A Broken Leg is not a Broken Leg / The Social Medical Industry

OMG! I have now entered the Hell of the social consequences of “getting help” for a broken leg; not actually for the broken bones: (big cast boot; strict orders from the doc to not put any weight on that foot. Simple, really). I had been resisting mightily the “HOME HEALTH” industry; nice people who come to the house and take “vitals”- give baths (a quick swipe with a wash cloth) “do” physical therapy (whatever that is – undefined so far). “FREE” thanks to Medicare. But, they’re closed on weekends, use “restricted phone numbers” (caller can’t use caller ID or make return calls). WELL! Our nurses aren’t going to give out they’re phone numbers!” was the indignant reply when asked… Just call the ambulance, if you can’t reach us, although the fundamental idea of HOME HEALTH is to keep people OUT OF the Emergency Room.

I won’t / can’t go into the organizational structure of these services, because THERE IS NONE. The nurse just left (and left behind an enormous box of “free” medical supplies). I must have used the phrase “please be specific” a dozen times as she rambled on and on (vaguely) about services, service delivery, length (duration of services, determination of services available; that (for some unknown reason) the physical therapist is “master of all this “care” and why I need a social worker to “organize the experience”.

Actually, I shouldn’t have said there is no organizational structure: There are GOALS. 1. These are private companies, paid 100% by Medicare, so they will do / follow whatever bizarre and cockamamie “payment plan” that Congress has devised to ensure maximum profit for their “buddies” in the “helping, caring, fixing” industry. 2. This means setting up a “schedule” for myriad “employees” of HOME HEALTH to show up at times of their choosing (not based on need) – that is, a billable number of visits that stop immediately when Medicare stops. 3. Those “FREE” medical supply goodies are likely the most “high profit” stream: HOME HEALTH buys them in great bulk at pennies of the retail cost (say a roll of gauze, for $0.25) and bills Medicare $25.00…

In the end, I always ask myself,

Would I hire these people to do repairs and service on my truck? If not, why would I hire them to “work on” me?

 

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