Hal,

> If you want superior medical attention, go out of
> network and choose a doctor who does not want to be
> controlled by the insurance companies because he 
> respects himself and his profession (as opposed to
> being greedy).

We finally found a GP we like about 18 months ago, and we have a PPO now
instead of an HMO so we actually can go wherever we like. At this point,
though, the insurance company can still turn a procedure down if they want
to. They turned down a procedure about a year ago that turned out to be a
correct call. It was a device for desensitizing pain with an electro
stimulator implant. We'll find out for sure if it was truly not needed in a
few months. It appears that the pain we thought was due to a hernia repair
that pinched a nerve could actually be coming largely from a really badly
arthritic hip joint. Nobody ever thought to x-ray Steve's right hip as a
possible source of the pain.

Steve will be going in about a month from now for a hip replacement on his
right hip. We do seem to be getting the care we need after a few false
starts here and there, but we also wonder about what it would be like if we
weren't so pushy about making sure we got it.

Kristyne McDaniel
http://www.mcstyles.com
http://www.emryldlife.com




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