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Ruth, there are so many people who are only interested in NOT spending money, and they work for insurance companies, governments, and every level of the work force. This is just the tip of the iceberg! If someone can prove how money can be saved, ears perk up all over the place! Since it is hard to prove how these surgeries can save money, the next step is to show them how NOT approving payment might COST them money! If valuable employees can stay in the work force, by having access to these procedures, that would be one good reason for the insurance companies to pay for them. If the word is spread that SOME insurance companies are paying, the others will get the message, and eventually ALL of them will be required to pay. Call me a Liberal (I consider it a compliment!) but I believe that if the government can't force insureres to cover these procedures, then the government itself should pay for them. For the cost of a few "smart bombs" or limo rides for a few government big-wigs, probably all the PWP's in the country could get what they need! Ken B