Reply to Universal Healthcare UK - Baby can't have treatment in US

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[quote=Anonymous][quote=Anonymous][quote=Anonymous]So you are comfortable allowing government to make decisions for you even if you can afford to go private?[/quote]

As ok as I am with some administrative insurance employee making decisions for me after I paid the company for coverage.[/quote]

PP here-A child I know has Crohn's disease and is flaring badly, despite using Humira.  She's been admitted to the hospital because she's having bloody diarrhea and is very sick.  Her doctor wants to try her on Entyvio, a relatively new biologic developed specifically for IBD.  She can go home when she's "only" having bloody diarrhea 10-12 times a day, rather than mostly continuously.  The insurance company says they'll cover Entyvio, but not on an inpatient basis.  Without the trying the Entyvio, it'll be hard to stablize her so she can get the Entyvio as an outpatient, but she can't get it covered as an inpatient.  So, the dr. has to try to find some other less theraputic and desirable way to stablize her so she can be released long enough to get the Entyvio as an outpatient.  Nevermind that she's seriously ill and suffering, she's not able to get the most beneficial treatment when she needs it.

WTF kind of sense does that make?[/quote]

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