Pre-Surgery Rant

by Linda Rodriguez

By the time you read this, I’ll be recuperating from some
major surgery, but at the time I’m writing it, the surgery hasn’t taken place
yet. So I’m nervous. Aren’t we all in such a case?

Scary as surgery is, however, dealing with health insurance
companies has become even scarier. Between the time I left my surgeon’s office
and the date my surgery was scheduled, my insurance carrier had been bought by
another huge insurance company. Doctors who were approved providers on my
original plan but not on the buying company’s plan were instantly dropped from
coverage and told they must re-apply to be accepted. 

Guess whose surgeon was
one of these? She went between supper and breakfast from being an approved
surgeon under my insurance to being out of network, which means I’d have to
essentially pay for most of this surgery entirely out of my own pocket. One of
the partners in her practice had been approved under both plans, so rather than
wait the months it could take to get her approved again—since that really is
not an option for this surgery, which is not elective—or pay about $20,000 that
I simply don’t have, I agreed to have this older man I’ve never met be my
surgeon while the young, smart woman who met and examined me, impressed me, and
developed a rapport with me will only assist. And my follow-up care and
treatment plan will also have to be with this man, who is probably an expert
surgeon and a lovely person but is totally unknown to me. As the internet cats
would say, I haz sad.

Over the years, I’ve heard many arguments against
nationalizing health care to make sure that every citizen can have the health
care he or she needs. They usually fall back into “Do you want the government
to decide which doctor you can have or which medicine you can take?” pretty
quickly. 

Although the government has never yet made those decisions for me,
health insurance corporations have done so again and again. They have decided
that medicines my doctor prescribes will not be covered. They decide which
doctors I can see and which specialists, and all tests prescribed for me must
first be cleared with them. Now, they have changed their minds midstream and
told me I cannot have the surgeon I want and have been seeing with their
approval. I know people who have died because their insurance companies, to
which these people had paid hefty premiums for years, decided they could not
have the life-saving treatments their doctors, who were approved by their
insurance companies in the first place, said they needed.

So, how are we any better off with what we have than with a
national single-payer healthcare system? As I wait to go into surgery at the
hands of a complete stranger and read of the Supreme Court decision privileging
the personhood of a major for-profit corporation over the personhood of actual,
living, breathing, individual women, these issues suddenly become immensely
personal.