quixotic120

You can also use komf alongside komga/kavita to just scrape metadata automatically upon import. A bit finnicky to get going (a tampermonkey script is required to give it accessible setting on the komga page) but works very well and even has a gui for identifying results and selecting the correct option if the auto scrape fails similar to jellyfin

For the actual reader part I just use komga as a server and read through Mihon (one of the tachiyomi forks) on my ereader mostly. occasionally I’ll use paperback on my iphone (although recently I’ve been trying Tachimanga, which is basically an iOS tachiyomi fork). Loads library, can sort by tag/library/date added, reads most things very well, can sync read status with the komga server (and/or manga updates or whatever), etc.

https://journals.sagepub.com/doi/10.1177/2167702620921341 - the bigger takeaway from this one is that trigger warnings reinforce trauma as a central part of the traumatized individuals identity but they did find some incidence of drawback/harm

https://journals.sagepub.com/doi/10.1177/21677026231186625 meta finding no benefit and actually can cause an anticipatory reaction making the person more engaged with the material

There are others, this is just what grabbed from 30 seconds on google scholar. Its been a bit since I’ve done more serious lit review and it’s not like I keep a directory of papers I’ve read

The issue is the culture surrounding trigger warnings. Let’s be real here, people looking for trigger warnings are generally (perhaps overwhelmingly) not looking for material to help with their exposure therapy. They are looking for a “warning” to help them screen material to avoid. The issue is that this creates an unrealistic expectation that is incompatible with the real world. You can avoid suicide, sexual assault, eating disorders, or whatever in your media (maybe) but real life won’t sanitize itself or warn you. You will encounter these topics, whether through the news, careless speech from friends, or even intrusive thoughts of your own. Research continues to show that avoidance of upsetting topics can worsen anxiety and ptsd symptoms

To your final point the idea of it helping to create a choice isn’t even as clear cut as you describe

https://journals.sagepub.com/doi/10.1177/21677026221097618 content warnings actually increase the likelihood someone will view problematic content. This point is further reinforced by similar findings in the meta linked above

So you have a system that ultimately makes creators feel like they’re doing something noble, that is likely at best useless and potentially harmful. Said system increases the likelihood that a person will view the problematic content but also enables the reality that a person will simply avoid the things that provoke their anxiety which again is more strongly established as harmful

https://www.sciencedirect.com/science/article/abs/pii/S0005796712001064 - ptsd worsens with avoidance

https://www.sciencedirect.com/science/article/abs/pii/S0962184904000290 - anxiety disorders do the same

There’s evidence that trigger warnings actually worsen anxiety and are counterproductive

The way to treat anxiety is to face the source of anxiety to try and change your relationship and reaction. The best way to do this is via controlled access that exposes one to the trigger gradually in a context that has no risk of harm (eg a media depiction, discussing the concept, building up to discussing the source of trauma that led to the phobic response if applicable)

Trigger warnings enable active avoidance. This sensitizes one to the aversive stimuli and makes the phobic response stronger. As a result when one encounters the stimulus (eg a friend, family, celebrity etc commits suicide, suffers an eating disorder, etc) your resilience to the trigger is now even lower and the response is more likely to be more significant than it was before.

That said education on access to resources like 988 or other warm lines can lower suicide rates, maybe. Research is more mixed here because it’s difficult to prove causation

If you have a rooted webos tv there’s an app for this in the home brew channel

https://repo.webosbrew.org/apps/org.webosbrew.inputhook/

a virus perpetuates and replicates itself infecting other executables with its code, thus the name “virus”.

this is just shitty code that crashes hard. it’s not even particularly malicious, it doesn’t destroy anything

that’s not what a virus is

am a mental health provider, am listed in several insurance directories that I either no longer take or never took to begin with

It’s linked to another article but they describe why therapists stop taking insurance as a matter of complexity. This is true but another aspect is that some insurances simply pay significantly less than others. It’s a difficult thing to discuss because the low ones typically still pay like $60-80 an hour and on a surface level that sounds like a lot (because it is). But the reality is that doing therapy is complex. For one I typically lose about 30-50% of the good rates just to overhead (lower side is telehealth or home office, higher side is if you rent an office and can go even higher). More so if you’re actually planning for retirement and sick time, which a lot of therapists just ignore. Then you have to figure that we only get that rate for billable hours, which is 20-30 hours a week depending on how good you are. The rest of the time is admin bullshit, case collabs, screening new clients, etc all of which is unpaid.

So I can take the $70/hr insurance that barely covers my day to day, or I can limit myself to private pay and the ones that pay $100-140/hr. Even with the 100-140/hr ones I’m still probably making 60-70k on average because of stuff like no shows and cancellations (which is why more and more therapists are charging very high cancel fees)

But their main point of the complexity is a big one too. In my experience the insurances that pay low are the ones that are most likely to give me grief over payment. They’ll pay me very late (but if I submit billing 10 seconds late they’ll deny), they’ll clawback payments for the dumbest reasons and be the most aggressive about clawbacks (potentially meaning that I’ll suddenly get a note from them that I have to return $1000+ because they decided after paying me they shouldn’t have), and they’ll have the worst systems for submitting billing (requiring me to have hours of wasted time on hold with their shitty customer service)

It’s terrible that this person died and it’s worse that they spent almost $400/month for care that was never able to be delivered. It’s worse that this will probably result in no changes whatsoever. Even if harris’ Medicare for all prop passes it will take ages and the design is that there will still be a “two lane” system, where private supplementary insurance is still available for the rich. This will likely result in tons of providers that don’t bother taking Medicare because it’s more of a pain in the ass and pays less. So the government will finally give you insurance if you have none but it will be functionally useless like this article describes. End commercial insurance altogether

The important takeaway from this is that “supplements” have 0 oversight. The CBD, probiotics, vitamin d, etc that you buy could just be capsules of vegetable oil that does nothing at all. Or they could be asbestos and cyanide for all you know (that probably would lead to an investigation though). There’s also no safety regarding packing and handling, so it might literally be a guy with unwashed hands who just picked his butt loading your gelcaps in a dirty bathroom that someone just took a massive shit in. No one checks and verifies any of this and that’s why shills and hucksters jump onto this shit, it’s a completely unregulated market where can cut corners everywhere and say whatever you want as long as you include *not intended to treat any diseases and not evaluated by the fda

A $1200 thing you buy on instagram that sends “good waves” to your brain? Supplement. The cbd you buy at the gas station? Supplement. Doterra oils? Supplement. No regulation, no oversight, just robbing people based on their desperation to fix chronic pain and mental illness

Bleed in my ass

those bass drum hertas tho

It hasn’t seen a release yet, code is here:

https://github.com/arjpar/WebShield-staging/tree/ldev

I’m not endorsing it, never heard of it before this post, but this was literally the second line of the readme

“massaging tartrazine solution into hairless mouse skin over the course of a few minutes or using microneedling achieves “complete optical transparency in the red region of the visible spectrum”

I know it didn’t happen this way but I like to believe it was someone having their unwashed dorito fingers after lunch, decided to massage a mouse for several minutes, and figuring this out

Then if you’ve met your deductible the big question is if you have a coinsurance after the deductible is met and an out of pocket maximum.

If your coinsurance is 60% or 80% or whatever, you won’t be responsible for the full bill but only that percentage of it.

If you have no coinsurance (a no charge after deductible plan) the service should be covered 100%

If you have coinsurance you should have an out of pocket max, which once hit should end the coinsurance and make services covered 100%. OOP max is typically quite a bit higher than deductible, sometimes 5-7x as much, but not always. It’s plan specific.

If your employer pays 50% that is an arrangement they have worked out and the specifics will be tied to your companies contract. This could mean they would pay 50% of any bill (unlikely as this is not a fixed cost they can plan for. Maybe if you’re like a ceo or some shit) or it could mean that up to your deductible they’ll pay 50%.

Also keep in mind even if you’re in a “covered 100%” scenario there are some instances in which you would still get billed:

Differential vs contracted rates - if the hospital charges $5000 for your procedure but your insurance only pays $4600 the hospital can sometimes bill you for the difference. This is not always the case; some contracts require the servicer (doctor) to accept the contracted rates and not charge more. Most common reason you’d get a bill in the above 100% scenarios and also the reason the math might not work out in coinsurance scenarios. Eg in the above surgery example your bill would probably be $1320. It should be 920 as that is 20% of the $4600 paid, or even $1000 as that is 20% of the 5k billed, but you pay the 920 as 20% of what your insurance paid plus the $400 difference, so $1320

Out of network providers - these can often have a separate deductible and sometimes in hospitals a provider can be out of network even though the hospital itself is in network

Non covered services - if the procedure involves a service that isn’t covered (uncommon)

Billing errors: if a bill looks wrong contest it and if your insurance isn’t reimbursing providers properly complain to them. Sometimes a medical office gets your info wrong and assumes your deductible or coinsurance is active when it shouldn’t be. Sometimes your insurance makes similar mistakes.