Wendy Dean

The Quiet Power of Speaking Up — Moral Injury of Healthcare A Guide to Diplomatic Defiance for Reinforcing Ethical Systems

Hey #medsky #primarycaresky

H/T 🎩 @wdeanmd.bsky.social and @dhpomerantz.bsky.social for the share

Check this out for some #diplomaticdefiance skill building 👇👇

Of particular relevance, primary care …

www.fixmoralinjury.org/centerline/t...

How will proposed caps on government loans and cuts to PSLF impact indigent defense?

I am always amazed by the number of readers who have no idea what authors make on their books. Most think we are raking it in. Unless you are one of the authors in the rarefied air at the top, basically you’re making hobby money. You have to love writing to stick with it.
#writer
#writingcommunity

It was such an amazing conversation with @allisonpugh.bsky.social & def gave “feeling seen”. We could’ve talked for hours. Thanks for sharing.

Well deserved recognition for @inquirer.com and for you, personally, @willbunch.bsky.social Congratulations!

So grateful for a publisher willing to take all sorts of risks to give bold, complex ideas the space and the audience they need.

Harbingers: What healthcare can learn from Jan 6 and Charlottesville Podcast Episode · 43cc · 03/13/2025 · 45m

Steerforth authors @wdeanmd.bsky.social of IF I BETRAY THESE WORDS and Tim Heaphy of HARBINGERS discuss what healthcare can learn from Jan 6 and Charlottesville on the 43cc podcast

podcasts.apple.com/us/podcast/h...

Tonight I’m grateful to the universe for one who lifts me up, selflessly, and I’m reminded to keep paying it forward - & calling the people I love.

Who (outside your family) do you care about? Give them a call, please. Just because.

Last weekend we just talked about people making ridiculous decisions and laughed and lamented and poked a bit of fun (no, this is not political. The decisions are far from seats of political power but, boy, they’re 🧐)

My mentor has called me every 3 months for the last 10y. He’s not warm and fuzzy - being an engineer and a horse person - but his unwavering vision of my potential changed how I think of myself. And his calls have occasionally made the difference between soldiering on and folding up.

Some days just be like this. Tomorrow will be its own thing.

Uff. Sorry you’re in this position (as are so many others).

Then maybe consider not using your insurance at the independent pharmacy? Bc cvs/aetna are unlikely to be sympathetic to your preference for not using the business model they designed to do exactly this - constrain your choices exclusively for their benefit.

Why the Aetna and CVS Merger Is So Dangerous Aetna and CVS have more incentive than ever to use their market power to crush competition, and the Justice Department just gave them the opportunity.

Your employer chose this option. Ask HR & the CFO to choose differently when this contract is up.

Since CVS owns Aetna, I don’t hold much hope for an appeal to them.

prospect.org/economy/aetn...

Totally understand. Not arguing your points.

And yet I’ll bet good money this is where it would end up bc of moneyed interests and the path of least resistance.

I’m not being literal about MA - well aware of its disadvantages - but suggesting it would be the model, bc it’s in place and pretty easy to understand (as someone’s said, hc is complicated and how many legislators will take any time at all to understand it?).

Medicare Advantage is the current hybrid. It would be the “logical” transition to MFA.

Does anyone want that except the insurance industry?

NYC skyline at sunset

Bald eagle on bare tree against a deep blue sky

Prairie foreground with snow capped Rocky Mountains in the distance under a clear blue sky

This is what I call the best kind of week - seeing the people I love most in some of my favorite places (there may be causality there 😉).

This 💯.

Guidance for creating morally healthy organizations that... : Journal of Occupational and Environmental Medicine recruited to a three-round e-Delphi survey exploring descriptors and characteristics of non-morally injurious organisations. Results Forty-nine, forty-one and thirty-nine experts responded at each ...

#MoralInjury in hc has gotten a lot of attention since 2018, most of it focused on description and characterization.

We wanted to know not what kind of organizations we already have, but what kind of organizations will minimize the risk of moral injury.
Out now: journals.lww.com/joem/abstrac...

Sadly, hc doesn’t have a corner on workforce distress.

Out today in the @aftunion.bsky.social #AmericanEducator winter issue: how #moralinjury in K-12 education impacts educators, students, and their families; and how organized, collective action can drive change.

www.aft.org/ae/winter202...

I’d want to know more about what they mean by “polarizing”…

Thank you. 🙏

I wish fewer HCWs needed this language.

😂 just making sure it has that “lived in“ look.

🙏 - same to you & yours!

I am so grateful for this old place;
For the people we gather here, in our arms or in our hearts;
And for the work we all get to do - making the world healthier, more reflective & responsive, more just, and more beautiful.

Happy Thanksgiving.

I mean, it’s Jane Rosenberg. Of course it brilliantly captured the moment!

This is the mindfulness I choose. Partnering with a 3/4 ton prey animal really helps clear your mind. It’s a victory every time *I* choose that we’ve done enough and the ride ends on a good note. 🤣

@steerforthpress.bsky.social