Here in the States, you hear about your insurance company waiving co-pays for tele-health therapy visits in these “uncertain times,” but searching for providers confronts you with even more uncertainty. How do you evaluate their practices for safety and privacy? Every other practitioner subscribes to a different platform. Some, to my horror, use Zoom. Others have adopted a software suite to manage their entire practice. These therapists rely on the same company for scheduling appointment reminders, recording session notes, billing insurance, and running a video chat. When I have requested to connect via Signal, they express a preference for their platform, usually citing HIPAA compliance. One recommended a finding a provider who uses paper records as the only avenue open to me. But wasn’t there a time before companies like Spruce, SimplePractice, and TheraNest, where sensitive session notes were somehow distinct, less “networked” than today? How are therapists determining the privacy and security protections of their platform? How do I? Does anyone have experience with these companies?

First, some context. The latest from the US justice department saying that they will be focusing on finding "ANTIFA leaders" is incredibly troubling for anyone involved in leftist groups. I foresee a lot of good activists, regardless of how far left they actually are, arrested on trumped up charges in order to squash opposition.

Organizing is essential to resist fascism. This is made more difficult by the pandemic, as in person meetings bring a huge, almost unacceptable risk. As such, many orgs have been turning to platforms like Slack instead. Trouble is, Slack logs are not encrypted and I am certain that as a business based in the US Slack will not put up a fight to keep user data safe if the feds come calling.

I'd like to collect a decent list of alternatives. Important factors include encryption, ownership, open source status, ease of use, federation, scalability, hosting, cross platform, and anything else you can think of.

Grandma is understimulated in assisted living, and while Mom is looking into ways to either bunk with her, or drag her back to our place, I'm exploring other options. Her apartment does have wireless internet, so we could set up some sort of telepresence or video calling device, but even something as simple as a Relay or a KC2 isn't great, because it loses power, and needs to be explained to her.

I'm thinking that we might have better luck with a Tablet or a PC solution, and I do have a Kindle Fire (5th Gen?) and an off brand Windows 10 tablet around, and I am open to a Pi Project or speciality devices, but it has to be simple enough to plug and play, and the dream would be if it could start a video chat without the receiver having to pick up, or at least as simple as a nurse being able to come in and start a call. Any suggestions?

I've been using Textra for years, but there's some new protocol whose name I don't remember that Textra isn't compatible with. This results in some messages (primarily from other LG phones to my LG phone) going only to the LG Messaging app and not Textra, which is annoying. Any recommendations?