Monday, October 19, 2009

The Doctor Versus The Bureaucracy

I do not believe that I am an ignorant man. In many things, yes, of course. One can't know all about all, so I am ignorant in many things. But I can read, and I can generally comprehend an issue that affects my life as profoundly as my own health.

It just seems to me that if the government determines that you are disabled, and connects you with a Primary Care Physician that you select from a list of participating doctors [Approved to accept Medicaid], and you start the trek to discover what is wrong with you, evaluate treatment options, and establish a pro-active medically designed treatment plan... well, shouldn't Medicaid then support those efforts? One would THINK so, eh? Mr. Levine, any thoughts you'd care to share?

So let us review this trek and see, if we can; Why, in the middle of the doctors and tests necessary to determine a diagnosis, treatment plan, and prognosis, Medicaid cancels tests ordered by one of their own approved Neurosurgeons. The train gets knocked right off the tracks. I'm bewildered to be honest.

This little exercise begs the question: 'Is this the way to run an operation'? Because what Medicaid is saying to me is that I and the doctors I have been seeing at the direction of a Board Certified, Medicaid Approved Internal Medicine Specialist, AKA [Also Known As] my PCP [Primary Care Physician]... well, Medicaid says that we don't know what we are talking about. Wow.

I have no choice but to conclude that this entire exercise is futile. I am not going to get better learning what is wrong and treating it, according to Mr. Levine and his brainless bureaucracy.

I have no doubt whatsoever that Mr. Alan Levine is a much qualified administrator of large government operations: Alan Levine's Professional Summary

So why have we spent so much trying to discover what needs to be discovered on my case, yet Medicaid has not approved a single request from either myself or from health care professionals for any treatment other than medication?

I NEED something to transport me to the three bus stops within walking distance. Unfortunately I can no longer walk to these stops without major difficulty, plus the recovery time of a couple of days after each trip. Something like this would be fine, and I have a prescription for one written by my PCP at the time, but, like everything else they have denied, I expect this to be denied as well, and I believe I would have to present a prescription written by my current PCP:


The relief and benefits my life would experience would be life-changing. I would no longer be a shut-in, having transportation to reach the grocery store across the causeway, the three bus that can transport me anywhere. It would be a good move by medicaid. Mr. Levine?

No comments: