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ChiciB1

(15,435 posts)

380. ProSense... I Don't Think I've Ever Agreed With You On ANYTHING....

Wed Mar 19, 2014, 05:47 PM

Mar 2014

At least not that I can recall. BUT, I do have to agree with this. It's NOT because of ACA! I don't have ACA Insurance, I have an employer based Medicare Retiree Humana PPO. My coverage has been very good, I only pay the monthly Medicare cost and it includes drug coverage with my plan. I actually use mail order and my husband & I get many meds free.

BUT, this is happening to me too. All of a sudden I'm being denied insurance coverage on medications that I've taken for a very long time, month after month. Insurance company has never had to cover ANY adverse reaction these medications caused, and they call me all the time regarding Wellness Check-ups! Now, if they won't cover the meds anymore I will have to buy my meds by telling pharmacist I don't want them to go through my insurance. AND even though MY doctor already told insurance it's "medically necessary" they still denied the coverage! But what IF I can't afford the cost of the medication without my insurance covering it??? I DO WITHOUT!

So, now I'm faced with the prospect of paying extra out of pocket costs OR risk not having the medication that may THEN really cause a reverse reaction that I WILL have to seek OTHER medical attention due to the fact that I had medication denied! AND the adverse reaction very well could cause the insurance company to pay extra/more $$$$ because the medication actually WAS needed in the first place!!

THIS IS CRAZY and so wrong-headed! But it is THE MEDICARE FORMULARY rules that have been put in place, NOT ACA! A one-size fits all formula that seems to have more negatives than pluses!

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So let me see if I've got this straight... [View all] WilliamPitt Mar 2014 OP

Yes it is very interesting how this is a legacy legislation, djean111 Mar 2014 #1

"socialize losses but privatize profits" - could be the motto of our country now... polichick Mar 2014 #7

+10000000 woo me with science Mar 2014 #18

They're still too stupid or hateful to understand that simple message. Fantastic Anarchist Mar 2014 #258

It IS the motto. bvar22 Mar 2014 #191

I read recently ... Fantastic Anarchist Mar 2014 #260

Brilliantly done. Thanks polichick. n/t truedelphi Mar 2014 #441

That is a really great analogy. cui bono Mar 2014 #295

...^ that 840high Mar 2014 #404

Billy Tauzin pscot Mar 2014 #2

He was a frequent visitor during the writing of the bill. polichick Mar 2014 #3

And single-payer advocates were being arrested. Fantastic Anarchist Mar 2014 #262

Single-payer advocates were not allowed to be heard. Enthusiast Mar 2014 #313

Absolutely. Fantastic Anarchist Mar 2014 #322

Max Baucus, notorious blue dog. Enthusiast Mar 2014 #362

$$$$$ that's who runs it. 840high Mar 2014 #405

Tauzin’s $11.6 Million Made Him Highest-Paid Health-Law Lobbyist jsr Mar 2014 #373

And worth every dime to Big Pharma pscot Mar 2014 #406

Oh yeah, I remember this door swinger from back in 2005.... ReRe Mar 2014 #442

Whereas before the ACA the insurance companies would have paid for everything, no questions asked? geek tragedy Mar 2014 #4

Yes, thank you. mountain grammy Mar 2014 #43

No, the answer is to fight for single payer & next time don't be diverted by politics. Some things sabrina 1 Mar 2014 #94

Amen.... daleanime Mar 2014 #148

Yes because fighting for what couldn't be done is so useful.... VanillaRhapsody Mar 2014 #157

Nothing can be done Erich Bloodaxe BSN Mar 2014 #220

Some things cannot be done no matter how hard you try.... VanillaRhapsody Mar 2014 #221

Well, abolition of serfdom and slavery couldn't be done, too. Fantastic Anarchist Mar 2014 #268

Now we are fighting slavery again? VanillaRhapsody Mar 2014 #270

Are you implying that we stop fighting? Fantastic Anarchist Mar 2014 #279

No...did you read my posts before replying? VanillaRhapsody Mar 2014 #280

I did read your post. Fantastic Anarchist Mar 2014 #283

apparently not.... VanillaRhapsody Mar 2014 #285

Did you not say the following? Fantastic Anarchist Mar 2014 #290

Yes I said that....how is that twisted into what YOU said? VanillaRhapsody Mar 2014 #293

You really can't be that obtuse. Fantastic Anarchist Mar 2014 #297

this is the best flippant response you could come up with to cover your error? VanillaRhapsody Mar 2014 #474

What else could I say? Fantastic Anarchist Mar 2014 #475

Yes the Public Option...not just the ACA...DUH! VanillaRhapsody Mar 2014 #477

Huh? Fantastic Anarchist Mar 2014 #478

reading is fundamental my friend... VanillaRhapsody Mar 2014 #479

Indeed. Fantastic Anarchist Mar 2014 #482

My grasp is firm....I am not the one that jumped into the middle of a conversation VanillaRhapsody Mar 2014 #485

No one with at least 10% of their brain functioning would call that post disingenuous. cui bono Mar 2014 #465

Obama did not consider single-payer, simply because single-payer would never pass in Amonester Mar 2014 #433

You fail to understand my post. Fantastic Anarchist Mar 2014 #447

Exactly. cui bono Mar 2014 #466

And haven't you noticed that the defenders here ... Fantastic Anarchist Mar 2014 #469

Actually you start with stuff far beyond what you hope to get so that you get closer Lars39 Mar 2014 #472

Yes, you are correct. cui bono Mar 2014 #473

I missed a few episodes. Fantastic Anarchist Mar 2014 #476

It's from years ago, and I found it! cui bono Mar 2014 #481

I do remember that! Fantastic Anarchist Mar 2014 #483

We'll never truly know because he never tried. cui bono Mar 2014 #464

Well said Aerows Mar 2014 #289

My grandmother always said, 'you got what you fight for, if you're not willing to fight, you get sabrina 1 Mar 2014 #246

Yes because getting NOTHING for your efforts would have been soooo satisfying huh? VanillaRhapsody Mar 2014 #264

The good SHOULD be the enemy of the bad. My grandmother was totally for being the enemy of the bad. sabrina 1 Mar 2014 #436

'not audition for a Koch Brothers commercial' Whisp Mar 2014 #174

Thank you!! And don't put all you health care in one basket. MS is in my family (2 cousins) kelliekat44 Mar 2014 #335

The OP will blame his favorite whipping post come hell or high water and label anyone who Cha Mar 2014 #382

if he hadn't thrown a hategasm about the State of the Union speech's honoring geek tragedy Mar 2014 #383

Precisely. It's a nasty habit. Cha Mar 2014 #384

You've got that right. Before ACA it was all one big love-fest with the insurance companies... Hekate Mar 2014 #416

she has an awesome rheumotologist. can't be overstated how much that matters. geek tragedy Mar 2014 #421

So did your friend who told you "Screw it don't do shit" read that thread? snooper2 Mar 2014 #5

Screw it, don't do shit? WilliamPitt Mar 2014 #6

Thanks! my boss said so for my 2013 review a couple weeks ago as well! snooper2 Mar 2014 #10

But he was not telling you the truth. Different insurers use different formularies. pnwmom Mar 2014 #244

Ah yes ProSense Mar 2014 #8

Pres. Obama had everything to do with inviting Billy Tauzin and other lobbyists... polichick Mar 2014 #15

Obamacare ProSense Mar 2014 #19

Oh, this makes it cool that industry lobbyists wrote the bill... polichick Mar 2014 #24

No, what "makes it cool" ProSense Mar 2014 #26

I'm sick of all the bullshit. Dem Party leaders serve corporations and the 1%... polichick Mar 2014 #30

The people who are being help and whose lives are being saved ProSense Mar 2014 #33

Oh good grief - corporations benefit most from Obamacare, not people... polichick Mar 2014 #41

BS. n/t ProSense Mar 2014 #48

Thanks for finally stopping the commercial! polichick Mar 2014 #49

Debunking nonsense: ProSense Mar 2014 #52

More commercials - yes, we know, that's the job you've taken on. polichick Mar 2014 #55

You type fact-free rants. ProSense provides carefully annotated evidence. ConservativeDemocrat Mar 2014 #84

ProSense posts one never-ending commercial for the administration... polichick Mar 2014 #90

+1 The Masked Shrike Mar 2014 #358

And they say conservatives don't have a sense of humor. Jakes Progress Mar 2014 #233

You are both right Veilex Mar 2014 #87

"ladies,ladies...you're both pretty" sufrommich Mar 2014 #100

two things: Veilex Mar 2014 #457

I think you would do yourself a favor if you changed your subject line to remove the sexism. nt stevenleser Mar 2014 #139

WTF? cyberswede Mar 2014 #169

Perhaps I should be... Veilex Mar 2014 #458

Thanks! I sppreciate your sensitivity. cyberswede Mar 2014 #459

No worries... Veilex Mar 2014 #461

Bad form. I also ask you to edit your subject line to remove that comment. bluesbassman Mar 2014 #201

Done and done. Veilex Mar 2014 #460

Well done. bluesbassman Mar 2014 #468

Are you fucking kidding me? cui bono Mar 2014 #303

Not sexism.... Veilex Mar 2014 #462

Thank you. cui bono Mar 2014 #467

No worries... Veilex Mar 2014 #470

There are million of people, 5 million in fact . . . brush Mar 2014 #237

Maybe we can run ads against Dems who refuse to support a public option... polichick Mar 2014 #250

So cynicism is going to get single payer passed? brush Mar 2014 #259

Do you think the establishment would nominate a presidential candidate... polichick Mar 2014 #265

Shaw would have said that about Obama in 2007 also brush Mar 2014 #275

Or maybe it's all of us who voted for "hope and change" who... polichick Mar 2014 #281

I like Bernie quite a bit. Don't know if he has a better chance than Warren though brush Mar 2014 #304

Thank you, ProSense. Wait Wut Mar 2014 #98

What I am getting is certainly NOT crumbs... VanillaRhapsody Mar 2014 #163

In an obscenely wealthy democracy, if you're not getting first-rate universal healthcare... polichick Mar 2014 #235

The ACA will save my neice's life. She must be a corporation or in the 1%. JoePhilly Mar 2014 #287

You need to learn to read more carefully... polichick Mar 2014 #292

Clearly we need to repeal the ACA ... it only helps the 1% and corporations. JoePhilly Mar 2014 #301

If you say so. polichick Mar 2014 #305

Can you check your speed dial ... I'll need Boehner's #. JoePhilly Mar 2014 #307

Do you do anything to change things other than post on DU ? lumpy Mar 2014 #323

Ignoring feedback from people that are not being helped or who are being economically hurt Lars39 Mar 2014 #32

Wait, ProSense Mar 2014 #40

The beef people have is with how it all came about....Obama taking single payer off the table Lars39 Mar 2014 #57

Obamacare has nothing to do with how formularies "came about." Nothing. ProSense Mar 2014 #62

The problems run deeper than formularies Lars39 Mar 2014 #86

These threads are about formularies. n/t ProSense Mar 2014 #99

In part, but your responses seem to be the same no matter what problem is identified Lars39 Mar 2014 #111

But after he owned the program he owns it. Not just the good parts but the bad as well. nt Mojorabbit Mar 2014 #113

It's not a part of the law. It's not. n/t ProSense Mar 2014 #122

It is his signature program. He does not get to only own the good parts. nt Mojorabbit Mar 2014 #142

That's when Obama lost my vote brooklynboy49 Mar 2014 #78

Uhuh Bobbie Jo Mar 2014 #205

You do know he's not running for president again, right? How could he lose your vote? uppityperson Mar 2014 #230

I am well aware of the provisions of Amendment XXII brooklynboy49 Mar 2014 #337

You did not even vote for local people or issues? wow. uppityperson Mar 2014 #340

So who did you vote for? brush Mar 2014 #241

I did the unthinkable brooklynboy49 Mar 2014 #332

At least you didn't do the really unthinkable by voting for Romney brush Mar 2014 #351

Apparently it wasn't too unthinkable... one_voice Mar 2014 #354

Actually, it was brooklynboy49 Mar 2014 #381

and that was then this is now... VanillaRhapsody Mar 2014 #167

Problems must be identified in order to be addressed properly and solved. Lars39 Mar 2014 #172

that wasn't addressed at a problem...that was addressed to a dead horse.... VanillaRhapsody Mar 2014 #176

And it can be done, but not if the people and their problems with ACA are ignored. Lars39 Mar 2014 #183

THAT wasn't the "dead horse" now was it? VanillaRhapsody Mar 2014 #185

People have moved on, but they want ACA problems solved. Lars39 Mar 2014 #204

so will's family did what they were supposed to do questionseverything Mar 2014 #314

The cost and the formulary are two different things theboss Mar 2014 #320

saying the cost and formulary are two different things is dishonest questionseverything Mar 2014 #330

HMOs use formularies. Britain and Canada's health care systems use formularies.They are an effective Hekate Mar 2014 #448

Drug formularies in Canada and Great Britain naturallyselected Mar 2014 #29

Too many on here don't want to hear that. I agree it "should not happen," just like people Hoyt Mar 2014 #116

It will if legislated to do so in my opinion. nt Mojorabbit Mar 2014 #118

THANK YOU. I wish we could highlight your post in RED. Hekate Mar 2014 #428

ProSense... I Don't Think I've Ever Agreed With You On ANYTHING.... ChiciB1 Mar 2014 #380

Your anger is understandable. CJCRANE Mar 2014 #9

+1 one_voice Mar 2014 #12

you nailed it steve2470 Mar 2014 #21

Medicare for All was realistic in 2009, but no one fought for it. Scuba Mar 2014 #34

I guess we agree to disagree on that point steve2470 Mar 2014 #45

Medicare Part D uses formularies. n/t ProSense Mar 2014 #46

Photosynthesis uses light. n/t Scuba Mar 2014 #63

Facts are facts. n/t ProSense Mar 2014 #68

Bananas are bananas. n/t Scuba Mar 2014 #73

and sometimes a cigar is just a cigar... VanillaRhapsody Mar 2014 #173

Indeed, Medicare Part D does use formularies. blue neen Mar 2014 #318

Your post is a level-headed one. How refreshing. Thanks, keep it up. lumpy Mar 2014 #328

Thank you. blue neen Mar 2014 #339

Will, if Mrs. Pitt were on Medicare, would her drugs in question be covered or not? Nay Mar 2014 #387

You're forgetting about the blue dog dems — repug lites . . . brush Mar 2014 #254

Medicare limits drugs through its own formulary. So how do you know pnwmom Mar 2014 #372

Medicare for all wouldn't necessarily solve this problem. Medicare has a formularly, too. n/t pnwmom Mar 2014 #371

If Bush had passed the ACA, DU would have melted down n/t leftstreet Mar 2014 #11

Did Bush ever suggest anything like that? CJCRANE Mar 2014 #14

Medicare part D? (nt) Nye Bevan Mar 2014 #27

As much as I hate g war bush, he did sign Medicare prescription drug plan. Before that poor elderly, Hoyt Mar 2014 #127

agreed Puzzledtraveller Mar 2014 #162

That's like saying if Bush supported marriage equality or became pro-choice... Drunken Irishman Mar 2014 #247

+1 uponit7771 Mar 2014 #435

Yea, I would've melted down with joy that Bush did something that actually saved lives. phleshdef Mar 2014 #311

YOU SHOULD HAVE BEEN A SMARTER CONSUMER, YOU PATHETIC LOSER! Zorra Mar 2014 #13

please please please vote in the midterms oldandhappy Mar 2014 #16

Interestingly, Will very recently had a post saying exactly that. MH1 Mar 2014 #66

"Obama not wringing a better health care plan...Congress" - HE'S the one who packed... polichick Mar 2014 #106

AND he is the FIRST President to get changes to Healthcare in America... VanillaRhapsody Mar 2014 #184

Yes he managed to mandate that everyone pay insurance companies... polichick Mar 2014 #236

Yes and expanding Medicaid for the poor was such a horrible tragedy! VanillaRhapsody Mar 2014 #240

That's what you get -- Hell Hath No Fury Mar 2014 #17

+1 area51 Mar 2014 #179

M-O-N-E-Y TorchTheWitch Mar 2014 #312

Well, you had two options. jeff47 Mar 2014 #20

Anger is important - it's way past time Americans got angry... polichick Mar 2014 #36

Blind rage never solved any problems. jeff47 Mar 2014 #44

It's hardly "blind" - it's CLEAR-EYED, WIDE AWAKE rage, the kind this country needs... polichick Mar 2014 #47

If it was, it would be directed at the people who actually prevented single-payer. jeff47 Mar 2014 #59

Wake up - the guy in the WH invited Billy Tauzin and other lobbyists in... polichick Mar 2014 #69

Waking up would require realizing single-payer doesn't fix this problem. jeff47 Mar 2014 #333

My post was about the lobbyists who were constant guests at the WH... polichick Mar 2014 #338

I did by pointing out the WH doesn't pass legislation. jeff47 Mar 2014 #343

Activists on the left ran ads targeting Blue Dog Dems... polichick Mar 2014 #345

Ads don't help when he's not running again. jeff47 Mar 2014 #348

Others were running. The point is we have to be clear about... polichick Mar 2014 #352

Others don't matter. You need Lieberman's vote. jeff47 Mar 2014 #356

Joe didn't even matter, since the WH traded that away... polichick Mar 2014 #359

Yes, Joe does matter when you claim that Obama could have single-payer. jeff47 Mar 2014 #361

You do know that the WH nixed single payer and the public option... polichick Mar 2014 #363

We should still have single-payer. Doesn't mean Will's wife gets her drugs. theboss Mar 2014 #347

imo it's amazing that Americans accept this situation... polichick Mar 2014 #349

President Obama was elected with a mandate and he failed*to lead on the important issues. That buck xocet Mar 2014 #128

Because bills magically appear on his desk. There is no other branch involved. jeff47 Mar 2014 #334

Nothing ventured: nothing gained. He did not even try. You can figure the rest out yourself. n/t xocet Mar 2014 #365

This is true - he "threw away" support with both hands... polichick Mar 2014 #353

Thanks for the specifics and the note about the status quo. n/t xocet Mar 2014 #415

Not blind rage to call the Democratic President a "piece of shit"? VanillaRhapsody Mar 2014 #189

anger is not important when it blinds you to possible solutions Whisp Mar 2014 #245

imo the calm acceptance of The Screwing of America... polichick Mar 2014 #253

the Grand Screwing sure didn't start with Obama Whisp Mar 2014 #267

No, it didn't start with him - but he's cool with enabling the continuation... polichick Mar 2014 #278

Obama has done an amazing amount of good work Whisp Mar 2014 #308

Well, I've never said he's an "evil piece of shit"... polichick Mar 2014 #309

All my book says is: Whisp Mar 2014 #315

Does Pres. Obama WANT to turn the Titanic? If so, why the TPP? polichick Mar 2014 #321

poor deflection, but expected. n/t Whisp Mar 2014 #324

Not a deflection at all. If he wants to "turn the Titanic"... polichick Mar 2014 #329

I think you miss the point Whisp Mar 2014 #355

It's not too much to expect a Democratic president to invite... polichick Mar 2014 #357

Thank you for your posts in this thread dreamnightwind Mar 2014 #439

My pleasure! imo the most interesting thing happening right now is... polichick Mar 2014 #455

Yes to Bernie dreamnightwind Mar 2014 #484

And now there's this: polichick Mar 2014 #487

Great! dreamnightwind Mar 2014 #491

Yeah, the more the merrier. I too thought about how close he has been... polichick Mar 2014 #494

What action are you involved in other than being angry and posting on DU. lumpy Mar 2014 #331

This message was self-deleted by its author CJCRANE Mar 2014 #82

This mcar Mar 2014 #214

If a policy (or law) can't stand criticism, it should be concidered a weak policy. canoeist52 Mar 2014 #22

"betrayal can be a cruel mistress at the poles." zeemike Mar 2014 #56

calling the President a "piece of shit" is just "criticism" of the ACA? VanillaRhapsody Mar 2014 #192

Is that the full quote, or just part of it? truebrit71 Mar 2014 #206

Did he say it or didn't he? VanillaRhapsody Mar 2014 #211

What is the FULL QUOTE? truebrit71 Mar 2014 #216

He said "piece of shit".....let us not forget the "fuck you" part then either... VanillaRhapsody Mar 2014 #218

Nice try... truebrit71 Mar 2014 #223

No it isn't when it is bullshit....which it is...NO healthcare system in the world covers VanillaRhapsody Mar 2014 #224

Except it isn't bullshit... truebrit71 Mar 2014 #269

Except that it is....NO healthcare system covers ALL drugs and treatments in any country... VanillaRhapsody Mar 2014 #272

Did you miss the part where the drugs WERE covered before... truebrit71 Mar 2014 #277

and that happens all the time in EVERY system....did you not read that? VanillaRhapsody Mar 2014 #282

So that is not bullshit in your opinion? truebrit71 Mar 2014 #284

No its NOT bullshit when MOST did keep their insurance....sorry...you fail. VanillaRhapsody Mar 2014 #288

Aaah...."most"..... truebrit71 Mar 2014 #300

May I explain what a pre-existing condition exclusion is? theboss Mar 2014 #294

Hence his (IMHO) justifiable outrage... truebrit71 Mar 2014 #299

They were NOT covered before theboss Mar 2014 #286

So that's actually a "yes, she was covered before" then... truebrit71 Mar 2014 #296

She switched plans because she quit her job theboss Mar 2014 #302

This message was self-deleted by its author Autumn Mar 2014 #298

I'm pissed too ... Auggie Mar 2014 #23

This is not reduced pharmaceutical coverage. Ms. Toad Mar 2014 #251

+1000 sinkingfeeling Mar 2014 #445

Did you vote for Obama? Then it's your fault, not his. Voice for Peace Mar 2014 #25

Not voting for Obama DonCoquixote Mar 2014 #252

It's the blame thing. It is 100% ineffective, and in my opinion Voice for Peace Mar 2014 #310

it would only be misinformation DonCoquixote Mar 2014 #336

you are off on a wholly other track. Voice for Peace Mar 2014 #344

The "misinformation" refers to people getting the wrong idea about Voice for Peace Mar 2014 #346

I see 2 large tasks ahead of you... magical thyme Mar 2014 #28

I second what MT said BuelahWitch Mar 2014 #368

Of course he is part of it - TBF Mar 2014 #31

Message auto-removed Name removed Mar 2014 #35

These pretzels are making me thirsty. nt sufrommich Mar 2014 #38

Stay classy... truebrit71 Mar 2014 #39

Message auto-removed Name removed Mar 2014 #51

You sound exactly like someone who would say the same thing to struggling poor people Vashta Nerada Mar 2014 #54

~sprays troll-be-gone~ Marrah_G Mar 2014 #61

Oh happy day! Puglover Mar 2014 #146

So this isn't one of those Will Pitt rants that is retracted in two days? theboss Mar 2014 #37

Heavens, no.... Hekate Mar 2014 #449

Well, for one, there haven't been any verified Obamacare horror stories that I've found. DanTex Mar 2014 #42

Hmmm, problem solved ... 1StrongBlackMan Mar 2014 #126

Your anger was justified and the vile attacks against you were not. Vashta Nerada Mar 2014 #50

No in fact it wasn't.... VanillaRhapsody Mar 2014 #196

Heck, up until 2005, Medicare did not cover any prescription drugs, absolutely none unless injected. Hoyt Mar 2014 #213

Exactly! Sheesh you just cannot please some people... VanillaRhapsody Mar 2014 #215

His wife is suffering needlessly, and he isn't justified in being angry about it? nomorenomore08 Mar 2014 #492

Pitt, with all due respect and zero snark.... steve2470 Mar 2014 #53

I did. WilliamPitt Mar 2014 #64

best of luck to you nt steve2470 Mar 2014 #67

I actually do this for a living theboss Mar 2014 #71

OK WilliamPitt Mar 2014 #80

Good God...Find out the answer to #2, like, today theboss Mar 2014 #89

The only other options WilliamPitt Mar 2014 #97

Okay...so there are options theboss Mar 2014 #105

No. WilliamPitt Mar 2014 #107

When did she lose her old coverage? Was COBRA an option? theboss Mar 2014 #114

Excellent insurance provided by her employer WilliamPitt Mar 2014 #130

Dates please theboss Mar 2014 #137

This has been a very good exchange of posts. Hope it continues. Hoyt Mar 2014 #141

Moved in August WilliamPitt Mar 2014 #158

It's way too late now, but staying on COBRA until you had a answer - or the enrollment period ended theboss Mar 2014 #171

I do. WilliamPitt Mar 2014 #177

You're not insane theboss Mar 2014 #190

This is excellent advice. Having a disabled child on two non-formulary medications, I can msanthrope Mar 2014 #202

I should have just yelled about Obama theboss Mar 2014 #210

Fuck writing appeal letters!! Fuck getting a letter from the doctor!!! Fuck working your msanthrope Mar 2014 #231

It's a web forum. WilliamPitt Mar 2014 #243

You didn't vent; you mischaracterized your problem theboss Mar 2014 #256

Thank You, theboss! Cha Mar 2014 #392

Keep fighting. AtheistCrusader Mar 2014 #129

once weekly injections are not bad at all blindersoff Mar 2014 #161

So ... 1StrongBlackMan Mar 2014 #180

It's MS. WilliamPitt Mar 2014 #182

In fairness, you have stated that there are other treatment options covered theboss Mar 2014 #194

That is my exact point ... 1StrongBlackMan Mar 2014 #228

No ... 1StrongBlackMan Mar 2014 #234

there may be a good reason for "of my choice" shireen Mar 2014 #376

no it's most likely not a life or death situation blindersoff Mar 2014 #238

My mother died of MS and insurance companies suck. uppityperson Mar 2014 #242

Wow, not a bit of compassion BuelahWitch Mar 2014 #366

Maybe ... 1StrongBlackMan Mar 2014 #370

Phone calls aren't the same as an appeal. Ms. Toad Mar 2014 #261

TheBoss, you are patient and knowledgable, and this subthread is invaluable... Hekate Mar 2014 #450

Yea....I'm awesome theboss Mar 2014 #456

good to hear blindersoff Mar 2014 #138

Do you believe Medicare just magically covers every drug and every treatment? VanillaRhapsody Mar 2014 #198

Nope steve2470 Mar 2014 #200

Obama's goal and accomplishment were the MANDATES and the SUBSIDIES.... Demo_Chris Mar 2014 #58

+1 leftstreet Mar 2014 #72

TRUE. That's the hope and change we elected... polichick Mar 2014 #75

I get less enthused as each election cycle passes... truebrit71 Mar 2014 #83

What a con game, huh? polichick Mar 2014 #103

+2 truebrit71 Mar 2014 #77

Of course, but then it wouldn't have had a chance in hell of passing elias7 Mar 2014 #133

But that was the whole problem... truebrit71 Mar 2014 #143

Yeah, ask Hillary Clinton about how her health care proposal went. Hoyt Mar 2014 #226

And as someone that grew up with a National Health System I still can't figure out... truebrit71 Mar 2014 #229

^^^^^^^This is the correct answer.^^^^^^ woo me with science Mar 2014 #92

Indeed! truebrit71 Mar 2014 #159

Absolute ProSense Mar 2014 #104

Actually, you are not required by law to purchase their product . . . markpkessinger Mar 2014 #440

Have you looked at the programmed penalty increases... Demo_Chris Mar 2014 #451

Obama bashing never ceases. lumpy Mar 2014 #480

Well, he might have angered liberals, but his corporate buddies still love him. nt Demo_Chris Mar 2014 #489

it's the Insurance Industry Protection Act.... mike_c Mar 2014 #60

You know what? WilliamPitt Mar 2014 #70

It's a mixed bag, and people are learning theboss Mar 2014 #76

Interesting perspective. TBF Mar 2014 #88

Some doctors like it; some don't theboss Mar 2014 #101

Agree on the ERs for sure - TBF Mar 2014 #276

here in rural NorCal they're throttling the providers too.... mike_c Mar 2014 #91

I think they love this bill BECAUSE it allows them to protect their profits Auggie Mar 2014 #123

I think you are correct Will sweetapogee Mar 2014 #151

Health Insurance Company bailouts/guaranteed profits are nationalize the fed Mar 2014 #175

This should be an OP. woo me with science Mar 2014 #378

you got that right Puzzledtraveller Mar 2014 #165

Why are you immune to DU rules? nt ChisolmTrailDem Mar 2014 #65

what du rule? leftyohiolib Mar 2014 #81

Code of Conduct or whatever you want to call it. Are you defending the OP? nt ChisolmTrailDem Mar 2014 #85

i justwanted to know what rule he's violating a coc violation? leftyohiolib Mar 2014 #93

I'm not playing your game with you. You know what the OP said. It's telling that he ChisolmTrailDem Mar 2014 #96

what game is that? idk what youre talking about i just wondered what rule he violated leftyohiolib Mar 2014 #102

My apologies. I'm pretty sure it's against DU CoC and/or rules to call our president ChisolmTrailDem Mar 2014 #121

there are privileges that that poster has that no one else ever had Whisp Mar 2014 #155

Twice? I knew about the bobbolink dustup...what was the other one??? nt msanthrope Mar 2014 #360

I am PMing you. Whisp Mar 2014 #375

And someone else wrote "Fuck You Bill Pitt' in that same thread and that was allowed to stand... truebrit71 Mar 2014 #181

Again, I am not outraged. Your reading comprehension needs work. As I said, I am merely curious ChisolmTrailDem Mar 2014 #193

no i was just curious since i didnt see any obvious rule broken. iwasnt trying to join in any leftyohiolib Mar 2014 #317

Three words Will. Insurance Finance Reform. Autumn Mar 2014 #74

"Given the heated and often misleading rhetoric surrounding this legislation " ProSense Mar 2014 #95

You skipped the Insurance finance Reform part. Autumn Mar 2014 #110

Yes, and ProSense Mar 2014 #117

Insurance Finance Reform. Autumn Mar 2014 #136

Keep raising hell, Will! Nothing's ever going to change in this country LuvNewcastle Mar 2014 #79

Even under single-payer, this would be a problem theboss Mar 2014 #109

I don't think the law is perfect, but it is better than what we had. LexVegas Mar 2014 #108

This is not a monarchy. nt Sarah Ibarruri Mar 2014 #112

I'm curious if this particular drug was covered by Anthem Purrfessor Mar 2014 #115

Really good question........ theboss Mar 2014 #124

That question was asked several time yesterday of the OP. He seems to be bluestate10 Mar 2014 #394

Because ... 1StrongBlackMan Mar 2014 #147

We need Single Payer. The President can't sign a bill Congress doesn't hand him. AtheistCrusader Mar 2014 #119

Single payer would have this same problem theboss Mar 2014 #125

There are always changes, agreed. AtheistCrusader Mar 2014 #134

Ok....here is where the frustrated healthcare veteran in me comes out. Please give me a second. theboss Mar 2014 #156

I can take it. AtheistCrusader Mar 2014 #164

I feel you. bravenak Mar 2014 #219

May I just say that it seems odd that you are angry at Will Pitt for Autumn Mar 2014 #369

My fellow DUers are going to Maui with electrode salesmen? theboss Mar 2014 #453

From the back and forth with AtheistCrusader it seemed it was Autumn Mar 2014 #454

Sounds like healthcare works like Congress. nt valerief Mar 2014 #463

This is why you need to call the insurance commissioner nadinbrzezinski Mar 2014 #120

I'm not sure what Anthem did wrong to be honest theboss Mar 2014 #131

Here is the problem in a nutshell nadinbrzezinski Mar 2014 #140

Every medicine approved by the FDA? theboss Mar 2014 #144

And this is where we should be talking single payor. nadinbrzezinski Mar 2014 #154

How would Single Payer solve the alleged problem? nt. bluestate10 Mar 2014 #395

The fedfs negotiate one single formulary nadinbrzezinski Mar 2014 #396

Wow. WilliamPitt Mar 2014 #152

That's a damn good argument against them theboss Mar 2014 #160

The very argument I made to them today WilliamPitt Mar 2014 #168

Dan can't do anything theboss Mar 2014 #195

Will, it's time to start writing letters of appeal, and getting your wife a clinician at the msanthrope Mar 2014 #207

In the meantime it might be worth contacting the pharma that makes the med mcar Mar 2014 #232

This was probably the best advice on the whole thread theboss Mar 2014 #471

Hey There "Nadinbrzezinski" You Are One Here That I Know ChiciB1 Mar 2014 #374

You should also contact the insurance commissioner nadinbrzezinski Mar 2014 #377

What Delegation? AND I Think This IS A Formulary ChiciB1 Mar 2014 #388

Your congress critter nadinbrzezinski Mar 2014 #390

Okay... ChiciB1 Mar 2014 #398

I live on the other coast nadinbrzezinski Mar 2014 #400

Well At Least You Do Have Some ChiciB1 Mar 2014 #401

I mentioned Hunter since he represents a red blood district nadinbrzezinski Mar 2014 #402

Could Be True... ChiciB1 Mar 2014 #409

It is worth trying nadinbrzezinski Mar 2014 #411

Me Either! ChiciB1 Mar 2014 #413

When did medical insurance start being called healthcare? valerief Mar 2014 #132

When uninsured folks started to hear "go elsewhere or pay cash," when calling for an appointment. Hoyt Mar 2014 #150

And when did 'mandate' start being called 'universal?' leftstreet Mar 2014 #153

k&r, again Puzzledtraveller Mar 2014 #135

How does the government ohheckyeah Mar 2014 #255

Exactly Puzzledtraveller Mar 2014 #257

That's it.... ohheckyeah Mar 2014 #273

Quit while you are only this far behind. n/t Whisp Mar 2014 #145

K&R woo me with science Mar 2014 #149

There was a reason why people thought this would lead to nationalized health care Yo_Mama Mar 2014 #166

you are going to hear the same kooky and crackpot defense of the ACA that you hear for the NSA from Douglas Carpenter Mar 2014 #170

It actually doesn't look to be ACA related at all.... msanthrope Mar 2014 #187

the ACA allows it. That didn't have to be Douglas Carpenter Mar 2014 #208

No one said you can get every drug you want theboss Mar 2014 #217

no, but it implied you can get the ones you need. Douglas Carpenter Mar 2014 #222

And if you read the full thread, Will's wife can get MS drugs theboss Mar 2014 #225

Formularies exist in single-payer, too. Of course you have formularies. msanthrope Mar 2014 #227

The ACA will save my neice's life. She's not part of the NSA. JoePhilly Mar 2014 #291

The simple fact is that this would have happened if the ACA had never geek tragedy Mar 2014 #386

Will, please correct the incorrect insurance information in your other thread--- msanthrope Mar 2014 #178

Don't interrupt ProSense Mar 2014 #188

Forget it, he's rolling.... msanthrope Mar 2014 #197

The Truth just woke up and is putting on it's running shoes. Wonder whether bluestate10 Mar 2014 #397

That family friend sounds like a Ron Pauler or a Bagger Whisp Mar 2014 #199

Our grand experiment in Free Market National health care is not succeding Agnosticsherbet Mar 2014 #186

This message was self-deleted by its author KamaAina Mar 2014 #203

My prayers for your wife but it still doesn't justify calling the President a "piece of shit" brush Mar 2014 #209

What was the full quote? truebrit71 Mar 2014 #212

Your blame is misplaced. A formulary is not some invention of the ACA or even of private insurers. pnwmom Mar 2014 #239

This isn't a one size fits all kind of thing, is it? LiberalAndProud Mar 2014 #248

I AM grateful that I can get far enough to have to jump through hoops for meds, Will. ScreamingMeemie Mar 2014 #249

Being angry at public servants that we pay is not PC..if they're Democrats. Tierra_y_Libertad Mar 2014 #263

Apparently so... truebrit71 Mar 2014 #271

I will mock your anger in no way. NCTraveler Mar 2014 #266

My 2 cents: Approx. 1 in 5 folks have a hole in their hearts--most don't know it. hue Mar 2014 #274

He'll also get credit for saving my neice's life. JoePhilly Mar 2014 #306

Will Pitt I understand how you feel riverbendviewgal Mar 2014 #316

Can you get any drug you want? theboss Mar 2014 #319

I dont know what those are. riverbendviewgal Mar 2014 #325

Here: ProSense Mar 2014 #326

Thanks ProSense riverbendviewgal Mar 2014 #327

Medical systems in civilized countries have formularies nadinbrzezinski Mar 2014 #364

Will, this fight isn't over and hasn't been ever. Skidmore Mar 2014 #341

Your wife's situation should not be happening to anyone in the United States, to say Obama's Jefferson23 Mar 2014 #342

When you're right, you're right. I'm sorry for your perdicament, Will. badtoworse Mar 2014 #350

may I say, William Skittles Mar 2014 #367

You don't have it straight. gulliver Mar 2014 #379

That isn't the point. ProSense Mar 2014 #389

I will put forward the real possibility that the OP's plan offers alternatives, bluestate10 Mar 2014 #399

Shhhh.. not suppose to mention the OP doesn't have shit straight or being straight. TYG. Cha Mar 2014 #422

So, basically the ACA is junk insurance. KatyaR Mar 2014 #385

Dude, just move across the border and get insured in Massachusetts. nt. bluestate10 Mar 2014 #391

I was once denied coverage for my son's broken arm... Junkdrawer Mar 2014 #393

It is too bad all that forward momentum to fix our health care mess was basically wasted. raouldukelives Mar 2014 #403

+1 840high Mar 2014 #408

+1 JVS Mar 2014 #417

sadly, so many people are falling for it Skittles Mar 2014 #438

ObamaCare, it's the best legislation rightwing Heritage Foundation could write. blkmusclmachine Mar 2014 #407

ACA allows insurance companies to charge "lifesytle" premiums pragmatic_dem Mar 2014 #410

Kucinich had a better plan. Medicare for all. Spitfire of ATJ Mar 2014 #412

Yeah, too bad not enough votes. He did Vote for ACA.. along with Alan Grayson and Cha Mar 2014 #420

It has always been called "a first step".... Spitfire of ATJ Mar 2014 #423

The gop have tried to REPEAL it 50.. they sure don't want it to go Cha Mar 2014 #424

Well sure. Their message doesn't fly when every other country has it but us.... Spitfire of ATJ Mar 2014 #426

LOL! Cha Mar 2014 #430

For the record... NYC_SKP Mar 2014 #434

...and under it, Will would most-likely still be getting initially rejected. Chan790 Mar 2014 #437

She would probably still not be able to get these meds under Medicare for all theboss Mar 2014 #444

USA, The Big Money The Wizard Mar 2014 #414

I know you are justifiably angry, but there is recourse KauaiK Mar 2014 #418

Now, now now..... DeSwiss Mar 2014 #419

No, you don't have it "straight". jazzimov Mar 2014 #425

What you said. It's been a long 13 years for all of us. Hekate Mar 2014 #432

This is the reason (along with not being able to afford it) that I won't get coverage.......... mrmpa Mar 2014 #427

I'm so very glad I got my children raptor_rider Mar 2014 #429

An important post, Will. madfloridian Mar 2014 #431

And.... Coyote_Bandit Mar 2014 #443

Here's the 'Specialty Drug' list from Anthem BC - New Hampshire for MS: sinkingfeeling Mar 2014 #446

someone's parsing words . . . mzteris Mar 2014 #452

And it largely depends on where you live. alarimer Mar 2014 #486

Well OwnedByCats Mar 2014 #488

Appeals work-In 1993 or so, Blue Cross denied a sleep study for me Gothmog Mar 2014 #490

As usual, people would rather whine about their supposed hurt feelings than focus on what actually nomorenomore08 Mar 2014 #493