[colorado babe]

Originally Posted by Kelly4ADR

Hanshan, only time can be the true teller of how our healthcare will look, but unfortunately healthcare in the US isn't driven by care as much as it is financial gain. It doesn't always come down to what is best for people, but what is most profitable for big insurance companies. Consumers can push and persuade the industry to a certain degree, but now the government has stepped in with obamacare, so I project that we will have less and less choices at a higher cost, regardless of what is best for a patient. You already see this in the form of denied claims due to "not medically necessary" "experimental/investigational" and such. Do these statements hold true to the claims they are denying? Of course not. Then how can they get away with this, you ask? Good question. But they do, and it isn't going to get better. That's my opinion, for what it's worth.

I don't understand why they claim ADR is more money when in all actuality ADR is cheaper. Less time in the hospital 23 hours vs 4 days or so. Also, it is no longer experimental -- just show your insurer during your denial that it has been used on patients in the U.S. since 2004-2005 and it is much safer, cheaper and that in than in the future those fusion patients will be returning back most likely for another fusion. There are articles out there in the internet - use them for your appeal.