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Fuck the American healthcare system - right up Main Street with absolutely no prep, lube, or aftercare. We started seeing a doctor for Cold’s spine injury, and he’s been out of work going on two months. Now they’re saying his surgery may not be until August, because his insurance wants a specific clinic to do the surgery. He could have been cut open, sewed up, and sent home to heal last week, but insurance said “Nuh-uh, you’re going upstate or you’re going crippled.”
My husband has always been a drafthorse of a worker. He leaves his coworkers in the dust, stays late, goes the extra mile, and shows up while others no-call/no-show because it’s raining. His reward is being shoved to the back of the shelf without pay to wait for a surgery that’s needed to keep him from being paralyzed while several companies yell at us about what they’re not getting done. We’re drowning in medical bills and other bills, and insurance isn’t paying nearly enough. This country needed healthcare reform decades ago – not yesterday, literal decades ago. Instead, we have an ugly-ass ballroom for ugly-ass souls to pat each other on the back after failed or faked assassination attempts.
I’m just...I’m so tired. Seeing him going through all this and in horrible pain, knowing I can’t do anything more for him than I’m doing...and all the while, my mental health has tanked. How are we supposed to do this? How do we keep taking that boot to the ribs without standing up and throwing fists?
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I wish there were answers for this, I really do. Insurance companies are only in it for their shareholders, and when my mother was busy dying, I had to argue with hospitals, nursing homes/rehabilitation centers, and even a hospice that would not take her because she had a Medicare Advantage plan, i.e., an insurance company that would drive the hospice staff insane with prior authorizations and denials of service.
The only thing I can even think of is to try and get a good social worker on your side, one that will read the fine print of the insurance coverage and the stipulation of a specific clinic for Cold. Someone who isn’t afraid to go right up the chain, past the robo-responder to a peer to peer review, where a doctor has to justify risking Cold’s future mobility against some reciprocal arrangement with a specific clinic that gives the insurer a kickback.
Damn, Ghost. Sending love and hugs to you and Cold, and offering a claims reviewer’s liver to the Morrigan.
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