A copay is what you pay up front at the doctor’s office. Depending on the services provided, you may receive a bill after the fact that will be either the percentage you’re obligated to pay by your insurance company (coinsurance) or the balance your insurance didn’t cover, for example if you haven’t met your deductible. You’ll definitely sometimes get separate bills from a provider and a facility, but usually at hospitals moreso than outpatient clinics

I live in Texas and the State Dept of Agriculture takes this kind of stuff very seriously. You have to report it though, which might be the other commenter’s issue

I know it’s a funny joke, but we actually use metric quite a bit, especially for volume

I’ve worked in healthcare for decades and have literally never seen this. Are you sure you’re not thinking of coinsurance? Coinsurance and copays are two different things, a copay is a set fee dictated by your insurance that you pay up front, whereas coinsurance is usually the percentage you owe of anything billed to your insurance, which includes both facility and provider fees

Tbf, there is no “doctor copay.” The copay is a visit fee imposed by your insurance company that disincentivizes people from visiting the doctor. It’s also usually a paltry amount compared to the actual amount your insurance will pay the practice, and reimbursement fees for NPs and PAs are absolutely lower than for MDs

You’re welcome to choose to eat a bullet instead, then

Oh my god, Trump wants to lower drug prices, so he’s doubling the price of medications available from literally nowhere else.

Years ago, I worked at a hospital that hired an old psychiatrist who we quickly realized was prescribing Geodon to almost everyone. Schizophrenia? Geodon. Bipolar? Geodon. Depression? Geodon. Borderline personality disorder? Geodon. Well, he only last a few weeks before being relieved of duty, and turns out he was in the early stages of Alzheimer’s.

This story is about Donald Trump and tariffs.

Same here. I’ve never had a card declined on a website. I’m decidedly anti-app and haven’t ever had a problem

Fortunate to have HEB in Texas. They treat their employees and their customers really well, also, and totally keep out all that Safeway nonsense. Aldi is rapidly expanding in the US, they have stores all over Texas, too

Are we reading the same comments

Lead is cheaper than chicken, so they’re just deep-frying dinosaur-shaped cakes of lead now

It’s really one of the most America things I’ve ever read. I’m fortunate to live in a city in the US, so have no issue avoiding Walmart like the plague, but most of rural America probably bought these nuggets and dropped their kids’ IQs even further

For therapy to work for you, you have to show up for it in a big way. Therapy is work. Not only is it work, but you have to be ready to work, which often includes letting go of your ego and admitting to yourself what patterns you engage in that aren’t serving you well. While advice giving can occasionally play a small role in therapy, it is not therapy.

Counterintuitively, many people are really, really attached to their negative patterns that perpetuate feelings of anxiety or depression. They may say they’re unhappy, but they aren’t ready to do anything different to change that.

Maybe take a look at yourself and try to gauge your own readiness for change. If you’re not ready to acknowledge that you yourself play a huge role in how you feel, therapy will not be productive. If you’re expecting a therapist to do the work for you, therapy will not be productive. If you’re not ready to do work to break out of patterns in your life outside of therapy, therapy will not be productive.

The best part is that even if everything in the Strait were to return to normal tomorrow, the oil price shock is just barely beginning to filter through the system, so there’s absolutely nothing Trump can do to stop what he caused.

You can put them on other things too, like gas station toilets and portapotties

“We are so good. They are so bad. Iran bad. America good.” This about sums up the depth of this speech and the totality of Trump’s foreign policy.

This net inflow of federal dollars places Texas among the states that benefit most from federal redistribution.

Your data shows about 33 out of 50 states benefit more from federal redistribution than Texas does

Totally got me. Almost sent this to all my friends

Looks great! What does the purple and gold in the top left represent? Don’t think I’ve seen that before

That end tho