Monday, July 2, 2012

Sometimes You Win, Sometimes You ....

This is a post I do not want to write, but I have to do so. I think I cannot express myself better than I did in a Facebook post and a comment on Friday last week. Though it is not something I like to do, I will cut and paste that into this post. Forgive me for that. One thing of note - this started the day of the Supreme Court ruling on the Affordable Health Care Act.

"Lost my surgery today. Insurance has flat out denied coverage. This is clearly related to the transition in coverage and an attempt to deny a pre-existing condition. This happened yesterday, an historic day. I have to believe this is, in part, a reaction to that.

To say I am disappointed is a grand understatement. I might never get over this case of man's inhumanity to man.

There are options for fighting, but it is going to be long and hard and might never be successful. To pay for this surgery out of pocket will take everything my wife and I have. Do I have to consider that - yes. But, it is truly frightening.

I would like to sign off in my usual way, and I will. But, it will be hard to face the day today. I am just so deflated. It will be like rolling on four flat tires.


And the response to a comment:

Comment from FB Friend: "Do the appeal Bill. Many insurance procedures are denied first time. It is a business decision. Most people don't appeal and the insurance company saves money."

My feeble response: "Been fighting for seven months. This is the 3rd denial [after approvals] and it is only a week out from the surgery. My surgeon and his entire staff are furious and shocked. What happened to me was not a business decision. It was pure spite. I have had to work job transitions around this surgery, prepare for several weeks off, and prepare emotionally for what will be a very painful recovery. I won't go into how this will impact my work and what that might cost others (including the taxpayer), My disappointment has turned to fury. I have been in crippling pain for months. To say that is not important is cruel, vindictive, and inhumane. This country must go to a single payer system. The Affordable Care Act does not go nearly far enough. Our friends from the North know what I mean. I once had proper and humane healthcare support. It was not in this country."

I was pretty steamed. Though I am feeling a bit better, and can see a couple of positives in not having the surgery this week, I have to steel myself for a fight - a fight I should not be having.

With that -


"Badwater" Bill
Acton, CA

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