HOLY JOE! WHO IS INSURED?

Six session of physical therapy (physiotherapy)in America, and the insurance company halted the treatment programme. My friend said she was feeling the benefit of the therapy and thought, she was almost ‘cured’. Her therapy can resume in her new insurance year.

Well, what about me then” replied a cousin of ours who lives in the USA, on hearing the story. He was in the dental chair, he told us, and a hole had been drilled out in a tooth ready for a filling. “That’s it,” said the dentist, standing back from the patient in the chair, surveying his handiwork; “that’s as far as I can go, your insurance has run out.” Getting over the shock of the position he was in, cousin negotiated a temporary filling. He’s returning to the dental chair to resume and complete his treatment when his insurance cycle is refreshed.

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0 thoughts on “HOLY JOE! WHO IS INSURED?

  1. I’m sure in any other country the dentist would have completed the treatment and isued a bill (English type of bill). At least it would give the recipient time to arrange a loan if the cost was so high. It’s part of the greed culture. Will it improve under Obama? I hope so, but there are so many middle class bogots opposing the reforms.

  2. You never said a truer word Sheffstox.

    BTW I have known dentists here in the UK suggest, only in very specific and reasonable circumstances, that it may be better to leave a temporary filling in situ. They usually explain why to the patient, to give the patient the information with which to agree or disagree. That is somewhat different to our cousin’s experience where the only reason for using a temporary filling was to negotiate a holding operation, literally, that would be contained till the insurance was active again.

  3. I tend to concur with that point.

    I don’t know how the American dentist links in with the treatment plan; does he have an electronic link that works as s/he does then get the red light when certain points are passed as s/he works…is that possible? Big Brother and Sister are guarding the coffers without a doubt and the professionals are tweaking every last cent from the private insurance system.

    Just shows you though what health insurance in America is not worth and some people are paying for that. It was explained that, U.S. health care costs are highly expensive; the majority cannot afford them; even insurance does not cover you fully, unless you can pay the tremendous premiums involved. If you can afford that, you probably don’t need the insurance. People who are self-employed pay their way if they insure themselves; people who are unemployed, made redundant, lose whatever level of health care insurance their jobs gave them. There are millions of people without health care insurance even for basic care.

  4. Also true, I had a (and it always happens before a holiday) filling come out and we were flying to Brisbane 2 days later, so the dentist stuck a tempoary one in. He said if he put a new one in there wasn’t enough time for it to settle and if there was a airlock it could explode at high altitude under pressure. It’s still in now. It needs a whole new side on and it’s a pre molar aside the canine tooth so isn’t basically used for it’s original meat tearing purpose. I hope we never have to go down the insurance road for health, it’s a big rip off. Astrid went private when she first came to the UK and had a bill for £750, this was for 5 fillings (£43 each on NHS) and one out, which he had previously filled. I had a right bull and a cow with him over that, called him unethical, without morals and nothing but a thief. He asked me if I wanted to take it further and I said no but he would be mentioned on Sheffield Forum. And he was and many people agreed with me, although he had to be referred to as “the deepcar dentist” and not by name. I parted by telling him he was not going to get new wire wheels for his sports car financed by us once she found an NHS practice, which she now has. They are as bad as vets.

  5. :## That Dentist story is just horrific, I can hardly believe that a professional person would behave like that.
    The physiotherapy thing I do, even here in England they seem to put a “time limit” on this kind of treatment as I know from personal experience.:(

  6. Finding an NHS dentist is like pulling hens teeth, excuse the expression.

    We have three private practices within a 40 miles radius; one was absolutely beyond most pockets and got worse; the other started off within bounds but became greedy. I travelled to the practice that detailed its charges and work with no fripperies, till such time as an NHS practice opened up (8 years after the last one closed) that invited my and family onto its list. It hasn’t been perfect, but it has been affordable. Travelling is the only bug bear, for now, I can tolerate and manage that.

  7. It is incredible, isn’t it. I, too, have become aware of time limits on physio; demands are high, many qualified physios cannot get jobs. We also know there is a shortage to meet the basic need. The service is working at cut-back levels. Ergo, time limit the service on the basis that if it’s 3.15pm, you should be better!

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