Best vegan restaurants in the UK: readers’ travel tips

With influences ranging from Van Gogh to Asia, these vegan venues serve up arty as well as delicious food – on beaches, buses … and in an underpass

Bundobust is fast becoming a Leeds institution for food lovers of all persuasions. Everything is veggie, and a large proportion of the menu is vegan, with an easy vegan sharing menu for two a great way in. From the okra fries dusted in black salt and mango powder (genius) to the chole dal and masala dosa, its south Indian street food, craft beer and Asian-inspired cocktails are a winning combo. With dishes from £4-6.50 it’s also easy on the wallet, so you can try a bit of everything.
bundobust.com
Laura King

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Travel | The Guardian

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Independent cinemas in the UK: readers’ travel tips

Over 1,500 of you recommended indie picture houses. Here are the top 10 – in stations, warehouses and rural villages

Campbeltown Picture House on the Kintyre peninsula is amazing. Recently refurbished, it has retained all of its original charm (it has been a functioning cinema since 1913) but is now a welcoming, contemporary space offering two screens and a cafe. Screen 1 will blow you away with its atmospheric ceiling and half-timbered “wee house” features. It shows all the latest releases, great classics and streamed live theatre. It is a fantastic cultural hub in a remote, rural area and testament to the relentless hard work of the volunteers who fund-raised to get the refurbishment project off the ground.
Adult from £7, campbeltownpicturehouse.co.uk
Emma Macalister Hall

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Travel | The Guardian

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Spooky places to visit in the UK this Halloween: readers’ travel tips

Serious history collides with fond imaginings in our tipsters’ tales of the unexplained, from a Spanish Armada wreck to a snuffling ghost pooch

Windhouse, on Yell, is probably Shetland’s most haunted house. Last year, two 13th-century skeletons were uncovered at this 18th-century ruin, which is reputedly haunted by a lady in silk, a man in a top hat, a servant girl and a dog. There are reports of skeletal remains of a woman, man and child found in separate incidents between the 1880s and 1900s, as well as the story of the shipwrecked sailor who spent a night in the house one Christmas and had to fight off a monster with an axe. The house can be visited for free anytime – and if you’re feeling brave, the gatehouse is now run as a camping pod by Shetland Amenity Trust (£12pp, sleeps 8, Mar-Oct).
Charlotte

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Travel | The Guardian

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Readers And Tweeters: Are Millennials Killing The Primary Care Doctor?

Letters to the Editor is a periodic feature. We welcome all comments and will publish a selection. We edit for length and clarity and require full names.


Health Care Wasted On The Young

I feel Sandra Boodman’s thesis is inadequate without a historical comparison to how young people accessed health care five, 10 or 20 years ago (“Spurred By Convenience, Millennials Often Spurn The ‘Family Doctor’ Model,” Oct. 9). As a family medicine doctor practicing for 33 years, my experience is that healthy young people use medical services only for urgent care and pregnancy until they develop chronic conditions. And, as a society in general, we have become more demanding about receiving services “now.”

Why should medical care not change as our expectations change? Certainly we have the technological ability to provide a portable health record one could take from site to site to improve continuity. We also have the ability to have a single electronic medical record or shared information hub so one’s health info can be accessed by any provider anywhere.

However, demanding “now” care at any convenient site does not allow one provider to get to know a person in a way to better inform them of how that individual’s situation (emotional-social-economic) impacts their health. So, convenience has its price.

— Dr. Kevin Walsh, Ellensburg, Wash.


Family physician Ajoy Kumar of Florida led a lively debate on Twitter and, in a series of tweets, emphasized how important it is to build doctor-patient relationships early because “nobody is young and healthy forever.”

— Dr. Ajoy Kumar, St. Petersburg, Fla.


It’s not so much the new generation as it is the age group. I didn’t have a primary care physician from the time I entered university until I was 42. I also only went to the doctor when I had a particular problem to deal with. Even back then (25-30 years ago), a $ 200 deductible meant I could pay for insurance but could not afford to use it for anything other than a dire emergency. Of course, back then almost everything was traditional indemnity, so we all paid full-freight unless you were covered by one of the nascent HMOs (which often controlled costs by denying care).

— Brenda F. Bell, North Plainfield, N.J.


Another primary care doctor bemoaned the trend as part of a larger move away from generalized medicine:

— Dr. Holly Mitchell, Amarillo, Texas


As long as we are talking about new models for medicine, here’s a plea for “human-centered design thinking”:

— Julie Schilz, Northglenn, Colo.


Laryngitis On The Campaign Trail?

It isn’t surprising that health care is a priority issue for voters (“Health Care Tops Guns, Economy As Voters’ Top Iissue,” Oct. 18). After all, the chief cause of personal bankruptcy is medical bills. Nor is it surprising that voters have not heard much about health care from midterm election candidates, who know the future success or failure of the health system and their political futures depend on how they respond to voters’ top concerns. It is much safer for our political leaders to leave the administration of the health system to the insurance companies.

But, so far, private insurers have shown they are more concerned with shareholders’ concerns than patients’. The result is a fragmented, impersonal health system overrun by multiple insurance plans, each with different copays, deductibles and insurance panels — where doctors are held captive by insurers’ regulations. If we vote people into office because we believe they will respond to our needs, why are so many of them so quiet on health care?

— Dr. Edward Volpintesta, Bethel, Conn.


Metrics Show Medicaid Is True To Its Mission

Both Medicaid enrollees and taxpayers see real results from Medicaid health plans — despite contrary claims (“As Billions In Tax Dollars Flow To Private Medicaid Plans, Who’s Minding The Store?” Oct. 19). Medicaid plans are held to high standards by the states, improving health, quality and savings for millions of Americans, including children, veterans, seniors and people with disabilities.

Medicaid plans run many programs to improve patient health — driving quality, coordinating care, and helping patients stay compliant with treatment. The vast majority of every Medicaid dollar pays for care, while Medicaid plan profit margins average less than 2 percent.

Medicaid plans report metrics that are made public. Results show that insurance providers saved states about $ 7 billion in 2016 alone — helping states realize the highest value for their Medicaid investment. Research shows that Medicaid enrollees have access to care that is similar to those who have coverage through their jobs, and are satisfied with their coverage.

Medicaid serves nearly 75 million Americans. Insurance providers know that Medicaid must work for those who rely on it — and the hardworking taxpayers who pay for it. We are committed to working together to ensure that Medicaid is effective, affordable and accountable.

— Matt Eyles, president and CEO of America’s Health Insurance Plans (AHIP), Washington, D.C.


A tweeter reading the same story noted the outsize level of Medicaid oversight compared with that of corporate America.

— Fran Quigley, Indianapolis


Imagine No Big Pharma

I know that we are all supposed to think the pharmaceutical industry is the savior of our country and that without them life itself would not be possible. What if we instead began to think of them as just the manufacturers of medication? What if we did our own drug research (maybe researching medication to treat millions instead of medication to make millions) and collected bids from every drug manufacturer for production only? What if we used tax dollars to pay for the manufacturing of the medications, and patients had to pay only a token pharmacy fee? I wonder what that would look like.

— Dr. David Herring, Staunton, Va.


Unamusing Cartoon

The publication by Kaiser Health News of a Nick Anderson cartoon with the caption “Inadequate Mental Health Services” above a picture of a prescription bottle reading “RX for Violence” from which bullets spill forth, is both surprising and deeply disappointing (‘Alternative Treatment’? Oct. 18).

How easy it is to imply that gun violence, indeed violence of any type, is largely attributable to untreated or undertreated, mental health conditions. But the facts, which I and millions of readers have come to expect from KHN, say otherwise. Mass shootings, the thought of which this cartoon invokes, account for less than 1 percent of gun violence, and for which mental health is a factor in but a small minority of cases. And while suicides are in fact increasing, and 85% of completed suicides involve guns, this too is only a small fraction (about 2%) of gun violence in the U.S.

It would be expected that KHN editors would be familiar with the oft-cited statistic that only about 4% of all violence may be attributed to people with serious mental illness, and the fact people with mental health conditions are far more likely to fall victim to violence than to perpetuate it against others.

As a trusted source of factual news, it is shocking that Kaiser would perpetuate and reinforce the erroneous, albeit widely held belief, that mental illness (treated or not) equates to gun violence.

— Debbie Plotnick, vice president for mental health and systems advocacy, Mental Health America, Alexandria, Va. 


I appreciate the perspective that inadequate mental health services can lead to negative consequences for the individual and, ultimately, for society. However, the implied connection between mental illness and violence is unfairly stigmatizing and not supported by evidence. In addition, the use of a prescription bottle seems to suggest that medication is the prescription for “adequate mental health services,” which vastly oversimplifies the need for a range of services that should be included in an effective, comprehensive system of care. I hope that you will consider removing this cartoon from your website, as it is harmful to engaging and truly supporting people with mental health needs.

— Jenifer Urff, Northampton, Mass.


A Call For Deeper Reporting

I was disappointed by Phil Galewitz’s reporting on the negative aspects of Medicare Advantage HMOs (“Medicare Advantage Plans Shift Their Financial Risk To Doctors,” Oct. 8), although it was nice that he quoted me and that you incorporated “risk shifting” into the headline. Galewitz cites a Health Affairs report but should have mentioned years of reports by the Government Accountability Office and the Medicare Advisory Payment Commission detailing overpayments and risk analysis and overpayments. There is a big dark side to Medicare Advantage plans that patients/consumers do not understand. They think it’s all about “free” care. It is hard to sue these HMOs for medical malpractice and failure to coordinate and manage care — which is what they promise to do. Medicare Advantage needs more critical reporting.

—Dr. Brant S. Mittler, San Antonio, Texas


For a Georgia reader, the story raised more questions:

— Colleen Mahaney, Woodstock, Ga.


On Shooting Down Sky-High Bills …

We in Montana were frustrated in our process to address the balance billing issues for air ambulance, with little success (“Will Congress Bring Sky-High Air Ambulance Bills Down To Earth?” Sept. 27). But the issue arises from insurance companies inserting a coverage cap in the policy, stacking deductibles for in- and out-of-network carriers. Much about this issue is aimed at air companies. They are solely responsible for their charge practices. But insurers also share the responsibility for their decisions to put those who are insured at risk as they seek to constrain premiums by policy design.

— Bob Olsen, Helena, Mont.


… And Missing The Mark?

The Oct. 19 Facebook Live broadcast (“Facebook Live: What About Those Sky-High Air Ambulance Bills?”) failed to note critical facts and provided misinformation. Alarmingly, this may cause patients to question whether they should board an air medical flight even when their physicians or first responder requests the transport based on patient need. We’d like to set the record straight.

1. Insurance Coverage

FACT: Dr. Naveed Kahn’s insurer’s payment was far lower than the actual bill, and air medical services, like all health care providers, are required by federal law to “balance bill” the patient the remainder. Dr. Kahn’s insurance company failed to adequately cover his bill.

[Editor’s note: KHN’s coverage did not focus on the mechanics of “balance billing,” but rather the prohibitive amount of the original bill.]

2. State Regulation

FACT: States can and do regulate air ambulances. Court decisions and Department of Transportation opinions have reaffirmed states’ authority to regulate all medical aspects of air medical transportation. This includes standards and coordination of patient care, including protocols controlling which air medical operator is called to a scene. Air medical operators never self-dispatch; they are called by trained first responders and medical personnel, operating under state authority.

3. Medicare Fee Schedule

FACT: The implementation of the Medicare Fee schedule did not increase rates for air ambulance services; it changed the way air ambulances are reimbursed, increasing the rates for some and dramatically decreasing the rates for others. While the data demonstrates the industry has grown over the last 37 years, according to “An Economic Analysis of the U.S. Rotary Wing Air Medical Transport Industry”, 22 of those growth years occurred before the implementation of the Medicare Fee Schedule.

Industry growth, over a 30-year period, reflects growth in demand for air medical transport services in response to continued closures of rural hospitals and trauma centers. Air ambulances are filling that gap — more aircraft means better coverage and better outcomes.

— Carter Johnson, SOAR (Save Our Air Medical Resources) Campaign, Washington, D.C.

Kaiser Health News

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The $12 fast wireless charger our readers love is back in stock on Amazon

Fast Wireless Charger For iPhone XS

We have covered the Yootech Fast Wireless Charger a few different times here in the BGR Deals section and it inevitably sells out every time. The reason is pretty obvious: fast wireless chargers can easily cost between $ 30 and $ 50 — heck, Google’s new charger costs $ 80! — but the Yootech model is only $ 12. If you have a phone that supports fast wireless charging, definitely pick one up while they’re still in stock.

Yootech Wireless Charger Qi-Certified 7.5W Wireless Charging Compatible iPhone XS MAX/XR/XS/X/8…: $ 11.99

Here’s what you need to know from the product page:

  • 【5W, 7.5W and 10 W WIRELESS CHARGING MODELS】 5W model *Using 5V,2A adapter is for Any Qi-enabled devices like iPhone X/8/8 plus Samsung Galaxy S9/S9 Plus and other Qi-enabled phones; 7.5W model *Using QC2.0/QC3.0 adapter (9V,1.67A) is ONLY compatible with iPhone 8/ iPhone 8 plus/iPhone X so far. 10 W model *Using QC2.0/QC3.0 adapter(9V,1.67A) is ONLY for Samsung Galaxy S8/ S8plus/S7/S7 edge/S6 edge plus/Note 5 series devices so far. Please use the most appropriate adapters for best results.
  • 【INTELLIGENT PROTECT TECHNOLOGY】Exclusive Multifunctional Intelligent Protect Technology provides temperature control, surge protection, short-circuit prevention, and more. 0.43in thickness design plus intelligent Temperature control system ensure cooler but more efficient charging. To get better experience, we would like you to take off the phone case and use our recommended adapters (NOT INCLUDED) and cables.
  • 【IMPORTNAT NOTICE】 PLEASE NOTE THAT CHARGING WITH PHONE CASE (ESPECIALLY over 4mm ONE) MAY INFLUENCE THE CHARGING SPEED OR EVEN RESULT IN CHARGING INTERMITTENTLY OR DISCONTINUED. Basically Yootech wireless charger works with Rubber/Plastic/TPU Cases etc.;MUST be within 4mm thin.【IF INDICATOR LIGHT KEEPS BLINKING】Please check phone’s back(or case) is not attached with any iron, metal,coins,IC Cards,bank cards, magnetic absorbers and other metal objects in the charging detective area.
  • 【SLEEP-FRIENDLY】Yootech smart indicator design is for your enjoying life more. GREEN LED indicator will light up for 3 seconds if power source is connected, while LED light will turn on for 16 seconds if recognizes your phone well (Please site your phone at the center of the pad correctly). Entering charging model, light turns off and keeps the whole charging process SLEEP-FRIENDLY.
  • 【PACKAGE & WARRANTY】You will get 1 x Qi Wireless Charger Pad, 1 x 3.3ft Micro USB Cable, 1 x User Manner. Hassle free 18 months money back/replacement warranty with 12-hour response service is friendly offered. At Yootech, ZERO Risk purchase guarantee is for every customer’s smiles.

BGR Top Deals:

  1. Amazon sale drops Alexa-enabled smart LED bulbs as low as $ 10, today only
  2. Add wireless charging to your old iPhone for $ 17 instead of spending $ 1,000 to upgrade

Trending Right Now:

  1. Now there’s something wrong with NASA’s Chandra spacecraft, too
  2. Apple’s next-gen iPad Pro models may be the thinnest we’ve ever seen
  3. No kitchen is complete without this $ 60 vacuum sealer that’ll save you hundreds each year

The $ 12 fast wireless charger our readers love is back in stock on Amazon originally appeared on BGR.com on Mon, 15 Oct 2018 at 09:00:24 EDT. Please see our terms for use of feeds.


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