Topic

medical care

26 petitions

Started 20 hours ago

Petition to Donald Trump, Ted Cruz, Trey Gowdy, United States Department of Health and Human Services

Get CPT codes and allow Doula's to be included in insurance

Many years, in America women make the conscious decision to use a midwife and prefer to labor at home. The decision to birth at home, a birthing center, or at a hospital is their choice and right, as well as the providers they elect to assist with the birth of her baby. It has been studied and well documented that a Doula can be a valuable asset to a mom during labor, birth, and postpartum. Doula's provide lactation support, postpartum classes and training for new moms, and also increase the mortality rate of a home birth. While Doula's are NOT healcare providers in the sense of being a RN, or a DR. We are advocates for mom, we help relieve pressure and pain from the birthing process and many of us are certified to provide this service. We are even allowed to have a NPI number, which is a step in the right direction, but if we bill an insurance company then it's considered "insurance fraud" which confuses many doula's because we are under the impression that if we have the NPI we can bill insurance and we feel we should be able to provide quality care for mom! Here are some statistics on how DOULAS help during birth: Twenty-two trials involving 15,288 women met inclusion criteria and provided usable outcome data. Results are of random-effects analyses, unless otherwise noted. Women allocated to continuous support were more likely to have a spontaneous vaginal birth (RR 1.08, 95% confidence interval (CI) 1.04 to 1.12) and less likely to have intrapartum analgesia (RR 0.90, 95% CI 0.84 to 0.96) or to report dissatisfaction (RR 0.69, 95% CI 0.59 to 0.79). In addition, their labours were shorter (MD -0.58 hours, 95% CI -0.85 to -0.31), they were less likely to have a caesarean (RR 0.78, 95% CI 0.67 to 0.91) or instrumental vaginal birth (fixed-effect, RR 0.90, 95% CI 0.85 to 0.96), regional analgesia (RR 0.93, 95% CI 0.88 to 0.99), or a baby with a low five-minute Apgar score (fixed-effect, RR 0.69, 95% CI 0.50 to 0.95). There was no apparent impact on other intrapartum interventions, maternal or neonatal complications, or breastfeeding. Subgroup analyses suggested that continuous support was most effective when the provider was neither part of the hospital staff nor the woman's social network, and in settings in which epidural analgesia was not routinely available. No conclusions could be drawn about the timing of onset of continuous support. AUTHORS' CONCLUSIONS:Continuous support during labour has clinically meaningful benefits for women and infants and no known harm. All women should have support throughout labour and birth. cited from https://www.ncbi.nlm.nih.gov/pubmed/23076901 A second study : When continuous labor support was provided by a doula, women experienced a: 31% decrease in the use of Pitocin*28% decrease in the risk of Cesarean*12% increase in the likelihood of a spontaneous vaginal birth*9% decrease in the use of any medications for pain relief14% decrease in the risk of newborns being admitted to a special care nursery34% decrease in the risk of being dissatisfied with the birth experience*For four of these outcomes,* results with a doula were better than all the other types of continuous support that were studied. Our petition to you is to allow us to continue use of certified doulas, and help us reduce the over all cost of births, you can accomplish this by allowing doulas bill insurance providers and having insurance providers cover our services to moms.

Doula Relief Network
11 supporters
Update posted 3 weeks ago

Petition to Tammy Baldwin, Elizabeth Warren, Patrick Leahy, Bernie Sanders

Test our VETERANS for Agent Orange known diseases and give them a chance for treatment.

Vietnam veterans being treated by VA medical facilities are not always being tested for agent orange related diseases. If a veteran exhibits symptoms of any of the presumptive agent Orange diseases they deserve a diagnosis. My husband was exposed to agent Orange in Vietnam. He trusted and depended on VA medical care. He exhibited many symptoms of AL Amyloidosis, yet he was never tested for it. It is a difficult disease to diagnose, but that is because it is rare. It is rare  outside of exposure to chemicals used in Vietnam that is. VA doctors should be more well versed in these specific diseases and be trained to test for them. With early treatment a veteran's life span and quality of life can be greatly improved. Unfortunately for my husband, Paul, there was no diagnosis until, in desperation we went to Mayo Clinic. He was diagnosed with AL Amyloidosis within a few days. It was too late for treatment and he passed away two weeks later. Please sign this petition demanding a law that our Veterans get the care they deserve. I propose that VA medical personnel be required to test, when symptoms warrant, for known chemical exposure caused disease.  Our Veterans are suffering with severe, debilitating diseases that can and should be treated. I saw my husband suffer in agonizing pain and worse. He was told that no cause could be found for his illness. This is unacceptable treatment of those that sacrificed their lives for us. There was a treatment for him and many others. They suffer and die never knowing about it. 

Wilma Perry
123 supporters
Update posted 3 weeks ago

Petition to Rep. Manuel T. Sagarbarria

Authorship of Bill for the Establishment of Fully-Equipped Hospital & Fund Appropriation!

Tanjay City as an urban locale is in need of a fully-equipped, modest hospital to cater to the proper medical attention and remedies of its citizens and those in the adjacent areas with services from critical surgeries to therapeutics and laboratory analysis, among others. However, the present Urgent Care clinic lacked the essentials and required facilities, and even on that condition, they rendered medical treatment by the shot in the arm to the people in Pamplona and Amlan. Dismally, there are some instances where patients on emergency cases were brought to the Negros Oriental Provincial Hospital (NOPH) but succumbed to death due to distance. Whereas, the City of Tanjay is strategically situated that could accommodate patients in the 2nd District like Amlan, Pamplona, Bais and Mabinay, and other areas in the North. That while Dumaguete is crowded with public and private hospitals, like Silliman University Medical Center (SUMC), Holy Child, Negros Oriental Provincial Hospital (NOPH) along with others, almost all areas in the province were deprived of the opportunity and privilege to establish their own. Also, Tanjay City is 30 Kilometers (1-hour travel) from Dumaguete where the nearest fully-equipped hospital is settled, and that Bais City Medical Center is only good for minor issues and in fact, in most cases their patients were transferred to Dumaguete City for appropriate care, aside from complaints from Baisanons on inferior equipment and incompetence of the medical staff (please see comments, below).  Therefore, WE PETITION to the Honorable Representative of the 2nd District of Oriental Negros, Manuel T. Sagarbarria who is also a Committee Member on Appropriations, to author a bill for the Establishment of a Fully-Equipped Hospital in the City of Tanjay and Appropriate Funds for the purpose. ON PRESENTATION TO THE APPROPRIATE AGENCIES, THIS PETITION WILL BECOME A PUBLIC DOCUMENT.        

Eliseo Joselito Monroy
271 supporters
Update posted 2 months ago

Petition to Capt. Mark Kobelja, Capt. John Rotruck, Chris Van Hollen, Ben Cardin, Jamie Raskin, Roger Manno, Marice Morales, Benjamin Kramer, Bonnie Cullison

Give Mary the medical treatment she requires.

As a friend, I have watched Mary and her family struggling for years not only with Ehlers-Danlos Syndrome (EDS), but with a never ending struggle to get her care that she needs. Mary Weisberg is the wife of a career active duty officer. The whole family receives their medical care at the state of the art Walter Reed Military Medical Center, formerly National Naval, in Bethesda, MD. This is the President’s hospital. She is continually denied care, unbelievably, for her rare disease at this hospital. She needs to be allowed to see an outside Ehlers-Danlos specialist for surgery to correct her spinal injuries now, and Walter Reed must be made to correct how it treats EDS patients in the long run. Mary has a rare genetic disorder; a form of Ehlers-Danlos Syndrome. She and her son were born without the DNA the connective tissues in the human body strong. People with the Ehlers-Danlos suffer from fragile joints that dislocate easily, from blood vessels and organs that rupture, inability to regulate their blood pressure, the may need to be tube fed. They become disabled. They may die. For Mary, she suffers profoundly from the fragile joints of EDS. Joint fragility is measured on a 9 point scale; she scores a 9. There are many mornings I see on Facebook that she will not be able to get out that day because she rolled over in bed the night before and dislocated a shoulder. A few years ago she dislocated her neck and had a six hour surgery to fix it As if living like this weren’t hard enough, this family has to fight to get her health care. At Walter Reed, EDS is controversial. It’s not a controversial disease. It has been described in medical textbooks for 100 years. They have identified many of the genes that cause it. The former Head of Spine at National Naval, Dr. Fraser Henderson, is now a lead researcher on helping EDS patients and heads EDS charities. Just this year, a worldwide symposium of EDS doctors updated best practices and clinical guidelines on helping this patients with 18 new publications. All this, and the Weisberg family at Walter Reed cannot benefit. Walter Reed recognizes none of it. The level of medical tragedy I’ve seen this family go is heartbreaking. They have insurance because her husband is an active duty officer. In the last few years, I’ve watched as they lost a baby at 40 weeks of pregnancy because they “didn’t know” they should be doing anything for. After that, they still denied her extra care in another pregnancy. She’s walked around with a shoulder that wouldn’t stay in the socket, with a damaged pelvis they wouldn’t fix, with vomiting, with losing weight, with a neck that was dislocating. They’ve told her that her symptoms are too unusual to be real and EDS can’t be the reason for them. Her non-military EDS specialists disagree. Mary has been trying to get help with two of her neck vertebrae for a year and a half. According to two EDS specialists, this surgery is badly needed. They also say that she needs an operation to detether her spinal cord, as she’s had the symptoms of Tethered Cord Syndrome her whole life. The surgeons at Walter Reed will not release her from care there for the operations and won’t do it themselves. The surgeon who would do the surgery is covered by military insurance and is ready to go. Walter Reed, according to the doctors trained there, teaches its doctors that EDS is benign, that my friend shouldn’t even be sick. The people stopping the surgery say that there can be no such thing as an Ehler-Danlos specialist, and no doctor can have a more informed opinion than any other on EDS. There is no need. This is even though their own former Head of Spine is one of the most respected EDS specialists in the world. Mary has seen him. He is one of the doctors recommending her surgery. My friend Mary is sick with a real disease. EDS is real. I don’t know why it’s controversial at this one hospital. Please sign this petition asking that Congressman Jamie Raskin and Senator Van Hollen of Maryland speak to Capt. Mark Kobelja, Director of WRNMMC and Capt. John Rotruck, WRNMMC Chief of Staff on this matter. We ask them to demand that Mary’s case be released immediately to the civilian doctor. We further ask them to review the WRNNC and USUHS medical practice and knowledge on the Ehlers-Danlos Syndromes and demand that up to date standards of practice be instated as mandatory from the top down to improve patient care.

Jeffrey Poretsky
2,246 supporters