in living donor transplant we do ask and document citizenship for 2 reasons. 1)organ trafficking. it's real. very real. but it isn't waking up with a missing kidney. what that looks like is a non citizen coming to the US to do a good Samaritan donation for a kidney or liver lobe to a stranger.

2) if a non citizen gets a transplant we have you make sure they have stable ongoing care. you live on very critical meds after any transplant.

so now I have to step away from a critical project to figure out how to lock this data down so it cant be used against a patient, while needing it to make sure they arent being exploited. .

jesus christ

and we all had to do training on how to deal with ICE if they come prowling in our facilities

GOOD i'm so glad people are being given the tools to deal with that

I'd like to cancel my subscription to 2025. this 30-day trial sucks.

I am very grateful they are doing this. People don't understand and they comply when they shouldn't.

and yeah, it's gotta be tricky to thread that needle b/c it's vital information but also can be used against them. I hate that this is reality

Are those organ donors being forced to do that against their will? Is that the trafficking?

it can be trafficking so that's why those questions are asked. it's a flag for further investigation. it's also a requirement by UNOS who is the accrediting body for organ transplant

there is an episode of Trafficked on natgeo about organs. it's pretty terrifying.

but we do also care about ensuring a patient has what they need to recover after donating an organ or receiving one. they need a lot of long term care. if they come here and are going back to a country where that might be a risk. it's something we need to know.

Trafficking is nasty business.

What a situation to have to deal with but yeah, I can see how this falls on you guys. Jesus.

I just want to ensure the data we need to collect, for a very good reason, is never used against a patient. Because, like Cybersecurity drills into our heads all the time when it comes to patient data, we need to always think about what happens WHEN our data is compromised not IF.

And I also worry about those people who do work for us that are supportive of the actions our government is taking against migrants and being able to access data they could use to target them. Like calling those tip lines or other horrible shit like that.

I was too afraid to even ask how this shit sandwich is gonna impact healthcare and it's every bit as awful as I suspected

well, we could also be impacted differently from other healthcare orgs. non-profit health orgs, like mine, are subsidized in a few ways by the government. like, we had to change job titles and language for our Office of Diversity, Equity and Inclusivity early this week because of it.

like we obviously get a tax exemption and other tax breaks as a non-profit. but we also get what are called Medicaid DSH payments (disproportionate share hospital). Which means we provide a LOT of healthcare to low income patients.

so as long as we do a few things, the government subsidizes our revenue losses from providing high volumes of care to low income patients. which basically means they are what we consider 'non-collectable'.

but it also means we fall into an area where SOME of this BS legislation will impact us even though we are not technically not part of the federal government. it will all come down to the language of the legislation.

This makes me want to vomit

Not the providing care to low income patients!! The thought that they may put you under a microscope for it

Just, come ON. This can't be what anyone wants

here's what I love about my org. we have a very, very hardworking legal team who picks this shit apart and makes sure we operate within the law WITHOUT putting our patients or the caregivers who work here in jeopardy. like we aren't ending our DEI programs. They very quickly changed language and titling.

it's gross. our DEIA (a for accessibility) is focused on making sure everyone in our community has access to healthcare. we have outreach programs for rural areas, which here are typically WHITE, REPUBLICAN FARMERS. They need access to care and often, a lot of emergency care for injury.

we build a whole ass stand along Emergency Department in an area because of the rate we were seeing injuries and having to transport them for care, making it WAY more expensive for them.

*alone

onikins: the ppl deciding these policies also said granny should risk dying from covid for the sake of making $ so they actually might.

it's a power trip on steroids. the more news I read, the more nauseous I get.

Hey matildawaltzes, pm me please, my organization is woefully behind the times

Not a hint of comme t about ICE on property, etc.

for sure! if you send me an email address I can strip out any identifying information and send you what we are doing.

Basically it comes down to abiding by HIPPA. patients info can be shared if you have documented approval by the patient or they have SIGNED warrant for a specific person.