Friday, September 4, 2020

buy custom Civil Rights essay

purchase custom Civil Rights paper The idea of protection in the current world is a result of numerous happenings consistently. The essential idea, be that as it may, ought to be founded on the countrys constitution. For instance in the US, there are numerous events that individuals have safeguarded their entitlement to protection utilizing the term their sacred right at times they may hit the nail on the head, and different occasions their setting might not be right. The issue that individuals do see from the start is that the constitution was composed quite a while back thus can't identify with certain conditions. Things like current marriage discusses; for example, homosexuality and protection in todays innovation settings will be in an ill defined situation. In todays banter on security, certain issues go to the front like news coverage and its cutoff points. Who gives a writer the option to have private subtleties on a people sexual coexistence? The inquiry was posted in an issue of the ethical labyrinth during a discussion on the constraints of security. They really don't reserve the privilege to do as such yet the individual being referred to can't prevent them from publicizing it except if they got the data through illicit methods. The other issue, which took a lot of room in the protection banter, about photographs in broad daylight places. A brilliant model is the Princess Caroline case, where the court luckily upheld for protection that the proof was not customary in nature. Simultaneously, social destinations have become another intriguing issue in the realm of the security banter (ONeil, 2008). For one, social promoting organizations are crusading for the arrival of private people on Facebook and placing their data out there for anyone to see for the sake of publicizing, for example, their companions and profile data. Purchase custom Civil Rights paper

Wednesday, August 26, 2020

Stakeholder Theory of Modern Corporation †Myassignmenthelp.com

Question: Talk about the Stakeholder Theory of Modern Corporation. Answer: Presentation With the progression in innovation and exacting guidelines in regards to natural contamination, the job of the board in an association is getting increasingly advanced. Trust is a urgent factor in the business condition. In building brand devotion, administrators must pick up trust from clients and all the partners of an association. As per Harris, Moriarty, and Wicks (2014), trust can be seen as the desire that the choices that a relationship accomplice makes will profit the confiding in accomplice. In the present business world, purchasers expect a high caliber of products delivered according to their desires and particulars. The more perplexing issue in the administration of associations and building trust is that, as organizations attempt to go worldwide, they need to consent to guidelines which vary from nation to nation. Chiefs face the test of boosting benefits while clinging to severe standards. Then again, organizations are progressively getting presented because of the acce ssibility of media innovations which empower the general population to examine the conduct and general execution of any business around the world. Hierarchical hypotheses have stressed on respectability and maintaining business morals in settling on choices that will affect all the partners. Utilizing Volkswagen as a case association, the paper is planned for investigating the mind boggling nature of associations dynamic in dealing with the board issues concerning institutional hypothesis and partner hypothesis. Established in 1937, Volkswagen is perhaps the biggest producer of autos. It works as an open organization in Germany, and it is headquartered in Wolfsburg (Forbes 2017). Because of the solid rivalry in the vehicle business, Volkswagen has been engaged with the production of half breed vehicles with best in class innovation so as to keep up a serious edge. The most perceived brands incorporate Bently, Bugatti, Lamborghini, Audi, Porsche, SEAT, and Skoda (Forbes 2017, p. 1). With the expanding need to ensure the earth, nations around the globe have put exacting guidelines fair and square of fumes gas discharges from vehicles. This has driven automakers to create advancements to guarantee that the vehicles being made conform to the guidelines. The urgent need to conform to the Environmental Protection Agency gauges in the United States made Volkswagen, under the administration of Martin Winterkorn in 2015, to create programming, known as the rout gadget which can control the aftereffec ts of emanation tests (Edwing 2016). The gadget has the ability to identify when the vehicle is being tried for carbon dioxide discharge after which it changes the exhibition to accomplish improved outcomes (Hotten 2015). All things considered, all the vehicles that were tried passed, yet, in genuine sense, they were transmitting more carbon dioxide than the guideline offices suggest. The open was stunned when the Environmental Protection Agency (EPA) got some answers concerning the gadget. Volkswagen had been associated with swindling which is in opposition to business morals. Much after the EPA discovered, the then CEO Mr. Martin Winterkorn denied the charges, expressing that he never thought about it. This indicated an absence of straightforwardness inside the association. Recognizable proof and Analysis of the Issues The issues encompassing the Volkswagen embarrassment can be depicted utilizing the partner hypothesis and the institutional hypothesis. It tends to be seen that the organization needed to accomplish the objective of more benefits by selling more diesel vehicles in the United States and over the world. At the point when the Environmental Protection Agency tried the vehicles, it was found that some vehicle models were furnished with 'tricking' gadget which constrained Volkswagen to review more than eleven million of their vehicles from the market the world over (Hotten 2015). After the disclosure, the organization turned into an objective of administrative examinations in different nations around the globe, for example, the United States, France, South Korea, Italy, Canada, Germany and the United Kingdom who were attempting to discover what number of individuals knew about the double dealing inside the association (Zhou 2016). The partner hypothesis fills in as a fitting focal point while investigating complex viewpoints of how partners consider as important. As per Freeman (2012), partner hypothesis in the administration of associations and business morals is one that tends to the ethics and qualities that oversee an association. Freeman, Rusconi, Signori and Strudler (2012) contend that the hypothesis doesn't have any far reaching claims, yet it is fundamental as it gives instruments that associations' supervisors can use so as to increase the value of their gracefully chain, apparatuses to enable the different partners to improve their associations with the directors and devices that help researchers to see how organizations make an incentive along the flexibly chain. The partners, as per Harrison and Wicks (2013), incorporate everybody that is influenced either legitimately or in a roundabout way by the approaches and choices that an organization makes. With this respect, the Volkswagen partners incorp orate the investors, clients, representatives, vendors, nature, the companys administrators and the legislatures. As per Stakeholders hypothesis, Organizations are required to represent everyone's benefit of the considerable number of partners. The companys choice to introduce cheat gadget with the goal that their vehicles can breeze through the carbon dioxide emanation assessment was a demonstration of childishness that was driven by the need to acquire benefits. This demonstration is against the partner hypothesis which advocates for the acknowledgment of the considerable number of partners. The companys choices ought to consistently be planned for fulfilling and be in consistence with the desires for the partners. The Volkswagens reaction to the charges additionally indicated an absence of regard and straightforwardness. As indicated by Zhang, Veijalainen, and Kotkov (2016, p. 1), the reactions gave by entertainers associated with a specific emergency is basic for the endurance a nd development of organizations. Absence of straightforwardness when conveying to partners causes negative picture for the associations (Zhang, Veijalainen and Kotkov 2016, p. 1). The Volkswagen CEO neglected to utilize the language of partners which would have made it simpler for him to incorporate business and morals together. The CEO of the organization deceived the open that he didn't know about the gadget which indicated an absence of morals and the important instruments to deal with an emergency. The administration of the organization was confronting an exchange off among partners and monetary benefits where rather, the administration picked budgetary manageability to the detriment of the partners. The activities taken by the administration influenced all the partners in various manners, for example, loss of occupations, changes in the securities exchange, natural issues and discolored notorieties. The institutional hypothesis is another focal point that can be utilized to break down the issues encompassing Volkswagen. The hypothesis fundamentally underscores on the parts of social structure. An establishment is characterized by Scott (2014) as a lot of decides and practices that characterize the importance and what is seen as suitable social conduct. Scott (2014) portrayed the idea of foundations in three columns, to be specific the regulative, standardizing and the social subjective columns (p. 59-66). In view of the three columns, rules can be comprehended as the proper guidelines, accepted practices and commitments and the normal understandings and convictions. These guidelines affect how associations' supervisors think and act. The standards structure the premise where people handle issues and how they see things as fundamental or ethically right. The use of this focal point helps in understanding why people and associations act in a specific way. In light of this hypothes is, directors are required to exhibit social and natural duty in completing their obligations (Salvioni, Astori, Cassano 2014). The Volkswagen outrage shows an inconsistency between the associations formal articulations and the considerable practices. Volkswagen was exceptionally trusted by its purchasers and different partners to maintain a business code of morals in their tasks. Thusly, in light of the institutional hypothesis, Volkswagen is relied upon to be straightforward in directing their business and how they convey to the different partners. Straightforwardness, as indicated by Ephraim (2016, P. 1), involves trustworthiness, morals, genuineness, full exposures, lucidity and such factors that lead to great relations among partners. When Volkswagen first conveyed a press articulation on September 18, 2015, the CEO said that the organization was focused on fixing the issue as quickly as time permits. The message additionally expressed that the organization needed to guarantee its clients and different partners that their vehicles were protected to drive (US Media Site 2015). It very well may be seen that the message tone is formal and segregated; it needs straightforwardness and compassion for the outer partners of the organization influenced in various pieces of the world. It is obvious that Volkswagen vehicles were undependable since they were producing gas over the allowed level. The message demonstrated an absence of straightforwardness. In view of the institutional hypothesis, the administration should recognize the slip-ups and plan to address, and not focussing on advancing the brand picture. Suggestions Volkswagen techniques ought to be meant to win the trust of clients back. Volkswagen should join an autonomous check office that would be answerable for affirming the exhibition of their vehicles. The organization should join forces with free offices which the clients can trust. In light of the stewardship hypothesis, Volkswagen supervisors are required to go about as pioneers in settling on choices that would profit the general public all in all. The World Business Council for Sustainable Development is a case of the organizations that Volkswagen

Saturday, August 22, 2020

Human Resource Management in Practice Essay Example | Topics and Well Written Essays - 3500 words - 1

Human Resource Management in Practice - Essay Example eed to know how (HR) are overseen in various locales of the world and how their partners in various pieces of the globe see or respond to comparable ideas and weights. It is likewise essential to have a comprehension about the primary determinants of HRM strategies and practices in various provincial and national settings. Scholastics have reacted decidedly to address the difficulties raised by the globalization of business by researching various issues and issues identified with worldwide business . They have endeavored to look at the board from a cross-national perspective. This correlation of HRM arrangements and practices at a national level assists with testing the convergenceâ€divergence theory. The common inquiries sought after by similar analysts are: (1) how is HRM organized in singular nations. (2) What systems are examined? (3) What is tried? (4) What are the similitudes and contrasts? (5) What is the impact of national factors, for example, culture, government arrangement, and instruction frameworks? Researchers have additionally evolved and proposed various models of HRM both between and inside countries ((Mullins P.97â€99, 2002)). Strikingly, most models of HRM have an Angloâ€Saxon base. All things considered, from a worldwide viewpoint, standards of HRM have been created from a confined example of human experience. During the early stages phase of HRM writing, such an ethnocentric methodology was justifiable and unavoidable. In any case, with the development of a â€Å"global business village,† firms working in various nations need fitting data and direction to build up their HRM strategies and practices. Under such unique business conditions, the importance of exercises gained from the Angloâ€Saxon experience is flawed. It is in this manner essential to inspect the degree to which Angloâ€Saxon models of HRM are material in different pieces of the world. It has now become certain that the investigation of HRM needs a cross-national similar

Charles Ives Essays - Guggenheim Fellows, Charles Ives, Free Essays

Charles Ives Essays - Guggenheim Fellows, Charles Ives, Free Essays Charles Ives Conceived in Danbury, Connecticut on October 20, 1874, Charles Ives sought after what is maybe one of the most remarkable and incomprehensible professions in American music history. Representative by day and arranger around evening time, Ives' huge yield has continuously brought him acknowledgment as the most unique and critical American author of the late nineteenth and mid twentieth hundreds of years. Roused by visionary way of thinking, Ives looked for a profoundly customized melodic articulation through the most imaginative and radical specialized methods conceivable. An interest with bi-tonal structures, polyrhythms, and citation was sustained by his dad who Ives would later recognize as the essential inventive impact on his melodic style. Amusingly, a lot of Ives' work would not be heard until his virtual retirement from music and business in 1930 because of serious medical issues. The director Nicolas Slonimsky, music pundit Henry Bellamann, piano player John Kirkpatrick, and the arranger Lou Harrison (who led the debut of the Symphony No. 3) assumed a key job in acquainting Ives' music with a more extensive crowd. Henry Cowell was maybe the most huge figure in encouraging open and basic consideration for Ives' music, distributing a few of the author's works in his New Music Quarterly. The American arranger Charles Ives took in a lot from his bandmaster father, George Ives, and an affection for the music of Bach. Simultaneously he was presented to an assortment of very American melodic impacts, later reflected in his own quirky structures. Ives was taught at Yale and made a vocation in protection, saving his exercises as an author for his relaxation hours. Unexpectedly, when that his music had started to excite intrigue, his own motivation and vitality as an author had disappeared, so that throughout the previous thirty years of his life he composed nearly nothing, while his notoriety developed. The ensembles of Ives incorporate music basically American in motivation and gutsy in structure and surface, montages of America, communicated in a melodic phrase that utilizes complex polytonality (the utilization of more than one key or tonality simultaneously) and beat. Orchestra No. 3, reflects Ives' very own lot foundation, conveying the illustrative title Camp Meeting and development titles Old Folks Gatherin', Children's Day and Communion. Orchestra No. 4 incorporates various psalms and Gospel tunes, and his purported First Orchestral Set, also called New England Symphony, delineates three places in New England. A great part of the previous organ music composed by Ives from the hour of his understudy years, when he filled in as organist in various holy places, discovered its way into later creations. The second of his two piano sonatas, Concord, Mass. 1840 - 60, has the trademark development titles Emerson, Hawthorne, The Alcotts and Thoreau, an extremely American artistic festival. The first of the two string groups of four of Ives has the trademark title From the Salvation Army and depends on prior organ arrangements, while the fourth of his four violin sonatas delineates Children's Day at the Camp Meeting. Ives composed various hymn settings, part-melodies and refrain settings for harmony voices and symphony. In his many independent melodies he set refrains going from Shakespeare, Goethe and Heine to Whitman and Kipling, with various writings of his own creation. Generally notable tunes by Ives incorporate Shall We Gather at the River, The Cage and The Side-Show. In 1947, Ives was granted the Pulitzer Prize for his Symphony No. 3, agreeing him a much merited global fame. Before long, his works were taken up and advocated by such driving conductors as Leonard Bernstein. At his passing in 1954, he had seen an ascent from lack of clarity to a place of fantastic greatness among the world's driving entertainers and melodic establishments. Book index Swaffork, Jan. The Vintage Guide to Classical Music. Charles Ives New York: Random House Inc. 1992.

Friday, August 21, 2020

Professional Role Paper Assignment Example | Topics and Well Written Essays - 1000 words

Proficient Role Paper - Assignment Example It isn't must to get confirmed for concentrated consideration yet certain individuals decide to become ensured and different offices decide to enlist affirmed medical attendants. Medical caretakers that serve basic patients need to serve in crises, Intensive Care Units, Critical Care Units, and stroll in centers. Notwithstanding broad nursing care these medical caretakers need to give patients compassion, regard and backing. The medical attendants need to have a hold over consolation of patients’ needs. Basic consideration nursing is a pattern setting field as sooner rather than later numerous individuals will require particular serious consideration. The field of basic consideration nursing is a promising one yet requires certain properties in an individual. Modernization has likewise influenced the field of human services and with consistently that passes understanding consideration gets perplexing, consequently it is an absolute necessity medical attendants be educated. Serious consideration nursing is unique in relation to normal nursing since it requires the medical attendants to take uncommon consideration of the patients. Basic consideration nursing centers around the consideration of the basically sick or flimsy patients. Basic consideration nurture for the most part work in crisis divisions and ICUs. A basic consideration nurture notwithstanding her nursing characteristics gives a patient compassion and good help. Because of every one of these attributes I imagine myself turning into a concentrated consideration nurture later on. This field of nursing interests me since I like offering help to patients who are basic. The surge of blood that working in a basic unit causes intrigues me (Cottrell and Kendall, 2010). Nursing goes back to old occasions. The historical backdrop of nursing shows that it was a calling of respect and control. History gives record of one of the most acclaimed medical caretakers ever that gave basic consideration at the hour of war. Florence Nightingale remains as one of the most noticeable attendants ever (Blais and Hayes, 2011). In America an affiliation called American

MIT Medical A Freshmans Story

MIT Medical A Freshman’s Story A few weeks ago, a friend of mine approached me with an idea for a blog entry about MIT Medical: an inside look on their experience with MITs medical system, and medical facilities around Boston. They thought that their story was particularly relevant because this is the time when the incoming freshmen and their parents are working on their insurance plans for college, and I agreed. For sake of privacy, though, we agreed that the entry should be anonymous. Its a long and detailed entry, but I think its worth sharing: after all, MIT has one of the best medical systems in the nation, and I believe incoming (and prospective) students deserve to know exactly what sort of healthcare theyll be getting at MIT. Ive also added a compilation of links to some of MITs many student health resources at the end of this post. And while Im no expert regarding MIT Medical, I do have quite a bit of experience with Medical due to my training as a Medlink; so if you have any questions, Ill do my best to answer them. *** Student 11: Over the past year, Ive had more than my fair share of encounters with MIT Medical such as obtaining a prescription at a decent price in September, mononucleosis in October, vaccinations in November and February, and a series of three major throat infections in February and March that culminated in emergency surgery the week before spring break. (All this, and I hadnt even declared a major yet.) Of course, medical issues mean medical bills mean medical insurance. Oh joy. Ive learned a number of things about medical insurance â€" and specifically, medical insurance at MIT â€" since arriving here, most of it the hard way. I know that prefrosh and their parents are choosing a medical plan right about now, so I hope that you will benefit from my experience. I particularly learned about the differences between having the MIT Student Medical Plan, in which all MIT students are automatically enrolled, and the MIT Student Extended Insurance Plan, which costs an additional $1570 per academic year for a single student. Last August, my family elected to not put me on the MIT Extended Insurance Plan, instead depending on the MIT Student Medical Plan that every MIT undergrad gets automatically (call it the Basic Plan), plus my Dads insurance for covering the big stuff. Dad of Student 11: Since medical insurance decisions are complex, and involve a joint student-parent discussion, we added a parent’s voice to this entry. Long ago I spent a year at MIT (my “junior year abroad” in Boston) so I thought I knew how the place worked (not quite, Dad!). Our family has a comprehensive medical plan that I buy through my employer, who negotiates with providers for a wide range of well-priced choices. Now, since I trained up as an economics major (Course 14, for you Tech types), I used those rusty skills to compare all the plan options from our employers. We had all been robustly healthy the past ten years (minor athletic injuries aside), so I opted to bet against long-tail probabilities and took the so-called High Deductible Medical plan. We then saved the difference versus the lower deductibles plans in a special medical savings account. Our medical plan is flexible, with open access, meaning we can go to any participating in-plan provider anywhere with out going through a gatekeeper or getting pre-approval, and it offers good coverage if you need to go outside the network. It was been a good bet for four years running, and we had a nice safety cushion building. Emphasis on the had. Student: A little bit about MIT Medical: Its basically a miniature hospital. The building contains Urgent Care, staffed 24/7 with at least one doctor on call; a small pharmacy; a lab; offices for general practitioners; OB/GYN specialists; ear/nose/throat specialists; a bunch of other types of specialists; and even a hospital-style ward, complete with nurses taking your blood pressure at all hours of the day and night. (I lived there for a few days while still in recovery from the surgery described below the food isn’t bad, and the nurses even have some tolerance for the nocturnal habits of MIT students like me). Im pretty sure theres other stuff tucked away in that medical building that Im missing. The building itself is located in E23, just behind the Media Lab on the east side of campus. Its also only about a hundred yards from the Kendall Square T-stop on the Red Line. If you hop on the train inbound to Boston, the very next stop is Charles/MGH, just across the Longfellow Bridg e and right next to the Massachusetts General Hospital, better known as Mass General or MGH. MIT Medical (E23) at dawn. Dad: MIT Medical serves the entire Institute population â€" faculty, staff, post-docs, grad students, undergrads â€" with a comprehensive medical service delivered primarily through the clinic and hospital-like facilities on campus near Kendall Square. They are a Preferred Provider Organization (PPO) which has formal links to a selection of medical specialists and hospitals near Cambridge. For students on the Extended Plan, they also have some coverage if you study abroad (check their web site for details). But as a PPO and unlike your local doctor they do not have the capability to bill an outside insurance company (a special exception is noted below). So MIT Medical can do the whole deal with care end-to-end on the Extended Plan. Or, if you are on just the Basic Plan, they need to send your student to someone who can provide the care and send you a bill. So the student gets to see a local doctor, or a local pharmacy, and you or your plan gets the bill. And apart from MIT Medicals own pharmacy, the nearest pharmacies are in Central Square (rather a walk from campus) since there are no pharmacies or groceries to be found in offices-only Kendall Square near MIT. Student: As I learned, the MIT Basic Plan is decent coverage as long as you dont have any major problems. When I showed up in Urgent Care at MIT Medical with rock-hard lymph nodes and generally feeling like crap, they were able to send me to the lab for a blood test without much trouble, and I had a diagnosis for mononucleosis the next morning. Getting my two remaining vaccinations wasnt a problem either; they just gave me the shots, and sent a bill to my Dads insurance. (Dad: Vaccines strongly recommended for students are the one case where MIT Medical has made arrangements to put charge for the services, either on the MIT Student Accounts invoice, or to bill insurance carriers.) If Id had no more than that all year, things would have been just fine and dandy. The problems began when I needed more care than just shots and sniffles. Slightly more problematic was getting a prescription for a long-term medication. Not getting the prescription â€" I had prescriptions from three separate doctors by the time I was done. The issues were cost and location. I had three options: buy it from MIT Medical, through my Dads insurance, or a local provider. My Dads insurance plans pharmacy was expensive and inconvenient. MIT Medical, under the Basic Plan, was also expensive, but at least convenient. The local provider was less expensive and quite inconvenient; I had to haul across the river and down to the BU area in order to have an appointment with a doctor (which we had to pay for separately) in order to get their prescription from them so that I could buy the medicine from them; they wouldnt take the prescription my doctor at home had already written for me. Theres an afternoon down the drain. Sigh. Not to mention various annoyances related to buying medications from a very small, very local, very idiosyncratic institution. If I had been on the MIT Expanded Plan, I could have gotten the medication both cheaply and conveniently right on campus. MIT Medical heavily discounts many prescription medications, has a low-ish co-pay, and the pharmacy is right on campus. Dad: Costs so far: $213.50 total billed, of which $0 was covered by our insurance, and $213.50 was our share. Student: Now the fun part: infections, abscess drainage, and surgery! One Saturday night in early February, I went to MIT Urgent Care with huge swelling in my throat, from with what turned out to be an abscess caused by an infection near my tonsils. The lone doctor on call sent me over to Mass General, just one T-stop away, where (after much waiting punctuated by intermittent poking and prodding) they hooked me up to an IV, gave me some stuff to relieve symptoms, and ran me through a CAT scan, which confirmed the doctors diagnosis of a peritonsular abscess. They put me to bed for a few hours, and finally drained the abscess in the morning. This basically consisted of numbing my throat with the most awful-tasting stuff Ive ever had to endure (like an acrid, chemical imitation of rotting bananas), shoving a syringe into the abscess to extract a sample of pus for analysis, and then prying open the hole from the syringe and pressing onto the swelling to squeeze out the rest of the gunk. I left with narcotic painkillers and antibiotics to clean out the infection. Dad: This is not the phone call any parent ever wants to get at 10:00 PM on a Saturday night: “Ah, Dad, I’m in the ER at Mass General, my throat is swollen, can’t talk much, they’re gonna give me a CAT scan, my phone is losing power, bye!”. We’re lucky â€" we live about 3 hours from Boston, so very early the next morning I hopped in my car and drove to Boston. I arrived in time to catch up with my child in the emergency surgery recovery room at Mass Eye and Ear Infirmary (MEEI), and accompany back to the admitting emergency room at MGH, the eventual point of discharge. We learned that MGH and MEEI are two different institutions, with separate billing and separate parking, connected by a covered passageway, and sharing a prison morphed into a fancy hotel (no really, it used to be a prison). MEEI does eyes, ears, noses, and throats; MGH does everything else. Going through the bills much later, I had a chance to Google-check the attending ER physician at MGH; she is the holder of an Olympic Bronze medal, awarded as a member of the US Women’s Field Hockey team sometime back in the day. Now she is a specialist in ER and Sports Medicine â€" how classically overqualified Boston, eh? We stayed in a Cambridge hotel Sunday night so our Student could recover (in an excess of comfort), and then go back to class Monday morning. Medical costs for this encounter: $11,243 total billed, and $8,233 allowed under our insurance plan’s negotiated rates; of which $3230 was covered by the insurance plan and $5,002 was our share. Ouch. At least we had used up our student’s deductible. Student: After two weeks of recovery and apparent good health, the peritonsular abscess infection returned, and back I went to MIT Medical. This time, however, it was a Wednesday morning, around 9:30 AM. As it turns out, MIT Medical has the personnel and equipment to drain an abscess like that, no problem. Because I was on the Basic Plan, not the Extended Plan, the procedure to drain an abscess was not covered, and MIT Medical could not bill my family insurance plan. So once more they sent me over to the Mass Eye and Ear (by cab). I spent the day waiting in the MEEI ER, getting the procedure performed, recovering a bit, then coming home and taking a narcotics-induced nap while my peers took the semesters first 18.03 exam. Dad: Costs for this set: $1,095 total billed, and $556 allowed under our insurance plan negotiated rates, of which $367 was covered by our insurance plan and $189 was our share. Not as bad as the last one. Student: It was a Monday morning when I went to MIT Medical 17 days later for the second relapse the third round with my peritonsular abscess. They spent a long time fussing over me (still not sure why) before sending me over to Mass Eye and Ear again for drainage. Didnt come back till Friday, though, as the doctor there decided I needed surgery immediately to remove the apparent cause of the recurrent infection. The doctor (named Dr. Song, appropriately enough for a throat specialist) figured that the bacterial infection was hiding in the labyrinth of tissue that comprise my tonsils, as the little bacteria could hole up in there and lie low until the nasty antibiotics went away, and then attack my throat once more. Though a tonsillectomy is a relatively common procedure, my case was a little unusual because they would be performing surgery on an infected area; this made the procedure a quincy tonsillectomy. For kids, a tonsillectomy is not a big deal; for adults (in body if not in mind), it is a distinctly non-trivial case. I was moved upstairs, from the emergency area on the ground floor to the inpatient unit on the 11th floor, where I lived for the rest of the week. They did a bunch of diagnostics on me Monday afternoon, including a lot of blood samples and another CAT scan. Dr. Song wanted to do the surgery as quickly as possible, but first they ran into some (ultimately groundless) concern about my blood not clotting enough. (I must have looked like a heroin addict by the end of the week: the insides of my elbows were just covered in needle tracks. The IV in the back of my hand also left several blood vessels mushed into weird but harmless misalignments.) There were also some delays with scheduling time in the surgery room, but on Wednesday afternoon, just as my peers were taking their second 18.03 test and/or the 6.01 midterm, the nurses loaded me onto a big fancy surgery bed and took me down to the surgery floor. Interestingly enough, between the 6th and 7th floors (I think) there are 2 floors tha t are labeled only by letters in the elevator: S and R, presumably for Surgery and Recovery. (Platform Nine and Three-Quarters, anyone?) Once in surgery, the anesthesiologist put a mask over my face and probably something in my IV, and then I woke up a few hours later in the recovery room feeling thoroughly muzzy. It probably took me a good 15 or 20 minutes to go from aware to engaged, so it was nice that the recovery room was very quiet and the nurse didnt even approach me until it was clear my brain was functioning enough that I could respond to her. Another nurse wheeled my surgery bed back up to the 11th floor, where I am proud to say I got out and walked to my hospital bed on my own two feet. I spent Wednesday night and Thursday in my hospital room, sleeping (as much as can be done when a nurse wakes you every other hour to check your vitals), eating really soft foods, reading, occasionally speaking in a very soft voice, and taking lots of narcotics to dull the pain of the worst sore throat you could ever imagine. By Thursday I was itching to get out; hospital stays are the epitome of “hurry up and wait,” and the only reason I wasnt bored stiff was that a wonderful friend contrived to get into my room, grab some books, and run them over to me at MEEI when I learned Monday that theyd be keeping me all week. And Id had absolutely no Internet access all week (horror of horrors for an MIT student!). I kept in touch with my friends mostly via text message; a few even came to visit. I was quite happy to be discharged at last on Friday, when the doctors decided Id gotten through just fine and it was safe for me to leave. My parents loaded me and my dirty laundry into the car and drove home. The following week was MIT spring vacation, so I spent it at home recovering and enjoying some of Moms mushier dishes. I even managed to dig up enough energy near the end of the week to start catching up on schoolwork. Dad: Once again, I was able to hop in the car and head to Boston, to be advocate and companion for my kid during the whole long stay in the hospital, and then provide transport home for initial recovery. One very small side benefit: The view from the 7th floor MEEI cafeteria is a spectacular sweep of Boston, Cambridge, and particularly MIT â€" perhaps the best views of the MIT campus I have seen from any vantage point in Boston or Cambridge. Lunches were wonderful, and sunsets were stunning. I was going nuts not being able to check e-mail from work major Internet withdrawal. But in the MEEI cafeteria I spotted an MIT student (the T-shirt and laptop is always a giveaway) â€" he was doing research on kinesthesiology, something about testing middle ear disturbances for a project funded by NASA. He sent me to the library, which got me wired up in a jiffy. Nights, we stayed at the hotel in Cambridge, leaving our student to the tender ministrations of the night nurses. Much later came the reality check (literally). Getting billed for a hospital stay with major surgery is like watching an avalanche on one of Saturn’s moons fall down in slow motion on your planetary lander from a control room on earth; it happened a long time ago because of transmission delay, and by now there is not a darn thing you can do about it. Costs for this set: $26,261 total billed, and $6,186 allowed under our insurance plan’s negotiated rates; of that $4,345 was covered by the insurance plan, and $1,840 was our share. Wow. Student: After my week of convalescence at home, my parents drove me back up to Boston as classes resumed. I spent my first few days back living on the inpatient ward in MIT Medical, where the medical staff could keep an eye on me and provide me with nice soft food. After about two days the doctor declared me thoroughly stable, and I returned to living in my dorm room. About a week later, I went back to MEEI for a follow-up with Dr. Song, who concluded I was healing fantastically and requested an additional follow-up in late May. So, after finals (by which time my stay in MEEI seemed like a lifetime ago) I returned for that last follow-up, which included yet another CAT scan (I think were at #3 now?); Dr. Song declared me completely recovered and released me from his care. Dad: Costs for this set: $2,430 total billed, and $1,612 allowed under our insurance plan negotiated rates, of which $1,137 was covered by the insurance plan, and $475 was our share. Student: So heres my take. The Basic Plan is sufficient for: Shots and vaccinations Sniffles and sneezes Common diseases â€" mono, strep, bronchitis, etc. STD testing Medical documentation and patient advocacy within the Institute BUT you’ll need to understand your insurance plans to do your own math for prescriptions, vaccination co-pays, your other needs and stuff. The MIT Extended plan is really helpful for: Uncommon or complicated medical problems Chronic problems Anything that requires a specialist Easy access to the local hospitals with which MIT Medical has contracts. Avoiding MIT Medicals limitations on charging outside insurance agencies for anything beyond vaccinations. From my experience, MIT Medical will send you to the hospital regardless of your insurance plan if you need something they cannot deliver, such as surgery, or if it is outside business hours (~8-5, Mon-Fri). Ultimately, you will get care, somewhere. Dad: Well, all is well that ends pretty well. My child was able to finish out the semester successfully, and did anywhere from well to very well in the spring semester courses. And we had quite a lesson in medical billing and insurance reimbursement â€" and in the sheer time it can take to get medical care, time that should be weighed against the costs involved in the Extended Medical coverage. Total costs across all that happened this year was: $41,123 total billed, and $16,672 allowed under our insurance plan’s negotiated rates; of which $9,147 was covered by the insurance plan, and $7,524 was our share. We would have paid out less â€" likely quite a lot less â€" under the lower deductible and smaller co-pays of the MIT Extended plan. We’ll be taking the MIT Extended plan for our student in the new academic year â€" with hopes that all needed care can be delivered on the campus. Stay well, kid! Student: One final thought: Whatever happens, if you know you need serious medical help, always go first to MIT Medical. Any Medlink will tell you the same thing. I dont care what plan youre on, just go to Urgent Care. Even if all they can do is take a look and then pay your taxi fare to get you to Mass General, GO TO MEDICAL. I cant stress that enough. Why? Because then Medical has on record that you came in with a medical problem. That means everyone you are accountable to â€" your professors, your research supervisor, your employer, anyone â€" can verify that you went to Medical on a given day with a call to the Dean in Student Support Services (better known as S3). That way, you have some footing for negotiating with your professors about things you missed, like the two 18.03 exams I missed while getting treated for those infections. (One I made up after the surgery; the other the professor replaced with the average of the rest of my exams.) Even better, if you have a case that drags on â€" such as my week-long visit to the hospital and subsequent three-week recovery â€" someone in MIT Medical (a “Patient Advocate”) will keep in touch with you, following your case and making sure that youre getting the care you need, that your professors are giving you sufficient leeway to recover and catch up, and the deans and your advisor are kept in the loop. *** Helpful Links from MIT Medical: MIT Medical Homepage Student Quick Links Student Health Plans Overview Student Health Plans Overview (pdf) Summary of Student Medical (Basic) Plan (pdf) Summary of Student Extended Plan (pdf) Insurance Enrollment Form Waiving the Extended Plan FAQ Other Helpful Links: Student Support Services MIT Medlinks MIT Emergency Medical Services (EMTs) MIT Police Homepage MIT Nightline: 617-253-8800 (anonymous peer-listening service run by student volunteers) Boston Area Rape Crisis Center: 1-800-841-8371 MIT Emergency Phone Numbers 24/7 Emergency Hotline: 617-253-1212 MIT Medical (24-hour Urgent Care): 617-253-1311

MIT Medical A Freshmans Story

MIT Medical A Freshman’s Story A few weeks ago, a friend of mine approached me with an idea for a blog entry about MIT Medical: an inside look on their experience with MITs medical system, and medical facilities around Boston. They thought that their story was particularly relevant because this is the time when the incoming freshmen and their parents are working on their insurance plans for college, and I agreed. For sake of privacy, though, we agreed that the entry should be anonymous. Its a long and detailed entry, but I think its worth sharing: after all, MIT has one of the best medical systems in the nation, and I believe incoming (and prospective) students deserve to know exactly what sort of healthcare theyll be getting at MIT. Ive also added a compilation of links to some of MITs many student health resources at the end of this post. And while Im no expert regarding MIT Medical, I do have quite a bit of experience with Medical due to my training as a Medlink; so if you have any questions, Ill do my best to answer them. *** Student 11: Over the past year, Ive had more than my fair share of encounters with MIT Medical such as obtaining a prescription at a decent price in September, mononucleosis in October, vaccinations in November and February, and a series of three major throat infections in February and March that culminated in emergency surgery the week before spring break. (All this, and I hadnt even declared a major yet.) Of course, medical issues mean medical bills mean medical insurance. Oh joy. Ive learned a number of things about medical insurance â€" and specifically, medical insurance at MIT â€" since arriving here, most of it the hard way. I know that prefrosh and their parents are choosing a medical plan right about now, so I hope that you will benefit from my experience. I particularly learned about the differences between having the MIT Student Medical Plan, in which all MIT students are automatically enrolled, and the MIT Student Extended Insurance Plan, which costs an additional $1570 per academic year for a single student. Last August, my family elected to not put me on the MIT Extended Insurance Plan, instead depending on the MIT Student Medical Plan that every MIT undergrad gets automatically (call it the Basic Plan), plus my Dads insurance for covering the big stuff. Dad of Student 11: Since medical insurance decisions are complex, and involve a joint student-parent discussion, we added a parent’s voice to this entry. Long ago I spent a year at MIT (my “junior year abroad” in Boston) so I thought I knew how the place worked (not quite, Dad!). Our family has a comprehensive medical plan that I buy through my employer, who negotiates with providers for a wide range of well-priced choices. Now, since I trained up as an economics major (Course 14, for you Tech types), I used those rusty skills to compare all the plan options from our employers. We had all been robustly healthy the past ten years (minor athletic injuries aside), so I opted to bet against long-tail probabilities and took the so-called High Deductible Medical plan. We then saved the difference versus the lower deductibles plans in a special medical savings account. Our medical plan is flexible, with open access, meaning we can go to any participating in-plan provider anywhere with out going through a gatekeeper or getting pre-approval, and it offers good coverage if you need to go outside the network. It was been a good bet for four years running, and we had a nice safety cushion building. Emphasis on the had. Student: A little bit about MIT Medical: Its basically a miniature hospital. The building contains Urgent Care, staffed 24/7 with at least one doctor on call; a small pharmacy; a lab; offices for general practitioners; OB/GYN specialists; ear/nose/throat specialists; a bunch of other types of specialists; and even a hospital-style ward, complete with nurses taking your blood pressure at all hours of the day and night. (I lived there for a few days while still in recovery from the surgery described below the food isn’t bad, and the nurses even have some tolerance for the nocturnal habits of MIT students like me). Im pretty sure theres other stuff tucked away in that medical building that Im missing. The building itself is located in E23, just behind the Media Lab on the east side of campus. Its also only about a hundred yards from the Kendall Square T-stop on the Red Line. If you hop on the train inbound to Boston, the very next stop is Charles/MGH, just across the Longfellow Bridg e and right next to the Massachusetts General Hospital, better known as Mass General or MGH. MIT Medical (E23) at dawn. Dad: MIT Medical serves the entire Institute population â€" faculty, staff, post-docs, grad students, undergrads â€" with a comprehensive medical service delivered primarily through the clinic and hospital-like facilities on campus near Kendall Square. They are a Preferred Provider Organization (PPO) which has formal links to a selection of medical specialists and hospitals near Cambridge. For students on the Extended Plan, they also have some coverage if you study abroad (check their web site for details). But as a PPO and unlike your local doctor they do not have the capability to bill an outside insurance company (a special exception is noted below). So MIT Medical can do the whole deal with care end-to-end on the Extended Plan. Or, if you are on just the Basic Plan, they need to send your student to someone who can provide the care and send you a bill. So the student gets to see a local doctor, or a local pharmacy, and you or your plan gets the bill. And apart from MIT Medicals own pharmacy, the nearest pharmacies are in Central Square (rather a walk from campus) since there are no pharmacies or groceries to be found in offices-only Kendall Square near MIT. Student: As I learned, the MIT Basic Plan is decent coverage as long as you dont have any major problems. When I showed up in Urgent Care at MIT Medical with rock-hard lymph nodes and generally feeling like crap, they were able to send me to the lab for a blood test without much trouble, and I had a diagnosis for mononucleosis the next morning. Getting my two remaining vaccinations wasnt a problem either; they just gave me the shots, and sent a bill to my Dads insurance. (Dad: Vaccines strongly recommended for students are the one case where MIT Medical has made arrangements to put charge for the services, either on the MIT Student Accounts invoice, or to bill insurance carriers.) If Id had no more than that all year, things would have been just fine and dandy. The problems began when I needed more care than just shots and sniffles. Slightly more problematic was getting a prescription for a long-term medication. Not getting the prescription â€" I had prescriptions from three separate doctors by the time I was done. The issues were cost and location. I had three options: buy it from MIT Medical, through my Dads insurance, or a local provider. My Dads insurance plans pharmacy was expensive and inconvenient. MIT Medical, under the Basic Plan, was also expensive, but at least convenient. The local provider was less expensive and quite inconvenient; I had to haul across the river and down to the BU area in order to have an appointment with a doctor (which we had to pay for separately) in order to get their prescription from them so that I could buy the medicine from them; they wouldnt take the prescription my doctor at home had already written for me. Theres an afternoon down the drain. Sigh. Not to mention various annoyances related to buying medications from a very small, very local, very idiosyncratic institution. If I had been on the MIT Expanded Plan, I could have gotten the medication both cheaply and conveniently right on campus. MIT Medical heavily discounts many prescription medications, has a low-ish co-pay, and the pharmacy is right on campus. Dad: Costs so far: $213.50 total billed, of which $0 was covered by our insurance, and $213.50 was our share. Student: Now the fun part: infections, abscess drainage, and surgery! One Saturday night in early February, I went to MIT Urgent Care with huge swelling in my throat, from with what turned out to be an abscess caused by an infection near my tonsils. The lone doctor on call sent me over to Mass General, just one T-stop away, where (after much waiting punctuated by intermittent poking and prodding) they hooked me up to an IV, gave me some stuff to relieve symptoms, and ran me through a CAT scan, which confirmed the doctors diagnosis of a peritonsular abscess. They put me to bed for a few hours, and finally drained the abscess in the morning. This basically consisted of numbing my throat with the most awful-tasting stuff Ive ever had to endure (like an acrid, chemical imitation of rotting bananas), shoving a syringe into the abscess to extract a sample of pus for analysis, and then prying open the hole from the syringe and pressing onto the swelling to squeeze out the rest of the gunk. I left with narcotic painkillers and antibiotics to clean out the infection. Dad: This is not the phone call any parent ever wants to get at 10:00 PM on a Saturday night: “Ah, Dad, I’m in the ER at Mass General, my throat is swollen, can’t talk much, they’re gonna give me a CAT scan, my phone is losing power, bye!”. We’re lucky â€" we live about 3 hours from Boston, so very early the next morning I hopped in my car and drove to Boston. I arrived in time to catch up with my child in the emergency surgery recovery room at Mass Eye and Ear Infirmary (MEEI), and accompany back to the admitting emergency room at MGH, the eventual point of discharge. We learned that MGH and MEEI are two different institutions, with separate billing and separate parking, connected by a covered passageway, and sharing a prison morphed into a fancy hotel (no really, it used to be a prison). MEEI does eyes, ears, noses, and throats; MGH does everything else. Going through the bills much later, I had a chance to Google-check the attending ER physician at MGH; she is the holder of an Olympic Bronze medal, awarded as a member of the US Women’s Field Hockey team sometime back in the day. Now she is a specialist in ER and Sports Medicine â€" how classically overqualified Boston, eh? We stayed in a Cambridge hotel Sunday night so our Student could recover (in an excess of comfort), and then go back to class Monday morning. Medical costs for this encounter: $11,243 total billed, and $8,233 allowed under our insurance plan’s negotiated rates; of which $3230 was covered by the insurance plan and $5,002 was our share. Ouch. At least we had used up our student’s deductible. Student: After two weeks of recovery and apparent good health, the peritonsular abscess infection returned, and back I went to MIT Medical. This time, however, it was a Wednesday morning, around 9:30 AM. As it turns out, MIT Medical has the personnel and equipment to drain an abscess like that, no problem. Because I was on the Basic Plan, not the Extended Plan, the procedure to drain an abscess was not covered, and MIT Medical could not bill my family insurance plan. So once more they sent me over to the Mass Eye and Ear (by cab). I spent the day waiting in the MEEI ER, getting the procedure performed, recovering a bit, then coming home and taking a narcotics-induced nap while my peers took the semesters first 18.03 exam. Dad: Costs for this set: $1,095 total billed, and $556 allowed under our insurance plan negotiated rates, of which $367 was covered by our insurance plan and $189 was our share. Not as bad as the last one. Student: It was a Monday morning when I went to MIT Medical 17 days later for the second relapse the third round with my peritonsular abscess. They spent a long time fussing over me (still not sure why) before sending me over to Mass Eye and Ear again for drainage. Didnt come back till Friday, though, as the doctor there decided I needed surgery immediately to remove the apparent cause of the recurrent infection. The doctor (named Dr. Song, appropriately enough for a throat specialist) figured that the bacterial infection was hiding in the labyrinth of tissue that comprise my tonsils, as the little bacteria could hole up in there and lie low until the nasty antibiotics went away, and then attack my throat once more. Though a tonsillectomy is a relatively common procedure, my case was a little unusual because they would be performing surgery on an infected area; this made the procedure a quincy tonsillectomy. For kids, a tonsillectomy is not a big deal; for adults (in body if not in mind), it is a distinctly non-trivial case. I was moved upstairs, from the emergency area on the ground floor to the inpatient unit on the 11th floor, where I lived for the rest of the week. They did a bunch of diagnostics on me Monday afternoon, including a lot of blood samples and another CAT scan. Dr. Song wanted to do the surgery as quickly as possible, but first they ran into some (ultimately groundless) concern about my blood not clotting enough. (I must have looked like a heroin addict by the end of the week: the insides of my elbows were just covered in needle tracks. The IV in the back of my hand also left several blood vessels mushed into weird but harmless misalignments.) There were also some delays with scheduling time in the surgery room, but on Wednesday afternoon, just as my peers were taking their second 18.03 test and/or the 6.01 midterm, the nurses loaded me onto a big fancy surgery bed and took me down to the surgery floor. Interestingly enough, between the 6th and 7th floors (I think) there are 2 floors tha t are labeled only by letters in the elevator: S and R, presumably for Surgery and Recovery. (Platform Nine and Three-Quarters, anyone?) Once in surgery, the anesthesiologist put a mask over my face and probably something in my IV, and then I woke up a few hours later in the recovery room feeling thoroughly muzzy. It probably took me a good 15 or 20 minutes to go from aware to engaged, so it was nice that the recovery room was very quiet and the nurse didnt even approach me until it was clear my brain was functioning enough that I could respond to her. Another nurse wheeled my surgery bed back up to the 11th floor, where I am proud to say I got out and walked to my hospital bed on my own two feet. I spent Wednesday night and Thursday in my hospital room, sleeping (as much as can be done when a nurse wakes you every other hour to check your vitals), eating really soft foods, reading, occasionally speaking in a very soft voice, and taking lots of narcotics to dull the pain of the worst sore throat you could ever imagine. By Thursday I was itching to get out; hospital stays are the epitome of “hurry up and wait,” and the only reason I wasnt bored stiff was that a wonderful friend contrived to get into my room, grab some books, and run them over to me at MEEI when I learned Monday that theyd be keeping me all week. And Id had absolutely no Internet access all week (horror of horrors for an MIT student!). I kept in touch with my friends mostly via text message; a few even came to visit. I was quite happy to be discharged at last on Friday, when the doctors decided Id gotten through just fine and it was safe for me to leave. My parents loaded me and my dirty laundry into the car and drove home. The following week was MIT spring vacation, so I spent it at home recovering and enjoying some of Moms mushier dishes. I even managed to dig up enough energy near the end of the week to start catching up on schoolwork. Dad: Once again, I was able to hop in the car and head to Boston, to be advocate and companion for my kid during the whole long stay in the hospital, and then provide transport home for initial recovery. One very small side benefit: The view from the 7th floor MEEI cafeteria is a spectacular sweep of Boston, Cambridge, and particularly MIT â€" perhaps the best views of the MIT campus I have seen from any vantage point in Boston or Cambridge. Lunches were wonderful, and sunsets were stunning. I was going nuts not being able to check e-mail from work major Internet withdrawal. But in the MEEI cafeteria I spotted an MIT student (the T-shirt and laptop is always a giveaway) â€" he was doing research on kinesthesiology, something about testing middle ear disturbances for a project funded by NASA. He sent me to the library, which got me wired up in a jiffy. Nights, we stayed at the hotel in Cambridge, leaving our student to the tender ministrations of the night nurses. Much later came the reality check (literally). Getting billed for a hospital stay with major surgery is like watching an avalanche on one of Saturn’s moons fall down in slow motion on your planetary lander from a control room on earth; it happened a long time ago because of transmission delay, and by now there is not a darn thing you can do about it. Costs for this set: $26,261 total billed, and $6,186 allowed under our insurance plan’s negotiated rates; of that $4,345 was covered by the insurance plan, and $1,840 was our share. Wow. Student: After my week of convalescence at home, my parents drove me back up to Boston as classes resumed. I spent my first few days back living on the inpatient ward in MIT Medical, where the medical staff could keep an eye on me and provide me with nice soft food. After about two days the doctor declared me thoroughly stable, and I returned to living in my dorm room. About a week later, I went back to MEEI for a follow-up with Dr. Song, who concluded I was healing fantastically and requested an additional follow-up in late May. So, after finals (by which time my stay in MEEI seemed like a lifetime ago) I returned for that last follow-up, which included yet another CAT scan (I think were at #3 now?); Dr. Song declared me completely recovered and released me from his care. Dad: Costs for this set: $2,430 total billed, and $1,612 allowed under our insurance plan negotiated rates, of which $1,137 was covered by the insurance plan, and $475 was our share. Student: So heres my take. The Basic Plan is sufficient for: Shots and vaccinations Sniffles and sneezes Common diseases â€" mono, strep, bronchitis, etc. STD testing Medical documentation and patient advocacy within the Institute BUT you’ll need to understand your insurance plans to do your own math for prescriptions, vaccination co-pays, your other needs and stuff. The MIT Extended plan is really helpful for: Uncommon or complicated medical problems Chronic problems Anything that requires a specialist Easy access to the local hospitals with which MIT Medical has contracts. Avoiding MIT Medicals limitations on charging outside insurance agencies for anything beyond vaccinations. From my experience, MIT Medical will send you to the hospital regardless of your insurance plan if you need something they cannot deliver, such as surgery, or if it is outside business hours (~8-5, Mon-Fri). Ultimately, you will get care, somewhere. Dad: Well, all is well that ends pretty well. My child was able to finish out the semester successfully, and did anywhere from well to very well in the spring semester courses. And we had quite a lesson in medical billing and insurance reimbursement â€" and in the sheer time it can take to get medical care, time that should be weighed against the costs involved in the Extended Medical coverage. Total costs across all that happened this year was: $41,123 total billed, and $16,672 allowed under our insurance plan’s negotiated rates; of which $9,147 was covered by the insurance plan, and $7,524 was our share. We would have paid out less â€" likely quite a lot less â€" under the lower deductible and smaller co-pays of the MIT Extended plan. We’ll be taking the MIT Extended plan for our student in the new academic year â€" with hopes that all needed care can be delivered on the campus. Stay well, kid! Student: One final thought: Whatever happens, if you know you need serious medical help, always go first to MIT Medical. Any Medlink will tell you the same thing. I dont care what plan youre on, just go to Urgent Care. Even if all they can do is take a look and then pay your taxi fare to get you to Mass General, GO TO MEDICAL. I cant stress that enough. Why? Because then Medical has on record that you came in with a medical problem. That means everyone you are accountable to â€" your professors, your research supervisor, your employer, anyone â€" can verify that you went to Medical on a given day with a call to the Dean in Student Support Services (better known as S3). That way, you have some footing for negotiating with your professors about things you missed, like the two 18.03 exams I missed while getting treated for those infections. (One I made up after the surgery; the other the professor replaced with the average of the rest of my exams.) Even better, if you have a case that drags on â€" such as my week-long visit to the hospital and subsequent three-week recovery â€" someone in MIT Medical (a “Patient Advocate”) will keep in touch with you, following your case and making sure that youre getting the care you need, that your professors are giving you sufficient leeway to recover and catch up, and the deans and your advisor are kept in the loop. *** Helpful Links from MIT Medical: MIT Medical Homepage Student Quick Links Student Health Plans Overview Student Health Plans Overview (pdf) Summary of Student Medical (Basic) Plan (pdf) Summary of Student Extended Plan (pdf) Insurance Enrollment Form Waiving the Extended Plan FAQ Other Helpful Links: Student Support Services MIT Medlinks MIT Emergency Medical Services (EMTs) MIT Police Homepage MIT Nightline: 617-253-8800 (anonymous peer-listening service run by student volunteers) Boston Area Rape Crisis Center: 1-800-841-8371 MIT Emergency Phone Numbers 24/7 Emergency Hotline: 617-253-1212 MIT Medical (24-hour Urgent Care): 617-253-1311