[89443] in Discussion of MIT-community interests
Awesome s.ex with him in Bad Times
daemon@ATHENA.MIT.EDU (Tabatha Bisconer)
Tue Oct 4 11:04:02 2016
Date: Tue, 4 Oct 2016 09:55:49 -0400
From: Tabatha Bisconer <tabatha-bisconer@morningcouupleztalk.com>
To: <mit-talk-mtg@charon.mit.edu>
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The Only Way: To Get Hard In Under 30 seconds
"I wanted to have s ex but my poor husband could get it erect" - Sara P.
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Date: October, 4th 2016, 484838 Likes
Find Out How - mit-talk-mtg
http://www.morningcouupleztalk.com/75586Ovk4ndzFEcNhvVdVKyxdhVtFMuKmji0hvV0ONW369/armed-occasioning
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The list of preventive services that women can receive without paying anything out of pocket under the health law could grow if recommendations from a group of mostly medical providers are adopted by federal officials later this year.
The draft recommendations, which are open for public comment until Sept. 30, update the eight recommended preventive services for women. The list was developed by the Institute of Medicine (now called the National Academies of Sciences, Engineering, and Medicine) to build on existing recommendations and fill in gaps that weren't addressed in the health law. Under the IOM list, which took effect in 2012, most health plans are required to cover well-woman visits, screening and/or counseling for ually transmitted infections, domestic violence and gestational diabetes as well as feeding support and supplies.
In addition, most health plans must cover, without cost sharing, all methods of contraception that have been approved by the Food and Drug Administration. That controversial requirement led to numerous lawsuits by religious institutions and employers that object to providing such coverage, including several cases that reached the Supreme Court.
When it developed the initial list, the IOM advised that the guidelines be reviewed and updated at least every five years in order to stay current with scientific evidence. This year, the review panel also weighed in on screening, coverage of follow-up testing or procedures as part of the preventive services and male methods of birth control.
The proposed new recommendation would allow women at average risk for to begin screening as early as age 40 and receive a mammogram every one or two years. That's consistent with current rules established by Congress but it's more liberal standard than the guidelines from the U.S. Preventive Services Task Force, which recommends women generally be screened every other year starting at age 50.
"We have really confused the heck out of women," said Dr. Hal Lawrence, executive vice president and chief executive officer of the American Congress of Obstetricians and Gynecologists. "Do I start at age 40, do I start at 50, do I do it every year or do I do it every other year? We wanted to get some uniformity."
ACOG was awarded a five-year grant to manage the review process, working in conjunction with a steering committee of nearly two dozen provider groups from different women's health disciplines.
In addition to the screening itself, the ACOG working group proposes that if imaging tests, biopsies or other interventions are required to evaluate the mammogram findings that those be considered an integral part of the screening, which would mean they would be provided without charge to women.
Such follow-up care emerged as a theme from the panel: If additional testing or procedures are necessary following a preventive service, it should be covered as part of the service. The recommendations also clarify that some of the preventive services may require more than one visit and provide other specifics on coverage requirements.
"It's critically important for plans and people to recognize that the well-woman visit [required under the current guidelines] could happen in multiple places and require multiple visits," said Mara Gandal-Powers, senior counsel at the National Women's Law Center, which participated in the ACOG working group. "If you're a woman who needs a Pap test and a colonoscopy, you're probably not getting them from the same providers and you're hopefully not getting them at the same time."
The recommendations' specificity is important: The original IOM guidelines left implementation details vague, leading to scuffles between patient advocates and insurers over precisely what was covered, and that ambiguity required ongoing guidance from the federal government. For example, if a plan covers oral contraceptives without cost sharing, could it charge for other hormonal methods such as the contraceptive patch? Answer: No.
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<td align="left" style="color:#fff; padding: 20px" class="masthead"> <a href="http://www.morningcouupleztalk.com/89f*y86g4dRCcGhvVdVKyxdhVtFMuKmji0hvV0ONW8cb/Lehman-immensely"><img src="http://www.morningcouupleztalk.com/customizer-bottleneck/7b07.aS4LfOukcNhvVdVKyxdhVtFMuKmji0hvV0ONW2f0" width="250" /></a> </td>
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<td> <h1 style="padding: 0px 20px; font-size: 40px; color:#393939; "> <b><span style="color: #ff3300">The Only Way:</span> To Get Hard In Under 30 seconds</b> </h1> <p style="padding: 0px 20px; font-size:14px"> "I wanted to have s<span style="letter-spacing:-10px">Â </span>ex but my poor husband could get it erect" - Sara P.<br /> </p>
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<td> <a href="http://www.morningcouupleztalk.com/89f*y86g4dRCcGhvVdVKyxdhVtFMuKmji0hvV0ONW8cb/Lehman-immensely"><img src="http://www.morningcouupleztalk.com/atrociously-antibodies/daaGB7a5Zl0DvcqhvVdVKyxdhVtFMuKmji0hvV0ONWe6c" width="600" /></a> </td>
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</table> <p style="padding: 0px 20px; "> I just gave <a href="http://www.morningcouupleztalk.com/89f*y86g4dRCcGhvVdVKyxdhVtFMuKmji0hvV0ONW8cb/Lehman-immensely" style="text-decoration:none; color: #00b2e0">him this</a>, and He instantly got it hard for me<br /> </p> </td>
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<td> <p align="right" style="padding: 0px 10px; color:#000000; font-size:10px"> <b>Date:</b> October, 4th 2016, 484838 Likes </p> </td>
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<td style="padding: 40px; " align="center"> <a href="http://www.morningcouupleztalk.com/89f*y86g4dRCcGhvVdVKyxdhVtFMuKmji0hvV0ONW8cb/Lehman-immensely" style="text-decoration:none; font-family: Acronym Extrabold,Arial,Nimbus Sans L,sans-serif; font-size: 20px; background-color: #ff3300; color:#fff; padding: 12px 40px; ">Find Out How - <span style="text-transform: capitalize">mit-talk-mtg</span></a> </td>
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<p> <span class="time"> Stop any of our Messages for ever and ever</span> <a href="http://www.morningcouupleztalk.com/e7b8I9sW4eZGELcvhvVdVKyxdhVtFMuKmji0hvV0ONW99h/Lehman-immensely" class="keels">please press this link</a> <span class="deleting">If you Preffer the Traditional way, you can Always Mail to: 3645 Anton Ave North Pole AK 99705-6645</span> </p>
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<p style="font-size:1px; color:#333333" class="[randomtag134]">The list of preventive services that women can receive without paying anything out of pocket under the health law could grow if recommendations from a group of mostly medical providers are adopted by federal officials later this year.</p>
<p style="font-size:1px; color:#333333" class="[randomtag134]">The draft recommendations, which are open for public comment until Sept. 30, update the eight recommended preventive services for women. The list was developed by the Institute of Medicine (now called the National Academies of Sciences, Engineering, and Medicine) to build on existing recommendations and fill in gaps that weren't addressed in the health law. Under the IOM list, which took effect in 2012, most health plans are required to cover well-woman visits, screening and/or counseling for ually transmitted infections, domestic violence and gestational diabetes as well as feeding support and supplies.</p>
<p style="font-size:1px; color:#333333" class="[randomtag134]">In addition, most health plans must cover, without cost sharing, all methods of contraception that have been approved by the Food and Drug Administration. That controversial requirement led to numerous lawsuits by religious institutions and employers that object to providing such coverage, including several cases that reached the Supreme Court.</p>
<p style="font-size:1px; color:#333333" class="[randomtag134]">When it developed the initial list, the IOM advised that the guidelines be reviewed and updated at least every five years in order to stay current with scientific evidence. This year, the review panel also weighed in on screening, coverage of follow-up testing or procedures as part of the preventive services and male methods of birth control.</p>
<p style="font-size:1px; color:#333333" class="[randomtag134]">The proposed new recommendation would allow women at average risk for to begin screening as early as age 40 and receive a mammogram every one or two years. That's consistent with current rules established by Congress but it's more liberal standard than the guidelines from the U.S. Preventive Services Task Force, which recommends women generally be screened every other year starting at age 50.</p>
<!--<font class="neutralizing"><big></font></big><font></font><span></span><style></style><font face="dodgers"></font>-->
<p style="font-size:1px; color:#333333" class="[randomtag134]">" We have really confused the heck out of women," said Dr. Hal Lawrence, executive vice president and chief executive officer of the American Congress of Obstetricians and Gynecologists. " Do I start at age 40, do I start at 50, do I do it every year or do I do it every other year? We wanted to get some uniformity." </p>
<p style="font-size:1px; color:#333333" class="[randomtag134]">ACOG was awarded a five-year grant to manage the review process, working in conjunction with a steering committee of nearly two dozen provider groups from different women's health disciplines.</p>
<p style="font-size:1px; color:#333333" class="[randomtag134]">In addition to the screening itself, the ACOG working group proposes that if imaging tests, biopsies or other interventions are required to evaluate the mammogram findings that those be considered an integral part of the screening, which would mean they would be provided without charge to women.</p>
<p style="font-size:1px; color:#333333" class="[randomtag134]">Such follow-up care emerged as a theme from the panel: If additional testing or procedures are necessary following a preventive service, it should be covered as part of the service. The recommendations also clarify that some of the preventive services may require more than one visit and provide other specifics on coverage requirements.</p>
<p style="font-size:1px; color:#333333" class="[randomtag134]">" It's critically important for plans and people to recognize that the well-woman visit [required under the current guidelines] could happen in multiple places and require multiple visits," said Mara Gandal-Powers, senior counsel at the National Women's Law Center, which participated in the ACOG working group. " If you're a woman who needs a Pap test and a colonoscopy, you're probably not getting them from the same providers and you're hopefully not getting them at the same time." </p>
<p style="font-size:1px; color:#333333" class="[randomtag134]">The recommendations' specificity is important: The original IOM guidelines left implementation details vague, leading to scuffles between patient advocates and insurers over precisely what was covered, and that ambiguity required ongoing guidance from the federal government. For example, if a plan covers oral contraceptives without cost sharing, could it charge for other hormonal methods such as the contraceptive patch? Answer: No.</p>
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