Call Secrets of the OR- Call shift is great until you can’t find a supply at 0200

Job is still cool.

There are still a lot of positives. This is a post about the second negative- when day shift makes a massive floor move, ignoring why the rooms are set up nearly identically, and gets rid of half the shit that isn’t used every day but when you need it you need it.

Yes, the rooms are set up nearly identically. I am referring to the supplies in the supply cabinet.

But, but, we never do general surgery in room 1, it is an ORTHO room.

Wrong.

You have never done a general surgery case in room 1.

Lots of us have.

In the before times, long before you were a nurse/tech/surgeon at this hospital, room 1 housed the robot. And even then the cabinet was identical to room 2, room 3, and room 4.

This is the before times when the hospital only had 4 operating rooms. You wouldn’t’ve recognized it.

The cabinets were all set up to be identical.

And that was so that any case could be done in any room by anyone.

This is to decrease the amount of out of room time a nurse might spend during a case. Any case but especially a call case or an evening case when we don’t have the wherewithal to scream out the door for “somebody” to get us something.

By wherewithal I mean other people.

In the daytime there are lots of people rushing about cleaning rooms, turning over instruments, opening rooms, giving breaks, giving lunches, helping out.

Yeah, no such luck at night or even during the evenings.

I count that as a positive for evenings or nights. It makes you think on your feet and prepare your room better for the case at hand.

When I train people for the evening charge role, this is big selling point that I make. No managers, no charge nurse besides yourself, nobody is around.

When I train people for the call nurse role, this is a big selling point. No one is immediately around to help. There are people you can reach out to in a pinch and I’ve written about that before.

Day shift is just too… Too busy, too loud, too many people. All wanting to go home unless they want to ride out the clock.

Nights/evenings get it. It is mano a mano with the OR team. Except it isn’t a competition with the OR team, it is a competition with the reason the patient needs surgery in the middle of the night.

But I digress.

Day shift has all the time in the world to make changes to make the OR in the image of their last hospital.

Things get moved. A lot.

Things get deleted from stock. Things that are rarely used but are used all the same and is the only thing to work for scenario X. A lot.

The now 9 rooms are siloed into specialties.

But not every case is that specialty and not every case “fits” in that room. I do except the robot room. The robot room is highly specific to the specialty and the robot. I agree with this. But the rest causes me to run at night.

And don’t get me started on the dismantling of the identical suture carts that had been in every room. The suture on these carts are basic suture that every specialty might need. And an emergency sutures like 3-0 silk for a stitch to stop bleeding.

This entire post boils down to “If you move it/delete it/there has been a change in supply” tell the night shift call team. Because how else would they know except for when a surgeon asks for it in the middle of the night?

The operating room recently changed out some of the GI staplers. And didn’t tell us. Which led to me running around like a chicken. In an emergency.

I am not asking for much. A friendly “hey they got rid of X and replaced it with Y” would’ve sufficed. Instead of making the call team look like idiots at 0200.

Yes, yes, there are communication papers everywhere. In the elevator, at the desk, in the year binder. But did you write it down? So that the call team could read it and be prepared?

No?

That’s what I thought.

Pretty, pretty please stop making changes to the OR supplies and not cc-ing the call team with the information.

With sugar on top.

That would really help us give better care to the patients. They deserve a circulator that is present for the surgery, not off fetching and carrying because you couldn’t be bothered to inform us of changes.

TTYM.

Tuesday Top of Mind 12/30/25- Nursing homes to no longer require nurses on site 24/7

Fun fact I bet you maybe knew, I started as a CNA in a nursing home.

I worked nights in a small 4 wing nursing home. There was the acute wing, for people who had just had surgery and were getting better or who just needed a little more time to recover from their injury/illness. And then there were 3 other wings that had 12 rooms each, with only 1 room being private. The other rooms either had 2 patients or 4.

That’s a lot of patients.

I worked nights and it was the four CNAs, one for each wing, a registered nurse for the acute side and a registered nurse for the rest of the hospital. Yep, that is over 100 patients for the sub acute registered nurse to chart and to medicate and to declare death and to call doctors’ offices if there was an emergency overnight.

This is per shift.

I worked 4 nights on with 2 off at the end of the stint.

Not good for the bank account as there were some paychecks that always ended up a bit short.

But the point is that there were at least TWO registered nurses onsite per shift. I believe day shift had more because of med pass.

There has now been a federal staffing rule change from the 2024 federal staffing rule that Biden’s administration put into place.

The Biden’s staffing rule for nursing homes was that
1) there were at least 3.48 hours of nursing care per resident, per day, with 0.55 hours from registered nurses
2) at least 1 registered nurse had to be onsite 24 hours per day, 7 days a week
3) these were the minimum standards for Medicare and Medicaid certified nursing homes. Nationwide.

In late 2025, HHS and the Centers for Medicare and Medicaid Services issues an interim final rule rescinding these mandated staffing levels. Including the hours per resident per day and the 24/7 nursing requirement. But wait, there’s more, they left the assessment and planning expectations in place

This was touted as a savior to the rural and tribal nursing homes due to the, you guessed it, nursing shortage. Folks, there has been a nursing shortage for as long as I can remember. But HHS ran the numbers and realized that 100,000 additional caregivers, CNAs, LPNs, and RNs, would be needed to fulfill the 2024 staffing rules.

There was pearl clutching I am sure.

By the owners, who didn’t and don’t want to hire additional workers to fulfill the 2024 staffing rules.

This is a gift to the nursing home owners.

Registered nurses are expensive. Because they are the front line between their patients, numerous as they are, and HHS. They recognize medication errors and mistakes. They recognize when a patient is not acting as expected and may be having a heart attack or a stroke or sepsis because of a UTI. They do the daily dressing changes and are expected to assess the wounds to ensure healing

Who cares about the disabled person, or the elderly person who will no longer be expecting the minimal level of care? This is a roll back of safety standards. The RNs will be replaced with cheaper staff. No shade to the LPNs but they are different job classes with different job roles. And assessment? Is in the registered nurses’ toolbox.

And if an elderly person dies because of the lack of supervision? Not the nursing home’s fault, they cry.

More savings to HHS and an increase to the profit margin for owners.

It isn’t about the people who have lived entire life times in the beds, it is about the bucks in their pockets.

The Thirteen Days of the OR Christmas

Adapted from a Little OR picture book by the same name.

Once there was a snowy Christmas, cold and snowy, snowy and cold. Nothing would be better than staying home under the covers with a good book and a cup of tea. But, of course, the patients still made it to the hospital for their surgeries. J. Ashe, my charge nurse, assigned me to a different room each day. These are the my thirteen days of the OR Christmas.

Bah Humbug.

On the first day of Christmas, my charge nurse gave to me
a surgeon in a good mood.

(Dr. G. Mood declined to be pictured for this book or even named as he doesn’t want to ruin his reputation among the other surgeons)

On the second day of Christmas, my charge nurse gave to me
two shoulder scopes
and a surgeon in a good mood.

(get out the hip waders)

On the third day of Christmas, my charge nurse gave to me
three appys
two shoulder scopes
and a surgeon in a good mood.

(this is not looking good)

On the fourth day of Christmas, my charge nurse gave to me
four cataracts
three appys
two shoulder scopes
and a surgeon in a good mood.

(at least the eyes are quick)

On the fifth day of Christmas my charge nurse gave to me
FIVE C-Sections
four cataracts
three appys
two shoulder scopes
and a surgeon in a good mood.

(babies, hurray!)

On the sixth day of Christmas, my charge nurse gave to me
six bowel resections
FIVE C-Sections
four cataracts
three appys
two shoulder scopes
and a surgeon in a good mood.

(this is not trending well)

On the seventh day of Christmas, my charge nurse gave to me
seven hip revisions
6 bowel resections
FIVE C-Sections
4 cataracts
3 appys
two shoulder scopes
and a surgeon in a good mood.

(well, at least the surgeon is in a good mood)

On the eighth day of Christmas, my charge nurse gave to me
Eight Septoplasties
7 hip revisions
6 bowel resections
FIVE C-Sections
4 cataracts
3 appys
2 shoulder scopes
and a surgeon in a good mood.

(I must’ve been bad this year)

On the ninth day of Christmas, my charge nurse gave to me:
Nine bladder tumors
8 septoplasties
7 hip revisions
6 bowel resections
FIVE C-Sections
4 cataracts
3 appys
2 shoulder scopes
and a surgeon in a good mood.

(Santa, am I getting coal?)

On the tenth day of Christmas, my charge nurse gave to me:
ten fractured ankles
9 bladder tumors
8 septoplasties
7 hip revisions
6 bowel resections
FIVE C-Sections
4 cataracts
3 appys
2 shoulder scopes
and a surgeon in a good mood.

(Okay, who told Santa about that time at the holiday party?)

On the eleventh day of Christmas, my charge nurse gave to me:
Eleven breast reductions
10 fractured ankles
9 bladder tumors
8 septoplasties
7 hip revisions
6 bowel resections
FIVE C-sections
4 cataracts
3 appys
2 shoulder scopes
and a surgeon in a good mood.

(Or the time at the 4th of July picnic?)

On the twelfth day of Christmas, my charge nurse gave to me:
Twelve carpal tunnels
11 breast reductions
10 fractured ankles
9 bladder tumors
8 septoplasties
7 hip revisions
6 bowel resections
FIVE C-Sections
4 cataracts,
3 appys
2 shoulder scopes
and a surgeon in a good mood.

(Make it stop!)

On the thirteenth day of Christmas, my charge nurse gave to me:
the day off.

Yeah, right.

On the thirteenth day of Christmas, charge nurse Jack Ashe got from me:
my resignation
and a California birdie.

Tuesday Top of Mind 12/23/25- SC measles

Unless you’ve been living with your head in sand, or under the blankets, or under a rock, measles is running roughshod over Spartanburg, South Carolina.

Y’all, Spartanburg county is only 76 miles from the county I live in in North Carolina.

All the data has been gleaned from Department of Public Health South Carolina website.

As of the Friday Measles Update, there have been 9 new measles cases in upstate. This brings their total number for THIS outbreak to 144.

This just in (the website hasn’t been updated yet). The newest total that has been reported for this measles outbreak is 153 confirmed cases. This doesn’t count the 249 in

Some children are on their second round of 21 days of quarantine.

In this latest update of confirmed cases, 34 are children under the age of 5, 101 are 5-17 (so school-aged), and 12 are adults and older.

Measles is no joke. It is at the top of the contagious disease list.

The MMR vaccine, which contains the measles, is one of the safest and most reliable vaccines that is in the vaccination playbook. According to the CDC, the MMR vaccine is 97% effective. It remains one of the most effective vaccines for the MOST contagious disease that there is a vaccine for.

What is the disconnect? Never mind, forget I asked that.

The MMR is 2 doses for those over 1 years of age. There is also an MMRV vaccine that also covers chicken pox for children 1-12 years of age.

According to the DPH South Carolina website, there are no scheduled vaccination events in this county. But you can request a visit from the Mobile Health Unit for vaccination.

You know what is worse than the fear that is being mongered around vaccines? Listening to these monsters and deciding that you, as a parent, know best, disregarding the hundreds of years of experience that public health workers have, and not vaccinating your children or yourselves.

Worse than that is actually getting the disease with its risks of death and disability.

But what do I know, I’m just a nurse who cares deeply about other people and their children.

Perhaps I should write a parody about the 21 Days of the Measles Quarantine. That is a Christmas song I don’t want to write/parody.

Or do I? Stand by for that one.

Also your grandparents and your great-grandparents are rolling over in their graves at the thought that the vaccines that they would have killed for are being discounted by spoiled brats who think a social media influencer who just wants likes and clicks knows better than most of the public health nurses and doctors.

Maybe public health has been too effective.

FFS Friday- FDA, blink twice if you are in trouble

Actually, don’t bother blinking.

We in healthcare KNOW that you are in trouble. As you have a bad case of the know nothings in charge of you and your vaccines and your medications.

Some of the Senators could have helped you out but they were too busy bending the knee to a wannabe fascist who is hell bent on wringing all the money they can out of their shitty decisions and actions.

You see, they are in their villain phase.

Where the only thing that matters is the green.

Of course, I write of money, moola, dough, loot, and bucks.

They are too busy stealing from us that they think that making us sick by not extending Affordable Care Act credits for those who need help with the astronomically skyrocketing costs of insurance, shields what they are doing by providing cover fire.

Forget bread and circuses, this administration is about social media lies and villainy.

Why? Because to be the lowest level they can be feels GOOD. To them at least. I would have sent myself to bed without dinner if I acted like they do. Lives are not their playthings. Did no one teach them manners as children? Or even ever told them no?

Today’s latest bullshit is a waving of a “possible” black box warning on the covid vaccine.

Yeah, that one.

The one that has saved millions and millions and millions of lives.

Worldwide.

This black box warning will be slapped on the life saving, lung saving, world saving vaccine by the end of the year, according to reports from CNBC and Reuters and CNN and other news sites.

I think this is a distraction. Of course all the news is covering it.

Of course all the healthcare workers, MDs, RNs, LPNs, CNAs, PAs, and the like are decrying it.

If true, this is big black coal letters the size of Mt. Everest BAD.

This kind of bullshit pulls the wool over the eyes of the people who don’t know any better.

And makes them doubt ALL the vaccines.

Makes them doubt healthcare.

Makes them doubt medicine.

Takes us back to when we were smashing rocks against other rocks and against each other.

I am not sure of their endgame, besides confusion, and lining their own pockets and those of their billionaire handlers.

Or are they spoiled brats who are gleefully pulling the stuffing out of America?

After all, weakening us makes us prey.

Well, I don’t feel like acting like prey. Wanna see my teeth?

We tried to warn you but you didn’t listen.

Tuesday Top of Mind 11/25/25- Just a little prick

Yes, there are multiple meaning to the phrase. No I didn’t click all the links that were shown. Be careful looking up stuff on the internet.

But it does include the time on South Park in 2019 that Cartman didn’t want to get his vaccination shot. Which leads to him almost being thrown out of school (remember those days?), and he uses this to negotiate the exclusive use of the volleyball for the next six months.

Of course, he escapes the doctor trying to give him his shots. Again.

Why do people hate shots and vaccinations?

25% of [ep[;e are terrified of the needles.

Some people are afraid of the pain.

I’ve had many, many, many, many, many vaccines and I can tell you my experience.

Many.

In fact the last 2 I got were the Shingles second shot in October, and the flu shot in October.

Let’s talk about the fear of needles. While tatted with full sleeves and choker.

Sometimes it is an irrational fear.

Sometimes it does hurt.

But the hurt always goes away. The hurt is cause by the inflammation of the immune system response to what it thinks as an invader.

The hurt is a good thing. It means that the immune system is activated and will learn the often inactive microbe that was in the vaccine.

When I was giving covid vaccine shots in 2020 and 2021 many people were afraid of the needle.

But they still rolled up their sleeves.

Often I would administer the shot and the patient would ask when would I give the shot. Only to be amazed that it was already done. For the very fearful, I advised them to close their eyes.

These vaccine clinics often led to the how much is it going to hurt question.

Fair enough question.

I would engage in conversation with these people and ask them if they had ever had a tetanus shot, specifically the Tdap, or a flu shot. When they indicated they had, I would tell them that the covid shot hurt less than the tetanus shot and more than a flu shot. With a point of reference, they would nod and allow me to administer the hot.

There is another reason for mentioning the Tdap.

Babies are dying.

According to an article from CIDRAP from the University of Michigan, three infants have died of pertussis aka whooping cough in Kentucky. They were not vaccinated. This is the loss of herd immunity as overall vaccination rates are 90%, well under the herd immunity threshold of 95%.

There have been 2 dead babies in Texas. For the same reason.

The first thing I looked for in the X location transparency that dropped this week was the location of anti-vaxxer bots.

Okay, first I giggled and then I looked.

There wasn’t a lot of information. Most of it was around the bots in the red hats. There were some bots in blue hats. All are to blame here. But the red hatted bots WAY outnumbered the blue hatted bots and from such interesting locations as Asia and African countries.

This 99% accuracy as touted by X is stunning.

But, like most things these days, take with a grain of salt.

But babies are dying because of the inaction of their parents and doctors, fueled by lies from the department of health and human services secretary. They have a new accomplice in the CDC. Which takes vaccine providers to task by not being able to prove a negative.

But babies are dying and will continue to die because of misinformation and lies that have been passed down like grandmothers’ wedding china.

Just like women who are continuing to die under draconian anti abortion laws.

This is nothing to laugh at.

After all, a vaccination is just a little prick.

School Me Saturday 11/22/25- This just in, a nursing degree (any kind) is not a professional degree

This is more of a Tuesday Top of Mind topic but the intersections with education cannot be ignored.

In a slap in the face heard around the country, the Department of Education dropped guidance that a list of degrees would no longer be considered professional. Do you know how many nurses, registered or not, working in healthcare or not, are in the United States?

4.7 MILLION, according to the American Association of the Colleges of Nursing.

Yeah, you done fucked up and insulted 4.7 million people.

The so called professional degrees that were listed

medicine
pharmacy
dentistry
optometry
podiatry
law
veterinary medicine
osteopathic medicin
clinical psychology

The so called non-professional degrees that were listed

NURSING
physicians assistants
physical therapists
social worker
speech therapy
architects
accountants
educators

I first read about this on Wednesday and the everyone else had read about it and were giving their reactions. I held onto my reactions until today. They are in three sections.

The first is that this downgrade means that there is less money for all of these professions to go to graduate school. The “professional” degrees (see above) can borrow up to $50,000 per year, with a cap of $200,000. The “non-professional” degrees (see above) are limited to $25,000 per year, with a cap of $65,000. Massive difference, right?

They do know there is a nursing shortage, right? And the shortage is exacerbated by the severe shortage of MSN and PhD prepared nurses to serve as nursing school instructors. I fear this would only deepen this shortage.

It’s like only rich people can obtain graduate degrees. I mean people have the option go into crippling private loan debt. Things to consider. I would not recommend private loans for school. I know too many nurses who have been destroyed by them.

The second is that the “non-professional” degrees are, with the exception of the architect, mandated reporters. Being a mandated reporter means that the social workers, the health-care professionals (including nursing, duh), the teachers, the child care providers, and law enforcement are mandates, by law, to report child abuse or neglect. This definition comes from the childwelfare.gov.

I know that most people love their children and would never abuse them, but there are always those that will. And, as a mandated reporter, I have to report it. This is to save children’s lives.

The third section is that the “non-professional” degree workers are mostly women. And those in power love nothing more than to treat women as less than. This has been happening more and more in the last few years.

If women can’t get loans to go to school and the cost is prohibitive, I guess they will have to stay home and have ALL THE BABIES. Even though nurse practitioners and physician assistants make up the bulk of the rural healthcare that is available. According to an interview I saw with Dr. Jennifer Mensik Kennedy, the president of the American Nurses Association (ANA), if there were no NPs or PAs a patient in need of care would have to drive 90 miles for care. Each way.

I am not less than. I am a professional working registered nurse. I am not a doctor or surgeon’s handmaiden.

Ew.

In 5 years we’ve gone from hero at the bedside during covid to non-professional.

I have called or written my representatives and the ANA has an online petition at RNaction.org. You better believe I signed that as soon as I heard about this travesty.

It’s like they want women in the home, having babies, and to cripple higher education. If only we were warned (this is heavy sarcasm)! Oh, wait, we were. This is all in Project 2025.

In simpler terms, to keep women dumb and in the homes so they can have all the babies. After which I guess we die?

Nice try and fuck all the way off!

Tuesday Top of Mind 11/18/25- Robin getting slapped by Batman for saying he needs antibiotics for a cold

Less than a century ago, common illnesses such as appendicitis or pneumonia, or even extremity abscesses were often lethal. That means the infection, that there was no way of stopping, killed the patient.

It was in 1928 that the miracle of the petri dish occurred. Well, some say miracle, I call sloppy lab control. The petri dishes weren’t cleaned before Dr. Alexander Fleming went on vacation. He got back to his lab and the dirty petri dishes to find the newly grown mold that had developed was keeping the bacteria from growing.

Penicillin enters the chat.

But penicillin would worked on many different bacteria. Today we call it broad spectrum.

Then they called it amazing. And wondered what other antibiotics could be found and developed. Sulfa medications soon followed. And then resistances to the antibiotics started appearing.

Really the march to where we are now is fascinating.

There is a really good article. “Antibiotics: past, present and future” by Matthew Hutchings, Andrew Truman, and Barrie Wilkinson. It has good graphs, tables, and illustrations. But it points out the present we are living in and the future we should all fear.

The present that we are all living in is the rise of antimicrobial resistance (AMR).

This is when the causative agents of the infections are no longer susceptible to the antibiotics used to treat them. This means that the drugs no longer work for that infection.

I am not kidding when I call that the scourge of the modern age.

Because when the antibiotics we have are not the right antibiotic to treat an infection we might as well be back where we were 100 years ago. Shit out of luck (SOL).

And dying from appendicitis.

But how did we get here?

From the free and loose prescribing of antibiotics for nearly 100 years.

I have a cold, try these antibiotics. They aren’t the medication for viruses, but hey, it might help.

I feel better, I think I will stop these antibiotics. Yeah, I’ve only taken them for 3 days and it is a 7 day course but I feel better now.

A new friend from another place, let me shake your hand and give you what I might have and pick up what you might have. From the casual contact.

Oh, is that a rescue animal. Can I pet it?

Germs are like people, they want to live. And to do so they mutate and learn to overcome the antibiotics. Worse, yet, they have the ability to learn from other germs that are nearby. Germ A learns to be resistant to antibiotic a because germ B taught it to be so.

It is a huge problem.

This week is Antibiotic Awareness Week, November 18-24. It is meant to raise awareness of appropriate antibiotic and antifungal use. (not for colds, jan!)

Because we are rapidly approaching the cliff where none of the antibiotics will work and limited new antibiotics in the pipeline.

Your mission:

Try rest and fluids for illness first, especially a cold
always finish the course of antibiotics
do not ask for antibiotics for a cold. The reason you feel better is the placebo effect
when your child needs antibiotics for a cold don’t give your leftover ones from last year
listen to the medical professionals about antibiotics

Governments and scientists are working on it. They were slow to wake up to it, and slow to get going, but everyone is aware that this is a problem.

And hope really hard that it is not too late.

Call Secrets of the OR- Keeping up with the Joneses, Dr. Jones that is

Call is my job and has been for nearly 4 years, since December 2021.

In that time, many surgeons have come and gone.

There have also been many different pieces of equipment that may be useful at night that have been introduced to the OR.

There have been many changes to the instrument sets.

There have been many changes to the type and style of suture that are kept on site.

There have been many misguided re-working of the OR core. The general cart specifically.

There’s even been a brand new robot introduced into my OR.

Guess what?

Even with all of these changes I am expected to still know everything.

When a surgeon asks for a certain piece of sterile supply, an AbThera, I am required to know where it is. And when I convince the surgeon that no such thing lives in this OR because it doesn’t match our negative pressure wound machine, I have to be able to trouble shoot Macgyvering or cobbling together a facsimile of available sterile supplies. While we are putting our Frankenstein dressing on, I am required to listen to the surgeon bitch about the department not having such a thing. After all downtown’s hospital has it. The why doesn’t this hospital is sometimes silent, most likely not.

Sigh.

The point of this post is that it takes a lot of time and effort to keep up with the various changes to the operating room. But also not look I’m struggling when I can’t find the exact thing the surgeon is asking for. Kind of like Ginger Rogers dancing all the dances with Fred Astaire; only backward in heels.

I just have to bear in mind that the surgeon and I are united in our desire to provide the best care for the patient currently on the table.

Sometimes that requires a little imagination. And a little homework.

In order to keep up with the Dr. Joneses, I tour the OR when I am there and make note of the changes. Because, you know, no one is going to loop me in.

I read my work email nearly every day, looking for policy changes.

I attend the staff meetings when I am able.

I ask questions.

Just keeping up with the Joneses (department changes) can be a full time job.

Good thing I am built for this position.

Tuesday Top of Mind 10/7/2025- Scammy Scamerton called Trump Rx

Let me get this straight:
The president shakes down the pharmaceutical companies, like a mob boss.
The president simultaneously hikes tariffs on medications brought in to the country to triple digits.
The president then announces Eurka! Drug prices will now be falling, no one has ever seen drug prices fall four digits before!
The president then announces that one of the pharmaceutical companies has bit and will be lowering THEIR drug prices.
The president then delays the triple-digit tariffs to allow for “bargaining” time. This is another name for a shakedown.
The president announces a Trump Rx. This is where you give him all of your very personal information, including diagnoses, and current medications, and upcoming prescriptions. This is so your prescriptions, from this one company, are cheaper.

but think what it will cost you in the future.

You are denied a promotion because you are deemed too fat. At least the president thinks so.

The prescription that you need is only $2 less. But hey, the government can have your privileged information. And it use it to line their own pockets.

The prescription that you need now has you on a governmental list. What is the list for? Shh, spoilers.

The prescription that you need is available at the “most favored nation price”. You see little difference between the the price on Good Rx, and that on Trump Rx.

This is so fucking dangerous. I want to see how the website is built to make sure that any information I give up, willingly remember, is protected. If the information is protected this might be adequate. But that is a very high bar.

I am not sure that I am willing to trust the government, this current iteration of the government, to hold my handbag while I am changing clothes.

Perhaps this announcement was rushed out too soon. Before the website is built as a distraction.

Distraction from what, Kate?

Any number of things. The Republican caused government shut down because they won’t protect American’s medical insurance prices. Perhaps it is the Epstein files that they are death gripping. The rising inflation rate. The rising jobless rate. The lowering opinion of the world about America.

I’m stumped as to the reason.

To be clear, this is SARCASM.

Not the very real fear you should have over handing your personal information to the government to be exploited for cash money. That will go to line billionaires’ pockets. Billionaires like the president who has made over a billion after taking office.

Because you know that there is money to be made somewhere. And not by us, the American public.