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Ken, I find out more tomorrow as we visit our first insurance company on site. They have already pitched us at our site. They all act like the all mighty dollar is the most important aspect of their business. And although I work at a business that puts the bottom line first, it seems to me health care is a different animal. I know there will be those that say you can't have it both ways. I say rubbish! First of all if you don't have a chronic disease like Multiple Sclerosis, ALS, Muscular Dystrophy or a whole host of others including PD, you can't empathize with the fears we have with what will be available to us in the future.(Sorry such a long sentence) If they take-away Pallidotomy because it isn't cost effective, who determines just what "cost effective" means? I hope it isn't the bean counters. We all should be quaking in our boots if they are determining our fate. I just would like to ask one person with fiduciary responsibility to live inside my body for just one day. Maybe it should be two days. The day before surgery to the day after surgery. He might gain some insight as to what kind of courage it took people like Barb Mallut to conjure up. They might experience just how good it feels when one of your limbs moves almost like it did years ago. The sheer and utter ecstacy that fills your life for at least a couple of days before the high wears off and you still realize you have limitations. However, I would much rather live my life giving myself the best possible existence for my younger years. I know that not everyone will choose the path I did. I already know even before I go down to Hanover, NH in three weeks that I will indeed opt for the second side of my squash to be pallidotomized. I don't feel like there is a decision to be made. If I don't do it know, who knows what my health insurance will look like in six months. This is no melodrama. I have heard first hand what might happen. If we switch to an HMO, and we are leaning in that direction, depending on the network of doctors it has would determine whether I would be able to have Dr. Roberts finish the job he started. What kind of ethical breach would it be if they asked me to switch surgeons at this point. As I said yesterday, managed care has the right idea in trying to drive prices down. It is wrong for them to do it at the expense of the chronically ill. And, I'm Mad As Hell, And I Am Not Going To Take It Anymore!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!! I am too tired to think clearly right now. I have to get my rest so I can knock some sense into these buffoons. Plus, I have the honor of attending dinner and a "video rap" session with that groovy cat, Ivan Suzman. I know I'm a name dropper. Hopefully we will mail out the first batch of tapes on Wednesday. Good night all, Greg Leeman 37/6 [log in to unmask] -----Original Message----- From: KEn Becker <[log in to unmask]> To: Multiple recipients of list PARKINSN <[log in to unmask]>Date: Monday, February 09, 1998 9:21 PM Subject: Re: costs of pallidotomy >Greg, it is so sad to think that the people in most need of help, will suffer >the most. There outght to be laws passed to make it a felony to hold back the >most effective medical care in search of profits. If it is anything less than >a felony, there are "bean counters" who will figure when it is cheaper to pay >a fine, than provide quality medical care as needed. We also have to educate >ourselves to understand the buzzwords and mumbo jumbo used to cloud the >issues. And, what about contracts that have such small print, and often >reproduced so poorly, an electron microscope would not make them legible. You >give that to a person who is anxious to recieve medical treatment for >themselves or a loved one, they will usually just sign whatever is put in >front of them to get things moving. Have you ever read what you sign before >surgery for example? Basically you give them the right to do whatever they >want, and if the patient dies, he has signed away his survivor's right to sue >for malpractice! much of it does not stand up in court, but it also is not >protecting the patient. What if the doctor had to sign a form composed by the >patient? It would make sense, as the doctor can always make more money, but >the patient only has one life to lose! kenBEcker >