on the age of the insured, though insurers will have to disclose upfront premiums charged from senior citizens.
Keep an eye on co-pay while buying a health policy
June 2, 2012
Preeti Kulkarni , ET Bureau
MUMBAI: Following the diktat from finance ministry to cut losses, the public sector general insurance companies --- New India, United India, National Insurance and Oriental Insurance-- are likely to introduce co-pay ratio in all new group policies sold by them. In simple terms, co-payment refers to the part of the eligible claim that a policyholder has to pay for, with the insurance company taking care of the balance amount. Typically, this ratio ranges from 10-25%. That is, for every claim of Rs 100 made, the policyholder has to shell out Rs 25 from her pocket, before the company contributes Rs 75. Insurers employ this tool to discourage policyholders from availing of treatment which they would have avoided in the absence of the health cover.
State-run insurers like New India Assurance, United India not to offer discounts on loss-making group health insurance policies
May 26, 2012
PREETI KULKARNI AND SHILPY SINHA , ET Bureau
MUMBAI: The government has told state-run general insurance companies not to offer discounts on loss-making group health insurance policies, in an attempt to stem losses of close to Rs 1,500 crore these firms face in FY12. The move could lead to a higher premium on such policies. The finance ministry has told general insurance companies to revise the premium upwards or stop renewing group health insurance policies to prune their losses, said a finance ministry official who did not want to be named.
How useful are group health covers
May 23, 2012
Vidyalaxmi , ET Bureau
ET analyses the features of group health covers and suggests those with individual covers can buy these plans as top-ups. A health policy at a reasonable rate, no medical check-up and coverage of pre-existing illness is something everybody would love. This perfect blend is available for individuals mostly up to 40 years. However, from there on, it starts getting difficult to buy or even renew a health cover at a reasonable rate. Here is where group health covers come into play.
Why it's important to scan your health policy
May 7, 2012
Preeti Kulkarni , ET Bureau
Sushil Jain, 75, has a major grouse against his health insurer of almost two decades. "I've made only one claim so far, in February 1999, for the surgery of my lower spine," he says. "I have been in perfect health since then. In fact, I have not been to a doctor in the past 15 years. Yet, at the time of renewal, the company insists on treating this as a preexisting illness and has turned down my request to increase the value of insurance cover," he adds. Another policyholder, Mumbai-based DP Jambusaria, is peeved with his insurer for introducing new exclusions in his policy at the time of renewal.
Insurers scrap sub-limits in health policies
April 27, 2012
Shilpy Sinha , ET Bureau
MUMBAI: Two years after introducing sub-limits in health insurance policies, non-life insurers are now deleting the clause from new plans to attract retail customers. Sub-limits imposed specific restrictions on room rents, doctors' fees and operation theatre charges. They were introduced to cut losses in the health insurance segment. Industry executives said Apollo Munich and Tata AIG General have removed sub-limits from new health insurance products, while other non-life insurers are contemplating a similar move.
Complete your cover story with a health insurance policy
March 16, 2012
By: Damien Marmion, CEO, Max Bupa The change of season among other things is host to several end of season sales and it is common to come across compulsive shoppers at such sales busy looking for the best bargain. Many swear by the deals they have spun, but I have always viewed these with great trepidation. My worry stems from experience when, because of the hurry, one tends to either buy something that they don't necessarily need or something that doesn't totally match their requirements.
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- Jane-Frances Kelly has ideas about how to fix our broken cities and make them more liveable again....Thursday 5 March 2015
Explore by Topic
Latest Urban Development And Planning stories on ABC Hobart
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- Australia's population is growing at one of the fastest rates in the developed world and is set to hit 24 million, prompting a debate over how many migrants the country needs and how to deal with increasing demands on public services and infrastructure. ...Wednesday 25 March 2015
- We might not give it much thought, but how we move is naturally predetermined. Left to our own devices we dont usually walk in straight lines or make 90 degree turns, so why do so many architects and urban planners still favour grids and sharp angles? In this program we meet several people involved in ...Sunday 22 March 2015
- The Ballina electorate has changed significantly since Nationals MP Don Page took the seat 27 years ago....Monday 23 March 2015
- He went kayaking in Brisbane drains during the storms, with tragic consequences....Monday 23 March 2015
- There are over 1.2 million homes in Australia that have a pool in the backyard. Theres the saltwater type and the chlorinated type and then theres also the type that isnt really used once the kids have moved out of home. Pools in this last category can be a drain on resources and patience of home owners. ...Saturday 21 March 2015
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- Ian Barnes Keoghan from the weather bureau outlines the seasonal outlook for the next three months in Tasmania
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As the need for athletic trainers grows, Manchester University has responded with an entry-level Master of Athletic Training degree, one of fewer than 35 such programs in the nation. The program began in 2010 and has experienced continual success: 100 percent of the MAT graduates have passed the BOC examination on the first attempt.
Manchester's MAT program is a full-time two-year program with certain undergraduate prerequisites (see MAT Admissions page). With a Manchester MAT degree, graduates will be eligible to take the Board of Certification (BOC) examination, which leads to the credential, ATC (certified athletic trainer). Manchester's entry level master's program is accredited by the Commission on Accreditation of Athletic Training Education (CAATE.net).
Athletic trainers help prevent and treat injuries. They are often the first health-care professionals on the scene when injuries occur and must be trained to recognize, evaluate and assess injuries, and provide immediate care.
Society is increasingly interested in physical fitness and sports competition. And because athletic trainers play an important role in preventing injuries and containing health care costs, demand is projected to grow 37 percent between 2008 and 2018.*
At Manchester, Master of Athletic Training students get practical, hands-on experience that prepare them for jobs in secondary schools, colleges and universities, in hospitals and clinics, in fitness and recreation centers, in business and industry, and with professional sports teams. Pay varies, but the average annual salary for an athletic trainer with a master's degree is $44,707.
Class sizes at Manchester are small, affording plenty of personal attention from highly trained, skilled faculty. Students get teaching experience in Manchester's program, and they have immediate opportunities for internships with the University's athletic teams.
Why an entry level master's? Unlike programs geared for people with bachelor's degrees in athletic training, Manchester's program is designed for people whose bachelor's degrees are in other disciplines. That enriches the classroom with a diversity of knowledge and a wider variety of backgrounds and experiences. It gives our graduates enhanced versatility in the job market. And it enriches the overall breadth of the athletic training profession.
*United States Bureau of Labor Statistics
Manchester University
604 E. College Ave.
North Manchester, IN 46962


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I have a Symbol LS2208 barcode scanner and works OK in my linux box (Kubuntu 8.10 Intrepid Ibex). Whenever you scan a barcode the scanner (connected to an USB port) sends the reading to wherever the text caret is. I would like to redirect all the readings from the scanner to an specific widget in my application (i.e. a text edit control). How can I do it? Though I use C++ with Qt GUI library sample code is welcome in any language or GUI library.
I don't know the answer, but here are some suggestions to find out what your options are:
qDebug() understands virtually every type and should give you reasonable output that will allow you to tell whether the it's coming in as keyboard events or something else.
That may be tricky in that most barcode scanners are also known as keyboard wedges. They function as a keyboard and shove keys into the event stream so as to be as indistinguishable from a keyboard as possible. This makes for the greatest compatibility.
Many USB barcode scanners publish themselves as a HID endpoint and then for all intents and purposes, they ARE keyboards.
There are a number of things you can try to do - many scanners are configurable to allow them to spew in a prefix and suffix around the barcode data. If you can test for that, you just send the string to the right place. This is unpalatable in that you have to metaprogram the scanner. Usually this is done with a special set of barcodes. Here is a link to the manual for your scanner. On page 249, there are barcodes for metaprogramming the prefix and suffix.
You might want to figure out how to be a client for the HID events and redirect the scanner events where you want them. I've never tried to do this on LINUX. It's a pain on both Windows and OS 9 era Mac (the last time I played with USB extensively).
It seems like there is a problem with the accepted answer. The input is going to be processed by whatever is considered to be the active application. Thus, if someone brings up a web browser and then starts scanning barcodes, the input goes to the web browser and not the application. The desired application won't even see the events.
If the application is active, then you can trap the events and eventually figure out which ones are coming from the barcode scanner. Then the appropriate widget can be activated to receive the input.


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Veeder: A happy life starts with what you do on weekends
Weekends around the ranch, no matter how well-intentioned and thought out, are usually pretty unpredictable.
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E-Book Readers
For the Indie Writers of Amazon, It's Publish or Perish
Amazon's "all you can eat" reading service, Kindle Unlimited, is driving down prices even as it boosts sales. For self-published authors, that's a cause for concern.
Digital Tax Increase to Take Effect in Europe
New rules are coming into force for services like movie streaming and content like e-books on Thursday, but who will foot most of the bill remains unclear.
Writers Are Mixed Over Amazon Unlimited
Six months after its introduction, Kindle Unlimited is proving controversial and disruptive, just like so many other Amazon innovations.
Amazon Offers All-You-Can-Eat Books. Authors Turn Up Noses.
Some self-published writers say their income has seen a large and rapid decrease under Amazon's Kindle Unlimited program, and argue that the system is unfair.
Barnes & Noble Buys Back Nook Stake From Pearson
The move follows an exit by Microsoft from Nook earlier this month.
Barnes & Noble and Microsoft End Nook Partnership
The announcement came as the chain announced a 2.7 percent drop in revenue overall, but a 41 percent skid in its Nook division sales.
How the Promise of Microsoft's Investment in Nook Soured
Two years after Microsoft invested $300 million in the Barnes & Noble e-reading business, the value of the Nook has declined by more than half.
Settlement in Apple Case Over E-Books Is Approved
A deal in the antitrust case would give consumers $400 million in cash and e-book credits, and lawyers $50 million. But an appeal is still pending.
A Better Nook
David Pogue was harsh on the e-book reader from Barnes & Noble last year. After seeing this year's version, he gives the Nook its due.
The Kindle 3
Comparing the newest Kindle to the iPad makes little sense because they are in completely different product categories.
- In Silicon Valley, Auto Racing Becomes a Favorite Hobby for Tech Elites
- Ellen Pao Loses Silicon Valley Bias Case Against Kleiner Perkins
- As Twitter Introduces Periscope, Tech Titans Bet on Live Streaming Video
- Bits: New Google C.F.O. Gets $70 Million Pay Package (and $7,500 to Move)
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- App Smart | Board Games on Your Phone
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- State of the Art: Ellen Pao Disrupts How Silicon Valley Does Business
- Distracted Teenagers Behind the Wheel
- What the Jury in the Ellen Pao-Kleiner Perkins Case Needed to Decide
- Apple Is Said to Discuss an Investment in Twitter
- Facebook Reports a Loss, but Its Revenue Beats Expectations
- As Social Sites' Shares Fall, Some Hear Echo of 2000
- Apple-Samsung Trial Highlights Patent Wars
- Facebook, Twitter and Foursquare as Corporate Focus Groups
- Zynga, Maker of FarmVille, Reports Sluggish Second Quarter
- Nike FuelBand Tracks Physical Activity Inconsistently
- Talk to Me, One Machine Said to the Other
- Placing a Dollar Value on Apple's Mountain Lion Software mdash; State of the Art
- Evolving Technology Gives True Voices to Children Who Cannot Speak
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These lighting strips are ideal for home theater and entertainment lighting, accent lighting, and under counter lighting. Also use for underbody lighting or engine bay lighting. For indoor and outdoor use, they will hold up in all weather conditions. So flexible, it can achieve a 90° bend.
easy to attach to a power supply using the screw terminal plug along with a power supply. Nice color.
Work well for decorating our FRC robot!
should come with a switch and clips
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Why mulatto is a poor choice of word and/or surprising? Mulattoes are the result of a white and black progeny, exactly what constitutes 85% of the dominican population. No we´re not black, neither we speak creole, nor practice vodoo, WE dominicans are a spanish speaking, christian worshipping mulatto nation! Trying to unite Haiti and the DR is like forcefully trying to unite greek and turkish cyprus.... 2 different nations, different customs, language, faiths and outlook in life, so don´t be so surprised, or incredulous....
Mulatto is probably a poor choice of words. But, whatever...
Dominicans are mulatto? I cant believe I just read that
Politics in New Zealand: A Winston win
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AIDS Infection Risk Bleeding Gums
Here's a taste of what TheBody.com has to offer on this topic:
Get the Facts
Oral Sex: What's the Real Risk for HIV?...less than 1% toabout 8%. The take home message of these studies is that oral sex carries a small butreal risk. Tips for Safer Oral Sex Oral sex is more risky if you or your partner have an untreated STD, badoral hygiene (bleeding gums, ulcers, gum disease), or take ejaculate (cum) inthe mouth. There are things you can do to reduce the risk associated with oralsex: Don't have oral sex if you or your partner have mouth sores (such...
Ask the Experts
HIV and HCV raises infection risk??if i used condoms for both oral and vaginal sex and partner had both hep c and HIV are the odds of contracting both at same time higher than e.g. those of getting HIV alone?
Response from Barbara McGovern, M.D.
Tufts University School of Medicine...This is a good question although there aren't very good data on this topic. Some information suggests that HIV infected patients have higher levels of HCV virus in their blood. However, it is not clear that this translates into a higher Read more »
Questions from JapaneseHello!!I'm a Japanese male living in Australia. I performed an oral sex on a male without a condom. He didn't ejaculate. I know my risk getting infected by HIV is really low.I'm just wondering about my oral health. If I have some oral health...
Response from Robert J. Frascino, M.D.
The Robert James Frascino AIDS Foundation...over the Internet, but minimal bleeding from brushing 3 hours before oral sex without ejaculation does not place you at "great risk of infection." Your risk would remain very low. A 3-month HIV test will give conclusive results following a... Read more »
bleeding gumsWhat is the situation with bleeding gums. I know that gums can bleed afterone brushes ones teeth but can they also be bleeding at other times? What about people who do not brush their teeth in say, weeks or months? Wouldit be a risk to drink from a...
Response from Rick Sowadsky, M.P.H.
Nevada State Health Division AIDS Program...Hi. Thank you for your question. If a person frequently has bleeding gums,especially after they are brushing or flossing their teeth, this is a symptomof gum disease. The more severe the gum disease, Read more »
HIV Infection Risks??Please comment on some issues that I am concerned about. What is the risk ofHIV infection thru getting a hair cut? If it exists, what would be expected level of preventativepractices for hair care workers? What is the risk of infection thru eating...
Response from Rick Sowadsky, M.P.H.
Nevada State Health Division AIDS Program...Hi. Thank you for your questions.HIV is NOT transmitted through any form of casual contact, including gettinga haircut, working in a kitchen, using bathrooms etc. Read more »
AIDS 2010: Study Finds Microbicide Containing HIV Drug Lowers Infection Risk in Women By 39%...sex has been shown to reduce their risk of HIV infection by nearly 40%, according to a study unveiled at the International AIDS Conference-AIDS 2010 , Reuters reports (Ingham, 7/19). The Centre for the AIDS Programme of Research in South... Read more »
Male Circumcision Reduces Men's HIV Infection Risk by 65%, Data Re-Evaluation Says...of the Uganda and Kenya studies mirrored similar results of a study conducted in South Africa in 2005 ( Kaiser Daily HIV/AIDS Report , 12/14/06). According to the Times , some men assigned to the circumcision groups in Kenya and Uganda... Read more »
Daily Oral Antiretroviral Reduces HIV Infection Risk in MSM by 44%, Study Finds...2,500 HIV-negative men and transgender women who have sex with men has shown that a daily dose of Truvada, a pill containing the AIDS drugs emtricitabine and tenofovir, "can reduce risk of contracting [HIV] by an average of 44% -- and by more... Read more »
HIV Pre-Exposure Prophylaxis in the United States: Impact on Lifetime Infection Risk, Clinical Outcomes and Cost-Effectiveness...to identify critical input parameters. In a cohort with a mean age of 34 years, the results showed PrEP reduced lifetime HIV infection risk from 44 percent to 25 percent and increased mean life expectancy from 39.9 to 40.7 years (21.7 to 22.2... Read more »
Connect With Others
hiv infection risk PLEASE help
Posted by Anonymous, 1 Replyok a few hours ago i had a bleeding bit at the skin on the bottomcorner of my index finger so i went and got a bandaid. i had just washed the cut and tryed to put the bandaid over it the first time but didnt manage. i then looked again and there... Read more »
A question about risk of infection
Posted by jack949, 2 RepliesHello, this must sound so stupid it's embarrassing already, but yesterday I was masturbating a woman for about 10 minutes, and after that, without washing my hands I went to have a pee. Now I read on the internet that the head of the penis is where... Read more »
post to read every day
Posted by nightsunami, 7 Repliesanybody here infected by oral sex? i Read more »
Risk of Infection?
Posted by Anonymous, 3 Replies...the 16th - 20th. No obvious rash - no obvious swellings - albeit an itchy jawline. What is my risk of being infected with HIV? Should I be tested? Please answer - since then I have been really stressed and afraid. Read more »
Resource Centers
Guides for People With HIV


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As with my other articles, I will not be including the big stars such as Sergio Ramos, Thiago Silva etc. The trailer showcased actual gameplay and focused on the new True Step. The faster you sell a player not only will you get coins, but that will also free up a spot on the auction house for a new player..
Champions w . This will cause the player to move too fast and you will lose possession to the defense. So, even after a rise of around 95% this year, Electronic Arts still has enough catalysts to go higher.. Killzone is a great game, but I not sure how much your wife is going to get out of it.
Over the course of a day all of my Hulks sold giving me just under 1000 coins profit per card once tax was included. IntroIn this guide I will discuss how to make it to high rounds on Origins Zombies. The Playstation 4 will boast exclusive gaming titles such as DriveClub, Knack and Killzone: Shadow Fall and will include the free to play MMOFPS, PlanetSide 2.
Don Shula holds the NFL face relatively smooth to help onese . In such an event, unlike in a league, where it is over a period of nine months and dozens of matches to amend for mistakes, the World Cup provides no such luxury. Despite the high demand there is still a good chance of getting a ticket, as the OC Ticket Centre will make further batches available through its online ticket shop..
We will also debut our new EA SPORTS golf game, the first on next gen and something entirely new from our development teams in Florida. Finesse ShotsFinesse shots are one of the most overpowered things on Fifa 12 and they beat the keeper lots more than power shots.
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The changes in the Council of Ministers could be accompanied by a reshuffle of the party's office-bearers.
A meeting on Thursday evening between Congress president Sonia Gandhi and Prime Minister Manmohan Singh triggered speculation about a ministerial reshuffle, possibly next week.
The Prime Minister indicated to journalists on his way back from a recent trip to Japan and Thailand that he intended to fill the gaps in his Ministry soon. "There are some vacancies. The issue of filling them is being considered," he had said.
The three Cabinet jobs that fell vacant were those of Chemicals and Fertilisers, Law and Railways, held respectively by M.K. Alagairi – till his party, the DMK, decided to leave the UPA — Ashwani Kumar and P.K. Bansal. Mr. Kumar was asked to quit following allegations that he had "influenced' the contents of a CBI affidavit in the Supreme Court, while Mr. Bansal was forced to depart after his nephew was caught accepting a bribe from a member of the Railway Board.
Since then, Srikanta Jena, an MoS, has been holding charge of the Chemicals and Fertilisers, while Telecom Minister Kapil Sibal and Surface Transport Minister C.P. Joshi were given additional charge of Law and Railways respectively. Congress sources say that Mr. Sibal is likely to keep both portfolios while Mr. Joshi — whose home State, Rajasthan, is headed for the polls later this year — may keep Railways.
As for the five MoS slots, the Congress sources say that MPs from election-bound States of Madhya Pradesh and Rajasthan as well as troubled Andhra Pradesh are being considered. There is talk that some Congress MPs from the Telangana region may be inducted.
However, what will be important will be the final shape of the Ministry, as it is unlikely that there will be any more changes till the general elections in 2014.
The changes in the Council of Ministers could be accompanied, party sources say, by a reshuffle of the party's office-bearers. D.R. Shandil — who is now a Minister in the Himachal Pradesh government — Jagdish Tytler and Gulchain Singh Charak might lose their organisational responsibilities. Health Minister Ghulam Nabi Azad has been asking to be relieved of his position as a general secretary — so this will give the new vice-president Rahul Gandhi to induct a young face for this job.
The PM's meeting with Ms. Gandhi also came on a day when the government finally decided against an ordinance on Food Security Bill as it decided to renew its efforts to talk to the Opposition parties about it from Friday. The Congress is very keen to pass the Bill as it feels it will give it a talking point for the next elections, along with the Direct Benefit Transfer scheme.
Keywords: Cabinet reshuffle, Sonia-Manmohan meeting


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5 years of experience
5 years of experience
University City
34th And Civic Center Blvd
Philadelphia, PA 19104 Phone number & directions
34th And Civic Center Blvd
Philadelphia, PA 19104 Phone number & directions
License & Identifications
A medical license is required for a doctor to practice medicine in a particular state. Requirements vary by state but most require, at a minimum, post-graduate training in the doctor's specific specialty. An NPI number is a national identifier unique to an individual health care provider and is managed by the Center for Medicare & Medicaid Services (CMS).
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Specialties & Research
- She has special expertise in 1 area:
- General Urology
Education & Awards
Dr. Weiss graduated from Yale University, New Haven. She has 3 awards.
Dr. Weiss has 1 hospital affiliations:
- Children's Hospital of Philadelphia
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- Additional Information
- Dr. Dana Alexandra Weiss MD is a female Urologist, has 5 years of experience and practices in Urology.
- Where does Dr. Dana A. Weiss practice?
- Dr. Dana Weiss has 1 office location.
Dr. Dana Weiss practices Urology near Philadelphia, PA.
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