toad.social is one of the many independent Mastodon servers you can use to participate in the fediverse.
Mastodon server operated by David Troy, a tech pioneer and investigative journalist addressing threats to democracy. Thoughtful participation and discussion welcome.

Administered by:

Server stats:

333
active users

#malfeasance

0 posts0 participants0 posts today

[Norfolk Southern Corporation] Reprehensible corporate behavior
dirtdiggersdigest.org/archives
en.wikipedia.org/wiki/Norfolk_

* 2023: Norfolk Southern Railway freight train carrying chemicals derailed in East Palestine, Ohio
* aftermath: company accused of prioritizing $10 billion stock buybacks
* settlement included $310 million for cleanup efforts, penalties, future costs assoc. w. environmental impact

“Deeply disappointed to learn Premier #DougFord has cancelled the wastewater surveillance program in #Ontario.
This has been critical information not only for #COVID-19, but other infectious disease threats - Influenza, RSV, MPox, Polio, and 👉👉now H5N1.

The program costs are a small fraction of individual-level testing for infectious disease & a really efficient way to monitor community transmissions”

- Dr. Thomas Piggott, Public Health, Peterborough

Replied in thread

@rvaughnmd

True story…

I had a 50ish patient with new acute #backpain superimposed on, but different from, long-standing chronic back pain. On #history and #exam they had NEW lower extremity neurologic findings. I ordered an #MRI, which was the appropriate next step at the time.

I was forced to spend two evenings on hold for something like 20-30min for "pre-authorization"… two because they hung up on me the first time. I had to re-type a 20 digit code three times as they redirected me internally… finally spoke to the "physician in authority" and… HE READ MY OWN CHART BACK TO ME!! … then blithely approved the study. <insert swear words here!>

This is my Exhibit A for #HealthInsurance #malfeasance. (A complete waste of my time and that was the point! Unethical, and should be illegal.) Ironically I had a very conservative approach to imaging. That was probably the first new study I had ordered for back pain in months.