I have nearly constant back pain, bone spurs and disc degeneration on my MRI, and a family history of ankylosing spondylitis which required surgery in two cases

I have nearly constant back pain, bone spurs and disc degeneration on my MRI, and a family history of ankylosing spondylitis which required surgery in two cases, and I still can’t see a rheumatologist for some reason. Probably because i am on Medicare.