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Re: [IP] Medicare ALJ case



First we need a leader. When someone volunteers to lead; many will follow.
Phyllis
----- Original Message ----- 
From: "Denise" <email @ redacted>
To: <email @ redacted>
Sent: Thursday, June 30, 2011 10:28 PM
Subject: Re: [IP] Medicare ALJ case


> Listening to everybody talking about Medicare and being not so far from 
> being on Medicare, what all Type 1's might want to get into, if we can 
> get the ADA to carry it, is a class action lawsuit.
> 
> The criticism of the right was that national health care would lead to 
> so-called death squads seems to be correct with regard to people who 
> have Type 1 (insulin-dependent, auto-immune) diabetes because:
> 
> 1.  All diabetics are required to take a C-peptide test, apparently in 
> the hope that the need for insulin has magically disappeared and now a 
> regimen of care suitable for the needs of Type 2 diabetics is all that 
> is needed.  (If the shoe doesn't fit, chop off the toes and ram the foot 
> back in.)
> 
> 2.  If insulin is needed, Medicare rule-makers do not consider that the 
> most widely used insulins today are not the same as the older, almost 
> obsolete types commonly prescribed in the 1940s, 1950s and 1960s. 
> Apidra, Humalog and Novalog require careful and constant monitoring. 
> Older insulins like NPH and Lente are not used very much.  (Does anybody 
> know anybody who is on NPH?)
> 
> 3.  Type 1 diabetics have a longer life expectancy and a longer survival 
> span.  I just saw an article that said at the ADA's San Diego meeting, 
> the average life expectancy for a person with Type 1 diabetes is now 
> 68.something years.  (Yippee, I have 10 years left to live, and I'm 
> going to enjoy them to the max!)
> 
> 4.  There are new complications from Type 1 diabetes that are becoming 
> more obvious and appearing more frequently with this longer life-span, 
> such as gastroparesis (pardon my spelling).  Now we need more test 
> strips than ever before.  Beta blockers also interfere with the ability 
> to sense lows.
> 
> Washington bureaucrats hear the word "diabetes" and figure that people 
> over the age of 65 are not going to have "brittle" diabetes.  It's the 
> same mentality that almost killed my Type 1 mother when the nursing home 
> she was in decided that she didn't need any insulin because her blood 
> sugar was in the "normal" range.  Well, a BG of 1300 because of her 
> missed injection(s) wasn't funny.
> 
> We need to organize!
> 
> Denise B.
> 
> 
> 
> On 6/30/2011 7:43 PM, Phyllis wrote:
>> Shirley,
>> None of what Medicare or it's payers are doing makes any sense to me. I
>> will be sure to post the outcome of the ALJ hearing. So far that is the
>> only item that I have had a problem with; test strips.
>> I am fortunate to have an Endocrinologist that is willing to be heard at
>> the hearing and that my supplier is going to speak on my behalf. This is
>> my last opportunity to appeal , as I understand it, and I will let you
>> and others know what happens.
>> I'm also fortunate to have a supplier that is not withholding the test
>> strips he knows I need and an Endocrinologist that cares for his
>> patients as if they were his family.
>>
>> Phyllis
>> Ft. Myers, Fl.
>> _____________
> .
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