Children Denied Coverage for Serious Medical Conditions Under Obamacare, Hospital Sues Government

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Seattle Children’s Hospital has filed suit against the government over the failure of Obamacare to provide essential coverage to children.

Specifically, the insurers in Washington state’s Insurance Network are excluding major hospitals from their networks. They then deny payment for essential medical care for serious medical conditions when patients need the kind of care that only these hospitals can provide.

Seattle Children’s Hospital is ranked as one of the best hospitals in the United States. It ranked in the top twenty hospitals for 10 specialities, including a number six ranking for children’s cancer treatment. A number of Obamacare insurance providers are denying coverage for treatment at this hospital.

It seems to me that for an insurer to refuse coverage for care at hospitals like Seattle Children’s Hospital is tantamount to saying that their plan does not provide full coverage. Plans that only provide coverage for every day illnesses at second and third tier institutions should not be allowed to market themselves as full insurance coverage.

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Death to the Different?

Thomas L. McDonald over at God and the Machine wrote a great article earlier this week, Should Autism Be a Death Sentence?

He raises the serious question of who gets advanced health care in an age of rationing. The article centers around the plight of Paul Corby, a young man who suffers from autism and a potentially fatal heart condition. The question: Does autism disqualify Paul from receiving a heart transplant?

This leads us into the uncomfortable who-dies/who-lives decisions that “ethicists” toss around. Only this isn’t a hypothetical for Paul Corby and his family. It’s life and death.

Thomas L. McDonald’s excellent article says in part:

Paul Corby is 23, autistic, and suffers from a potentially fatal heart condition called left ventricular noncompaction. He’s high-functioning enough to have written and self-published a novel for pre-teens, but he also has severe social problems, is prone to emotional outbursts, and suffers from various psychological and developmental issues. He spends much of his day playing video games and never goes anywhere without a stuffed Princess Peach doll. Although he needs 19 different medications (many of them for his heart condition), according to his mother he handles his own med management. His heart problems are serious enough to warrant a transplant.

And the doctors at the Hospital of University of Pennsylvania think he should die. Welcome to the wonderful world of 21st century medicine!

No one denies that there is a shortage of organs for transplant. Rationing is a sad reality, and each year several hundred people die while waiting for organs. Please note, however, that those people died while waiting for a viable organ. Paul Corby has been told he’s not even fit to be on the waiting list. Because he’s autistic … read more here

 


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