Something gave me the impression that might be a factor..CL

On Wednesday, August 17, 2016, <[email protected]> wrote:

> Don't know about pacemakers, in the power wheelchair world, Medicare IS
> one of the MAJOR problems - along with most of the other insurance
> companies in the US, most of which just copy the Medicare rules...  In a
> gross mis-interpretation of the original legislation, which attempted to
> make a distinction between patients living at home vs. those in an
> institution, Medicare says they will only fund chairs for use "INSIDE the
> home" - which limits speeds, suspension and all the other things that one
> might want to go outside - say to go to a Dr.'s appointment, or grocery
> shopping - let alone more challenging things like driving across the lawn
> or down some of our wonderfully (NOT) paved sidewalks...
>
> Since Medicare and other insurance pays for the vast majority of power
> chairs (similar deal to other medical equipment), the patient USING the
> chair is not the 'customer' - the insurance industry is...  And as the
> 'customer' they don't really care about the patient's needs as much as they
> do about getting the cheapest piece of crap that they can palm of on him /
> her...
>
> Add to this that 'medical devices' must be approved by the FDA, who's
> entire incentive structure is to delay and obstruct progress, and "RESNA"
> (Rehabilitation Equipment Society of North America) which is an entrenched
> industry 'standards body' that helps the manufacturer's avoid spending R&D
> money by writing 'standards' that make it prohibitively expensive to enter
> as a competitor, and block efforts to make 'performance' chairs by imposing
> requirements that only oversized tanker chairs can meet...
>
> Essentially Medicare etc. are totally happy with the existing situation...
>
> ART
>
> ------------------
> Arthur Torrey - <[email protected] <javascript:;>>
> -------------------
>
>
> ----- Original TRIMMED Message -----
> From: christopher Lucy <[email protected] <javascript:;>>
> To: Mary-Anne Wolf <[email protected] <javascript:;>>
> Cc: Arthur Torrey <[email protected] <javascript:;>>,
> [email protected] <javascript:;>, Aaron E-J <
> [email protected] <javascript:;>>, Alex Marthews <[email protected]
> <javascript:;>>, James O'Keefe <[email protected] <javascript:;>>
> Sent: Wed, 17 Aug 2016 13:31:45 -0000 (UTC)
> Subject: Re: [libreplanet-discuss] [fsf-community-team] Golden Rule
>
> Does anyone know where  medicare and BUMMERCARE  STAND ON THESE ISSUES IF
> TAX DOLLARS ARE GOING INTO  R&D OR SUPPLY TO END USERS(PATIENTS).CL
>
>
>

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