Friday, January 29, 2010

Government Rant.

Wooooo, Boy do I need to Vent So this is my first page in the Blog of Violent Shadows. I'm going to be stating things in this post and any other Blog of Violent Shadows that is not for the faint of heart or Empathicly Sensitive. This is your Warning from here out I will not Warn you on any other post in this Label.

I got a letter from The Department of Social and Health Services that was sent out on January 15th,2010 I recieved it a few days ago.  
Here is what the Letter says. 

Note the yellow Highlighted area that is how that accually appears in the letter not a typo on my behalf.

Dear Medicaid Clients:

Effective Febuary 1,2010 the department will no longer cover Tens units or the supplies for use in the home setting. This service may be paid for through an Exception to the Rule(ETR) request. Please work with you physician and vendor to request the ETR as there are specific terms that need to be included with your request.

Exception to the Rule is a prior authorization process used to consider the appropriateness of a non-covered item when that service is specifically needed for that client because there clinical needs are so different than the rest of the population. If you have questions about the process please feel free to call our Customer Service Center at 1-800-725-1790.

This decision will be changing your Health Care benefit. This benefit change is in responce to an evidenced based medicine review conducted by the Health Technology Assessment Clinical Commitee(HTACC) and their decision regarding coverage. The Department has reviewed this decision and is implementing their recommendation per RCW 70.14.080 through 70.14.140 and WAC 388-501-0055.

The Evidence based review can be found at:
www.hta.hca.wa.gov/documents/findings decision ens 103009.pdf

That is what the letter says verbatem. I would like to call your attention to the fact that the phone number to the Customer Service Center doesn't work. 
the link to the Evidence Based Review also doesn't work. 

I find this very suspicious and I called a number given to me by my Worker at the Company that provides my Tens unit and supplies which is 1-800-562-3022. I was told that Empi the company that is my supplier is supposed to get a form called 13-882 on Monday Febuary 1,2010 which is when this takes effect. Now mind you I was told that is when the form would be going out that isn't saying that my worker will have it that day. Now my biggest Beef with this is first the government tells it's clients that if you have any changes at all in your situation you have to let them know withing 30days. They also normally give the client a 30 day notice of any changes that are being made. Well not here so everyone is scrambling to figure out what exactly is happening like a chicken with it's head chopped off. I'm frankly tired of the government screwing around with my health insurance. First they covered my Advair inhalors now I have to remember to take 2 inhalors instead of the one. As they now cover Seravent and Flowvent as a Substatution and I can't get the same strength anymore. Then there is the fact that they stopped covering the name brand Ritalin that I am and now I take a watered down change of recipe called Metholin or Methlyphenadate. Two names for the same Drug. Then there is the fact that the Insurance used to cover 2 dental trips a year now I can only go see my dentist one time a year and have it covered, Stupidity at it's worst with all the recent discoveries about how important a persons teeth are to there over all health. This issuance wont cover a Peak Flow meter either which is a meter that shows an asthma patient how there breathing is.http://www.webmd.com/asthma/guide/peak-flow-meter
This is info for you on what a peak flow meter does and how it is used. I use the tens unit to control massive cronic pain from Tortacolis and Fibromyalgia. This treatment is working and is safer/better for my health as I'm not popping so many pain meds that can kill my organs. I also don't get any prevenative care either. Isn't it cheeper to prevent that have to constantly treat conditions after they occure. Then why is it that they don't do that. No wonder the health care/SSI health system is in trouble they aren't spending money wisely. I'm getting tired of the bull shit honestly and that is what it is if you ask me. I think it honestly goes hand in hand with the current situation in the white house. I think if that Government run health care bill goes through the entire nation is going to have this kind of Shitty Health care that Medicare and Medicaid get from the Government. I don't want to see that happen to America. So Fight back Talk to your polititions. If you want a look at there health care bill check this out. http://www.youtube.com/watch?v=HcBaSP31Be8
This is a great explination of the Government Run Health Care. I don't like it and you wont either.
I'm so tired of the Government getting involved in my health care already and if that Health care plan is Approved then it will only get worse. All of you people don't have any idea how bad it is now. This is only a small chunk of my story with Medicaid. I have a whole lot more where this came from. If you are put on a treatment that isn't specificly approved for a certain problem but it seems to be working in your case like Oh lets say, you have Seasonal Effective Disorder as well as Periodic Leg Movements which is like Restless Legs Syndrom and you are sleeping 20 hours a day because you can't seem to stay awake and have done Sleep studies and There isn't really anything for PLM out there and there is nothing but Anit-Depressants out there which give off bad side effects. Well Ritalin was working for me on those accounts I was also on another ADD medication called 


Strattera 

this was in concert with the Name Brand Ritalin works wonders for all the things that where causing me to sleep 20 hours a day as well as my very tiny attention span as I do have Adult ADD. Well the government first came along and told me that I couldn't have the Ritalin do to it not being approved for the PLM that my specialist perscribed it for then after i got my councilor to refer me to my family practioner as she couldn't write perscriptions her self she told me to have my Fam. Prac. to write it out for Depression and Anxiety which I do have as a OCD patient. Well that was all good. However then the government came in and took away the Strattera saying I couldn't have 2 Class A ADD/ADHD/Depression/Anxiety meds. But they were working so well I am still frustrated over that situation as there was nothing I could do to get the Strattera back. Then they came in and told me that the name brand Ritalin wasn't being covered anymore that i had to go to the generic for Ritalin. Well they tell you that it is the same thing when accually it is a whole different recipe just with all the same ingrediants in it. Now I can't have the Name brand Advair 50/500 I'm now on Seravent 50mcg and Flovent 250 do those numbers add up in your head? As they don't make the same number as the Advair was at 50/500. Not to mention Serevent and Flovent are also Name Brands how does this even make any kind of Sence? I don't get it why pay for 2 name brands instead of one. Well guess what they don't work as well as Advair did. I've tried for the exceptions via my doctor writting for a Do not use a Generic. I can't get the pharmacy to figure out that I'm supposed to be on the Name brand Ritalin on both perscriptions. I call in to have the Ritalin Filled and they Fill the Methalin instead. So there you have it I don't get any of the care that really works only the care that half Assed works. I hope all you people who support the Government Run Health Care Plan take note of the trauma I've been through with the already in place Gov. Run Health care.  What on earth makes you think that the Plan proposed is going to be any better. Honestly Look at how many pages there are in it. How many rules and regulations that go along with it. It was said that it would be optional and it has become manditory in how it reads. If this goes through every individual in America will be going through this same kinda thing. No some may say that Well those on DSHS and SSI are just Leaches off the Gov. and the Tax payers. I can tell you I have tried to hold a job but hummmm. Lets think this over. 

I got layed off of Silverwood theme park employment do to having Heat Triggered Seizures on the Corkscrew and while doing grounds keeping. 

I Can't Drive First I wasn't taught then there is the Seizure thing to consider so that counts Driving a Go Cart in the parks and Rec Services kinda employments. It also counts out Pizza Delivery and Mail Service employment.

Then I'm an Asthmatic so that counts out working in a Greesy Kitchen of McDonalds and other Food type Jobs. 

I have the attention span of a tea spoon so that counts out any kind of telephone work. I also have learning disabilities that have been since my birth as I had my brain deprived of oxygen when I was born do to having both of my lungs collapsed at birth amongst other things that went wrong.  So that takes out the idea of going to a traditional college and doing anything that has math involved or even any kind of job that has to do with a till/register. 


What is left Not a Damned thing so Am I REALLY leaching of the Gov. and Tax Payers. I think Not. So that mentality of people who live off the Gov. are all just leaches doesn't hold water here and I don't want you to comment well your just a leach. 

Well now there is the arguement from those same individuals who would call me a leach about me being a Massage Therapist. I've had 2 Wrist surgeries to have a Ganglionectomy done and headed for the 3rd one at the end of Febuary or beginning of March. I can't do Massage anymore. Besides the average Length of a Massage Therapists career is 5yrs before the body has broken down so much that they just can't do it anymore. So 9 out of 10 LMP's don't even renew there license after the 5th year. How are those for Odds. If you ask me they Suck.  I also hate the fact that I'm am one of those stats.

So where does that leave the people who would call me a Leach. So you all know it took me 5 years to get onto SSI do to Not being paralysed or something of that magnatude. I have Lots of little things that add up to make it so I can't work and that made it hard to prove my disability was worthy of SSI. So there you all have it I hate the gov. being involved in my health care but there isn't much I can do about it. 

However you Do have a Choice Contact your Politicians and tell them where to shove the Plan that our Whitehouse Staff has got in the works.








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