General Discussion
In reply to the discussion: the pearl clutching going on over someone directing "fuck you" at President Obama [View all]ProSense
(116,464 posts)"Put yourself in the shoes of someone whose OTHER HALF is suffering from a terrible disease and have some damn empathy, rather than rushing to President Obama's rescue like some damn Lone Ranger."
...instead of listening and understanding, the poster simply doubled down to justify an uninformed and vile attack on the President.
Let's say someone truly doesn't know that the President has nothing to do with formularies. After learning the facts, that person would remove the vile attack. That was not the case. The attacks continued, and were clearly personal and intentional as the followup threads prove.
Drug formularies are not the President's decision. They existed before the ACA. They exist in Medicare Part D.
The one thing the ACA did do is introduce a new rule applicable to appeals.
The Affordable Care Act ensures your right to appeal health insurance plan decisions--to ask that your plan reconsider its decision to deny payment for a service or treatment. New rules that apply to health plans created after March 23, 2010 spell out how your plan must handle your appeal (usually called an internal appeal). If your plan still denies payment after considering your appeal, the law permits you to have an independent review organization decide whether to uphold or overturn the plans decision. This final check is often referred to as an external review.
http://www.hhs.gov/healthcare/rights/appeal/appealing-health-plan-decisions.html