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    The Hidden Costs Employers Don’t See in Traditional Health Plans

    The Hidden Costs Employers Don’t See in Traditional Health Plans

    March 22, 2026
    The Impact of COVID-19 on Patient Trust

    The Impact of COVID-19 on Patient Trust

    March 3, 2026
    Debunking Myths About GLP-1 Medications

    Debunking Myths About GLP-1 Medications

    February 16, 2026
    The Future of LLMs in Healthcare

    The Future of LLMs in Healthcare

    January 26, 2026
    The Future of Healthcare Consumerism

    The Future of Healthcare Consumerism

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    Your Body, Your Health Care: A Conversation with Dr. Jeffrey Singer

    July 1, 2025
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    Public Sentiment on the Future of Peptides and Hormone Therapies in U.S. Medicine

    March 17, 2026
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    Perceptions of Viral Wellness Practices on Social Media: A Likert-Scale Survey for Informed Readers

    March 1, 2026

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    Can you tell when your provider does not trust you?

    Can you tell when your provider does not trust you?

    January 18, 2026
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    May 8, 2024
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    Which health policy issues matter the most to Republican voters in the primaries?

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Home Perspectives

Not All Disabilities are Visible

Journey into the life of a disability advocate.

Ashley Rodgers by Ashley Rodgers
December 30, 2023
in Perspectives
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Not All Disabilities are Visible

CDC

Navigating the world as a disabled person is not easy, even with the ADA (Americans with Disabilities Act of 1990) compliance regulations put in place.  In part, the Act is not enforced as it should be.  Uneven sidewalks, broken or lack of ramps, narrow doorways and hallways are just some of the obstacles that the disabled deal with when out in the community.  Another “obstacle” is unkind judgment from others who simply do not understand chronic illness, chronic pain and disability.

A friend recently posted a picture on her Facebook account of a nasty note that was left on her windshield by someone who was obviously watching and judging her as she got out of her vehicle.  Because she was able to walk, this person became angry and decided to let her know it.  The note read “WHERE’S YOUR WHEELCHAIR?!?!?”  This friend has multiple sclerosis (MS) and has the ability to walk, but is limited.  This is a big misunderstanding relating to the use of handicap spots.  There are several conditions for which a person can qualify for a placard. Not everybody that is disabled has a visible disability, nor are they confined to a wheelchair.

So, who qualifies for the use of handicap spots?  Each state has its own set of conditions, but typically a placard is granted if the patient suffers from or demonstrates any of the following: cannot walk 200 feet without stopping/ impaired mobility, cannot walk without the use of, or assistance from, a brace, cane, crutch, another person, prosthetic device, wheelchair or other assistive device, uses portable oxygen, heart disease/level iii or iv cardiovascular condition, legal blindness or poor vision, is an amputee/hidden prosthetics, lung disease that restricts mobility, suffers from chronic pain, loss of one or both hands/limited or no use of arms, respiratory disease, brain injuries and tumors, neurological disease, organ transplants, seizure disorders, and/or sensitivity to sunlight.

A doctor or other authorized healthcare provider, law enforcement official or a U.S. Department of Veterans Affairs Regional Office Administrator must sign a form for the patient in order to obtain the placard. An authorized health care provider is defined as a physician, chiropractor, optometrist, podiatrist, physician’s assistant, or a certified registered nurse practitioner licensed or certified to practice in the commonwealth or in a contiguous state. If the condition is permanent, the renewal period is every five years. Temporary placards are also available for patients who’ve recently undergone surgery and are typically issued for a six month period.

For those who do rely on mobility aids, concerning video that revealed wheelchair mishandling and abuse at airports has recently made major headlines. Airline employees were seen laughing and carelessly tossing chairs down the dedicated ramps-with some of the chairs ending up slamming to the ground after being airborne.

According to businessinsider.com, data from the Department of Transportation shows that in 2022, the top 10 US-based airlines lost, damaged, or destroyed 11,389 wheelchairs and scooters. Out of a total of 741,582 wheelchairs and scooters the airlines transported, that amounts to about 1.5% that were mishandled.

While that is a small percentage, every time it happens, it puts an incredible burden on the person affected.  Mobility aids are expensive and so are the repairs. Additionally, medical problems such as sores and worsened neurological problems can arise from having to use a non-customized chair temporarily. For patients without the ability to walk, such as a paraplegic, it is comparable to taking a healthy person’s legs from them.

Some disability advocates have been asking for additional training, and maybe more importantly, compassion and understanding from the airline workers when handling mobility equipment.  In hopes of avoiding this happening, some people have attached laminated notes with step-by-step instructions on how to use the equipment properly, also adding friendly words of appeal such as “please” and “thank you”.

The 1986 Air Carrier Access Act requires airlines to provide free wheelchair service to anyone who requests it or face hefty fines. No documentation of proof of disability is required.  Advocates are suggesting a universal disability pass or card so the Act isn’t taken advantage of for what airline employees call a “miracle flight”.  This is when a person requests use of a wheelchair but is later seen walking.  Perhaps the employees need to be educated in the simple phrase “Not all disabilities are visible”.   This is the type of thinking (or lack thereof) and judgment that led to my friend receiving that nasty note on her car windshield.

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Ashley Rodgers

Ashley Rodgers

Ashley Rodgers is a former healthcare worker and intractable pain patient-turned-advocate whose diagnoses include stage 3/4 adhesive arachnoiditis. She is working to protect the providers who care for patients like her via legislation at both the state and federal levels. She enjoys reading, writing, and spending time with her children and pets. Frequenting Starbucks with her daughter is her favorite activity!

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Videos

summary

This episode explores deceptive pricing strategies in the GLP-1 medication market, highlighting how healthcare consumerism influences patient decisions and how to recognize and protect against misleading practices.

 key  topics

Deceptive pricing strategies in healthcare
The role of brand perception and pricing manipulation
The concept of drip pricing and hidden costs
The rise of healthcare consumerism and patient agency
Strategies for patients to identify and avoid deceptive practices

Chapters

00:00 The Evolution of the GLP-1 Telemedicine Market
01:12 How Pricing Is Obscured and Perceived Discounts Are Created
02:11 TrumpRx: Coupon Aggregator or Discount Store?
03:12 Why Price Deception Thrives in Healthcare
04:12 The Membership Fee Illusion and Hidden Costs
05:10 Brand Recognition and Drip Pricing Strategies
06:17 The Impact of Brand and Anchor Pricing on Perceived Value
07:16 The Role of Price Drip Strategies in Healthcare Pricing
08:15 The Rise of Healthcare Consumerism and Patient Agency
09:14 How to Protect Yourself from Deceptive Pricing Practices
10:09 Conclusion: Empowering Patients in a Complex Pricing Landscape
Unmasking Deceptive Pricing in Healthcare: What Patients Need to Know
YouTube Video zZgo1nLZVrY
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Policy Shift in Peptide Regulation

Clinical Reads

GLP-1 Drugs Have Moved Past Weight Loss. Medicine Has Not Fully Caught Up.

Glucagon-Like Peptide–Based Therapies and Longevity: Clinical Implications from Emerging Evidence

by Daily Remedy
March 1, 2026
0

Glucagon-like peptide–based therapies are increasingly used for weight management and glycemic control, but their potential impact on long-term survival remains uncertain. The clinical question addressed in this report is whether treatment with glucagon-like peptide receptor agonists is associated with reductions in all-cause mortality and age-related morbidity beyond their established metabolic effects. This question matters because these agents are now prescribed across broad patient populations, including individuals without diabetes, and long-term exposure may influence cardiovascular, oncologic, and neurodegenerative outcomes. Understanding whether...

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