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🥳 PEOPLE, WE WON! Carly will get the care she needs–because when her greedy insurance company denied her claim, she went public, fought back, and organized with others at A 🧵

18,078 Aufrufe • vor 3 Jahren •via X (Twitter)

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Insurance companies do not want you to fully understand this story. Because if you do, you will understand exactly how American healthcare needs to change. When my patient Rachel needed breast reconstruction, her insurance company required that I operate at a hospital that was not equipped to provide the safest care for her recovery. Rachel has spent over 20 years in healthcare as a nurse and nurse practitioner. She understands hospitals. And despite that, she was deeply traumatized by what she experienced. On Monday morning in Austin, she showed up for surgery and was turned away because the operating rooms were not safe to use. We pleaded with her insurance company to allow her surgery to be performed at @redbudsurgerycenter, a center designed specifically for breast reconstruction. They refused. On Tuesday, we went to a different hospital. The nurses were skilled, compassionate, and doing their best. But they did not have the tools or systems to support this kind of recovery. Rachel spent the night advocating for herself because she could tell things were not right. IV access issues. Monitoring gaps. Basic safety checks missed. Things patients should never have to catch on their own. Rachel asked me to share her story because when doctors and patients are forced into unsafe situations with no ability to choose better care, something is very wrong. After more than a decade of caring for people affected by breast cancer, I built a surgery center specifically for this work. It is CMS certified. It exists for patient safety. And yet, like so many Americans, Rachel’s insurance company decided where she was allowed to receive care. Insurance companies are no longer just making payment decisions. They are making medical decisions. We cannot change what happened to Rachel. But we can listen, learn, and do better for the next patient. Because the next person may not know how to advocate the way she did. And that is how people get hurt.

Elisabeth Potter MD

44,697 Aufrufe • vor 6 Monaten