I have never felt much passion for changing U.S. health insurance. Yes, I have rambled about the plight of millions of uninsured Americans. But have I ever made much effort to enact change? No. I come from an upper middle class family. Until the end of college, I will be covered by both of my parents' extensive health insurance plans. What do I have to worry about? As I discovered this week: plenty.
Last Wednesday, I broke my ankle at my summer job in Massachusetts. Early this week, I set about finding an orthopedist to monitor my care near my mother's home in New Jersey. Normally, I am able to call the doctor who has the best referral and quickly receive an appointment that does not even require a copay. This time was different.
(Please note that this was not our verbatim conversation.)
Receptionist: Do you have insurance?
Antigone: Yes. It's a Massachusetts Worker's Compensation case (since the injury happened at work, it is not covered at all by my personal health insurance).
Receptionist: Sorry. We do not handle Worker's Comp.
I tried another orthopedist. The second office was less elitist. They accepted Worker's Comp claims, but not from other states. I called office after office. Each receptionist gave me the same reply: they were not willing to treat a patient covered by Massachusetts Worker's Compensation. I called my insurance adjuster and asked for her advice. Her best recommendation: drive to Massachusetts for weekly x-rays and appointments.
In the end, I found care. My mother called in a favor from a friend who works at a major hospital. The same day, a pediatric orthopedist returned a message that I had left, saying that he might be able to help me. Even though I found a doctor, I am outraged. My ability to receive care from an orthopedist who has been trained to treat adult bones should not depend on who my mommy and daddy know. We really live in a country where it is the norm for doctors to refuse to treat major injuries on the basis of bureaucratic red tape.
2 comments:
Sorry about the broken ankle and the trouble with health care. But I am glad to see you blogging again. I enjoy your writing. Q.: Does your experience with Massacheusetts Health care reflect at all on the Mass comprehensive health plan they are experimenting with or is this totally unrelated?
Uncle Dave
No, this does not have anything to do with Massachusetts's attempt at government-funded health insurance. My employer's Worker's Compensation plan is administered by a private organization. A lot of doctors simply do not want to deal with Worker's Comp.
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