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Identity

Trans doctor says major insurance companies are refusing to pay her after legal name change

"As long as they're denying my claims for my services on that ground, they can do that to any trans healthcare provider of any type."

insurance companies; trans rights; trans doctor; trans community
Courtesy of Dr. Tiffany Najberg

Insurance companies can withhold pay for trans doctors and one doctor is fighting back.

Insurance companies can be a frustrating maze for consumers and for providers. It's not uncommon to call the number on the back of your insurance card and get a different answer every time you call with the same question. But for Dr. Tiffany Najberg, the fight with the insurance companies is a bit more personal.

Najberg is a transgender woman who has run into a multitude of problems in the insurance claims world—not as a patient, but as a provider. After changing her name legally and updating all of the required information on official websites, including the Council for Affordable Quality Healthcare and the National Plan and Provider Enumeration System, two websites insurance companies look at to verify providers' credentials and ability to practice, her claims have been denied.

In the beginning of this year-long saga, Najberg was receiving checks, but the checks were in her dead name and couldn't be cashed. After going several rounds with the insurance companies, the checks stopped coming and the insurance companies started denying her claims altogether. Of course, this prompted even more questions and frustration since Najberg updated the insurance companies with her legal name as required.


Najberg told Upworthy that on six different occasions, she and her billing company attempted to rectify the situation to no avail. These aren't small companies that may have never encountered such a request. In fact, many Americans with insurance are likely covered by one of the companies she's currently challenging. "Human, Cigna and Aetna flat out refused, but Medicaid, BlueCross BlueShield changed it immediately so it clearly has been approved through national databases," Najberg said.

The insurance companies' refusal to pay has been hurting Najberg and her practice, UrgentEMS, located in Shreveport, Louisiana. "My clinic treats everyone, but we aim towards communities that are underinsured and uninsured. I don’t have money to pay my rent next month because of this," the doctor told Upworthy.

Najberg explained that between the three major insurance companies, she is currently owed nearly $200,000 in unpaid claims. Of course, she could turn patients who have these particular insurances away, but for Najberg, that's not an option because she focuses on serving those who are underinsured and people in marginalized communities. She currently has over 100 trans patients who need continued healthcare with someone who makes them feel safe.

During the height of the pandemic, her clinic served as a place where people could get COVID-19 treatment, with Najberg proudly saying she treated everyone across the political spectrum. Najberg has built such a reputation on TikTok for her openness and ability to present public health issues in a relatable way that CDC officials have contacted her for pointers on how to engage the public.

But none of that matters if she can't keep her doors open, and the fear that comes from recognizing that possibility keeps her up at night. Through tears, Najberg expressed her concerns for the most vulnerable population she treats, saying, "I'll likely have to sleep in my car, and what about my trans patients? If my clinic closes, a few of them may kill themselves."

Dr. Najberg runs a clinic in Shreveport, Louisiana.

Courtesy of Dr. Tiffany Najberg

Najberg actually found herself in the position to lose everything last month after once again not being paid, but thankfully someone anonymously paid the rent on her office space, which costs around $5,000 a month. Recently, she has relied on donations from her followers in order to keep her doors open until she wins her fight with the insurance companies.

During the interview, Najberg informed Upworthy that one insurance company is now complying. "Aetna has started processing all the back claims and a new contract has been signed. I have no retirement anymore. I have no savings. I’ll never own property. For a lifetime to be wiped away over a name change is ridiculous," Najberg said.

A name change isn't uncommon. People change their names for multiple reasons, the main one being marriage, so it would stand to reason that insurance companies know how to navigate name changes within their system. What makes this name change so different if other companies had no issue?

It took Najberg months of phone calls to find out the reason for her denials was due to her name change and she was advised to submit under her dead name. But submitting an insurance claim under a different name than your own is insurance fraud and kind of illegal, she protested.

For Najberg, who's had a lifelong passion for helping people, the fight isn't just for herself.

"If they’re doing this to me, they have to be doing this to other people. If they get away with this, they’ll do it to other trans providers," Najberg told Upworthy.

If you'd like to support Dr. Tiffany in her fight against the insurance companies, you can sign her petition here, and if you'd like to donate to help her pay rent and get needed medical supplies, you can do that here.

via Visit Sweden (used with permission)

A Swedish woman taking things into her own hands.

True

Sweden has existed for over 1,000 years, but travelers across the globe are confused because other places, inspired by the country’s untouched beauty and joyously inclusive culture, have taken its name.

Seven other places in the world call themselves Sweden, so to distinguish itself from the name-alikes, the Kingdom of Sweden is taking a bold, historic step that no country has before. It’s become the first to apply to trademark its name with the European Union Intellectual Property Office.

Visit Sweden likens the country’s problem to a luxury brand that has to contend with dupes, knockoffs, or bootlegs that fall short of the glory of the genuine article.


“It’s flattering that other places want to be called Sweden, but let’s be honest, there should only be one. Our Sweden. The one with the Northern Lights, endless forests, and the world’s best flat-pack furniture,” says Susanne Andersson, CEO at Visit Sweden.

- YouTubewww.youtube.com

By trademarking its name, Sweden will make things much less confusing for travelers worldwide. It’d be a shame for someone looking to visit Sweden’s majestic Lapland to mistakenly wind up in a place with no reindeer, Aurora Borealis, or cloudberries to be found.

The world-class research team at Visit Sweden knew it had to act when it realized that other destinations with the same name had tripped up travelers. People looking to vacation in Portland, Oregon, have accidentally wound up in Portland, Maine. Travelers yearning to experience the fall in Manchester, New Hampshire, have been deplaning in Manchester, England. “It happens more than you think!” the researchers admitted.


sweden, visit sweden, swedish vacation The Northern Lights in Sweden. via Visit Sweden, Photographer: Jann Lipka/imagebank.sweden.se

The E.U. Intellectual Property Office must act swiftly and allow Sweden to trademark its name so that travelers worldwide don’t miss the opportunity to experience an utterly unique country known for its serene landscapes, commitment to deep relaxation and personal freedom.

No one should ever miss out on staying on one of Sweden’s 267,570 islands, more than any other country. The Swedish archipelagos offer luxurious glamping, peaceful hikes, tranquil solitude and awe-inspiring, pristine nature.

sweden, visit sweden, swedish vacation A woman camping in the Swedish archipelago.via Visit Sweden, Photographer: Anders Klapp/imagebank.sweden.se


Sweden is a beautiful place to visit all year round, with bright summers, colorful falls, vibrant springs and dark, crisp winters. It is also a place to delight your tastebuds with a cuisine centered on healthy, locally sourced produce, with some preparation methods dating back to the Viking era.

The original Sweden is a place where one can relish Old World European history while also enjoying the modern pleasures of the most progressive countries in the world. Travelers can be whisked back into history by visiting the Naval Port of Karlskona, a well-preserved European naval town from 1680. Or, enjoy cutting-edge design, delicacies, art, music and culture in hip metropolitan destinations such as Stockholm or Sweden’s “coolest city,” Gothenburg.

Did we mention Sweden has an ABBA museum? Wait till the other 7 Swedens find out about that.

As you can see, Sweden is an incredibly unique destination that cannot be duplicated. It would be a tragedy for anyone intending to visit the original Sweden to mistakenly find themselves in a name-alike place that lacks its Scandinavian charm. You can do your part to stop the confusion by signing a petition to let Sweden trademark Sweden at Visit Sweden (the original).

sweden, visit sweden, swedish vacation A Swedish Midsommar celebration. via Visit Sweden, Photographer: Stefan Berg/Folio/imagebank.sweden.se

Our home, from space.

Sixty-one years ago, Yuri Gagarin became the first human to make it into space and probably the first to experience what scientists now call the "overview effect." This change occurs when people see the world from far above and notice that it’s a place where “borders are invisible, where racial, religious and economic strife are nowhere to be seen.”

The overview effect makes man’s squabbles with one another seem incredibly petty and presents the planet as it truly is, one interconnected organism.

In a compelling interview with Big Think, astronaut, author and humanitarian Ron Garan explains how if more of us developed this planetary perspective we could fix much of what ails humanity and the planet.

Garan has spent 178 days in space and traveled more than 71 million miles in 2,842 orbits. From high above, he realized that the planet is a lot more fragile than he thought.

“When I looked out the window of the International Space Station, I saw the paparazzi-like flashes of lightning storms, I saw dancing curtains of auroras that seemed so close it was as if we could reach out and touch them. And I saw the unbelievable thinness of our planet's atmosphere. In that moment, I was hit with the sobering realization that that paper-thin layer keeps every living thing on our planet alive,” Garan said in the video.

“I saw an iridescent biosphere teeming with life,” he continues. “I didn't see the economy. But since our human-made systems treat everything, including the very life-support systems of our planet, as the wholly owned subsidiary of the global economy, it's obvious from the vantage point of space that we're living a lie.”

It was at that moment he realized that humanity needs to reevaluate its priorities.

“We need to move from thinking economy, society, planet to planet, society, economy. That's when we're going to continue our evolutionary process,” he added.

Garan says that we are paying a very “high price” as a civilization for our inability to develop a more planetary perspective and that it’s a big reason why we’re failing to solve many of our problems. Even though our economic activity may improve quality of life on one end, it’s also disasterous for the planet that sustains our lives.

It’s like cutting off our nose to spite our face.

Actor William Shatner had a similar experience to Garan's when he traveled into space.

"It was among the strongest feelings of grief I have ever encountered," Shatner wrote. "The contrast between the vicious coldness of space and the warm nurturing of Earth below filled me with overwhelming sadness. Every day, we are confronted with the knowledge of further destruction of Earth at our hands: the extinction of animal species, of flora and fauna … things that took five billion years to evolve, and suddenly we will never see them again because of the interference of mankind."

“We're not going to have peace on Earth until we recognize the basic fact of the interrelated structure of all reality,” Garan said.

However dire the situation looks from the surface of Earth, the astronaut has hope that we can collectively evolve in consciousness and wake up and embrace a larger reality. “And when we can evolve beyond a two-dimensional us versus them mindset, and embrace the true multi-dimensional reality of the universe that we live in, that's when we're going to no longer be floating in darkness … and it's a future that we would all want to be a part of. That's our true calling.”


This article originally appeared two years ago.

Sponsored

How can riding a bike help beat cancer? Just ask Reid Moritz, 10-year-old survivor and leader of his own “wolfpack”

Every year, Reid and his pack participate in Cycle for Survival to help raise money for the rare cancer research that’s helped him and so many others. You can too.

all photos courtesy of Reid Moritz

Together, let’s help fuel the next big breakthrough in cancer research

True

There are many things that ten-year-old Reid Wolf Moritz loves. His family, making watches (yes, really), basketball, cars (especially Ferraris), collecting super, ultra-rare Pokémon cards…and putting the pedal to the medal at Cycle for Survival.

Cycle for Survival is the official rare cancer fundraising program of Memorial Sloan Kettering Cancer Center (MSK). One hundred percent of every dollar raised at Cycle for Survival events supports rare cancer research and lifesaving clinical trials at MSK.

At only two years old, Reid was diagnosed with pilocytic astrocytoma, a rare type of brain tumor.

Pediatric cancer research is severely underfunded. When standard treatments don't work, families rely on breakthrough clinical trials to give their children a real shot at long-term survival.

When Reid’s chemotherapy and brain surgery didn’t work, he was able to participate in one of MSK’s clinical trials, where he’s received some incredible results. “Memorial Sloan Kettering has done so much for me. It's just so nice how they did all this for me. They're just the best hospital ever,” Reid recalls.

And that’s why every year, you’ll find Reid with his team, aptly named Reid's Wolfpack, riding at Cycle for Survival. It’s just Reid’s way of paying it forward so that even more kids can have similar opportunities.

“I love sharing my story to inspire other kids to PERSEVERE, STAY STRONG and NEVER GIVE UP while also raising money for my amazing doctors and researchers to help other kids like me.”

Reid remembers the joy felt bouncing on his father’s shoulder and hearing the crowd cheer during his first Cycle for Survival ride. As he can attest, each fundraising event feels more like a party, with plenty of dancing, singing and celebrating.

Hoping to spread more of that positivity, Reid and his family started the Cycle for Survival team, Reid’s Wolfpack, which has raised close to $750,000 over the past eight years. All that money goes directly to Reid’s Neuro-Oncology team at Memorial Sloan Kettering.

In addition to cheering on participants and raising good vibes at Cycle for Survival events, Reid even designs some pretty epic looking merch—like basketball shorts, jerseys, and hoodies—to help raise money.

If you’re looking to help kids just like Reid, and have a ton of fun doing it, you’re in luck. Cycle for Survival events are held at Equinox locations nationwide, and welcome experienced riders and complete newbies alike. You can even join Reid and his Wolfpack in select cities!

And if cycling in any form isn’t your thing, a little donation really does go a long way.

Together, let’s help fuel the next big breakthrough in cancer research. Find out more information by checking out cycleforsurvival.org or filling out this interest form.

A man and a woman doing dead hangs.

Would you really want to know how long you have to live? On one hand, it’d probably inspire you to go out and complete your bucket list. On the other, it may be depressing to know just how many days you have left. Well, science has yet to discover a way to determine the average person's life expectancy. However, some indicators can show whether someone is in danger of having their life cut short by deteriorating health.

A study published by Clinical Interventions in Aging in 2019 determined that handgrip strength can be a reliable proxy for how long one has to live. One of the best ways to judge handgrip strength is to time how long you can hang from a bar. To test your grip strength, find yourself a pull-up bar, whether at a gym or local park, take a deep breath and start hanging.

The study found that 30 seconds is a good target for women and 60 is an excellent goal for men. Therefore, if you go longer than the goal, you’re looking at a long life. But if you can’t quite get there, your life may be shorter than you’d like.



Dr. Peter Attia believes that grip strength is a great way to determine one’s overall health.

“It's just a great proxy for overall body strength and muscle mass, but I think it's also a very functional form of strength,” he said on “The Drive” podcast. “Basically, everything in your upper body is mediated through your hands. And if your grip is weak, everything Downstream of that is weak. When you watch someone, who's got a weak grip deadlifting. It's very difficult for them to deadlift correctly because they don't create a proper wedge.

Doctors Eve M. Glazier and Elizabeth Ko at UCLA Health say poor grip strength is connected to numerous diseases. “Research continues to link a decline in grip strength to a range of adverse health issues, including heart disease, arthritis, osteoporosis, Type 2 diabetes and certain cancers. It has also been found to be a predictor of the likelihood of post-surgical complications, post-surgical recovery time and mortality,” they wrote on the UCLA Health blog.

Weight can also significantly affect how long a person can hang from a bar. So don’t lighter people have an unfair advantage advantage than those on the heavier side? Well, weight is also an important indicator of longevity. A study published in Aging Cell found a direct correlation between increased body mass and decreased longevity.



The good news for people who didn’t quite make their hang time goal is that you can improve it by practicing dead hangs.

How to perform a dead hang (according to Healthline):

  • Use a secure overhead bar. Use a step or bench to reach the bar with your arms easily. You don’t want to jump straight into a dead hang.
  • Grip the bar with an overhand grip (palms facing away from you). Aim to keep your arms shoulder-width apart.
  • Move your feet off the step or bench so you’re hanging on to the bar.
  • Keep your arms straight and stay relaxed.
  • If you’re new to the exercise, hang for 10 seconds. Then, work your way up to 45 seconds to 1 minute at a time.
  • Slowly step back onto the step or bench before releasing your arms. Repeat up to 3 times if you wish.
This article originally appeared in August.



A child being rude.

Sometimes, it can feel like half of parenting is repeating yourself over and over again, asking your child to brush their teeth or take a dish from the living room to the sink. It’s exhausting and makes you feel like a nag. Don't you wish there was a simple way to make your kids listen the first time?

Dr. Rebecca Kennedy, aka “Dr. Becky,” is a clinical psychologist and founder and CEO of Good Inside who says she has a quick way to make your kids more cooperative and less rude. Talk about killing two soul-crushing birds with one parenting stone. Dr. Beckly got into psychology after growing up with anorexia as a teenager.

“Okay, no matter how old your kid is, you can use this 15-second tip to decrease rudeness and increase cooperation,” she says in a TikTok video with over 32,000 views. “Find your child today and ask them this question. 'Hey, I was just wondering, what could I do better as your parent?'”

The psychologist says that even if the child has a random or impractical answer such as “Let me stay up ‘til midnight” or “I’d like to eat macaroni and cheese for breakfast, lunch and dinner,” just to listen. Simply by listening, you can change your child’s behavior.

She says we should also ask more questions to further the conversation: “Tell me more. What would that be like?”

Want to improve your relationship with your kid in less than 15 seconds? Watch this reel for a quick-win strategy. 

@drbeckyatgoodinside

Want to improve your relationship with your kid in less than 15 seconds? Watch this reel for a quick-win strategy. The best part: When we use strategies like this in calm moments, we reduce the frequency of difficult moments with our kids. Of course, I’m a realist… I know you need in-the-moment strategies too! Cue: My Conquering Problem Behaviors Workshop. You’ll get an entire toolbox of in-the-moment and outside-the-moment strategies for reducing outbursts and strengthening your bond with your kid. Learn more in the link in bio!

“I mean, imagine your boss coming to you randomly and asking how they could be a better manager to you. Just by asking the question and listening,” she continued. Dr. Becky says that asking our kids how we’re doing as parents communicates three essential ideas: “I care about you. I respect you. I'm invested in this relationship.”

This type of questioning builds a connection with a child that can spill over into other behaviors. “You're building connection. And with more connection always comes more cooperation,” she ends the video.

The big takeaway from the video is that when we enhance our connection with our kids, they will be less likely to disobey or be rude because they feel heard and respected, so there’s no need to act out. They will also return that respect by listening to you when you have a request, such as taking out the trash or putting down their phone and coming to dinner.

Some people in the comments got funny responses when they asked their kids what they could improve. “I asked my 5yr old. I got a mildly scathing look and she said ‘erm, maybe try and burn dinner less next time?’” Collette wrote. “My 5 yo told me to look better and get a haircut,” Mark Amend added.

Dr. Becky’s quick question is a great way for parents to strengthen their relationships when things are going well instead of trying to forge connections during conflict. It’s a great reminder that even when parenting, an ounce of prevention is a pound of cure.

Dr. Becky sums up the importance of prevention in her TikTok caption: “When we use strategies like this in calm moments, we reduce the frequency of difficult moments with our kids,” she wrote.


This article originally appeared in June.

Pop Culture

Singer performs original song Prince himself wrote for her and leaves "AGT" judges astounded

Liv Warfield gave "America's Got Talent" audiences a special gem by The Purple One.

Flickr/Wikipedia, America's Got Talent/Youtube

Prince would be so proud.

The Olympics might be over, but we are far from done at marveling at elite-level humans at the top of their game.

America’s Got Talent” returned from its two week hiatus in August with eleven incredible acts, but it was R&B singer Liv Warfield who stole the show with her rendition of “The Unexpected,” a song that just so happened to be written specifically for her by Prince. No big deal.

Warfield had already wowed audiences with her initial audition, which earned a Golden Buzzer from Simon Cowell. But this next performance had Cowell saying “If this was the Olympics for singing, you would have won the gold medal.”

Judges Sofia Vergara and Howie Mandel echoed similar praises. Vergara called Warfield’s set “perfection,” while Mandel, a self-proclaimed Prince fan, told Warfield that The Purple One “knew what he was doing when he gave you this gem. That was a million-dollar performance.”

And it’s not hard to see why Warfield got such high remarks. Beyond her unbelievable vocals was her undeniable star power…as well as her ability to transport us all back in time to the days of 70s rock n’ roll.

As one viewer put it, “If Prince and Janis Joplin had a baby = Liv Warfield!”

Just watch:

- YouTubewww.youtube.com

Warfield’s connection to Prince began in 2009, when she joined his New Power Generation band. Though she noted that “backing up Prince was a dream,” not to mention the fact that she’s already made several chart topping achievements on her own, she still felt like her ultimate potential had yet to be reached. Hence her “AGT” audition, and now her quarterfinal performance which Cowell declared a defining moment in her career.

“It felt to me like all those years you’ve been climbing the ladder to where you want to be, it all came out in those three minutes,” he said.

Indeed, what a testament to the power of steadily going after your dreams. Raw talent is great, but even with god given gifts, there’s still so much work that goes into being ready for big opportunities. No matter how this competition fares, Warfield is a winner through and through.

This article originally appeared in August.

Joy

Son surprises dad with the dream car he sold 41 years ago for 'diaper money'

"I knew deep down he loved that car more than any other he had ever owned."

Courtesy : Jared Guynes

A gift 41 years in the making.

So many of us have a dream that one day we’ll be able to surprise our parents with a paid-up mortgage, completely erased debts or some other grand gesture to thank them for their support and sacrifice. While this dream can’t always logistically come true (nor does it need to in order to make parents feel loved and appreciated) it can nonetheless be incredibly inspiring to hear stories of it happening in real life.

Over forty years ago, a Texas man named Earl Guynes sold his beloved 1967 Marina blue Chevrolet Camaro in order to afford raising a family. As the man’s son Jared tells the story, it was “sold for diaper money.”

Courtesy : Jared Guynes

In a Facebook post, Jared recalled how throughout the years, Earl would have a “twinkle” in his eye anytime the car got brought up. Which seemed to be often, given Jared noted that specific details were “burned into” his brain.

“Even though he would never admit it, I knew deep down he loved that car more than any other he had ever owned.”

And thus Jared became determined to show his dad "how important he is to me and how good of a job he did being a dad,” in the "biggest, most symbolic [and] most outrageous way" possible: finding a car exactly like his father’s.

Of course, this would mean three years of scouring the internet for parts and assembling them, piece by piece, onto a Camaro that was intact but in need of several repairs—and also “nearly in Oklahoma.”. But sure enough, a completely restored version of Earl’s dream car was ready just in time for his 65th birthday. With a brand new set of period correct 15” crager wheels, identical to the set he had in early 80’s, to boot.

Courtesy : Jared Guynes

As for how Earl reacted upon seeing his Camaro back from the dead, Jared wrote, “I’ve only seen my dad cry two times in my entire life. Dad only smiles, laughs and selflessly gives his best effort in the service of others. Tonight I saw him cry a third time, as he realized the car in the parking lot that looked just like his old one, was actually his after all. He was shocked. He threw his arms around me.”

“It was one of the best moments of my entire life,” he added, “I love you Dad. Thanks for the diaper money.”

Courtesy : Jared Guynes

Again, maybe we won’t all be able to honor our parents in this way. But there are plenty of other gestures that convey our appreciation. Never underestimate the power a heartfelt letter, offering to help with a chore, spending quality time together, showing interest in their life, celebrating milestones, and of course, actually saying “thank you.” Gratitude is a neverending process, after all.

But still, to those of us that still dream of buying mom and dad that house, stay hopeful.

As Jared himself said, “it was impossible. Til one day, it wasn’t.”

Watch a full version of the story below: