a-reasonable-amount-of-trouble

Jesse Winchester’s Final Studio Album To Be Released This Fall

Appleseed Recordings just announced a new album from the late singer/songwriter Jesse Winchester, which will be released on September 16, 2014. A Reasonable Amount of Trouble is Winchester’s final studio album and was written when he was in remission from his first instance of cancer in 2011.

A Reasonable Amount of Trouble was produced by Mac McAnally, who has also worked with major artists like Jimmy Buffet and Kenny Chesney. Of the twelve new tracks, nine are original compositions, with many featuring instrumental contributions from McAnally on guitar, as well special guests Jerry Douglas on lap steel and Jim Horn on saxophone.

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Actually, being absolutely shit at trying to navigate bureaucracies on my own–for clearly disability-related reasons–accounts for a decent amount of the trouble I have had accessing appropriate care under the NHS.

There isn’t the same scarcity gatekeeping to enroll as with Medicaid/Medicare and they would have a harder time just totally dumping you off the rolls since it’s supposed to be universal healthcare.

But, it is a huge managed care system with a near-monopoly, and heavier gatekeeping the more funding keeps getting cut. There is also very low accountability around any of it.

It is easily as hard to deal with and get what you need as the Medicaid/Medicare/VA bureaucracies. If not more so, with the vast vast majority of healthcare services around being totally run by them.

It’s usually not so much a case of “but Medicare won’t pay for this, under these circumstances” as never being offered the option at all. It’s also very difficult to try to find other options if you get stuck dealing with assholes. If you can get a referral at all, you’re seeing whoever they send you to. You’re not even guaranteed access to a second opinion. You can ask for a referral, but they don’t have to cooperate at all.

I am also not that experienced at trying to deal with that particular system. (My partner is also foreign and totally avoids medical care.) My mother wouldn’t have had the same problems at all with figuring out how to work it to get better results, but I do.

And that’s not somehow my fault. It also shouldn’t very possibly mean that I end up dying because of it. Or anybody else.

(Hells yeah, there are plenty of problems with the US healthcare system. But the NHS is not somehow magically exempt from some common aspects of a huge managed care system operating under a tighter and tighter budget. It’s not always good.)

womanfromuncle asked:

"I don't mind a reasonable amount of trouble."

                                            womanfromuncle | ask meme


So I’ve noted.❞

Distance closed between them, letting him tower over her like a massive jaguar hounding in on it’s prey. His intention was to remain as neutral as possible, but etchings of concern were still present. 

From experience, that reasonable amount often escalates, and that is what I worry about. We cannot afford recklessness in disguise. Be more cautious.

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(( i’m super sorry for the hiatus but like. for some reason i have a ridiculous amount of trouble drawing kalin and that’s a problem. i’ll probably figure it out soon and we can get on with things but until then. sorry ))