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Most doctors have no idea what insurance patients have until there’s a need to know in order to be compliant with pharmacy prescription orders, diagnostic testing where they must refer the patient outside their office or determine if the contract allows the convenience of in-office testing under their personal supervision.If you understand the workflow of a new patient visit, you’d understand this immediately:Patient discovers the doctor existsPatient checks the internet to do preliminary background check (70%+)Patient verifies that insurance is acceptedPatient calls to schedule an appointmentStaff asks about Medicare, insurance, and any supplemental policies simply to know how to enter them in the computer for the convenience of pre-registration.Patient is offered appointment times.Patient is requested to bring old records if available or sign a request for release from previous providers.Patient arrives at the office on the appointed date and time, checks in, signs forms, and is taken to an exam or consultation room to meet the docDoc stands with hand on door and feet pointing out, not in. Asks the questions, evaluates the responses, makes an exam, decides a course of action, writes any orders or prescriptions — All this taking place in 3–7 minutes, mind you.Patient escorted to check out desk to pay and make follow up appointment.The only time the doc even considers insurance is in step 9 or if things go sideways on payment.

I like language. I find it interesting how ideas are formed and communicated. Part of studying language is studying semantics, which is the branch of linguistics and logic concerned with meaning.So let’s step back a bit and look at the entire idea of “person first” language.People-first language (PFL), also called person-first language (PFL), is a type of linguistic prescription which puts a person before a diagnosis, describing what a person "has" rather than asserting what a person "is".-People-first language - WikipediaThe problem is that this is not how the English language works. In English the adjective comes before the noun. In terms of word order, that means the thing we say second is the subject, the thing which we are talking about.So if I speak of a black car, it is the car we’re talking about. If I want to focus on the fact that the car is black, I will emphasis that point with vocal inflection, ie the black car. And think about just how awkward the phrasing is. Nobody would say a “car of black”.What does this have to do with people of color? Well the implication is the opposite of the intent. When you talk about people of color, both by word order and by the oddity of the word order you are putting the focus on the color. Not the person. Furthermore, person of color is semantically identical to colored person. You’re just saying colored person in a more awkward way.Now there’s also another semantic issue with “person of color”. A “colored” person, in the US, is specifically a black person. But the actual way that PoC gets used it actually means “not white”…except when it includes whites. Asians have gone back and forth from being PoC a few times. So have Jews. PoC, functionally, is a political and ideological term that serves to bifurcate the entire population into those who are white and those who are not, and rarely done in a way that actually furthers harmonious race relations, because in addition to bifurcation it treats all whites as a monolith and all non-whites as likewise a monolith. That is, it leads to assumptions about all people of the given group based solely on the color of their skin, while simultaneously failing to distinguish between blacks, latinos, Asians, etc, assuming that they’re all the same, while also assuming that all white people are the same.While I don’t find “person of color” offensive in and of itself, I am vexed by the frequently racist thinking that underlies its use.Frankly I’m quite tired of people not following Dr. Martin Luther King Jr.’s advice to judge people by the content of their characters rather than the colors of their skin. Worse, I am frustrated and angry at how often I am told by supposedly enlightened people that I am somehow in the wrong and racist for refusing to judge people based on their race. The irony fucking hurts.As far as I am concerned, skin color is of no greater import than hair or eye color. I’m wondering how long it’ll take for everyone else to get to where MLK was 58 years ago.Come on people. Catch up.Original question-Why is the phrase “people of color” offensive? I heard people over the internet get offended over it, but I can’t figure out why. I’m pretty young and trying to educate myself, I don’t want to make anyone upset.

Legally, yes. However there are several ways that staff and bureaucracy create barriers to providing this vital health care equipment to inmates. The first is bureaucratic barriers to access to MDs. Because a cpap machine requires a prescription, inmates must have access to their medical records or to the doctor who prescribed the cpap machine. Most inmates are unable to contact these medical providers once they are in custody. They do not have access to internet or phone books to look up MD contact information. If they happen to have the phone number, they can only make collect calls, which most MDs don’t accept. If they happen to have the address, they cannot simply request the records be sent to themselves. MD requires the patient to sign a release of information form to have records sent to themselves. So the MD must first mail the form, then the inmate sign and mail back, then there may be a charge for reproducing the records and mailing out which the inmate cannot pay themselves because they can’t send money through the mail, so someone on the outside would have to pay for them.If there is a social worker or nurse, they can have the inmate sign a release of info and more easily make the request for records, but the staffing levels are such that it’s unlikely to happen.If the prescription is expired or if the inmate has not been diagnosed yet, then the inmate first must request to see a doctor. The doctor then had to be willing to write a prescription for the inmate to have a sleep study. This requires either an overnight stay in a sleep lab or that medical test equipment be provided in the inmate’s cell or dorm. To see a doctor is difficult. To see a doctor willing to prescribe a sleep study for an inmate is even more unlikely. One of the barriers to this is many times the health care is contracted out to private companies which are incentivized to provide the least amount of care in order to maximize profit from the contract.The unfortunate aspect of systemic barriers to cpap equipment is that untreated sleep apnea increases the rates of a whole spectrum of impulsive, aggressive and cognitively impaired behaviors, creating an unsafe environment for staff, inmates and ultimately our communities.