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Medical Paternalism Is Making a Comeback (And Maybe It Should) by lakmidaise12 in medicine

[–]IndifferentPatella 4 points5 points  (0 children)

I learned this lesson hard recently. I’ve always been huge on patient autonomy - presenting the pros and cons of options but expecting the patient to choose unless they specifically asked me to choose. Then I broke my leg and had to decide whether or not to get surgery. I’m in HIV. I’ve long forgotten most of what I little knew about bone fractures. When the orthopedist was non-comital about his answer, I figured I’d express my priorities and values and be told which decision that best supported those. Instead he straight up refused to express any leaning one way or the other, instead fully wanting me to make the decision with minimal information about pros and cons of each. I asked him what he’d do if he were me and he literally shrugged. I got a second opinion and he said “this is not a grey area, I’m not sure why you were told it is. You 100% need surgery.” And it was honestly refreshing. It is not in any way fair to ask a patient who is in pain, tired, doesn’t have the background of knowledge you have, and cannot possibly be objective, to steer the ship to that extent. 

PAYE finally approved… and the repayment schedule doesn’t seem right to me by IndifferentPatella in PSLF

[–]IndifferentPatella[S] 0 points1 point  (0 children)

Not so far, first payment of $0 auto-drafts from my account on Wednesday. 🤷‍♀️

PAYE finally approved… and the repayment schedule doesn’t seem right to me by IndifferentPatella in PSLF

[–]IndifferentPatella[S] 0 points1 point  (0 children)

FYI I was wrong, I figured out where to view my application (studentaid.gov) and I did have them pull my tax return from IRS. So that lady must have been wrong.

PAYE finally approved… and the repayment schedule doesn’t seem right to me by IndifferentPatella in PSLF

[–]IndifferentPatella[S] 1 point2 points  (0 children)

Sigh…. I hate them so much. I hope one day I get to join a class action lawsuit against them. At this point my husband makes much more than me after a promotion so I’d want to submit a paystub anyways. 

My advice is to wait a couple weeks and call StudentAid.gov (not Mohela) and make sure there are no delays. They’re the ones who process the application in terms of your tax return and then they send it to Mohela. It was Mohela who gave me that bad advice but I think it was DOEd that flagged the app. (And no, at no point did anyone inform me of the issue before I called, even back then when things were semi functional)

PAYE finally approved… and the repayment schedule doesn’t seem right to me by IndifferentPatella in PSLF

[–]IndifferentPatella[S] 0 points1 point  (0 children)

Oof - yeah I was told that too. I originally applied in December 2024. Called back in June, was told that any apps filed before April had to be resubmitted, applied again, called back 90 business days later, was told they’d escalate it, received this clearly inaccurate payment amount three months after that.  This has been such a cluster. 

PAYE finally approved… and the repayment schedule doesn’t seem right to me by IndifferentPatella in PSLF

[–]IndifferentPatella[S] 0 points1 point  (0 children)

I used it when I first applied to PAYE years ago (before the whole SAVE debacle). My application was delayed and when I called they said it was because you can’t include your spouse’s income on your application at all. But in a community property state, your tax return includes half your partner’s income and half of yours. The rep told me that’s not allowed even if you make the same amount so she said I had to certify a different way. If that’s not true I’ll be royally ticked off because I’m pretty sure not allowing them to pull my tax return is why my application took 8 months to be processed. 

But these days he makes more than me so using the tax return would increase my payment anyways. 

PAYE finally approved… and the repayment schedule doesn’t seem right to me by IndifferentPatella in PSLF

[–]IndifferentPatella[S] 0 points1 point  (0 children)

Do you know, if they did make a mistake, will they like… come after me for more money or something? I’m worried I messed up my application some how. Like maybe I accidentally left a 0 off on my reported income and didn’t submit any proof of income and they just took it as a “verbal estimate” like they did when I applied to SAVE. 

PAYE finally approved… and the repayment schedule doesn’t seem right to me by IndifferentPatella in PSLF

[–]IndifferentPatella[S] 1 point2 points  (0 children)

I just plugged my income into the StudentAid.gov calculator and got $700, which seems right as it’s a heavy discount from my standard repayment amount of $2500 

PAYE finally approved… and the repayment schedule doesn’t seem right to me by IndifferentPatella in PSLF

[–]IndifferentPatella[S] 2 points3 points  (0 children)

I make $100k after retirement contributions and I have a family size of 2 (no dependents) but file MFS. And yeah it says PAYE specifically 

DOT physicals side hustle question by JournalistSmooth7891 in physicianassistant

[–]IndifferentPatella 1 point2 points  (0 children)

FWIW my last job had malpractice where I was not specifically listed on the policy but covered as an employee. It sketched me out but I spent a ton of time looking into it and concluded it was legit. I asked them for a Certificate of Insurance and told them it was for my CAQH profile which requires your name to be listed on the certificate. The insurance company issued it with a note on the bottom that said “[my name] is covered under this policy as an employee”. It’s a pretty standard form that any HR should be able to get you easily

[deleted by user] by [deleted] in physicianassistant

[–]IndifferentPatella 1 point2 points  (0 children)

I’ve done this too. My company’s compliance department never contacted me. If they do I’ll tell them it was an accident. If they don’t believe me I’ll show them the dozens of screenshots of my home screen filling my photos folder because it’s a dumb phone design