Dr. Mike Trangle

have been sort of problematic. I think in the last 30 years, 20 to 30 years, there's been enough education and public service announcements and stuff so that the stigma about acknowledging to yourself or to others, maybe they have a problem that's a mental health problem is a bit less than it used to be. So there's probably a more likelihood someone would say, yes, I have it.

have been sort of problematic. I think in the last 30 years, 20 to 30 years, there's been enough education and public service announcements and stuff so that the stigma about acknowledging to yourself or to others, maybe they have a problem that's a mental health problem is a bit less than it used to be. So there's probably a more likelihood someone would say, yes, I have it.

At the same time, traditionally, there was a lot of discrimination against uh paying for and treating it you know so example just take in the us um if you had a physical problem and you were old and had medicare or experience depending on uh how sensitive you are to the word old experience and have medicare um

At the same time, traditionally, there was a lot of discrimination against uh paying for and treating it you know so example just take in the us um if you had a physical problem and you were old and had medicare or experience depending on uh how sensitive you are to the word old experience and have medicare um

Medicare paid 50% of the cost for physical things and only, I'm sorry, 80% of the cost for physical medical problems and 50% for psych problems, behavioral health, mental health problems. Now, maybe about 10 years ago when parity came up, that got rectified, or 15 years ago, I don't remember the exact time. So there's already sort of a barrier to accessing it.

Medicare paid 50% of the cost for physical things and only, I'm sorry, 80% of the cost for physical medical problems and 50% for psych problems, behavioral health, mental health problems. Now, maybe about 10 years ago when parity came up, that got rectified, or 15 years ago, I don't remember the exact time. So there's already sort of a barrier to accessing it.

As a patient, you would have to pay more. And that's been true up until just very recently, you know, and maybe 10, 13 years ago, the U.S. passed the first Wellstone Parity Law, but it was never enforced. In fact, there were rules about how to even enforce it and what it meant, how it was defined for years, for a number of years after it was passed by Congress.

As a patient, you would have to pay more. And that's been true up until just very recently, you know, and maybe 10, 13 years ago, the U.S. passed the first Wellstone Parity Law, but it was never enforced. In fact, there were rules about how to even enforce it and what it meant, how it was defined for years, for a number of years after it was passed by Congress.

And even then, they then passed rules, but it was ignored and not enforced. And even until like a year and a half ago, there was a study done by a joint study by HHS, federal level, labor. And there was a third department there, which I can't remember what it was. Labor, health and human services, and another department, commerce maybe. And they saw that health plans were enforcing it.

And even then, they then passed rules, but it was ignored and not enforced. And even until like a year and a half ago, there was a study done by a joint study by HHS, federal level, labor. And there was a third department there, which I can't remember what it was. Labor, health and human services, and another department, commerce maybe. And they saw that health plans were enforcing it.

Nobody was making them enforce it. So there was another more recent version passed. There was one in Minnesota that passed. It also wasn't enforced. There was another one passed. It's starting to get enforced a little bit, but it's way lagging.

Nobody was making them enforce it. So there was another more recent version passed. There was one in Minnesota that passed. It also wasn't enforced. There was another one passed. It's starting to get enforced a little bit, but it's way lagging.

And that's true for outpatient resources, whether it's for a therapist or to see a psychiatrist to get evaluated and do medications, or whether it's to get into a hospital. These days, there was a study that just came out in Minnesota about what percentage of patients that are showing up in emergency rooms can't get access to needed treatment.

And that's true for outpatient resources, whether it's for a therapist or to see a psychiatrist to get evaluated and do medications, or whether it's to get into a hospital. These days, there was a study that just came out in Minnesota about what percentage of patients that are showing up in emergency rooms can't get access to needed treatment.

And there was a law passed called EMTALA that started out because of women in labor getting turned away if they didn't have insurance. And it obligates hospitals that have emergency rooms to evaluate and treat and stabilize patients that show up in their ERs.

And there was a law passed called EMTALA that started out because of women in labor getting turned away if they didn't have insurance. And it obligates hospitals that have emergency rooms to evaluate and treat and stabilize patients that show up in their ERs.

I mean, I think trauma has always existed as long as there have been people, and people that have been mistreated, neglected, and treated poorly. Whether it's you're a child in a classroom and you get ignored, but other people get called on because of your skin color, or because you have ADHD and you're annoying to the teacher.

I mean, I think trauma has always existed as long as there have been people, and people that have been mistreated, neglected, and treated poorly. Whether it's you're a child in a classroom and you get ignored, but other people get called on because of your skin color, or because you have ADHD and you're annoying to the teacher.

Or, you know, you get pulled over for a taillight and then awful things happen when the police check you out. I mean, or there have been wars and fights and people get traumatized by that. Or there is abuse, physical or sexual abuse. There's always been trauma, I think, throughout civilization. I think... It's sort of probably a little bit more of a more recent thing that people say that's awful.

Or, you know, you get pulled over for a taillight and then awful things happen when the police check you out. I mean, or there have been wars and fights and people get traumatized by that. Or there is abuse, physical or sexual abuse. There's always been trauma, I think, throughout civilization. I think... It's sort of probably a little bit more of a more recent thing that people say that's awful.