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While walking on 14th Street earlier this week, I heard music that I liked, and turned my head to find its source. I noticed a man who appeared to be homeless, sitting in a wheelchair next to a LinkNYC kiosk – one of the new, high-tech payphone replacements that recently launched here in New York City. It took me a moment to realize that the music came from the Link kiosk, and that the man was streaming tunes from the internet browser on its screen, enjoying the sunshine next to all of his belongings, just like the people I often see doing the same in their cars, or hanging out of their front windows with stereo sets on nice days.

A LinkNYC kiosk, which replaced a NYC pay phone booth this year. Each “Link” offers free WiFi, phone calls, and charging docks, paid for by advertising dollars alone.

 

I live across the street from a New York City park that has a large population of homeless people who dominate one of its corners. When I walk past, or sit on a bench within view, I often wonder if the people that I see there every day ever get bored. Studies show that boredom is often one of the main reasons that the undomiciled population turns to illicit drugs. It’s common knowledge that chronic stress and lack of positive and pleasurable stimulation can cause depression. So when I saw the man at the Link this morning, shamelessly enjoying a public resource for its entertainment capacity, I shot him a genuine smile.

 

LinkNYC, which founded in 2014, has since taken over NYC telephone booths with their free highspeed Wifi, web browsing, and cell charging capacities. Gone are the days when a quarter would buy you a timed telephone call; Link kiosks let you call anywhere in the US for free, surf the web, and charge your devices, and they are fully paid for by advertising — not a cent of tax dollars.

 

What an intriguing phenomenon, to see this man, who many might consider a drain on tax paying society, benefiting from this public service likely intended for someone with enough money to purchase a cell phone or buy whatever product is advertised on its face. He looked nervous when I peeked back at him after I realized his brilliance, like he was stealing something, or maybe like his discovery was too good to be true.

 

I wonder what kind of impact something like this might have on the violence we too often see in homeless shelters, or the problems faced with inmates attempting to make calls to family members, only to find that they are stuck with paralyzingly high bills. How did the man I saw today find out about LinkNYC’s benefits? Are they being explained to people who are first getting on their feet? Getting out of jail?

 

I’m all for public cell charging stations and kiosks for web browsing. But I can do that at home, or on my own device. We forget that many people were inconvenienced by the demise of payphones, and before today, I never even considered the possible benefit that these technological anomalies might have on those who have far less than me. We take for granted our ability to skip out of boredom and listen to music, scroll our phones, talk to our friends, much less make phone calls with ease. I hope that the man I saw today meets no problems from iPhone-bearing hipsters looking for a quick charge, and I hope I see more people using these devices who might actually really need them.

While walking on 14th Street earlier this

yael maxwellThis is the first of a three part look at the Heart Team by CHMP Media Fellow Yael Maxwell. 

 

Attend any large cardiology meeting this year, and you’ll lose track of the number of times you hear the term “heart team.” But ask anyone what it actually means in practice, and you won’t hear the same thing twice.

 

Is it activated for all cardiology patients or just those with complex structural disease? Does the team involve only cardiologists and surgeons or do these members also invite the opinions of anesthesiologists and palliative care specialists? Is it a Heart Team (note the capitalization) that meets at a scheduled time once a week, or are informal heart team discussions held in the hallways when convenient? What roles do non-physicians play? Who on the team is responsible for following up with the patient post-procedure? How are all these efforts reimbursed?

Read the rest of the story here.

 

 

This is the first of a three

HealthCetera on Thursday, March 31, 2016 from 1:00 PM to 2:00 PM on WBAI 99.5 FM and streamed live at www.wbai.org.

IMG_3369In March, Senior Fellow and co-host of HealthCetera, Kristi Westphaln,  joined hundreds of nurse practitioners from across the country on Capitol Hill to chat on hot topics in health care at the 2016 American Association of Nurse Practitioners (AANP) Health Policy Conference.

 

In this second interview co-host Westphaln interviews Sarah Marlow, Family Nurse Practitioner and professor of health policy is known to her 8K Twitter followers as @MissFNP. Marlow walks us through why full practice authority for nurse practitioners is a hot topic in health care today. 

Approximately 205,000 nurse practitioners are currently licensed across the United States. Research has demonstrated that nurse practitioners improve access to health care, achieve high patient satisfaction scores, improve health outcomes, and decrease health costs. 

HealthCetera on Thursday, March 31, 2016 from