4 ms·
We do not know explicitly how, but we have shared a mutual experience trying to get things through the US healthcare system, one way or another. Things like pr
by disabled 6y ago
We do not know explicitly how, but we have shared a mutual experience trying to get things through the US healthcare system, one way or another.
Things like prior authorization (getting a bureaucrat to give you permission to take this medication), prescription formularies (exclusion lists--you cannot take this medication under any circumstance), and step therapy (you must take a less effective medicine--and fail--before trying a more expensive and more effective medication. This occurs even with serious conditions like cancer and multiple sclerosis), quite literally kill.
I know an American in Japan who is on 3 biologics there. In the US, all 3 would require prior authorization, and 2 of them would be denied, because you can only get authorization to get 1 at a time. He could fight for coverage, via ERISA, through his employer, in court, but he would lose his colon before he would win. Then, when he loses his colon, he cannot sue for damages because of ERISA.
Dude, conversations break down on forums all the time. I use a screenreader and braille to read posts. I read things linearly because of this. It's not like I do not notice a coherent breakdown of conversation as the posts go further down the webpage.