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bmichaelh

(929 posts)
7. Meaningless
Tue Jun 24, 2025, 05:49 AM
Jun 24

What should happen; prior authorization should be determined by a group independent of insurance companies and the prior authorization would be portable regardless of insurance companies.

Or implement Medicare for All.

Here is my story on why this is meaningless.

I am a lymphoma survivor and in my third remission.
In 1990, I was diagnosed with lymphoma.
It returned in 2019; I tried 4 different treatments over 2 years; all failed.

in 2021, i tried a fifth treatment.
The fifth treatment provided me with remission.
Initially, my insurance company approved the treatment; then rescinded; was successfully appealed.

The reasoning for their rescinding was "eligible for stem cell transplant"

The actual reasoning was we want you to do this treatment because it will cost less in the long run than your current treatment.
But they did not say that.
Sometimes, insurers make decisions not based on medical efficacy but based on longtime cost.

If I had taken the stem cell transplant, I would probably lost my job.
Stem cell transplants can take up to 6 months.

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