πŸ’žSabrinaπŸ’ž's Avatar

πŸ’žSabrinaπŸ’ž

@sabrinarina.bsky.social

✨ People are my shiny things ✨ 🫢🏼 Snacky, Overeducated, Neurospicy Swiftie, ret USAFπŸ”ΉMedic, PNW Mom into politics, traveling, & education with a side of sarcasm, shenanigans, & Moscato πŸ₯‚

10,169 Followers  |  6,228 Following  |  9,696 Posts  |  Joined: 11.11.2024
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Posts by πŸ’žSabrinaπŸ’ž (@sabrinarina.bsky.social)

Heck yes but also it’s ok to let yourself rest when you need to if you don’t have the spoons (energy). Hugs

01.03.2026 20:06 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
Preview
Russia considers fuel support for Cuba as Canada pledges food aid A US-imposed fuel embargo has threatened to spark a humanitarian crisis in Cuba, whose energy grid relies on fossil fuel

Don’t forget about what he’s doing to Cuba right now which is similar to what the US did to πŸ‡―πŸ‡΅ & yes he *said* he would allow some oil in, but ONLY if it bypasses the government… but we’ve seen how that has worked in the strip

01.03.2026 20:01 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
Preview
What Prevention and Treatment of Substance Dependence Can Tell Us About Addressing Violent Extremism In this article, the authors examine similarities between violent extremism and substance dependence. They review evidence from psychology, neuroscience, sociology, and public health that suggests that there are similarities in violent extremism and ...

The way some of them are basically addicted to the hate is actually kind of terrifying

01.03.2026 19:41 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

I wish you would

01.03.2026 19:37 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

This has literally been the case pretty consistently since 2016 lol

01.03.2026 19:37 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Willow

01.03.2026 19:33 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

I think it could be the over-saturation of trauma because trauma is known to impact memory, but at the same time, some of this is getting ridiculous. We have a whole 4 years of previews and people still didn’t heed the warning.

01.03.2026 19:28 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 2    πŸ“Œ 0
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HEARTBROKEN: Trump’s unconstitutional decision to bypass Congress has now cost American lives. VoteVets senior advisor Max Rose says Speaker Johnson and Sen. Thune must call Congress back TODAY to vote on war powers before more troops die.

01.03.2026 16:49 β€” πŸ‘ 532    πŸ” 245    πŸ’¬ 13    πŸ“Œ 5

Does the US just have collective amnesia of that male’s first 4 years? This is not the 1st time he’s targeted Iranian leaders without provocation or that US Assets overseas were targeted in retaliation. Seeing people who were in the military with me the last time around acting shocked now is wild.

01.03.2026 16:55 β€” πŸ‘ 7    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

I’m thinking it had to be the accent bc it was before she had even started getting into my chart or anything medical, but my body suddenly decided subconsciously that I was safe enough to relax. The fact she was exceptional throughout the appt only reinforced whatever my subconscious picked up on

01.03.2026 00:06 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

lol it’s β€œbottle blonde”

28.02.2026 23:53 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Have you ever become aware of a possible unconscious bias in real time?

I did a telecon with a new doc & didn’t realize I was tense until her accent hit my brain during her introduction & I felt myself relax so I think I might have a positive bias towards docs whose English has a non-CONUS accent

28.02.2026 23:51 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

Calling every pick of this cabinet a white fragility hire from here on out. Yes, even the non-white ones bc they are picked by the most fragile of the pale males.

27.02.2026 18:54 β€” πŸ‘ 10    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

Another day, another White Fragility hire

27.02.2026 16:41 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Nah. If I wanted to listen to a pale male lie for 3 hours, I’d call my ex

25.02.2026 01:53 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

I won’t either. If I wanted to listen to a pale male lie for an hour, I’d call my ex, but hopefully it will be a mental health break for those who are watching

25.02.2026 01:47 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
State of the Union BINGO with an image of the 47th president that has boxes labeled:  

Claims the 2020 election was stolen
Claims he ended "X" number of wars 
Bashes SCOTUS 
Says the phrase β€œTransgender for Everyone,” Mentions Nicki Minaj
Hints at refund checks
Mumbles something incoherent
Mentions Greenland
Hints at war with Iran
Calls Melania a β€œmovie star"
Says the phrase "fake news"
Rambles about China
Mentions Joe Biden (FREE SPACE)
Claims Epstein is a hoax
Talks about a woman's body part
Claims fraud in California
Pushes the SAVE Act
Lies about the economy
Bashes Canada
Says "nobody's ever seen anything like it
Claims poll numbers are fake
Mentions Obama
Praises tariffs
Claims prescriptions are down by over 100%
Mentions the Olympics

State of the Union BINGO with an image of the 47th president that has boxes labeled: Claims the 2020 election was stolen Claims he ended "X" number of wars Bashes SCOTUS Says the phrase β€œTransgender for Everyone,” Mentions Nicki Minaj Hints at refund checks Mumbles something incoherent Mentions Greenland Hints at war with Iran Calls Melania a β€œmovie star" Says the phrase "fake news" Rambles about China Mentions Joe Biden (FREE SPACE) Claims Epstein is a hoax Talks about a woman's body part Claims fraud in California Pushes the SAVE Act Lies about the economy Bashes Canada Says "nobody's ever seen anything like it Claims poll numbers are fake Mentions Obama Praises tariffs Claims prescriptions are down by over 100% Mentions the Olympics

Who’s planning to tune in?

25.02.2026 00:27 β€” πŸ‘ 5    πŸ” 0    πŸ’¬ 2    πŸ“Œ 0

Anyone who complains about β€œillegal” immigrants should have to watch The Swimmers on Netflix & if they still can’t summon an ounce of empathy they should have to go see a therapist until they figure out wth is wrong with them. Nobody wants to be undocumented, it’s a status of survival.

24.02.2026 23:24 β€” πŸ‘ 11    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

Project 2025 complained that veterans weren’t dying fast enough so this is apparently their remedy.

19.02.2026 23:55 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

This is how you raise the veteran suicide rate. At the same time they are cutting veteran’s benefits they are giving easier access to firearms to those who require a fiduciary, which means they have been deemed by a COURT to be unable to manage their financial affairs due to injury, disease, or age

19.02.2026 23:44 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
Regulations.gov

Here is the direct link to the page with the rule. Clicking on the blue β€œComment” button will take you to the form for leaving comments: www.regulations.gov/document/VA-...

19.02.2026 23:19 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
Regulations.gov

Here is the direct link to the page with the rule. Clicking on the blue β€œComment” button will take you to the form for leaving comments: www.regulations.gov/document/VA-...

19.02.2026 23:19 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Here is the direct link to the page with the rule. Clicking on the blue β€œComment” button will take you to the form for leaving comments to demand they repeal this rule

Forcing veterans to choose between treatment and benefits will result in higher rates of veteran suicide and veteran homelessness.

19.02.2026 23:18 β€” πŸ‘ 1    πŸ” 2    πŸ’¬ 0    πŸ“Œ 0

These new rules will lead to more veteran suicides and more veteran homelessness as it will force many veterans to choose between the treatments they need for their conditions and the benefits that they rely on to keep a roof over their heads.

19.02.2026 22:58 β€” πŸ‘ 2    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0

The secretary of the VA stating he won’t enforce the new rules is NOT enough. These need to be repealed immediately. Until they are repealed, they can start enforcing them at any time without additional notice. Please keep submitting comments demanding they repeal these new rules for VA Disability.

19.02.2026 22:56 β€” πŸ‘ 5    πŸ” 6    πŸ’¬ 2    πŸ“Œ 1
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Ossoff: "If you live in a major democracy, and the nation's spy chief is showing up at raids on sensitive election sites, something has gone wrong."

19.02.2026 14:30 β€” πŸ‘ 17862    πŸ” 5626    πŸ’¬ 225    πŸ“Œ 139
ANALYSIS: VA Interim Final Rule RIN 2900-AS49
Amendment to 38 CFR 4.10 - Evaluative Rating: Impact of Medication Prepared for Veteran Advocacy Organizations - February 2026
1. What the Rule Does
On February 17, 2026, the VA published an interim final rule amending 38 CFR 4.10.
The rule mandates that disability ratings be based on a veteran's actual functional impairment as medicated, rather than the severity of the underlying condition without treatment. If medication or treatment lowers the level of disability, the rating will reflect that lowered level. The VA bypassed the standard notice-and-comment rulemaking process, making the rule effective immediately upon publication.
This directly overrides the Court of Appeals for Veterans Claims' decision in Ingram v.
Collins (2025), which held that the ameliorative effects of medication should be discounted when rating disabilities under diagnostic codes that do not explicitly reference medication as a rating criterion.
2. The Practical Impact on Veterans
This rule affects any veteran whose disability is managed by medication or treatment - potentially millions of individuals across 500+ diagnostic codes. A veteran rated at 70% or 100% for a condition such as PTSD, cardiovascular disease, or a musculoskeletal injury could face a rating reduction at their next examination if their medication makes them appear functional. The rule reframes effective treatment as evidence of reduced disability rather than evidence of ongoing medical need. It treats the symptom management as the cure.
Veterans with Permanent and Total (P&T) designations face lower immediate risk, as they are not subject to routine re-examination. However, any P&T veteran who files a new claim or requests an increase on another condition may expose their entire rating to review under the new standard.
3. Al Infrastructure Already Exists to Execute This at Scale
Booz Allen Hamilton, under existing VA contracts, has already built and deployed Al-powered claims…

ANALYSIS: VA Interim Final Rule RIN 2900-AS49 Amendment to 38 CFR 4.10 - Evaluative Rating: Impact of Medication Prepared for Veteran Advocacy Organizations - February 2026 1. What the Rule Does On February 17, 2026, the VA published an interim final rule amending 38 CFR 4.10. The rule mandates that disability ratings be based on a veteran's actual functional impairment as medicated, rather than the severity of the underlying condition without treatment. If medication or treatment lowers the level of disability, the rating will reflect that lowered level. The VA bypassed the standard notice-and-comment rulemaking process, making the rule effective immediately upon publication. This directly overrides the Court of Appeals for Veterans Claims' decision in Ingram v. Collins (2025), which held that the ameliorative effects of medication should be discounted when rating disabilities under diagnostic codes that do not explicitly reference medication as a rating criterion. 2. The Practical Impact on Veterans This rule affects any veteran whose disability is managed by medication or treatment - potentially millions of individuals across 500+ diagnostic codes. A veteran rated at 70% or 100% for a condition such as PTSD, cardiovascular disease, or a musculoskeletal injury could face a rating reduction at their next examination if their medication makes them appear functional. The rule reframes effective treatment as evidence of reduced disability rather than evidence of ongoing medical need. It treats the symptom management as the cure. Veterans with Permanent and Total (P&T) designations face lower immediate risk, as they are not subject to routine re-examination. However, any P&T veteran who files a new claim or requests an increase on another condition may expose their entire rating to review under the new standard. 3. Al Infrastructure Already Exists to Execute This at Scale Booz Allen Hamilton, under existing VA contracts, has already built and deployed Al-powered claims…

workforce could achieve. The Al generates the recommendation; an overworked human adjudicator approves it. The burden then shifts to the veteran to prove the decision was wrong.
4. Disproportionate Impact on Vulnerable Populations
The enlisted personnel who bear the greatest physical and psychological costs of military service are recruited disproportionately from rural communities and lower-income urban areas with below-average educational attainment. After service, they return to those same communities. They are now expected to navigate a federal regulatory and appeals process that requires legal literacy, sustained engagement, and often professional representation - resources these communities lack. The VA's appeals process already takes years. The asymmetry between an institution with automated processing capabilities and an individual veteran in a resource-limited community is the functional mechanism by which rating reductions go unchallenged.
5. The Political Cover Mechanism
This rule does not require a conspiracy to be harmful. It requires only aligned incentives: a political environment favoring spending reductions, a rule change providing technical justification, an appeals process that is slow and complex, and a veteran population that can be divided against itself. The "welfare queen" narrative β€” framing veterans with medicated conditions as less deserving than those with visible combat wounds - provides the social permission structure for benefit reductions. This framing allows institutional action to proceed without organized resistance from the affected population.
6. Procedural Vulnerabilities in the Rule Itself
The VA's invocation of the "good cause" exception under 5 U.S.C. 553(b)(B) to bypass notice-and-comment rulemaking is legally vulnerable. The VA itself designates this as a major rule with over $100 million in annual economic impact affecting millions of ratings across 500+ diagnostic codes. Characterizing this as a mere "clarification" of ex…

workforce could achieve. The Al generates the recommendation; an overworked human adjudicator approves it. The burden then shifts to the veteran to prove the decision was wrong. 4. Disproportionate Impact on Vulnerable Populations The enlisted personnel who bear the greatest physical and psychological costs of military service are recruited disproportionately from rural communities and lower-income urban areas with below-average educational attainment. After service, they return to those same communities. They are now expected to navigate a federal regulatory and appeals process that requires legal literacy, sustained engagement, and often professional representation - resources these communities lack. The VA's appeals process already takes years. The asymmetry between an institution with automated processing capabilities and an individual veteran in a resource-limited community is the functional mechanism by which rating reductions go unchallenged. 5. The Political Cover Mechanism This rule does not require a conspiracy to be harmful. It requires only aligned incentives: a political environment favoring spending reductions, a rule change providing technical justification, an appeals process that is slow and complex, and a veteran population that can be divided against itself. The "welfare queen" narrative β€” framing veterans with medicated conditions as less deserving than those with visible combat wounds - provides the social permission structure for benefit reductions. This framing allows institutional action to proceed without organized resistance from the affected population. 6. Procedural Vulnerabilities in the Rule Itself The VA's invocation of the "good cause" exception under 5 U.S.C. 553(b)(B) to bypass notice-and-comment rulemaking is legally vulnerable. The VA itself designates this as a major rule with over $100 million in annual economic impact affecting millions of ratings across 500+ diagnostic codes. Characterizing this as a mere "clarification" of ex…

and the absence of any veteran impact assessment that accounts for the Al infrastructure that will execute this rule.
Congressional engagement targeting Senate and House Veterans' Affairs Committee members to invoke the Congressional Review Act and demand oversight hearings on the VA's use of Al in claims adjudication, including full disclosure of the Booz Allen contract scope and capabilities.
Algorithmic transparency requirements β€” advocate for legislation requiring that any Al-assisted rating decision disclose the involvement of automated tools, the data analyzed, and the recommendation generated, with a signed human certification of independent review.
Unified veteran messaging that refuses the combat-wounded versus medicated-condition division. Public statements from combat-wounded veterans standing alongside veterans with medicated disabilities collapse the "welfare queen" narrative and deny the political cover this rule depends on.
Surge legal aid capacity in rural and underserved communities where affected veterans are concentrated. Mobile legal clinics, virtual representation, and simplified appeal templates reduce the individual cost of fighting a proposed reduction - directly countering the system's reliance on attrition.
This analysis is provided for use by veteran service organizations and advocacy groups. The
60-day public comment period is the most time-sensitive action item. The regulatory docket is accessible at www.regulations.gov under RIN 2900-AS49.

and the absence of any veteran impact assessment that accounts for the Al infrastructure that will execute this rule. Congressional engagement targeting Senate and House Veterans' Affairs Committee members to invoke the Congressional Review Act and demand oversight hearings on the VA's use of Al in claims adjudication, including full disclosure of the Booz Allen contract scope and capabilities. Algorithmic transparency requirements β€” advocate for legislation requiring that any Al-assisted rating decision disclose the involvement of automated tools, the data analyzed, and the recommendation generated, with a signed human certification of independent review. Unified veteran messaging that refuses the combat-wounded versus medicated-condition division. Public statements from combat-wounded veterans standing alongside veterans with medicated disabilities collapse the "welfare queen" narrative and deny the political cover this rule depends on. Surge legal aid capacity in rural and underserved communities where affected veterans are concentrated. Mobile legal clinics, virtual representation, and simplified appeal templates reduce the individual cost of fighting a proposed reduction - directly countering the system's reliance on attrition. This analysis is provided for use by veteran service organizations and advocacy groups. The 60-day public comment period is the most time-sensitive action item. The regulatory docket is accessible at www.regulations.gov under RIN 2900-AS49.

The time to comment is limited.
Veterans, families, and advocates have until April 20, 2026, to send in their feedback.
How to Submit a Comment
1. Visit Regulations.gov
2. Search for RIN 2900-AS49
3. Click "Comment"
4. Share your experience or concerns
5. Submit before April 20, 2026
Contact Ethan Kalett, Executive Director, Office of Regulatory Oversight and Management, (202)
461-9700.
After the deadline, the VA will review the comments and decide if the rule needs changes.
"This is your only chance to influence the outcome," Babcock said. "Now is the time to

The time to comment is limited. Veterans, families, and advocates have until April 20, 2026, to send in their feedback. How to Submit a Comment 1. Visit Regulations.gov 2. Search for RIN 2900-AS49 3. Click "Comment" 4. Share your experience or concerns 5. Submit before April 20, 2026 Contact Ethan Kalett, Executive Director, Office of Regulatory Oversight and Management, (202) 461-9700. After the deadline, the VA will review the comments and decide if the rule needs changes. "This is your only chance to influence the outcome," Babcock said. "Now is the time to

The VA just put out new rules on how they are rating disabilities that will harm all disabled veterans by using AI to rate us based on medicated functionality vs the severity of the actual condition which ignores the level of needs. Please submit a comment asking them to reject this.

19.02.2026 09:50 β€” πŸ‘ 11    πŸ” 6    πŸ’¬ 1    πŸ“Œ 4

That’s how the doc in the ER was. She was a civilian and she spent hours running multiple tests and when nothing in those or the 1st round of imaging could explain my symptoms she ordered the MRI that finally found it and then referred me to the first of many surgeons.

19.02.2026 06:08 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

That particular military doctor was just awful. He also ignored symptoms in one of my friends that ended up being leukemia. Last I heard one of the JAGs was trying to get him fired.

19.02.2026 05:36 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

Ohhhh I wish I had that for my PCM who during the 5th time I went in for the same complaint that kept getting worse, told me β€œwe both know nothing is wrong with you, but if it will get you to shut up, I’ll send you to the ER” immediately before the ER found a 22cm x 4.5cm AVM.

18.02.2026 13:58 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0