Frustrated…

LONG POST!!!!
Today is filled with lots of frustration…frustration that the insurance company now has the power to decide what medical care I am able to receive and what medications are okay for me to take…okay this is not a new frustration…we have had multiple times where myself or one of the boys or Ron has gone to the doctor and the doctor has said “I want to you to have “this test” so we can find out what is going on with XXXX”  only to have the insurance company say they are not going to authorize that procedure or test.

Recently I have had my doctor request two different diagnostic tests…a ct scan for a possible femur fracture and a ct scan w/contrast to see why my liver tests/numbers all came back way higher than they should…nope, can’t happen because the insurance company says “not medically necessary!”

Why oh why has our society gotten to the point that the almighty dollar/insurance company profits dictate our medical care?  And please don’t say this is a Trump issue…it is not….I can think of two instances: one in 1992 when our son was having a heart procedure done and the insurance company approved the procedure and an emergency open heart surgery if needed and when the doctors did the procedure the first time it did not work, so they ran the procedure a second time and it worked!!!  Thank you Lord…it was as if our son had never had a heart problem which could have killed him if it was not protected….but wait, the insurance company refused to pay for the second procedure because it wasn’t pre-authorized!!  After months of haggling with the insurance company and finally contacting the president of the insurance company (I personally knew him through my position at OptionCare) and described what was happening even he had to agree it was a no brainer for the them to pay for the second procedure ($15,000) vs if he would have had to have had open heart surgery ($100,000’s)….

and in 1974 when I had to have my eye removed due to a medical issue and the insurance company told my mom that they would not cover a prosthetic eye for me because it was cosmetic!!!  Cosmetic!!!  what was a 16 year old girl supposed to do?? walk around with a pirate’s patch for the rest of her life?????  Thankfully a good friend of my mom offered to and paid for my first artificial eye ($500)….so again this is not a new issue

but all this leads to my frustration today!!!  Society needs to change and let the doctors do the doctoring and the insurance company which rakes in millions of dollars a month pay the dang medical bills and stop trying to be the dang doctor!!!!

********
Frustration #2 – Facebook….I will be taking a self-induced break from FaceBook (after I post this link to this post)  I am tired of the negativity that people think they have the right to spew at me, at people in general when someone, me, post something on Facebook…what I have realized is that people only read what they want to read, just like our 10 year old foster daughter listens to only what she wants to listen to, they don’t ask for more information before making rude or condescending comments they just assume they know the whole story….

So I have made the decision to just continue to use Messenger to keep in touch with those who I correspond with that I can’t reach other ways, and live in the real world of writing letters/emails, calling/texting on the phone and in person, face-to-face conversations where maybe I won’t be attacked or judged by people who only know what they think they know and not the whole story.

So…you can reach me through Messenger, telephone, text, email or even comments on my blog.  That is if you really want to have a real relationship with me and not hide behind your computer screen and make judgement calls with little or false information.

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Ali & Ron

Christ loving, fun making, traveling couple of 44+ years. Also known as Grandpa & Grammy!!

One thought on “Frustrated…”

  1. No, this isn't a \”Trump thing\”. Like you said, this has been happening for years. When I was diagnosed with Crohn's in 2009, the doctor wanted me on a certain medication. Insurance said, \”nope\”. The doctor even called the insurance. They still said \”nope\”. I couldn't use the drug company's patient assistance program because, you guessed it, I had insurance. It's crazy that business people have that much say over our health care. We pay almost $1200 a month for the \”privileged\” of them telling us what we can and cannot do. It's stupid.

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