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Do doctors need counseling to cope with everyday stress related to patients? How do doctors cope when they lose a patient?

As with any group of individuals, including practicing physicians, how they deal with stress varies. Some programs are beginning to use counselors to give stressed doctors or individual practitioners that are exhibiting signs of burnout a place to seek assistance. Much more has been recently written publically about U.S. Physician stress, burnout and even, physician suicide. Much was written internally for years in compliance offices for large healthcare entities and medical-legal liability reduction strategies from consultants watching doctors just kill themselves seeking to reduce the public-relations shadow on those very same entities all while calculating the price of keeping a troubled-doctor employed versus replacing them.For the system or the entity it is a monetary decision. Yet, it is not that easy for the physician. Asking for help is a personal-emotional-physical-financial calculus for the doctor. Many doctors go out of State and use a pseudonym and pay cash only for counseling services because they badly know they require therapy and help, but the risk of their colleagues or employer finding out places too much pressure and far too many unknowns in their career future.Your query references, “cope with everyday stress related to patients?” and there is some stress when delivering bad news, especially about children or young once-vital adults in their 20′s and 30’s… but we are trained for that. What’s stressing and burning-out and even killing doctors is the systemic stressor from the businessification of American medicine. The electronic medical record (EMR) has, in my opinion, been a monumental failure for physicians but a monumental success for the entire disease-for-profit billing system in capturing every penny of billable time and events from the physician all by making the doctor enter the data.Imagine what some of the service companies that you utilize as a homeowner or the web-based services you work with to run your life… take one moment and think about what they have you do, enter, repeat, click and re-click, authorize and reauthorize for this, that and the next thing. I filed a claim on damaged cell phone this weekend with Verizon, my first phone-insurance-claim ever. (Dropped phone in snow, lost phone for too long, my 12 year-old son found it in half frozen ice-water under a couple inches of snow at edge of driveway → Lesson: iPhones are not indestructible) but the point is it took: 3 phone calls, 2 visits to stores, 5 logins and a waiting period of 3 hours… for a phone claim.Multiple that by 30–40 each and everyday on people other than yourself and you get the idea of what it is like for a doctor to interact with their EMR. Doctors spend more time with documentation for their systems and entities to bill properly than they do interacting, speaking, examining or thinking about the care for a given patient. We go to school to be diagnosticians and practitioners of an art… but the 2019 reality is that we fill out electronic paperwork non stop to the privilege of examining and operating on sick and injured people.There might be some redeeming qualities in doing this if population;s health improved by metadata analysis or if the rates of illness and injury fell because of the EMR… but the opposite is happening. EMRs have more errors conducted through them, unwittingly, from care-provider to care-provider such that medical errors are happening at an increased rate, rather than decreased rate. But, it collects far more money, far more efficiently.How do we cope when we lose a patient? Depends on the doctor, depends on the patient. (Note:I wrote this piece on Quora on 10 days ago, but it got deleted by Quora Moderation as Spam… still attempting to figure out what went wrong or what I did wrong with the posting. I’ve temporarily moved the content to Medium because I did not want to re-post it here in this answer as I am not sure what the issue was, yet.)What is something your patient said that made you die a little inside?I’ve had other powerful emotional moments in medicine surrounding patient’s deaths but this one was very difficult to ‘cope’ with. I participated in a lot of level one trauma care. I have seen many young people die too early in life. We sometimes help each other and talk things through but it is always more about the medical decision making than the human toll on those deciding.I now work with young doctors, residents and medical students to help them set their financial lives up properly. I also end up doing a lot of pro-bono career-coaching and life-coaching in regards to anxieties, stress and burnout as a practicing physician. I write about these topics online.~ChrisDr. Christopher YeringtonColumbus, OhioBio: Retired from clinical anesthesiology by a disability in 2010, Dr. Yerington has turned his love of teaching and service to others to his family, medical colleagues and community. He speaks, writes and educates medical groups and residency programs about the importance of great disability and life insurance, basic physician-financial literacy and work-life balance. Chris also consoles and counsels young doctors on stress, burnout and physician-suicide. Having attended law and business schools, Chris is a perpetual student of human life, a scientist and an optimistic futurist in his heart.

What book(s) changed your life?

One book changed my life. This is what I wrote 2 years after reading it:I summarized the last two years of my life; it took some word count, so bear with me.(The Slight Edge chart and my starting point)Exactly 2 years ago, 10th of August 2012 I read The Slight Edge.Two years agoTill that point in time I was going nowhere. No surprise, because I had no plans. I was living day by day crossing my fingers and hoping everything will going to be all right. Usually it wasn’t.The brightest point in my situation was my fitness. I lost 10 pounds from April to August 2012.I had one definite plan for my future; I wanted to go to Heaven. I just didn’t know how that was possible, except in the form of God’s mercy. So I awaited His mercy. Oh, that’s another bright point in my life – my church community which I’ve been attending for the last 15 years.And I had my wonderful family, three smart and healthy kids and my wife, the love of my life.Our financial situation was stable. Both I and my wife had jobs. We paid our bills and credits on time and I was even able to save about 4.5% of our income. So it took about two years to save one salary. It didn’t look like the best formula for getting wealthy.My wife dreamed about a house, but we had just several thousand dollars on savings account and no perspectives for significant change in our income. I worked 2 years for my employer and I was already earning about two average salaries in Poland as a database administrator.I divided my time between my work (more than half of it), my family (maybe 20%?), my church community (a few hours a week) and my entertainment – reading, playing a card game and on the computer (the rest).I had no interest in personal development or learning at all. I finished my university studies in 2004 and I had to learn constantly new tools, software and systems in my jobs. I had enough learning.FrustrationI was frustrated, because I was not stupid. No matter how much I anesthetized myself with entertainment I realized, that my life is going nowhere. It was a constant struggle to keep our expanses at bay. We couldn’t afford good vacations, we couldn’t afford renovation of our apartment, and we couldn’t afford a new car.My wife had more ambition and dreams than me and that caused some tension between us. I felt I was doing all in my power to sustain our lifestyle and she put more and more pressure on me to realize her wishes. That was not fair!That’s how my life was two years ago. Not exactly miserable, a bit frustrating and not fulfilling at all.A year agoThe Slight Edge in action changed my life. I won’t go into too many details; you can read about it here and there. This is an anniversary post, so I’ll just describe briefly where I was a year ago.I introduced a lot of changes into my life. Not much changed at the first glance. My family and possessions were the same. I had the same job. The changes were mostly intangible. The only thing which changed significantly was my schedule. I started to wake up an hour earlier to ignite my day.I started writing. I wrote while commuting to and from work on the trains.If I had periods at work when I could do with my time whatever I liked, and I had many of them, I studied personal development, I connected with new people, I explored publishing, blogging and online marketing.On the tangible side I reached my dream weight in February and started two blogs.In August 2013 I had two books published and I worked on two more. I was losing money on it, but I at least had a plan. I changed my direction. I learned to save more money. The savings ratio increased to about 20% of our income, so we could save more than two salaries a year. On the Slight Edge chart I would put my position somewhere here:And now (meaning August 2014)10th of August 2014. Some pretty dramatic changes took place in the last year. In November 2013 the new edition of The Slight Edge was published and the story of my transformation was included!I studied in my spare time and I got two professional certificates at my day job.I was being recognized by a thriving indie community on FB and through the new contacts I got my covers re-done and my 5th book edited.In October 2014 I started this blog. It was visited about 9k times. A rock star from UK, James Arthur, tweeted about my post once and I got a surge of visits that day.In November 2013 I published my 3rd book and I started to break even on my publishing venture. In fact it became profitable.My wife was fired from her job. She changed her attitude a bit, she became bolder in her salary expectations, and so her employer got rid of her. I was happy about it, this company sucked. And I was right; she blossomed without the burden of negative people around her.We lost 25% of our income, but I was still able to save about 20% of it.Steve Scott became my unofficial mentor. I followed him incessantly since May 2013. I commented on his every post, I followed him on Facebook and Twitter. We developed a relationship in the natural way and he helped me with my two last book launches. Speaking of which…In January 2014 my fifth book, Master Your Time in 10 Minutes a Day, became a bestseller. I earned half of my salary in February! (Well, the money was transferred at the beginning of May). I finally was able to invest some cash into my business. I started experimenting with paid marketing and outsourcing.Because of my book’s success I was interviewed a couple of times.In March I was approached by an entrepreneur from Germany. He offered the translation deal for Master Your Time. It was published on at the end of April. I cashed the first royalties from Germany in July. 4% of my salary. A nice side income.I published 6th book in June. I invested $300 in editing and the book became profitable in the first month.In July, I fulfilled my wife’s dream. We bought a house. We wouldn’t have done it without the increased savings rate and my royalties.The same month I was approached by the publisher and signed a contract. My books will be re-done by professionals and re-launched. I already sent them the manuscript of my latest book.Those are quite tangible results, aren’t they? I estimate my present position on the Slight Edge chart about this point:And guess where I want to be?Am I going to be there? Who knows? My friends, who were cheering me up from the beginning, claim that they knew I will succeed at our first encounter. It’s touching, but you know, they are my friends, and what else can they say? ;)I have a lot of doubts, a bunch of fears, the feeling of inadequacy and an impostor syndrome. However I had even more of them and still managed to achieve some results. So I’ll stick to my ways and try to climb this steep road to the end of the arrow.Reflecting back on the two last years of my life I can hardly believe what has happened. The extent of my transformation eludes me on everyday basis. I just keep plugging, doing my little disciplines. I can’t comprehend how those tiny things built such a monumental (at least in my eyes) structure. The fact that I was at the beginning and in this moment gives me a unique perspective. I can reverse engineer what I’ve done, divide the picture into single puzzles and give you a method of making your own jigsaw.EasyEvery single activity is easy to do or easy not to do.Writing a book consists of writing chapters, paragraphs, sentences, words and individual keystrokes. How hard is one keystroke? It’s easy! How easy is not to press the key? The difficulty level is about the same.Replace one activity with another. Instead of playing on the computer I wrote. Instead of hanging out on ‘funny’ sites, I hang out on authors groups.ActionEach action matters. We don’t believe it, because it takes so long to see the tiniest results. Look at the chart above. In the first year of my transformation the difference between my action and inaction was almost invisible. Everything was about the same. I sowed and sowed the seeds, but all I could see after twelve months was a handful of miniscule blades.Action is a fabric of accomplishment. Plans, re-evaluation, course corrections are secondary. They can affect your effectiveness profoundly, but only if there is an element of action.You cannot re-evaluate anything. You cannot plan if you don’t have an idea what it is really like when you actually do something new. You cannot correct your course if you haven’t taken off.Blind action can lead you to your goal, blind plans can’t.“Give me six hours to chop down a tree and I will spend the first four sharpening the axe.” — Abraham LincolnThat’s a very wise system for conduct in life, but only when you actually take an action in the end.Nowadays you are paralyzed by too many options. You have all the knowledge of the humanity at your fingerprints, but you can’t absorb it all! You can spend all your life just learning and planning and not implementing an ounce of it. Action is the only way to utilize that knowledge.“An ounce of action is worth a ton of theory” — Ralph Waldo EmersonParalysis by analysis is the greater danger today.The size doesn’t matterThe tiniest action matters. For the first three months the most tangible things I started were joining an online Slight Edge community, starting gratitude journal about my wife and paying myself first just 70 dollars.I did other things too, but they were woo-woo: listening to motivational and educational materials during my morning workouts, regularly studying the Bible, reading for at least ten minutes a book written by saint. According to our material-oriented society these should have exactly zero tangible effects and could impair my sanity.Anyway, take a step back and take a look on those early activities of mine. Try to connect the dots. How $70 a month could lead to almost eight thousand dollars of savings in two years?!? The math doesn’t add up.How joining the community of woo-woo believers could lead to being recognizable by the publisher?The math doesn’t add up again.ConsistencyIt doesn’t add, because the time factor is not adding the results, it is multiplying them.Consistency is a key to meaningful effects. That’s why “paralysis by analysis” is even greater danger than you realize. You start doing one thing, keep it for a week or month and don’t see satisfying results. But you have such an abundant range of the shiny alternatives out there!So you ditch your “ineffective” action and do something else. And something else. And something else.You can spend your whole life in this manner and achieve just teeny weenie results. In fact it’s happening all the time around you, isn’t it?Think of successful and unsuccessful people from your surroundings. Pick any area – parenting, health, finance, spirituality – and check if you can find consistency in their actions. I bet the unsuccessful are not consistent.Staying consistent is not an easy feat, right?Wrong.We are wired for consistency. Scientists say that about 45% of our behaviors are semi-autonomous.Habits are an ideal vehicle to consistent behavior. You don’t have to think every time which good choice to make. Develop good habits. Employ them to change your life. Allow them to lead you along the upward curve on autopilot.Time + effort = resultsThis formula is true. Usually we don’t have problems with the effort. We all understand instinctively that without the work there will be no effects.Almost unanimously we have the problem with time. To hassle for a few hours is all right. Work a week and enjoy the weekend. Study four years and graduate. Then you can “take things easy, eat, drink, and have a good time.”The answer for this is just: “Fool!”What you need is patience, resolve and grit. Only by setting yourself for the long run you are setting yourself for the significant results.Instant gratification is an illusion. I can hear the voices of critics, we hear them all the time: “But you can’t just hassle and hassle with no reward, with no enjoyment! It’s inhuman. You will be miserable!”Oh yes, you can hassle and it is a reward.Think of these protests rationally. Does it mean that Benjamin Franklin, Mahatma Gandhi, Thomas Edison, Mother Teresa of Calcutta, Jim Rohn, John D. Rockefeller, Michael Jordan, Zig Ziglar, Will Smith were all miserable? Bollocks!There is also one more implication to the formula above: if you start now, you will get more time. You will have the chances for bigger results. Don’t waste your time.My whole rant can be bringing down to this simple advice:Start right NOW. Persevere. Do it until.Fast Forward to 20192019After several years of my online hustle, it finally became real.Almost every month, I get money from several sources: my Amazon book sales, my eBook sales from Draft2Digital, audiobook sales, coaching, affiliate sales and my book advertising business.My personal income grew by 140%. I stacked away about $15K in my peace-of-mind fund (aka ‘rainy days fund’ for most of the world). My wife quit her job. She already spent on house renovation about $20k.I downsized my day job to 10 hours a week. We were on vacation trip to Crete (without kids!) in September.I paid off early about 3.3% of our mortgage in 2019.Our recurrent payments fund is fully stacked up. We have a year’s worth of recurring bills for water and waste. We have funds prepared for car insurance, textbooks for kids, unexpected car repairs or replacement of white goods.Consistency brings growth and results. I had been showing up for a long period of time in my authors group, and that created networking opportunities.It worked for me as good as, or even better than, setting big goals and pursuing them. For two years, I tried in vain to grow my email list to 1,000 people. I quadrupled my email list size since 2016.I had set goals of selling hundreds and thousands of books in the past, and I didn’t reach those numbers. This year, I never went below 1,000 sales a month.(my journey on The Slight Edge chart)The fundament of those successes wasn’t goal setting; it was merely showing up.PS. The book that changed my life was “The Slight Edge” by Jeff Olson. 2019 situation is reported as on 10th of Dec 2019.Definitely, this book changed my life the most.

What legacy will Donald Trump leave behind?

I did not write this. I copied it from a group page I belong to.1. Trump recently signed 3 bills to benefit Native people. One gives compensation to the Spokane tribe for loss of their lands in the mid-1900s, one funds Native language programs, and the third gives federal recognition to the Little Shell Tribe of Chippewa Indians in Montana.2. Trump finalized the creation of Space Force as our 6th Military branch.3. Trump signed a law to make cruelty to animals a federal felony so that animal abusers face tougher consequences.👀👀4. Violent crime has fallen every year he’s been in office after rising during the 2 years before he was elected.5. Trump signed a bill making CBD and Hemp legal.👀👀6. Trump’s EPA gave $100 million to fix the water infrastructure problem in Flint, Michigan.7. Under Trump’s leadership, in 2018 the U.S. surpassed Russia and Saudi Arabia to become the world’s largest producer of crude oil.8. Trump signed a law ending the gag orders on Pharmacists that prevented them from sharing money-saving information.9. Trump signed the “Allow States and Victims to Fight Online Sex Trafficking Act” (FOSTA), which includes the “Stop Enabling Sex Traffickers Act” (SESTA) which both give law enforcement and victims new tools to fight sex trafficking.👀👀10. Trump signed a bill to require airports to provide spaces for breastfeeding Moms.11. The 25% lowest-paid Americans enjoyed a 4.5% income boost in November 2019, which outpaces a 2.9% gain in earnings for the country's highest-paid workers.12. Low-wage workers are benefiting from higher minimum wages and from corporations that are increasing entry-level pay.13. Trump signed the biggest wilderness protection & conservation bill in a decade and designated 375,000 acres as protected land.14. Trump signed the Save our Seas Act which funds $10 million per year to clean tons of plastic & garbage from the ocean.👀👀15. He signed a bill this year allowing some drug imports from Canada so that prescription prices would go down.16. Trump signed an executive order this year that forces all healthcare providers to disclose the cost of their services so that Americans can comparison shop and know how much less providers charge insurance companies.17. When signing that bill he said no American should be blindsided by bills for medical services they never agreed to in advance.18. Hospitals will now be required to post their standard charges for services, which include the discounted price a hospital is willing to accept.19. In the eight years prior to President Trump’s inauguration, prescription drug prices increased by an average of 3.6% per year. Under Trump, drug prices have seen year-over-year declines in nine of the last ten months, with a 1.1% drop as of the most recent month.20. He created a White House VA Hotline to help veterans and principally staffed it with veterans and direct family members of veterans.👀👀21. VA employees are being held accountable for poor performance, with more than 4,000 VA employees removed, demoted, and suspended so far.22. Issued an executive order requiring the Secretaries of Defense, Homeland Security, and Veterans Affairs to submit a joint plan to provide veterans access to access to mental health treatment as they transition to civilian life.23. Because of a bill signed and championed by Trump, In 2020, most federal employees will see their pay increase by an average of 3.1% — the largest raise in more than 10 years.24. Trump signed into a law up to 12 weeks of paid parental leave for millions of federal workers.25. Trump administration will provide HIV prevention drugs for free to 200,000 uninsured patients per year for 11 years.👀👀26. All-time record sales during the 2019 holidays.27. Trump signed an order allowing small businesses to group together when buying insurance to get a better price👀👀28. President Trump signed the Preventing Maternal Deaths Act that provides funding for states to develop maternal mortality reviews to better understand maternal complications and identify solutions & largely focuses on reducing the higher mortality rates for Black Americans.29. In 2018, President Trump signed the groundbreaking First Step Act, a criminal justice bill which enacted reforms that make our justice system fairer and help former inmates successfully return to society.30. The First Step Act’s reforms addressed inequities in sentencing laws that disproportionately harmed Black Americans and reformed mandatory minimums that created unfair outcomes.👀👀31. The First Step Act expanded judicial discretion in sentencing of non-violent crimes.32. Over 90% of those benefitting from the retroactive sentencing reductions in the First Step Act are Black Americans.33. The First Step Act provides rehabilitative programs to inmates, helping them successfully rejoin society and not return to crime.34. Trump increased funding for Historically Black Colleges and Universities (HBCUs) by more than 14%.👀👀35. Trump signed legislation forgiving Hurricane Katrina debt that threatened HBCUs.36. New single-family home sales are up 31.6% in October 2019 compared to just one year ago.37. Made HBCUs a priority by creating the position of executive director of the White House Initiative on HBCUs.38. Trump received the Bipartisan Justice Award at a historically black college for his criminal justice reform accomplishments.39. The poverty rate fell to a 17-year low of 11.8% under the Trump administration as a result of a jobs-rich environment.👀👀40. Poverty rates for African-Americans and Hispanic-Americans have reached their lowest levels since the U.S. began collecting such data.41. President Trump signed a bill that creates five national monuments, expands several national parks, adds 1.3 million acres of wilderness, and permanently reauthorizes the Land and Water Conservation Fund.42. Trump’s USDA committed $124 Million to rebuild rural water infrastructure.👀👀43. Consumer confidence & small business confidence is at an all-time high.44. More than 7 million jobs created since election.45. More Americans are now employed than ever recorded before in our history.46. More than 400,000 manufacturing jobs created since his election.47. Trump appointed 5 openly gay ambassadors.👀👀48. Trump ordered Ric Grenell, his openly gay ambassador to Germany, to lead a global initiative to decriminalize homosexuality across the globe.49. Through Trump’s Anti-Trafficking Coordination Team (ACTeam) initiative, Federal law enforcement more than doubled convictions of human traffickers and increased the number of defendants charged by 75% in ACTeam districts.50. In 2018, the Department of Justice (DOJ) dismantled an organization that was the internet’s leading source of prostitution-related advertisements resulting in sex trafficking.51. Trump’s OMB published new anti-trafficking guidance for government procurement officials to more effectively combat human trafficking.52. Trump’s Immigration and Customs Enforcement’s Homeland Security Investigations arrested 1,588 criminals associated with Human Trafficking.53. Trump’s Department of Health and Human Services provided funding to support the National Human Trafficking Hotline to identify perpetrators and give victims the help they need.54. The hotline identified 16,862 potential human trafficking cases.55. Trump’s DOJ provided grants to organizations that support human trafficking victims – serving nearly 9,000 cases from July 1, 2017, to June 30, 2018.👀👀56. The Department of Homeland Security has hired more victim assistance specialists, helping victims get resources and support.57. President Trump has called on Congress to pass school choice legislation so that no child is trapped in a failing school because of his or her zip code.👀👀58. The President signed funding legislation in September 2018 that increased funding for school choice by $42 million.59. The tax cuts signed into law by President Trump promote school choice by allowing families to use 529 college savings plans for elementary and secondary education.👀👀60. Under his leadership ISIS has lost most of their territory and been largely dismantled.61. ISIS leader Abu Bakr Al-Baghdadi was killed.62. Signed the first Perkins CTE reauthorization since 2006, authorizing more than $1 billion for states each year to fund vocational and career education programs.63. Executive order expanding apprenticeship opportunities for students and workers.64. Trump issued an Executive Order prohibiting the U.S. government from discriminating against Christians or punishing expressions of faith.65. Signed an executive order that allows the government to withhold money from college campuses deemed to be anti-Semitic and who fail to combat anti-Semitism.66. President Trump ordered a halt to U.S. tax money going to international organizations that fund or perform abortions.67. Trump imposed sanctions on the socialists in Venezuela who have killed their citizens.68. Finalized new trade agreement with South Korea.69. Made a deal with the European Union to increase U.S. energy exports to Europe.👀👀70. Withdrew the U.S. from the job killing TPP deal.71. Secured $250 billion in new trade and investment deals in China and $12 billion in Vietnam.72. Okay’ d up to $12 billion in aid for farmers affected by unfair trade retaliation.👀👀73. Has had over a dozen US hostages freed, including those Obama could not get freed.74. Trump signed the Music Modernization Act, the biggest change to copyright law in decades.75. Trump secured Billions that will fund the building of a wall at our southern border.76. The Trump Administration is promoting second chance hiring to give former inmates the opportunity to live crime-free lives and find meaningful employment.77. Trump’s DOJ and the Board Of Prisons launched a new “Ready to Work Initiative” to help connect employers directly with former prisoners.👀👀78. President Trump’s historic tax cut legislation included new Opportunity Zone Incentives to promote investment in low-income communities across the country.79. 8,764 communities across the country have been designated as Opportunity Zones.80. Opportunity Zones are expected to spur $100 billion in long-term private capital investment in economically distressed communities across the country.81. Trump directed the Education Secretary to end Common Core.👀👀👀👀👀👀👀👀👀82. Trump signed the 9/11 Victims Compensation Fund into law.83. Trump signed measure funding prevention programs for Veteran suicide.👀👀84. Companies have brought back over a TRILLION dollars from overseas because of the TCJA bill that Trump signed.85. Manufacturing jobs are growing at the fastest rate in more than 30 years.86. Stock Market has reached record highs.87. Median household income has hit highest level ever recorded.88. African-American unemployment is at an all-time low.(was until Covid bullshit)89. Hispanic-American unemployment is at an all-time low.90. Asian-American unemployment is at an all-time low.91. Women’s unemployment rate is at a 65-year low.92. Youth unemployment is at a 50-year low.93. We have the lowest unemployment rate ever recorded.94. The Pledge to America’s Workers has resulted in employers committing to train more than 4 million Americans.95. 95 percent of U.S. manufacturers are optimistic about the future— the highest ever.96. As a result of the Republican tax bill, small businesses will have the lowest top marginal tax rate in more than 80 years.👀👀97. Record number of regulations eliminated that hurt small businesses.98. Signed welfare reform requiring able-bodied adults who don’t have children to work or look for work if they’re on welfare.🙌🙌99. Under Trump, the FDA approved more affordable generic drugs than ever before in history.100. Reformed Medicare program to stop hospitals from overcharging low-income seniors on their drugs—saving seniors 100’s of millions of $$$ this year alone.👀👀101. Signed Right-To-Try legislation allowing terminally ill patients to try experimental treatment that wasn’t allowed before.102. Secured $6 billion in new funding to fight the opioid epidemic.❤️❤️103. Signed VA Choice Act and VA Accountability Act, expanded VA telehealth services, walk-in-clinics, and same-day urgent primary and mental health care.👀👀104. U.S. oil production recently reached all-time high so we are less dependent on oil from the Middle East.105. The U.S. is a net natural gas exporter for the first time since 1957.106. NATO allies increased their defense spending because of his pressure campaign.107. Withdrew the United States from the job-killing Paris Climate Accord in 2017 and that same year the U.S. still led the world by having the largest reduction in Carbon emissions.👀👀108. Has his circuit court judge nominees being confirmed faster than any other new administration.109. Had his Supreme Court Justice’s Neil Gorsuch and Brett Kavanaugh confirmed.110. Moved U.S. Embassy in Israel to Jerusalem.👀👀111. Agreed to a new trade deal with Mexico & Canada that will increase jobs here and $$$ coming in.112. Reached a breakthrough agreement with the E.U. to increase U.S. exports.113. Imposed tariffs on China in response to China’s forced technology transfer, intellectual property theft, and their chronically abusive trade practices, has agreed to a Part One trade deal with China.114. Signed legislation to improve the National Suicide Hotline.👀👀115. Signed the most comprehensive childhood cancer legislation ever into law, which will advance childhood cancer research and improve treatments.116. The Tax Cuts and Jobs Act signed into law by Trump doubled the maximum amount of the child tax credit available to parents and lifted the income limits so more people could claim it.117. It also created a new tax credit for other dependents.118. In 2018, President Trump signed into law a $2.4 billion funding increase for the Child Care and Development Fund, providing a total of $8.1 billion to States to fund child care for low-income families.119. The Child and Dependent Care Tax Credit (CDCTC) signed into law by Trump provides a tax credit equal to 20-35% of child care expenses, $3,000 per child & $6,000 per family + Flexible Spending Accounts (FSAs) allow you to set aside up to $5,000 in pre-tax $ to use for child care.120. In 2019 President Donald Trump signed the Autism Collaboration, Accountability, Research, Education and Support Act (CARES) into law which allocates $1.8 billion in funding over the next five years to help people with autism spectrum disorder and to help their families.👀👀121. In 2019 President Trump signed into law two funding packages providing nearly $19 million in new funding for Lupus specific research and education programs, as well an additional $41.7 billion in funding for the National Institutes of Health (NIH), the most Lupus funding EVER.122. Another upcoming accomplishment to add: In the next week or two Trump will be signing the first major anti-robocall law in decades called the TRACED Act (Telephone Robocall Abuse Criminal Enforcement and Deterrence.) Once it’s the law, the TRACED Act will extend the period of time the FCC has to catch & punish those who intentionally break telemarketing restrictions. The bill also requires voice service providers to develop a framework to verify calls are legitimate before they reach your phone.123. US stock market continually hits all-time record highs.v Because so many people asked for a document with all of this listed in one place, here it is. No links provided to remove bias — as Google search is easy. Print this out for family, friends, neighbors, etc. I encourage you to drop this list off to voters before the 2020 election, too!v Trump did all of this while fighting flagrant abuse and impeachment charges.People should start thinking for themselves!

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