Should PROBABLY Bite My Tongue...
It's no secret - I work every day asking insurance companies to make a decision on whether or not a patient can receive a particular medication. It's much more complicated than that, but the bottom line is simple. A doctor meets with a patient, reviews their medical condition and history, and then uses their judgement to select from a growing field of medicine a particular medication that will treat the patient and improve their health. Quite often it's not a cure, as most of the time these are conditions that don't have cures. It's usually a treatment to help the patient feel and do better. The insurance company will tell you they aren't making care decisions, they're simply using their best medical judgement to determine whether the prescribed treatment is going to have a positive response. Certainly, the medications are expensive, but they aren't fooling me. The reviewer, who is also a trained medical professional, looks at the medical ...