25 July, 2008

some good, some bad

I tried to take it easy this week to recuperate from the previous few weeks. Tuesday I went to the pool, and was so tired. It's amazing how missing 5 days in a row made me feel out of shape. Then again, it could be because I was so exhausted. I tried to go yesterday but whomever is running this place decided it wasn't such a good idea, as there was one obstacle after another. (The ladies changing rooms were closed, then no showers, etc). So instead I met my friend that just moved across the street on 34th and we hung out on the roof having cheese and wine. Not a bad way to enjoy the lovely weather last night. Wish every summer night was that lovely. No humidity and a nice breeze - perfect!

Wednesday I went to the chiro where they tried to sort out this tingling down my arm. My doctor even cracked my bad, which he rarely, if ever, does. That's what a mess it was. After the bad news was dropped on me - my daft insurance company has decided to NOT let me go to the chiro anymore - just like they did with my PT for my hip. We had a long talk and it seems United Health that owns Oxford now just lost a HUGE lawsuit and so they will be denying everyone and everything.

See: A Guide To Insurance Company Denials and Medical Loss Ratios

Pretty ironic when Ann Fleishauer, the Director of External Communications lets the OptumHealth website make this statement:
"About OptumHealth: As one of the nation's largest consumer health services companies,
OptumHealth makes health care easier and better for employers, health plans, public sector entities and the 61 million people with access to its services. The Company's goal is to optimize health, well-being and financial security, while lowering benefit costs and helping consumers
make informed decisions about their health through standalone or integrated services. OptumHealth is a company of UnitedHealth Group (NYSE:UNH). More information about OptumHealth can be found at www.OptumHealth.com"

(OptumHealth, which is the in-house division that deals with UnitedHealth and Oxfords coverage for PT, chiropractic, etc.)

The last thing OptumHealth (previously ACN)/ UnitedHealth seems to be doing these days is making health care easier and better. All they are doing is taking away services so that the higher ups and investors are making a lot more dosh. It's all for profit, which, when comes to health care, is NEVER a good thing.

These links explains about the lawsuit:
UnitedHealth sued for racketeering
Hospitals Sue Groups For Health Racketeering
UNH: 4,000 job cuts, $895 lawsuit payout

It's no secret that health care in this country is a mess and it needs to be changed so that everyone is covered. I don't profess to have the answers, but am paying attention to all that is going on. One thing that sounds a bit iffy to me, since it has profit orientated insurance companies involved, is the Health Care for America Now (HCAN) campaign.

Some interesting articles about all of this:
AHIP CEO busted by outraged American - with damning audio
AHIP Murder By Spreadsheet Deceive America Tour
Sure, the insurance industry wants to hear from you. Sure.
Fights Over Health Claims Spaw a New Arms Race - Insurers and Doctors Try for Upper Hand; Firms Help Both Sides
The Truth About "Healthcare for America Now"

Ok, sorry to go on about that but when you're in my situation you get worried about these nasty tactics the insurance companies do.

Other than that, Wednesday night was brilliant, saw George Michael at the Garden and he was amazing! I was dancing and afraid that would be a bad thing in the long run but thankfully my hip has not gotten too bad from it, even though it was hurting before the concert. When George is singing you just can't help to dance!

Yesterday I saw Dr. Aranoff for another post-op check up. He was very excited and surprised about how well I've been healing and in just 5 weeks! He said this procedure is always more risky with women in that area because of the thin muscle. Thankfully that seems to be okay and now I just have to see him once every month until it's completely healed. That was very good news!