General Discussion
Related: Editorials & Other Articles, Issue Forums, Alliance Forums, Region ForumsWould you consider this fraud
I took my very sick brother to the doctor after a few test (no insurance) they diagnosed him end stage liver disease. This was terminal and he had pain which was from the liver and the mountain of records from back surgery that had gone wrong. He ask for pain medication. The doctor said he would have to sign a pain contract and be evaluated. The evaluation consisted of 8 doctors visits with 7 different doctors over a period of 10 weeks in the same sattelite clinic.
These were NP's,PN's AND MD's. At the end of the evaluation they offer him LYRICA, it's not even a fucking pain pill. It was designed for convulsions. Does it take 7 doctors with about 84 years of education to decide if a terminal patient should need a pain pill???? Eventually all doctors visits were paid for by medicade. It's fraud in my mind. We got him to another state and the doctors there were flabbergasted at my brothers treatment. If the doctors didn't fuck the dog for 3 months there was enough time to stop it before it metastasized. If you think we don't already have death panels in America wait till you get sick with no money.
ananda
(28,860 posts)imho
Sekhmets Daughter
(7,515 posts)The AMA is responsible for this.
TreasonousBastard
(43,049 posts)It may or may not be deliberate fraud, but I've seen this sort of thing happen too many times because the system encourages it. Every different doctor has a very particular specialty and some little thing to sign off on.
Around here, get a new doctor or go to a new hospital and they start over (and bill for everything) because your old records aren't available, or they don't trust the people who took care of you in the past.
HopeHoops
(47,675 posts)I had to sign one to get my oxycodone. You can't get Schedule II drugs without signing that paper, 1970 act signed by Nixon - the same one that made pot a Schedule I drug. All it really says is that if I'm caught selling my pills or randomly tested and show positive for a non-prescribed drug, I don't get anymore. I've never been asked to provide testing samples, blood or urine, for that purpose. Pregabalin (Lyrica) is used for chronic pain, neuropathic pain, and perioperative pain. It has a similar effect to benzodiazepines but rather than binding to neuroreceptors, it inhibits the release of neurotransmitters. The effects are similar.
Yes, pregabalin is primarily designed to be an anti-convulsive, but that's just one of the things it does. And no, it doesn't take seven doctors to prescribe it - just one. Therein lies the problem. Yes, that's fraud.
Pregabalin is only a Schedule V drug, so the contract isn't necessary, but it does give him the option of asking for an upgrade to something stronger (hydrocodone, oxycodone, morphine, etc.) And even WITH insurance, it takes a very long time to go through all of the channels. Been there, done that, got the blood drawn. I've got a mountain of bills (with collection notices) for my visits. It's amazing how much they charge and our insurance isn't exactly "economy" level. I'm still left with thousands in bills.
Give your brother a hug for me.
sorefeet
(1,241 posts)and told him I loved him, thats when he died. I miss him so bad. He was 55.
HopeHoops
(47,675 posts)We People
(619 posts)May he Rest In Peace. I hope you and your family find solace and justice
cynatnite
(31,011 posts)and see what the claim forms look like to determine if it's fraud.
It may be malpractice, though. You could talk to an attorney. That would be my suggestion.