this post was submitted on 25 Dec 2024
255 points (100.0% liked)

Support Community for Amputees

65 readers
2 users here now

This is a support community for amputees and their families, to discuss the issues facing those with limb loss in a safe, friendly environment.

Rules

founded 1 year ago
MODERATORS
all 21 comments
sorted by: hot top controversial new old
[–] [email protected] 3 points 6 days ago

Practicing prosthetist for about 15 years now. The fights we have with insurance for coverage get worse every year while copays and deductibles continue to increase.

At least in the case of the hand in the article they likely hit denials on a multi articulating hand, claiming it's not necessary over a simple open-close hand. I fight that fight every day and it's absolutely BS to limit access to these types of hands or myoelectric devices in general just because they're more expensive than an old school body powered hook.

Ask anyone in healthcare and they'll tell you something has to change. The system does not work for the majority of working people.

[–] [email protected] 130 points 1 week ago* (last edited 1 week ago) (1 children)

I guess some Health Insurance CEO needs their leg shot off, see how a prosthetic limb can become a necessity.

(for legal and moderation reasons: this isn't a joke)

[–] brlemworld 16 points 1 week ago

Take the lawyers legs too!

[–] DaddleDew 84 points 1 week ago (3 children)

Not even one month. That's how long it took for them to resume screwing over their insurees.

[–] Anticorp 49 points 1 week ago

They never stopped.

[–] Madrigal 16 points 1 week ago

Also tells us how frequently we need to issue “reminders”.

[–] stankmut 7 points 1 week ago

The denials that the article is talking about happened before the shooting.

[–] PunnyName 33 points 1 week ago

*starts dialing John Wick*

[–] [email protected] 15 points 1 week ago (1 children)
[–] [email protected] 1 points 1 week ago

You'd be correct.

[–] SkunkWorkz 13 points 1 week ago* (last edited 1 week ago)

Dear health insurance CEOs:

[–] fan0m 9 points 1 week ago (2 children)

The article makes it sound like the insurance will no longer approve a higher end prosthetic rather than something that is not as feature-rich.

[–] [email protected] 28 points 1 week ago (2 children)

That's not what it said. If you read through the entire article, you find statistics about how many people can't get prosthetics at all because they aren't considered necessary or they can't afford the co-payment or they have to take out a loan.

But even if what you said were the focus, that would be equally messed up. The article opens with the story of a man who got his artificial leg replaced for many years and only recently did they try to reject the hardware that he needs, the hardware that his doctor prescribes... What kind of screwy bait and switch shit would that be? Your insurance company should not be deciding how you live.

[–] [email protected] 10 points 1 week ago (3 children)

The article also mentions that prosthetic limbs can be repossessed. Talk about a dystopia...

[–] [email protected] 6 points 1 week ago (1 children)

Oh you can't pay for your legs anymore, guess we have to take them away.

[–] BradleyUffner 1 points 1 week ago

The mob will just break your legs; you still get to keep them.

[–] idiomaddict 2 points 1 week ago

That’s too reminiscent of king Leopold for the 21st century

[–] PM_Your_Nudes_Please 1 points 1 week ago

Every day, we stray closer and closer to the dystopian media…

[–] [email protected] 1 points 1 week ago* (last edited 5 days ago)

can’t afford the co-payment

User fees are cruel barriers to proper healthcare. We see it even in some parts of Canada (healthcare in Canada isn't uniform, region-to-region, as it was relegated to provinces to define so the cruel conservatives couldn't unilaterally kill it, and so they just gut their own region's support to the bare letter of the law and thus implement user fees and premiums).

[–] [email protected] 9 points 1 week ago* (last edited 1 week ago) (1 children)

it's a limb replacement, the only ones everyone should wear is the fanciest ones unless they specifically request a simpler one.