Per income target for 2024 say someone is in the 22 tax bracket. By June 30th they made $20K in the 2nd quarter. What is the math to calculate how much they should pay in state and federal taxes each? Are expenses for the quarter taken into consideration at all when calculating the quarterly taxes? How does one calculate and pay social security (SS) and Medicare (MC)? The website to pay IRS and state tax are readily accessible. Never seen where to pay SS nor MC. What happens next year if SS and MC are not paid every quarter this year? None of the CPAs i have worked with (while self employed) has ever asked anything regarding me having paid SS and MC. Is this normal? Thanks in advance for the help and guidance.

I have a bad shoulder and knee injury any recommendations I live in Bundoora 3083 close to mill park. 18yr old with Medicare and healthcare card

With the cost of living spiralling and the recent budget adding additional funds to the NDIS, it's time we took matters into our own hands. The NDIS is rife with rorts from dodgy providers and dubious disabilities.
We're budgeted to spend $44.3bn this year which is more than the cost of Medicare ($42bn)!
Write to chambers to scrap the NDIS!

Hey! I was trying to find advice, I moved from working as a financial analyst in retail to a Sr. Financial Analyst in a Medicare Advantage type of industry. It's so different but my new manager (and the team overall) seems to be very understanding on my lack of knowledge and wants me to take the time to learn (two weeks).
I guess there is two questions: 1- anyone with that background that can suggest me where to look? (I know I can ask my manageGoogle but looking if there is anything that I might be missing)
Also, and more important, how do you deal with the frustration? It's difficult to change your mindset from sales and margins to register members and medical costs, so any tips/previous experience on how to adapt is appreciated.

Hey reddit! I'm a 38 year old latin guy from Washington DC. Honesty is the best policy so I'll make it known now that I'm not looking for platonic friends, I'm looking for a romantic partner. Buckle up, because I'm about to unveil why I may or may not be the right partner for you in a classic listicle style that all you youngin's love.
About Me:
^{You'll never believe number 6!}

1. I'm a bit of a stoner. It's true, your boy loves himself some marijuana. (In fact, I just did a 20mg edible) I endeavor to never let it take over my life, but it aids a lot in #2 on this list. I'm also not a stranger to the very occasional mushroom trip.
2. I'm a true creative. Left to my own devices in an empty room, I would constantly create new things. Whether that be drawing, writings, photography, music or stoner ideas. It's my true nature to be a creative and to stifle that part of myself makes me pretty sad. Fortunately, I get to create on a daily basis. which brings me to..
3. I have the kindest heart. I see life through rose colored glasses, some may say. I just believe in the good in people. I think most people are good and those that are bad are redeemable. Whether someone is ultra religious, a different political affiliation, good, bad, ugly, whatever...I believe in getting to know them for myself and making my own decision of them. As a friend I always stick by my friends, no matter what. Friends in my life are friends for life, even if we lose touch. There is a downside to all this...it's that sometimes people take advantage of me. I don't care. When confronted with the choice to be loving or to be cruel or apathetic, I will always choose loving.
4. I make people laugh. Comedy and jokes have always been a part of me. Maybe it's the fact that I'm a middle child and craved attention or the fact that I grew up in a city where I had to be quick on my feet, but I love to make people laugh. This is best done in person but there can be humor over the internet too. :)
5. I don't take myself too seriously. I'm a talented person in my field and it's important for me to let go of my ego. There isn't a single person that I can't learn from and at my best I'm always open to listen to people's opinions of me or my creative work.
6. I see beauty in everyone, including you. If you hadn't guessed by now, I'm a photographer. I'm into portraits and I value my connection with people one-on-one and I think that's what makes me a talented portrait photographer. I often hear people talk about the things they hate about themselves but try to reflect to them their true beauty. The beauty that was always there and that they need to be reconnected to.
7. I'm culturally Latino. My parents are from El Salvador, but I was born and raised in DC. I have the experience of being born into a family of immigrants and understand the duality of living in two different worlds. While Spanish was my first language, it is not what I consider to be my native tongue. While I understand all Spanish, all my Spanish is food related.
8. I've done the self work. It's true. I'm not a man that punches walls, gets drunk and cries, will cheat on you, lie to you or a myriad of other things that toxic people do. I am not without faults, of course, but I have worked my demons out for the most part. I'm very self-aware and open to criticism and change.
9. I'm honest 99.5% of the time. Anyone professing to be honest 100% of the time is a liar. Ask me directly and I'll tell you my last big lie.
10. I know where I want to be in life. I'm close to getting there too. I've been at it for 13 years now and I feel that success is imminent. Will you be a part of it?

So what are you waiting for? Dust off that old keyboard, pound away at a few keys, and get ready to embark on an unforgettable adventure brought to you by (as they said in my day) the world wide web.
P.S - I'm 6'2. I should've started with that.

In the ’80s, the spy agency investigated the "Gateway Experience" technique to alter consciousness and ultimately escape spacetime.
The intrigue revolves around a classified 1983 CIA report on a technique called the Gateway Experience, which is a training system designed to focus brainwave output to alter consciousness and ultimately escape the restrictions of time and space.
The CIA was interested in all sorts of psychic research at the time, including the theory of applications of remote viewing, which is when someone views real events with only the power of their mind. The documents have since been declassified and are available to view.
This is a comprehensive excavation of The Gateway Process report. The first section provides a timeline of the key historical developments that led to the CIA’s investigation and subsequent experimentations. The second section is a review of The Gateway Process report. It opens with a wall of theoretical context, on the other side of which lies enough understanding to begin to grasp the principles underlying the Gateway Experience training. The last section outlines the Gateway technique itself and the steps that go into achieving spacetime transcendence.
Let’s go.
THE TIMELINE
• 1950s - Robert Monroe, a radio broadcasting executive, begins producing evidence that specific sound patterns have identifiable effects on human capabilities. These include alertness, sleepiness, and expanded states of consciousness.
• 1956 - Monroe forms an R&D division inside his radio program production corporation RAM Enterprises. The goal is to study sound’s effect on human consciousness. He was obsessed with “Sleep-Learning," or hypnopedia, which exposes sleepers to sound recordings to boost memory of previously learned information.
• 1958 - While experimenting with Sleep-Learning, Monroe discovers an unusual phenomenon. He describes it as sensations of paralysis and vibration accompanied by bright light. It allegedly happens nine times over the proceeding six weeks, and culminates in an out-of-body experience (OBE).
• 1962 - RAM Enterprises moves to Virginia, and renames itself Monroe Industries. It becomes active in radio station ownership, cable television, and later in the production and sale of audio cassettes. These cassettes contain applied learnings from the corporate research program, which is renamed The Monroe Institute.
• 1971 - Monroe publishes Journeys Out of the Body, a book that is credited with popularizing the term “out-of-body experience.”
• 1972 - A classified report circulates in the U.S. military and intelligence communities. It claims that the Soviet Union is pouring money into research involving ESP and psychokinesis for espionage purposes.
• 1975 - Monroe registers the first of several patents concerning audio techniques designed to stimulate brain functions until the left and right hemispheres become synchronized. Monroe dubs the state "Hemi-Sync" (hemispheric synchronization), and claims it could be used to promote mental well-being or to trigger an altered state of consciousness.
• 1978 to 1984 - Army veteran Joseph McMoneagle contributes to 450 remote viewing missions under Project Stargate. He is known as “Remote View No. 1”.
• June 9th, 1983 - The CIA report "Analysis and Assessment of The Gateway Process" is produced. It provides a scientific framework for understanding and expanding human consciousness, out-of-body experiments, and other altered states of mind.
• 1989 - Remote viewer Angela Dellafiora Ford helps track down a former customs agent who has gone on the run. She pinpoints his location as “Lowell, Wyoming”. U.S. Customs apprehend him 100 miles west of a Wyoming town called Lovell.
• 2003 - The CIA approves declassification of the Gateway Process report.
• 2017 - The CIA declassifies 12 million pages of records revealing previously unknown details about the program, which would eventually become known as Project Stargate.
THE REPORT
Personnel
The author of The Gateway Process report is Lieutenant Colonel Wayne M. McDonnell, hereon referred to simply as Wayne. There isn’t a tremendous amount of information available on the man, nor any photographs. In 1983, Wayne was tasked by the Commander of the U.S. Army Operational Group with figuring out how The Gateway Experience, astral projection and out-of-body experiences work. Wayne partnered with a bunch of different folks to produce the report, most notably Itzhak Bentov, a very Googleable American-Israeli scientist who helped pioneer the biomedical engineering industry.
A scientific approach
From the outset of the report, Wayne states his intent to employ an objective scientific method in order to understand the Gateway process. The various scientific avenues he takes include:
• A biomedical inquiry to understand the physical aspects of the process.
• Information on quantum mechanics to describe the nature and functioning of human consciousness.
• Theoretical physics to explain the time-space dimension and means by which expanded human consciousness transcends it.
• Classical physics to bring the whole phenomenon of out-of-body states into the language of physical science (and remove the stigma of an occult connotation).
Methodological frames of reference
Before diving into the Gateway Experience, Wayne develops a frame of reference by dissecting three discrete consciousness-altering methodologies. He’s basically saying, there’s no way you’re going to get through The Gateway without a solid grounding in the brain-altering techniques that came before it.
1) He begins with hypnosis. The language is extremely dense, but the basic gist is as follows: the left side of the brain screens incoming stimuli, categorizing, assessing and assigning meaning to everything through self-cognitive, verbal, and linear reasoning. The left hemisphere then dishes the carefully prepared data to the non-critical, holistic, pattern-oriented right hemisphere, which accepts everything without question. Hypnosis works by putting the left side to sleep, or at least distracting it long enough to allow incoming data direct, unchallenged entry to the right hemisphere. There, stimuli can reach the sensor and motor cortices of the right brain, which corresponds to points in the body. Suggestions then can send electrical signals from the brain to certain parts of the body. Directing these signals appropriately, according to the report, can elicit reactions ranging from left leg numbness to feelings of happiness. Same goes for increased powers of concentration.
2) Wayne continues with a snapshot of transcendental meditation. He distinguishes it from hypnotism. Through concentration the subject draws energy up the spinal cord, resulting in acoustical waves that run through the cerebral ventricles, to the right hemisphere, where they stimulate the cerebral cortex, run along the homunculus and then to the body. The waves are the altered rhythm of heart sounds, which create sympathetic vibrations in the walls of the fluid-filled cavities of the brain’s ventricles. He observed that the symptoms begin in the left side of the body, confirming the right brain’s complicity. Bentov also states that the same effect might be achieved by prolonged exposure to 4 - 7 Hertz/second acoustical vibrations. He suggests standing by an air conditioning duct might also do the trick. (David’s Lynch and other celebrities are committed adherents to transcendental meditation today.)
3) Biofeedback, on the other hand, uses the left hemisphere to gain access to the right brain’s lower cerebral, motor, and sensory cortices. Whereas hypnosis suppresses one side of the brain, and TM bypasses that side altogether, biofeedback teaches the left hemisphere to visualize the desired result, recognize the feelings associated with right hemisphere access, and ultimately achieve the result again. With repetition, the left brain can reliably key into the right brain, and strengthen the pathways so that it can be accessed during a conscious demand mode. A digital thermometer is subsequently placed on a target part of the body. When its temperature increases, objective affirmation is recognized and the state is reinforced. Achieving biofeedback can block pain, enhance feeling, and even suppress tumors, according to the report.
The Gateway mechanics
With that, Wayne takes a first stab at the Gateway process. He classifies it as a “training system designed to bring enhanced strength, focus and coherence to the amplitude and frequency of brainwave output between the left and right hemispheres so as to alter consciousness.”
What distinguishes the Gateway process from hypnosis, TM, and biofeedback, is that it requires achieving a state of consciousness in which the electrical brain patterns of both hemispheres are equal in amplitude and frequency. This is called Hemi-Sync. Lamentably, and perhaps conveniently, we cannot as humans achieve this state on our own. The audio techniques developed by Bob Monroe and his Institute (which are comprised as a series of tapes). claim to induce and sustain Hemi-Sync.
Wayne employs the analogy of a lamp versus a laser. Left to its own devices the human mind expends energy like a lamp, in a chaotic and incoherent way, achieving lots of diffusion but relatively little depth. Under Hemi-Sync though, the mind produces a “disciplined stream of light.” So, once the frequency and amplitude of the brain are rendered coherent it can then synchronize with the rarified energy levels of the universe. With this connection intact, the brain begins to receive symbols and display astonishing flashes of holistic intuition.
The Hemi-Sync technique takes advantage of a Frequency Following Response (FFR). It works like this: an external frequency emulating a recognized one will cause the brain to mimic it. So if a subject hears a frequency at the Theta level, it will shift from its resting Beta level. To achieve these unnatural levels, Hemi-Sync puts a single frequency in the left ear and a contrasting frequency in the right. The brain then experiences the Delta frequency, also known as the beat frequency. It’s more familiarly referred to these days as binaural beats. With the FFR and beat frequency phenomena firmly in place, The Gateway Process introduces a series of frequencies at marginally audible, subliminal levels. With the left brain relaxed and the body in a virtual sleep state, the conditions are ideal to promote brainwave outputs of higher and higher amplitude and frequency. Alongside subliminal suggestions from Bob Monroe (naturally), the subject can then alter their consciousness.
The Gateway system only works when the audio, which is introduced through headphones, is accompanied by a physical quietude comparable to other forms of meditation. This increases the subject’s internal resonance to the body’s sound frequencies, for example the heart. This eliminates the “bifurcation echo”, in which the heartbeat moves up and down the body seven times a second. By placing the body in a sleep-like state, The Gateway CD’s, like meditation, lessen the force and frequency of the heartbeat pushing blood into the aorta. The result is a rhythmic sine wave that in turn amplifies the sound volume of the heart three times. This then amplifies the frequency of brainwave output. The film surrounding the brain—the dura—and fluid between that film and the skull, eventually begin to move up and down, by .0005 and .010 millimeters.
The body, based on its own micro-motions, then functions as a tuned vibrational system. The report claims that the entire body eventually transfers energy at between 6.8 and 7.5 Hertz, which matches Earth’s own energy (7 - 7.5 Hertz). The resulting wavelengths are long, about 40,000 kilometers, which also happens to be the perimeter of the planet. According to Bentov, the signal can move around the world’s electrostatic field in 1/7th of a second.
To recap, the Gateway Process goes like this:
• Induced state of calm
• Blood pressure lowers
• Circulatory system, skeleton and other organ systems begin to vibrate at 7 - 7.5 cycles per second
• Increased resonance is achieved
• The resulting sound waves matches the electrostatic field of the earth
• The body and earth and other similarly tuned minds become a single energy continuum.
We’ve gotten slightly ahead of ourselves here though. Back to the drawing board.
A psycho-quantum level deeper
Wayne then turns to the very nature of matter and energy. More materially (or less if you will), solid matter in the strict construction of the term, he explains, doesn’t exist. The atomic structure is composed of oscillating energy grids surrounded by other oscillating energy grids at tremendous speeds. These oscillation rates vary—the nucleus of an atom vibrates at 10 to the power of 22, a molecule vibrates at 10 to the power of 9, a human cell vibrates at 10 to the power of 3. The point is that the entire universe is one complex system of energy fields. States of matter in this conception then are merely variations in the state of energy.
The result of all these moving energies, bouncing off of energy at rest, projects a 3D mode, a pattern, called a hologram, A.K.A our reality as we experience it. It's best to think of it as a 3D photograph. There’s a whole rabbit hole to go down here. Suffice it to say, the hologram that is our experience is incredibly good at depicting and recording all the various energies bouncing around creating matter. So good, in fact, that we buy into it hook, line, and sinker, going so far as to call it our "life."
Consciousness then can be envisaged as a 3D grid system superimposed over all energy patterns, Wayne writes. Using mathematics, each plane of the grid system can then reduce the data to a 2D form. Our binary (go/no go) minds can then process the data and compare it to other historical data saved in our memory. Our reality is then formed by comparisons. The right hemisphere of the brain acts as the primary matrix or receptor for this holographic input. The left hemisphere then compares it to other data, reducing it to its 2D form.
In keeping with our species' commitment to exceptionalism, as far as we know humans are uniquely capable of achieving this level of consciousness. Simply, humans not only know, but we know that we know. This bestows upon us the ability to duplicate aspects of our own hologram, project them out, perceive that projection, run it through a comparison with our own memory of the hologram, measure the differences using 3D geometry, then run it through our binary system to yield verbal cognition of the self.
The click-out phase
Wayne then shows his cards as a true punisher, issuing, "Up to this point our discussion of the Gateway process has been relatively simple and easy to follow. Now the fun begins." Shots fired, Wayne. What he's preparing the commander reading this heady report for is the reveal—how we can use the Gateway to transcend the dimension of spacetime.
Time is a measurement of energy or force in motion; it is a measurement of change. This is really important. For energy to be classified as in motion, it must be confined within a vibratory pattern that can contain its motion, keeping it still. Energy not contained like this is boundary-less, and moves without limit or dimension, to infinity. This disqualifies boundary-less energy from the dimension of time because it has no rate of change. Energy in infinity, also called "the absolute state," is completely at rest because nothing is accelerating or decelerating it—again, no change. It therefore does not contribute to our hologram, our physical experience. We cannot perceive it.
Now back to frequencies. Wave oscillation occurs because a wave is bouncing between two rigid points of rest. It's like a game of electromagnetic hot potato (the potato being the wave and the participants' hands being the boundaries of the wave). Without these limits, there would be no oscillation. When a wave hits one of those points of rest, just for a very brief instant, it "clicks out" of spacetime and joins infinity. For this to occur, the speed of the oscillation has to drop below 10 the power of -33 centimeters per second. For a moment, the wave enters into a new world. The potato simply disappears into a dimension we cannot perceive.
Theoretically speaking, if the human consciousness wave pattern reaches a high enough frequency, the “click-outs” can reach continuity. Put another way, if the frequency of human consciousness can dip below 10 to the power of 33 centimeters per second but above a state of total rest, it can transcend spacetime. The Gateway experience and associated Hemi-Sync technique is designed for humans to achieve this state and establish a coherent pattern of perception in the newly realized dimensions.
Passport to the hologram
In theory, we can achieve the above at any time. The entire process though is helped along if we can separate the consciousness from our body. It’s like an existential running head start where the click-out of a consciousness already separated from its body starts much closer to, and has more time to dialogue with, other dimensions.
This is where things get a little slippery; hold on as best you can. The universe is in on the whole hologram thing, too, Wayne writes. This super hologram is called a "torus" because it takes the shape of a fuck-off massive self-contained spiral. Like this:
Give yourself a moment to let the above motion sink in...
This pattern of the universe conspicuously mirrors the patterns of electrons around the nucleus of an atom. Galaxies north of our own are moving away from us faster than the galaxies to the south; galaxies to the east and west of us are more distant. The energy that produced the matter that makes up the universe we presently enjoy, will turn back in on itself eventually. Its trajectory is ovoid, also known as the cosmic egg. As it curls back on itself it enters a black hole, goes through a densely packed energy nucleus then gets spat out the other side of a white hole and begins the process again. Springtime in the cosmos, baby!
And that is the context in which the Gateway Experience sits.
[Deep breaths.]
THE TECHNIQUE
The following is an outline of the key steps to reach focus levels necessary to defy the spacetime dimension. This is an involved and lengthy process best attempted in controlled settings. If you’re in a rush, you can apparently listen to enough Monroe Institute Gateway Tapes in 7 days to get there.
The Energy Conversion Box: The Gateway Process begins by teaching the subject to isolate any extraneous concerns using a visualization process called “the energy conversion box.”
Resonant Humming: The individual is introduced to resonant humming. Through the utterance of a protracted single tone, alongside a chorus on the tapes, the mind and body achieve a state of resonance.
The Gateway Affirmation: The participant is exposed to something close to a mantra called The Gateway Affirmation. They must repeat to themselves variations of, “I am merely a physical body and deeply desire to expand my consciousness.”
Hemi-Sync: The individual is finally exposed to the Hemi-Sync sound frequencies, and encouraged to develop a relationship with the feelings that emerge.
Additional Noise: Physical relaxation techniques are practiced while the Hemi-Sync frequencies are expanded to include “pink and white” noise. This puts the body in a state of virtual sleep, while calming the left hemisphere and raising the attentiveness of the right hemisphere.
The Energy Balloon: The individual is then encouraged to visualize the creation of an “energy balloon” beginning at the top of the head, extending down in all directions to the feet then back up again. There are a few reasons for this, the main one being that this balloon will provide protection against conscious entities possessing lower energy levels that he or she may encounter when in the out-of-body state.
Focus 12: The practitioner can consistently achieve sufficient expanded awareness to begin interacting with dimensions beyond their physical reality. To achieve this state requires conscious efforts and more “pink and white noise” from the sound stream.
Tools: Once Focus 12 is achieved, the subject can then employ a series of tools to obtain feedback from alternate dimensions.
Problem Solving: The individual identifies fundamental problems, fills their expanded awareness with them, and then projects them out into the universe. These can include personal difficulties, as well as technical or practical problems.
Patterning: Consciousness is used to achieve desired objectives in the physical, emotional, or intellectual sphere.
Color Breathing: A healing technique that revitalizes the body’s energy flows by imagining colors in a particularly vivid manner.
Energy Bar Tool: This technique involves imagining a small intensely pulsating dot of light that the participant charges up. He or she then uses the sparkling, vibrating cylinder of energy (formerly known as the dot) to channel forces from the universe to heal and revitalize the body.
Remote Viewing: A follow-on technique of the Energy Bar Tool where the dot is turned into a whirling vortex through which the individual sends their imagination in search of illuminating insights.
Living Body Map: A more organized use of the energy bar in which streams of different colors flow from the dot on to correspondingly-colored bodily systems.
Seven days of training have now occurred. Approximately 5 percent of participants get to this next level, according to the report.
Focus 15 - Travel Into the Past: Additional sound on the Hemi-Sync tapes includes more of the same, plus some subliminal suggestions to further expand the consciousness. The instructions are highly symbolic: time is a huge wheel, in which different spokes give access to the participant’s past.
Focus 21 - The Future: This is the last and most advanced state. Like Focus 15, this is a movement out of spacetime into the future.
Out-of-Body Movement: Only one tape of the many is devoted to out-of-body movement. This tape is devoted to facilitating an out-of-body state when the participant’s brain wave patterns and energy levels reach harmony with the surrounding electromagnetic environment. According to Bob Monroe, the participant has to be exposed to Beta signals of around 2877.3 cycles per second.
CONCLUSIONS
Wayne expresses concern about the fidelity of information brought back from out-of-body states using the Gateway technique. Practical applications are of particular concern because of the potential for “information distortion.”
The Monroe Institute also ran into a bunch of issues in which they had individuals travel from the West to the East Coast of the U.S. to read a series of numbers off of a computer screen. They never got them exactly right. Wayne chalks this up to the trouble of differentiating between physical entities and extra-time-space dimensions when in the out-of-body state.
Wayne swings back to support mode though, lending credence to the physics foundation of the report. He cites multiple belief systems that have established identical findings. These include the Tibetan Shoug, the Hindu heaven of Indra, the Hebrew mystical philosophy, and the Christian concept of the Trinity. Here he seems more interested in hammering home the theoretical underpinnings that make The Gateway Experience possible, rather than the practical possibilities promised by The Gateway Tapes.
Possibly with his CIA top brass audience in mind, Wayne then gives an A-type nod to The Gateway Experience for providing a faster, more efficient, less subservient, energy-saving route to expanded consciousness. This finishes with a series of recommendations to the CIA for how to exploit Gateway’s potential for national defense purposes.
The missing page
One curious feature of The Gateway Report is that it seems to be missing page 25. It’s a real cliffhanger too. The bottom of page 24 reads “And, the eternal thought or concept of self which results from this self-consciousness serves the,” The report picks back up on page 26 and 3 sections later as if Wayne hadn’t just revealed the very secret of existence.
The gap has not gone unnoticed. There's a Change.org petition requesting its release. Multiple Freedom of Information Act requests have demanded the same. In all cases, the CIA has said they never had the page to begin with. Here’s a 2019 response from Mark Lilly, the CIA’s Information and Privacy Coordinator, to one Bailey Stoner regarding these records:
One theory goes that that rascal Wayne M.-fricking-McDonnell left the page out on purpose. The theory contends that it was a litmus test—if anyone truly defies time-space dimensions, they’ll certainly be able to locate page 25.
[Cosmic shrug.]
Writing Credit Vice
​
CIA Declassified Report– The Gateway Experience
Here is a copy of the Missing Page 25
There will be a Gateway Help Post following within the next couple days. Thought you might be interested in a little history in the meantime. Cheers!

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I moved into a home with an individual who had low needs last year- the agreement was that I’d do small amounts of cleaning and care in return for free board (in the Seattle area)
due to a medical emergency they became high needs and I now have to devote five to ten hours a day of care for them. I don’t want to leave because I care about this person now, but I’m not sure if there’s a way to get paid for this care?
They’re on disability income and have Medicare Advantage- but when we tried to call for information on paid care we got put on hold for an hour and then hung up on. Their primary doctor said if I wasn’t here they’d be forced into medical rehabilitation for their health.
Does anyone on here know of any financial options for non relative caregivers?
I keep getting told by people outside of the situation to just move out, but I don’t want to do that to this individual/ the amount of care necessary has made it so I’m unable to work outside of what I do for them so I can’t afford to move out if I wanted to anyways

I have been getting Wegovy and I was up 1.7 mg. I had that strength filled last month with no problem. Along with all the other past ones. The Pharmacy filled the 1.7mg on the seventh of this month and I decided that strength was making me sick so I had them return the prescription that was filled this month for the 1.7 MG back to stock and did not pick it up. I wanted to go back to the 1mg. Doctor sent a new prescription for the 1mg on the 7th if this month. The insurance assured me there was still a prior auth on file for my secondary insurance due to my primary insurance not covering the medication. All of a sudden my primary insurance (Medicare) wants a diagnosis code. Which the insurance said they needed the diagnosis code for weight loss on the prescription. So I messaged my doctor and she sent a new prescription in today for a diagnosis code for weight loss. I called the pharmacy and it was still not going through. The technician went way above and beyond and found out what was needed. Apparently she spoke to the supervisor this time and they said it needed a diagnosis code that was different than for weight loss. All the work I had my doctor nurse do and sent a new prescription for the 1 MG. Then a prescription with a diagnosis code for weight loss for the 1 MG and still a problem. I need another diagnosis code other than weight loss. I did have cancer and now my cancer plans have went down since I’ve been on this. I do have to walk with a cane due to imbalance so I cannot do any kind of exercises to lose my weight. I do have back problems and weight has made it more painful. I was borderline with diabetes, but I do not need to check my blood sugar or anything like that. I do take metformin 1000 MG so I have no idea what kind of diagnosis code they would want to cover the Medicare part of UPMC For Life. ☹️ I have Medicare and Medicaid both threw UPMC

Adotei uma gata de mais ou menos uns 8 ou 9 meses e o filhote dela de 4 meses dia 1 de maio. Ela morava na rua e uma menina que alimentava eles que estava doando. Eu moro em um apartamento, telei as janelas antes de adotar e quando ela veio era muito arisca e desconfiada. Nos primeiros dias ela não comeu, depois começou a aceitar comida, principalmente sache que nunca havia experimentado, mas mesmo assim ainda ficava mais distante e se encolhia quando chegavamos perto. O filhote acostumou bem, está bem tranquilo, até dorme com a gente, mas ela já fugiu umas 4 ou 5 vezes. A primeira vez o pedreiro que veio consertar a cerâmica do banheiro deixou a janela do banheiro aberta e ela fugiu. Ela voltou sozinha por volta das 23h. Depois ela simplesmente sumiu e não descobrimos por onde ela saiu, voltou as 23h sozinha também. Mas na sexta feira levamos ela para castrar, ela está usando roupinha cirurgica, mas na madrugada de sábado para domingo ela fugiu. Conseguiu sozinha abrir a janela da cozinha e ainda passou pela tela de proteção, só acredito porque vi as gravações que a proprietária me disponibilizou. Desde então ela não voltou. Na madrugada de segunda feira ela voltou as 3h da manhã, infelizmente eu acabei caindo no sono as 2h da manhã e não vi ela. Hoje ela apareceu lá pelas 15h mas assim que viu meu namorado fugiu de novo. Não sei o que fazer para pegar ela, moramos em apartamento e ela foge pelo telhado, estou desesperada, ela está recém operada e não conseguimos nem medicar ela porque ela foge toda vez que nos vê. Estamos até dormindo de janela aberta mesmo fazendo frio de 10 graus aqui na minha cidade tudo isso esperando ela voltar. Estou cogitando comprar uma gatoeira mas não tenho os recursos financeiros para isso no momento. Queria saber se alguém teria alguma dica sobre o que fazer para pegar ela, estou chorando todos os dias e não consigo dormir direito. Preciso de ajuda para pegar ela de volta.

CONCLUSIONS AND RELEVANCE In Medicare patients with atrial fibrillation receiving apixaban
or rivaroxaban, diltiazem was associated with greater risk of serious bleeding than
metoprolol, particularly for diltiazem doses exceeding 120 mg/d.
Serious Bleeding in Patients With Atrial Fibrillation Using Diltiazem With Apixaban or Rivaroxaban Cardiology JAMA JAMA Network
​

Hi everyone! I am a current F-1 student working on OPT, and my employer mistakenly withheld my FICA (social security + medicare) taxes from my paycheck in 2023. My employer was unable to give me a refund, so I filed Form 843 and 8316 (before I filed my tax return this year) as outlined here: https://oiss.yale.edu/employment-taxes/us-taxes/social-security-and-medicare-tax-refund
I also filed my taxes this past year with a 1040-NR but today, I received a letter from the IRS stating claiming that my claim could not be processed as my supporting information was not complete (which is strange since I followed IRS publication 519 to the T and included my W2, visa, I94, I-20, EAD, and got a statement from my employer about the overpayment of FICA taxes). The letter also said that that "You must claim the excess FICA withheld by filing a Form 1040-X, Amended U.S. Individual Income Tax Return." When I try to look this up online, I see no websites or topics discussing this, and was wondering if anyone has experienced this before? If so, what did you end up submitting alongside the 1040-X and were you ultimately successful in getting your FICA taxes back? Or in this case, should I mail another copy of form 843 and 8316 with my documents again and hope that my case isn't rejected?

https://legalesedecoder.com/unlocking-the-complexity-ai-legalese-decoder-streamlines-medicare-advantage-two-midnight-rule-for-increased-outpatient-revenues/?utm_source=SocialAutoPoster

So I turn 65 in July. I am all signed for A and B, and a medigap part G plan. I had 2,000 more income in 2022 than allowed, (I took money from IRA to pay off my mortgage, not knowing that it would have an impact on my premium). I will pay around 69 dollars a month extra on my Medicare premium and 12 per month on part D.
My question is this: Is the upcharge just for the calendar year, 2024, ( July - December, 2024) or for my entire year on medicare ( July 2024 to July 2025)? Also, do they look at income and redetermine automatically every year, or do I have to file something? I think I will be under the limit for tax year 2023 affecting premiums in 2025.

Introduction to healthcare staffing agencies

Healthcare staffing agencies play a vital role in providing qualified healthcare professionals to meet the growing demand for healthcare services. These agencies act as intermediaries between healthcare facilities and healthcare professionals, ensuring that the right professionals are placed in the right positions. The introduction of healthcare staffing agencies has revolutionized the healthcare industry, offering opportunities for both healthcare professionals and healthcare facilities to optimize their operations and provide quality care. In this article, we will explore the opportunities and challenges of starting and growing a healthcare staffing agency in South Dakota.

Importance of healthcare staffing agencies in South Dakota

Healthcare staffing agencies play a crucial role in South Dakota by addressing the growing demand for qualified healthcare professionals. With the increasing population and the need for quality healthcare services, these agencies serve as a bridge between healthcare facilities and skilled healthcare workers. They ensure that healthcare facilities have access to a pool of competent and reliable professionals, while also providing employment opportunities for healthcare workers. By effectively matching the right professionals with the right healthcare facilities, these agencies contribute to the overall improvement of healthcare delivery in South Dakota. Moreover, they help alleviate the burden on healthcare facilities by handling the recruitment and placement process, allowing them to focus on providing quality care to patients. Overall, healthcare staffing agencies are essential in meeting the staffing needs of the healthcare industry in South Dakota and ensuring the delivery of quality healthcare services to the community.

Market analysis of healthcare staffing agencies in South Dakota

Market analysis of healthcare staffing agencies in South Dakota reveals several opportunities and challenges for entrepreneurs looking to start and grow their own agency. The healthcare industry in South Dakota is experiencing significant growth, creating a high demand for qualified healthcare professionals. This presents a lucrative market for staffing agencies to connect healthcare facilities with the right talent. However, the competition in the industry is also intense, with numerous established agencies already operating in the state. To succeed in this market, entrepreneurs need to carefully analyze the current landscape, identify gaps and niches, and develop unique strategies to differentiate their agency. Additionally, understanding the regulatory requirements and compliance standards specific to South Dakota is crucial for ensuring smooth operations and building trust with clients and healthcare professionals. With the right research, planning, and execution, entrepreneurs can navigate the market and establish a successful healthcare staffing agency in South Dakota.

Legal Requirements for Starting a Healthcare Staffing Agency

Licensing and registration

Licensing and registration are crucial steps in starting and growing a healthcare staffing agency in South Dakota. In order to operate legally and provide quality services, it is important to obtain the necessary licenses and registrations from the appropriate authorities. This ensures compliance with state regulations and helps build trust with clients and healthcare professionals. The process of obtaining licenses and registrations may vary depending on the type of agency and the services offered. It is essential to thoroughly research and understand the requirements, fees, and timelines involved. Additionally, maintaining updated licenses and registrations is vital to avoid any legal issues or disruptions in business operations. By prioritizing licensing and registration, healthcare staffing agencies can establish a solid foundation for success in South Dakota's competitive healthcare industry.

Insurance and liability

Insurance and liability are crucial aspects to consider when starting and growing a healthcare staffing agency in South Dakota. As the healthcare industry is highly regulated, it is important to have the appropriate insurance coverage to protect the agency, its employees, and clients. This includes professional liability insurance to cover any potential malpractice claims, general liability insurance to protect against accidents or injuries on the agency's premises, and workers' compensation insurance to provide financial support for employees who may suffer work-related injuries. Additionally, it is essential to regularly review and update insurance policies to ensure they meet the changing needs of the agency and comply with state and federal regulations. By prioritizing insurance and liability management, healthcare staffing agencies in South Dakota can mitigate risks and safeguard their operations, reputation, and financial stability.

Compliance with employment laws

Compliance with employment laws is a crucial aspect of starting and growing a healthcare staffing agency in South Dakota. As the healthcare industry is highly regulated, it is essential to adhere to all relevant laws and regulations to ensure the agency operates legally and ethically. This includes understanding and complying with federal and state employment laws, such as the Fair Labor Standards Act (FLSA), the Family and Medical Leave Act (FMLA), and the Occupational Safety and Health Act (OSHA). Additionally, healthcare staffing agencies must also comply with industry-specific regulations, such as those set forth by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) and the Centers for Medicare and Medicaid Services (CMS). Failing to comply with these laws and regulations can result in severe penalties, legal consequences, and damage to the agency's reputation. Therefore, it is imperative for healthcare staffing agencies in South Dakota to prioritize compliance with employment laws to ensure the success and longevity of their business.

Recruitment and Hiring Process

Identifying staffing needs

Identifying staffing needs is a crucial step in starting and growing a healthcare staffing agency in South Dakota. Understanding the demand for healthcare professionals in the state is essential for determining the specific staffing needs of healthcare facilities. By conducting thorough research and analysis, healthcare staffing agencies can identify the areas and specialties that require the most attention. This knowledge allows agencies to tailor their recruitment efforts and provide healthcare facilities with qualified professionals who can meet their staffing needs effectively. Additionally, staying updated on industry trends and changes in healthcare regulations is vital for staying ahead of the competition and addressing the evolving staffing needs of healthcare facilities in South Dakota.

Sourcing qualified healthcare professionals

Sourcing qualified healthcare professionals is a critical aspect of starting and growing a healthcare staffing agency in South Dakota. The success of the agency relies heavily on the ability to attract and retain top talent in the healthcare industry. To ensure the highest level of care for clients, it is essential to have a rigorous screening and selection process in place. This includes conducting thorough background checks, verifying credentials and certifications, and assessing the skills and experience of potential candidates. Additionally, building strong relationships with educational institutions, professional organizations, and other healthcare providers can provide valuable networking opportunities and access to a pool of qualified professionals. By investing in effective sourcing strategies, a healthcare staffing agency can position itself as a trusted provider of high-quality healthcare professionals in South Dakota.

Screening and interviewing candidates

Screening and interviewing candidates is a critical step in the process of starting and growing a healthcare staffing agency in South Dakota. The success of the agency relies heavily on the quality of the healthcare professionals it recruits and places in various healthcare facilities. To ensure that only the most qualified candidates are selected, thorough screening and interviewing techniques must be employed. This includes conducting background checks, verifying credentials, assessing clinical skills, and evaluating cultural fit. Additionally, it is essential to adhere to all legal and ethical guidelines throughout the screening and interviewing process. By implementing a rigorous screening and interviewing process, healthcare staffing agencies in South Dakota can attract top talent and provide exceptional services to healthcare facilities in the region.

Building Relationships with Healthcare Facilities

Understanding the needs of healthcare facilities

Understanding the needs of healthcare facilities is crucial for starting and growing a healthcare staffing agency in South Dakota. Healthcare facilities rely on staffing agencies to provide them with qualified and competent healthcare professionals to meet their staffing needs. By understanding the specific needs of healthcare facilities, such as the demand for specialized healthcare professionals or the need for flexible staffing solutions, consulting firms can develop effective strategies to address these needs. By offering tailored staffing solutions and providing expertise in healthcare staffing, consulting firms can help healthcare facilities optimize their staffing processes and ensure the delivery of quality patient care.

Negotiating contracts and agreements

Negotiating contracts and agreements is a crucial aspect of running a successful healthcare staffing agency. It requires careful consideration and attention to detail to ensure that both parties involved are satisfied with the terms and conditions. One of the key challenges in this process is dealing with corporate companies that may be losing money. It is important to approach such negotiations with tact and professionalism, offering solutions and strategies that can help mitigate their financial difficulties. By understanding their unique situation and providing tailored solutions, healthcare staffing agencies can build strong partnerships with corporate companies, creating mutually beneficial agreements that contribute to the growth and success of both parties.

Providing ongoing support and communication

Providing ongoing support and communication is crucial for the success of a healthcare staffing agency in South Dakota. By maintaining open lines of communication with clients and healthcare professionals, the agency can ensure that staffing needs are met efficiently and effectively. This includes regular check-ins with clients to assess their staffing requirements and address any concerns or issues that may arise. Additionally, the agency should establish a reliable system for healthcare professionals to communicate their availability and preferences, allowing for seamless coordination and scheduling. By prioritizing ongoing support and communication, the healthcare staffing agency can build strong relationships with clients and healthcare professionals, leading to long-term success and growth.

Marketing and Promotion Strategies

Creating a strong online presence

Creating a strong online presence is crucial for any healthcare staffing agency looking to thrive in today's digital age. With the majority of people turning to the internet to search for healthcare services, having a well-established online presence can significantly increase visibility and attract potential clients. To create a strong online presence, healthcare staffing agencies in South Dakota should focus on developing a professional website that showcases their expertise, services, and testimonials from satisfied clients. Additionally, investing in search engine optimization (SEO) strategies can help the agency rank higher in search engine results, making it easier for potential clients to find them. Lastly, leveraging social media platforms and online advertising can further enhance the agency's online presence, reaching a wider audience and establishing credibility in the industry. By prioritizing the creation of a strong online presence, healthcare staffing agencies in South Dakota can position themselves as leaders in the field and effectively compete in the digital landscape.

Networking with healthcare professionals and facilities

Networking with healthcare professionals and facilities is crucial for the success of a healthcare staffing agency in South Dakota. By building strong relationships with doctors, nurses, and other healthcare providers, the agency can gain valuable insights into the needs and preferences of the local healthcare community. This knowledge can help the agency tailor its staffing solutions to meet the specific requirements of healthcare facilities in South Dakota. Additionally, networking allows the agency to establish partnerships with hospitals, clinics, and group homes, which can lead to a steady stream of clients and job opportunities. By leveraging these connections, the agency can position itself as a trusted and reliable resource for healthcare staffing in South Dakota.

Utilizing targeted advertising and marketing campaigns

Utilizing targeted advertising and marketing campaigns is crucial for the success of a healthcare staffing agency in South Dakota. By identifying the specific needs and preferences of healthcare professionals and facilities in the area, the agency can tailor its messaging and promotional activities to effectively reach its target audience. This may involve utilizing online platforms, such as social media and job boards, to connect with potential candidates and clients. Additionally, the agency can leverage local partnerships and industry networks to expand its reach and visibility. A well-executed advertising and marketing strategy can help the agency establish a strong brand presence, attract qualified healthcare professionals, and build relationships with healthcare facilities, ultimately leading to the growth and sustainability of the business.

Challenges and Opportunities in the Healthcare Staffing Industry

Shortage of healthcare professionals

The shortage of healthcare professionals is a significant challenge faced by the healthcare staffing industry in South Dakota. With the increasing demand for healthcare services, there is a growing need for skilled and qualified professionals to meet the needs of the population. However, the limited availability of healthcare professionals, especially in rural areas, poses a major obstacle to the growth and expansion of healthcare staffing agencies. This shortage not only affects the quality of patient care but also puts a strain on existing healthcare facilities. To address this issue, it is crucial for healthcare staffing agencies to develop strategies to attract and retain healthcare professionals, such as offering competitive salaries, providing professional development opportunities, and establishing partnerships with educational institutions to promote healthcare careers in the state.

Competition from other staffing agencies

Competition from other staffing agencies is a significant challenge that healthcare staffing agencies in South Dakota face. With the increasing demand for healthcare professionals, the market has become highly competitive. To stand out from the competition, healthcare staffing agencies need to focus on providing exceptional services and building strong relationships with healthcare facilities. One area that can give a competitive edge is email deliverability. Ensuring that emails are delivered to the intended recipients in a timely manner is crucial for effective communication and maintaining client relationships. By prioritizing email deliverability, healthcare staffing agencies can enhance their communication channels and improve overall client satisfaction.

Changing healthcare regulations and policies

Changing healthcare regulations and policies play a crucial role in the success and growth of healthcare staffing agencies in South Dakota. Staying updated with the latest changes ensures compliance and adherence to legal requirements. It also allows agencies to adapt their operations and strategies to meet the evolving needs of the healthcare industry. By closely monitoring and understanding these regulations and policies, healthcare staffing agencies can effectively navigate challenges and capitalize on new opportunities.

Conclusion

Summary of key points

Starting and growing a healthcare staffing agency in South Dakota presents both opportunities and challenges. To succeed in this venture, it is important to understand the key points that can help navigate the industry. One of the key points to consider is the projected growth of the nursing industry in Georgia by 2023. This presents a significant opportunity for healthcare staffing agencies to provide qualified nursing professionals to meet the increasing demand. Additionally, understanding the specific regulations and licensing requirements in Georgia will be crucial for operating a successful agency in the state. By staying informed about industry trends and regulations, healthcare staffing agencies can position themselves for success in the competitive healthcare staffing market.

Future prospects of healthcare staffing agencies in South Dakota

The future prospects of healthcare staffing agencies in South Dakota are promising. With the increasing demand for healthcare professionals and the growing population in the state, there is a significant need for staffing agencies to provide qualified and skilled healthcare professionals. This presents a great opportunity for healthcare staffing agencies to expand their operations and cater to the healthcare needs of the community. However, along with the opportunities, there are also challenges that healthcare staffing agencies need to address. These include the competition from other staffing agencies, the need to constantly update their knowledge and skills to meet the changing healthcare landscape, and the need to maintain a strong network of healthcare professionals. Despite these challenges, healthcare staffing agencies in South Dakota have the potential to thrive and contribute to the overall healthcare industry in the state.

Final thoughts on starting and growing a healthcare staffing agency

Starting and growing a healthcare staffing agency can be a challenging but rewarding endeavor. For aspiring entrepreneurs in South Dakota, there are ample opportunities to tap into the growing healthcare industry. The state's favorable business environment and high demand for healthcare professionals create a conducive environment for startups in this sector. However, it is essential to be aware of the challenges that come with running a staffing agency, such as fierce competition and the need to establish strong relationships with healthcare facilities. By leveraging technology, networking with industry professionals, and providing excellent service, entrepreneurs can overcome these challenges and build a successful healthcare staffing agency in South Dakota.
In conclusion, starting a healthcare staffing business online is a great opportunity in 2023. With the increasing demand for healthcare professionals, there is a huge potential for success in this industry. If you want to learn more about how to start your own healthcare staffing business, visit our website. We provide a complete guide on how to get started, including step-by-step instructions and valuable tips. Don't miss out on this chance to build a successful online business in the healthcare industry. Take action now and visit our website to begin your journey.

In cases where EMS is obviously being abused what elements can I include in my chart to ensure my scummy company can’t commit Medicare/medicaid fraud? (i.e. “patient was ambulatory to the gurney without assistance” or “patient stated their only reason for requesting EMS was to avoid a wait in waiting waiting room”)

A lot of people are upset with how binding vows in JKK are used, specifically how Sukuna seems to be the only character **shown** to be using them via the narrator's oracle speech.
But we don't actually know what binding vows are at play in the story.
I'm not trying to express that binding vows aren't being used as a narration tool to move the story forward or explain gaps but I hope with this post to talk about how the story expresses them and why it's very possible all of the characters in these chapters fighting Sukuna could be using them without our knowledge.
Why didn't / don't the main characters use binding vows during or leading up to the battle?

• They had no idea what Sukuna's, Kenjaku, or Uraeme's potential were/are. They're only baseline for the hideous amount of power Sukuna has is Gojo and literally none of them have fought Gojo at his full strength or potential. The only one who ever questioned how strong Sukuna was versus someone like Gojo was Yuji very early on and Gojo very matter of factly said that "He'd win." Creating binding vows before knowing what the enemy is capable of could lead to disaster. Assassinating Kenjaku was entirely dependent on a number of risky factors surrounding Takaba and his extremely strange CT. If Yuta had made binding vows to help him against Sukuna but not against Kenjaku and that plan had failed he could have been at an extreme disadvantage. Or if they defeated Sukuna but then had to fight Kenjaku and Uraeme after using everything they had to take him down.
• They likely have been or are, but the narrator tells us about this -after the fact- when it's relevant in the story. We don't know if Gojo had to make a vow in order to remote detonate Red to make the Purple that killed Mahoraga. We don't know if Yuta had to make a vow to copy cleave/dismantle. He (as far as I know) never actually saw the technique himself until their fight. We don't know if Choso made a vow to save Yuji against furnace. Every instance of a binding vow being made is told to us after it has occurred, not during. All of the training and plotting and scheming from the heroes likewise has been shown to us during the battle, not before it.
• Most characters are not going to be able to make a binding vow in the split second battles occurring in the story that they can 1) uphold**\* and 2) Will prevent disaster later if their plan doesn't work

***We'll talk about this last
Who is the one judging the weight of a vow?

• Ultimately it's the person making it. That person has to believe that what they're giving up is significant enough for the result to be impactful. It's very very different for a character like Sukuna who is the strongest being (so far) in JKK to say "I'll give up my ability to instantly kill anyone in the world with this slash to kill this man who is going to defeat me in a matter of moments if I don't" than it is for Miwa, a grade 3 sorcerer with no CT to try and kill a special grade threat with a sword slash. The difference in their power and the potential of their power with or without those things are worlds apart. Sukuna's fire arrow, likewise, would have been a technique he could have obliterated cities with, sans MS. Him giving up the ability to fire it "at will" is equivalent to a nuclear strike requiring 3 keys by three different people in unison compared to just 1 button press. Would the technique be slow? Yes? How many sorcerers could actually harm him before he pulled it off with his strength and RCT? Apparently just Gojo, and now he's dead.

But Kenjaku said if you break a vow you just lose the thing you gained?

• We've never actually seen someone break a vow. There must be a reason for that. I could speculate how that ties into the very prevalent Buddhist themes of JKK but even a character like Miwa has not broken the vow just to wield a sword again after having her attack against Kenjaku utterly stopped. And Sukuna certainly has no reason to keep either of his vows yet he persists to do so. It may not have been stated explicitly but breaking a vow has some other consequence, if nothing else than it means none of the characters in the fiction of JKK are willing to go back on them for fear of not being true to themselves and their oaths. Even -villains- whose only goal is strength and might above all refuse to break them and that's all you really need to know. It doesn't need to be explained "why" they don't.
• See final point

Upholding Vows

• I don't think anything actually "prevents" someone from acting against a vow they made. Kenjaku's statement in the point above clearly says you can break vows and lose the power gained. So when characters are doing things within the boundary of the vow, that's a deliberate choice they're making. It's not like the power is completely cut off from them, it's that by making the vow they must from then on adhere to them of their own accord. In a life and death situation as extreme as the events of these chapters with Sukuna -AND THE THREAT OF THE MERGER LOOMING EVEN THEY DO DEFEAT SUKUNA- there aren't a lot of advantages a JKK hero is going to throw away even if they could think of them fast enough in this encounter. Gojo was maybe the only person who could be making them on the fly the way Sukuna did/is. We saw how a poorly thought out binding vow could rob you of your own strength in Miwa.
• And because they have to be able to uphold it, that's why most of them can't just say something like "I'll be 200% stronger on this day for this fight if I have no CT tomorrow" because that's not something they themselves can't uphold.
• Binding Vows Are Related To Buddhist Philosophy, even if you can make/break them at will it goes against the themes of the story to lie and disown your choices and paths.

I recently got 10% Service Connected for Tinnitus and not approved nor service connected for hearing loss. In reading the welcome letter and my benefit letters on VA.gov it says I now have medical coverage? I signed up a few years ago for VA Health when they were doing COVID vaccines (but never got one there nor have I ever been treated at a VA facility.
The Proof of Minimal Essential Coverage Letter says:
Dear Mr. . . . :
I am pleased to confirm your enrollment in the Department of Veterans Affairs (VA) health care system. Your enrollment satisfies the requirement to have health care coverage under the Affordable Care Act, which you may know as "ACA" or "health care law".
What This Means to You
You have access to comprehensive health care services at VA facilities anywhere in the country. You can use these services even if you have Medicare, Medicaid, TRICARE, or private health insurance coverage.
There are no enrollment fees, monthly premiums, or deductibles. However, you may have to pay VA small copayments for your health care or medications.
You do not have to take any action to renew your annual enrollment status. VA will notify you if anything changes in your enrollment.
You do not need to take additional steps to meet the health care law coverage standards.
The Welcome Pamphlet also talks about priority groups and 10% SC disability being Priority Group 3 and also says
What care and services does VA health care cover?
Each Veteran’s medical benefits package is unique. Yours will include care and services to help:

• Treat illnesses and injuries
• Prevent future health problems
• Improve your ability to function
• Enhance your quality of life

All Veterans receive coverage for most care and services, but only some will qualify for added benefits like dental care. The full list of your covered benefits depends on:

• Your priority group, and
• The advice of your VA primary care provider (your main doctor, nurse practitioner, or physician’s assistant), and
• The medical standards for treating any health conditions you may have

I always assumed any VA medical coverage would only cover things related to the specific disability and not to other health issues/items. Does this mean I can use the VA for other medical issues. Things like prescriptions and lab tests as well as emergency/urgent care? It also mentioned Auditory, possibly Dental and Vision coverage (heard varying things on vision). How does this work with Medicare or private insurance?
Thanks for any info!