Chris:

A moratorium on Part B caps is expected hopefully before Jan 1.

This is what was posted on the AOTA website today:
Cap Moratorium in Jeopardy; Action Needed Now
Congress may not pass a bill on Medicare by January 1, so grassroots action 
is needed NOW to pressure members to address the cap in December.

Joe Wells, OT

----- Original Message ----- 
From: "Chris Smith" <[EMAIL PROTECTED]>
To: <OTlist@OTnow.com>
Sent: Sunday, December 04, 2005 2:18 PM
Subject: Re: [OTlist] my own long winded non sensical rant


> Well it's really easy to tell someone to snap out of it. Sounds like 
> common OT depression to me and you are far from alone. I have beeen in the 
> profession for 8 years--five in school based. I left because I couldn't 
> please the teachers who wanted one thing and I couldn't please the 
> parents. They were either in denial (the lower incomes ones) since I was 
> working with preschoolers and I was the first one to tell them their kids 
> weren't perfect. The middle class parents always wanted endless therapy 
> and nothing satisfied them. I had a great time with the kids who always 
> enjoyedworking with me. Now I  have been in long term care at a number of 
> facilites and done a great deal of PRN as well and once again I found 
> myself discouraged. I too have seen 99% exercise based therapy. I have 
> done some activities when I was in a small facility and the only OT. But 
> when I work with other OTs they don't want to do anything but exercise and 
> minimum adls. I want to go to a facility that uses
> occupation to see what they do, I am sick and tired of AOTA people and 
> educators saying basically just do occupation without telling us what to 
> do specifically. I just started doing homehealth and find once again. 
> Everyone wants a HH aide to bath them or they are very happy with sponge 
> bathing. Most are elderly and unmotivated. Most days I wish I had the 
> money to go back to school to become a PT. OT looks great on paper just 
> like you said. Funny I just came to the same realization a few weeks ago 
> and was talking about the same thing to a friend who works at a SNF with 
> lots of modalities. She said if it wasn;tfor using all these treatments 
> she would feel like a fraud, too.Gee,  I guess I didn't provide much 
> encouragement either. I think therapists need to get together and brain 
> storm. What's going on with the part B caps?Chris OTR/'L
>
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