Well, the ObamaCare
bureaucrats/terrorists have struck again! To catch everyone up,
starting back in March, we started fighting with them when some
internal policy change at EXPRESS SCRIPTS, the TRICARE pharmacy
contractor, caused them to reverse a decision from less than a year
before that which provided my wife a name brand medication when she
had a severe reaction to a generic they forced us to try (read about
it in these older blog posts if interested:
We were forced to file a “final”
appeal to an outside agency (KePRO) when they turned down the second
appeal we filed to EXPRESS SCRIPTS. This time, my wife's physician
wrote almost a full page detailing the difficulties that my wife had
when she tried the generic, and explained that she was obviously the
exception to their claims that the generics were medically equivalent
to the name brand.
Well, we were just informed that this
appeal was denied as well, and this is the last appeal we can file.
The next step is a lawsuit, but I cannot find a lawyer that will file
for me because they will not take a case on contingency against the
Feds. So...the retired military veteran gets screwed again by the
big Federal Government. Those SOBs sit up there, most of them would
not know one end of a rifle from the other and have never been in
harm's way, they enjoy their gold-plated medical plans and exclude
themselves from these crappy plans they force on those that have laid
their lives on the line to protect their rights to screw us and pad
their own pockets. This is just WRONG!!!
What is even more infuriating, both
times my wife's appeals were turned town, I asked to speak to the
physician or person who made the final decision, but I was told that
was not possible; that they do not allow that. So, what we have in
place now at the Federal Healthcare system level are nameless,
faceless bureaucrats making decisions about citizen's healthcare
that, when questioned or challenged, hide themselves behind their
corporate structures and provide the recipients a form letter
spouting the corporate lines of garbage, while they ignore the facts.
My fellow citizens, we hear about the
nightmares coming with ObamaCare; well they are already here. And
they are being shoved down the throats of America's veterans and
their families, where they literally do not care about negative
consequences which have already surfaced when their decisions were
tried, they just say try a different manufacturer of another generic
so that we can save $40 bucks a month on a prescription, but possible
inflict more suffering and medical problems on the guinea pig
patient. Plain and simple: Bureaucrats are already making decisions
to the detriment of citizen's medical well being, and their decisions
are absolutely opposite to medical evidence from the patient's own
local physician(s). It has taken nearly four months to fight the
battle thus far.
I have a closing question for you.
Had you seen your wife suffering because of a medication, how would
you feel being told that her suffering was not back enough or serious
enough to justify giving her a medication that she had been taking
for years with no side effects, and instead being told that she had
to try another, different generic drug and risk more suffering and
negative side effects because it costs less than the name brand? If
you think this is an acceptable way to have yourself or your loved
ones treated, then you need to do nothing. But if you, like me,
think this is absolutely unacceptable treatment, then I hope you will
call your congressman and senators and tell them of your outrage!
That is exactly what I intend to do.
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