Re: Leave politics out Was: Re: immunology, IgE

[Guest guest]

Please leave politics OUT.

On Sep 8, 2010, at 11:05 PM, sue <svican@...> wrote:

obama care just expanded their oligopoly! sue

[Guest guest]

Thanks for your reply. I'm sorry for your little guy. It is so frustrating.

Private or public, health care has become outrageously unaffordable. Seems that

in all spheres, the rich get richer and the poor get poorer. I heard on the

radio a report about how virtually all increases in insurance premiums in the

last few years have been passed on to employees. I definitely feel that. We have

$5,000 that we have to put in our health care account each year to cover

" co-insurance " and deductibles--and we defintely use it all.

With PT, my PT was still a provider with BCBS when I saw her, but she had to

jump through so many hoops with BCBS--that might have been true with all

insurance, though. She had to constantly call or meet with representatives to

justify treatment. I had no idea how much of that sort thing she spent her time

on until she was late because she was on the phone with insurance and came in

with a few angry words.

But that 50% of what BCBS thinks it should pay is something I've run into

before. Was your son's PT out of network? I gave up on seeing an out-of-network

provider because of how little BCBS would pay--and with each visit to the

provider, they would pay less and less.

On Sep 10, 2010, at 12:36 AM, sue <svican@...> wrote:

I get it, and one of my points is that it is difficult to explore all

care options when you are limited to doctors who contract with the

insurance companies and medicare, all i see is doctors and therapists

dropping out of these arrangements because the insurers make it all as

difficult for them as for us.

[Guest guest]

Yes, well I have even started to think about dropping my insurance which

since i am self employed costs me about $1,400 per month in premiums so

I can fight them, and that is a high deductible plan so then I have I

think $6,500 I pay before getting any reimbursement each year but of

course that is $6,500 of their bogus allowed expenses so quadruple that

anyway before I see a penny....then i would guess they pay 10% on

average. The doctor is $350 per hour, but they pay maybe $60, the

allergy testing they pay about $7 per $300 or $400 session and the list

goes on.

>Thanks for your reply. I'm sorry for your little guy.

not so little, turned 21 yesterday, very depressing, been lying in bed

for 4 years, no resolution of symptoms besides all the money, effort etc

thrown at the problems.

>It is so

>frustrating. Private or public, health care has become outrageously

>unaffordable.

yes!!

Seems that in all spheres, the rich get richer and the

>poor get poorer. I heard on the radio a report about how virtually all

>increases in insurance premiums in the last few years have been passed

>on to employees. I definitely feel that. We have $5,000 that we have to

>put in our health care account each year to cover " co-insurance " and

>deductibles--and we defintely use it all.

I am so sorry that you have to spend so much of your hard-earned

earnings on this!

>

>With PT, my PT was still a provider with BCBS when I saw her, but she

>had to jump through so many hoops with BCBS--that might have been true

>with all insurance, though. She had to constantly call or meet with

>representatives to justify treatment. I had no idea how much of that

>sort thing she spent her time on until she was late because she was on

>the phone with insurance and came in with a few angry words.

Our PT dropped BS, too much wasted time, would have had to hire an

employee full time to deal with them, same story as yours...

>

>But that 50% of what BCBS thinks it should pay is something I've run

>into before. Was your son's PT out of network? I gave up on seeing an

>out-of-network provider because of how little BCBS would pay--and with

>each visit to the provider, they would pay less and less.

Yes, out of network, that's why they only reimburse 50% of allowable

charges, and of course they drove her out of network, she used to be in

network, but BS is impossible for the providers to deal with so she

dropped BS, his PT problems are very specialized, there might be one PT

still in network who does the kind of work he needs but maybe not, she

may have left the network too, but he likes this PT who was in network

when he started with her, he tried another one out of network who we

didn't like, and those are the only choices in our area...it's either

pay or he has no chance of this problem getting better, he has

neuromuscular pelvic floor pain and dysfunction that make it difficult

to eliminate both directions making what should be a minute or two or

three or five or worst case 15 minutes in the bathroom translate into a

2 hour or even sometimes up to 5 hour nightmare of an ordeal, probably

related to toxic exposures affecting him neurologically, the mold/enviro

docs don't know for sure and the conventional docs say the kind of

problems he has are not well understood as to cause and best therapies

also not well understood. This PT thinks she can help but it will be

slow going, she is very experienced and looks at the problems

holistically, looks and works on the total body and mind, not just as a

few muscles isolated from the rest of the being, the last PT did

" internal " trigger point release that " should have resolved the

problems " but only worsened the pain and functionality (this is a

fancy way of saying she sticks her finger into the rectum and pushes

like crazy to work out trigger points but ends up referring the pain

elsewhere in the pelvic region)..... so, it is pay this pt or give up

hope of ever trying to resolve one of his worst health problems that

compound all the others....like the typical environmental illness

problems, this particular problem is one that tends to lead to an

isolated life alone...

sue

[Guest guest]

Are you kidding me???? And I thought my policy was bad. I cannot believe how

much you have been paying for health care!

I feel so much for you and your son. It must be so difficult to watch him go

through all this, to speak nothing of his ordeals. I do not have quite that

level of pain, but do have a problem called levator ani or proctalgia fujax

(well, I have them both, but they are similar), which is a kind of colon spasm.

They do go away after an hour or so, so it's nothing like your son endures, but

to some extent I can empathize. Mine did internal trigger point release

too...was very holistic...a gifted physical therapist is rare but wonderful. My

doctor just shrugged her shoulders when I came in complaining of this

debilitating pain. The PT diagnosed and explained it to me. It shouldn't be so

hard for your son to have access and coverage for care that could help him be

functional!

Everything becomes that much more confusing and turbulent when the mold

dimension is added. I thoroughly believe my infections were, if not outright

caused by the mold, then able to take hold because of it.

Thinking about your situation bolsters what I have thought and felt. It's

outrageous to me that consumers have picked up so much of the slack in health

care--now we are health insurance's accountants, whereas once billing was simply

between the clinics and insurance companies; and now we are amateur physicians,

since medical practice does not keep up with research, and indeed, is encouraged

not to.

On Sep 10, 2010, at 4:18 PM, sue <svican@...> wrote:

Yes, well I have even started to think about dropping my insurance which

since i am self employed costs me about $1,400 per month in premiums so

I can fight them, and that is a high deductible plan so then I have I

think $6,500