If you can read this, either the style sheet didn't load or you have an older browser that doesn't support style sheets. Try clearing your browser cache and refreshing the page.

(Boston Globe)   Insurance companies refuse to pay for care of severe juvenile autism patients, which can run up to $100,000 per year, or $8333.33 per month, or $1923.08 per week, or $273.97 per day, or $11.42 per hour, or $0.19 per minute. Definitely   (boston.com) divider line 272
    More: Sad  
•       •       •

7286 clicks; posted to Main » on 16 Sep 2008 at 2:00 PM (6 years ago)   |  Favorite    |   share:  Share on Twitter share via Email Share on Facebook   more»



272 Comments   (+0 »)
   

Archived thread

First | « | 1 | 2 | 3 | 4 | 5 | 6 | » | Last | Show all
 
2008-09-16 09:44:06 AM  
I lawled.
 
2008-09-16 09:52:15 AM  
Insurance companies?
Refusing to pay?
No!
 
2008-09-16 10:04:05 AM  
Awesome.

+1
 
2008-09-16 10:10:42 AM  
ha!
 
2008-09-16 10:19:24 AM  
It's cuz they're faking it. The brats just need to be told to cut it out.

/sarcasm
 
2008-09-16 10:21:23 AM  
Rev. Skarekroe: Insurance companies?
Refusing to pay?
No!


It's extremely rare, but it's been known to happen. Normally insurance companies are filled with the warmth of human goodness. People who selflessly toil to make your life better.

BWWWWWAHAHHAHAHAHAH! Sorry, couldn't do it with a straight face.
 
2008-09-16 10:34:20 AM  
The Commonwealth of Massachusetts and City of Quincy probably spend that much on my son. They want to get some of that covered by the insurance companies? Up to them.
 
2008-09-16 10:40:31 AM  
So, I'm reading this headline, asking myself what the fark the Subby was trying to get at. Right around the time he/she broke it down to cost per day, I got it. Not only did I laugh, but I laughed hard.

Almost as much as when I was scrolling through my cable box's HBO schedule, and I saw a listing for something called "Autism: The Musical." I instantly began laughing uncontrollably at the mental image of a bunch of people rocking back and forth on a stage yelling the same lyric over and over again while not looking at each other.

So, yeah, thanks for this Subby. Now I'm laughing at Autistic people again. Just ensuring my trip to hell, I see.

/also laughed when I heard NPR talk about the Special Olympics Cerebral Palsy Soccer team
//I'm a bad man
 
2008-09-16 10:47:04 AM  
Ok, my rant about my hell-worthy inappropriate laughter aside, insurance companies are damn evil and in desperate need of some sort of ethical oversight. All too often they are more than willing to hope you'll just die of your cancer than pay for it. Keep your claim in "review" or keep declaring standard treatment "experimental" in order to delay it long enough to become terminal, thus paying for Hospice Care which is every so much cheaper. And short term, to boot.

Scratch that, actually. We need universal healthcare. You know, like EVERY OTHER INDUSTRIALIZED NATION IN THE WORLD. Funny, you would have thought their countries would have all died off from disease and tax burden like everyone on the Right says will happen...
 
2008-09-16 10:55:40 AM  
Shadowknight: //I'm a bad man

Nah. You have to laugh. Come watch my son in the "soccer for autistic kids" league.

We need universal healthcare.

We're talking about Massachusetts, the state with universal health care. It's no better, really. It just the path the money takes around a bit, and possibly gives the truly destitute more access to preventative medicine. But the plan for those that can't provide their own insurance is worse than what you've described.
 
2008-09-16 10:56:59 AM  
just moves, that is.
 
2008-09-16 11:21:51 AM  
i147.photobucket.com

Good job, subby!
 
2008-09-16 11:23:47 AM  
Also:

i249.photobucket.com

/got less than nuthin
 
2008-09-16 11:30:02 AM  
In Shadowknight: We need universal healthcare. You know, like EVERY OTHER INDUSTRIALIZED NATION IN THE WORLD.

I'm not going to argue either side on that.

But since when is autism a medical illness? Any more than dyslexia or just being dumb? Just because doctors can describe a group of symptoms or behaviours doesn't make it a disease, any more than homosexuality or Hollywood sex addiction.

Autism and dyslexia are each a continuum from severe to very mild, and everywhere in between. Lots of parents want their children to be diagnosed with one or the other, as opposed to 'dumb', since (in many countries) it gives access to additional educational support. But the diagnosis is far too much of a subjective judgement to ever expect insurance companies to provide cover.

If school districts can't provide support for autistic children, then there's something wrong with the funding or organisation of the school district.

/ Rant over.
 
2008-09-16 11:43:32 AM  
opiumpoopy: But since when is autism a medical illness? Any more than dyslexia or just being dumb? Just because doctors can describe a group of symptoms or behaviours doesn't make it a disease, any more than homosexuality or Hollywood sex addiction.

At the risk of sounding ignorant (because I really don't know much about autism)... I can probably agree with this.

What exactly are they treating? There is no cure. It's a problem with the way a person thinks. Its not going to kill them, it doesn't hurt.

Raising money for a cure? I'm in.

But what exactly costs the parents $100,000/year?
 
2008-09-16 11:48:17 AM  
BigEd: It's cuz they're faking it. The brats just need to be told to cut it out.

/sarcasm


Hi, Mr. Weiner!
 
2008-09-16 11:59:50 AM  
opiumpoopy: But the diagnosis is far too much of a subjective judgement to ever expect insurance companies to provide cover.

Just to help you out a bit with this--there isn't a "continuum." There are a number of diseases that have different causes but similar symptoms. "On the spectrum" is a nice way to describe behaviors, but has little to do with underlying causes.

I'm quite familiar with Landau-Kleffner syndrome. In the case of this disease, autism (social withdrawal) is a symptom, not the disease. The real disease is focused epileptic activity in the speech producing and decoding centers of the brain, at the juncture of the left temporal and parietal lobes. An (sophisticated) EEG can confirm that autistic behavior is caused by this disease, rather than classic Kahner's autism, the underlying cause of which is unknown.

LKS is treatable by medications and sometimes by surgery. So there is a medical basis for it, and my health insurance (in Mass) pays for the medical part, and for some supplemental educational parts too, such as speech therapy. My town pays a lot for my son's schooling. The state DMR also provides some money.
 
2008-09-16 12:07:22 PM  
downstairs: What exactly are they treating? There is no cure. It's a problem with the way a person thinks. Its not going to kill them, it doesn't hurt.

Cognitive, motor, and social skills are severely affected in many of these kids. The school districts are often overwhelmed by the number of special needs kids, and don't have the funding to supply trained therapists in all of the needed modalities.

For a lot of the kids, it takes a lifetime to teach them simple skills (dressing themselves, toilet training, feeding)... to the other side of the spectrum where the kids are basically mainstreamed, but need a little bit of extra help with motor skills (writing, cutting, etc)... some just need help with behavior.

If the schools can't provide it, parents seek help outside. That's where the problem arises. Therapy (at least in Birmingham, AL), runs $150-300 / hr... insurance may or may not help. For folks without any coverage, an extra grand per month is usually out of the question to get the help the kids need (or could greatly benefit from).

Bottom line is, if the kids have a shot at being mainstreamed and living a relatively normal life, they should be given that opportunity. It saves society a lot of money in the long run if they can hold down a job and be self sufficient, plus it increases the dignity and self-worth of these individuals. For the others, we should at least provide services to help them and their caretakers cope with the difficult life that is ahead of them.

Note... everything I just said is also true for those who are disabled by mobility issues, blindness, deafness, etc... A human's self-worth is very valuable, and should be something we care about as a society.
 
2008-09-16 12:31:52 PM  
downstairs: What exactly are they treating? There is no cure. It's a problem with the way a person thinks. Its not going to kill them, it doesn't hurt.

I have a friend who works with autistic children in our public schools. She isn't trying to "cure" them, she is helping them learn how to function in society.
 
2008-09-16 01:33:31 PM  
alywa: Note... everything I just said is also true for those who are disabled by mobility issues, blindness, deafness, etc... A human's self-worth is very valuable, and should be something we care about as a society.

Cool with me. I agree 100%. Again- I don't know much about all of it.

However, $100,000/year? That seems a bit much to me. Are you hiring someone full-time to deal with the kid?
 
2008-09-16 01:45:56 PM  
Catch 22 baby. If they are really that autistic, they won't mind or notice being denied the treatment, if they mind or notice, then we know they are just playing autistic to get the goodies.
 
2008-09-16 01:56:22 PM  
downstairs: $100,000/year?

Placement in collaborative school behavioral program--$62,000
Transportation to out-of-district placement--$20,000
Medications--Unknown (copayments of $840)
Respite/after school care--$20,000
Speech Therapy--$5200
etc.
etc.
etc.
 
2008-09-16 01:57:56 PM  
Il Douchey: Catch 22 baby. If they are really that autistic, they won't mind or notice being denied the treatment, if they mind or notice, then we know they are just playing autistic to get the goodies.

Playing autistic to get the "goodies?"

What the fark are you talking about?
 
2008-09-16 02:01:19 PM  
ExJerseyGirl: Il Douchey: Catch 22 baby. If they are really that autistic, they won't mind or notice being denied the treatment, if they mind or notice, then we know they are just playing autistic to get the goodies.

Playing autistic to get the "goodies?"

What the fark are you talking about?


I think he's talking about sex.
 
2008-09-16 02:04:04 PM  
FTA:
Health insurers should not be dragged into the educational arena, particularly to pay for ABA classes, she added. "In a sense, it's asking for a blank check for therapies that we'd want more evidence to prove are really effective," Buyse said.

This is just downright stupid. ABA is not only about education, it is about learning such necessary skills as being able to dress and feed yourself, use the bathroom, request things you need/want, and conduct yourself in a proper manner in public.

If you think ABA is just a fancy way of saying "private tutoring for slow kids" you couldn't be more wrong.
 
2008-09-16 02:04:30 PM  
Why does miscreant genetic trash 'think' they get to ride on the backs of everyone else? nature provides an incentive for you to be productive. it's called survival. and parents THINK BEFORE you reproduce.
 
2008-09-16 02:04:48 PM  
pandabear: downstairs: $100,000/year?

Placement in collaborative school behavioral program--$62,000
Transportation to out-of-district placement--$20,000
Medications--Unknown (copayments of $840)
Respite/after school care--$20,000
Speech Therapy--$5200
etc.
etc.
etc.


You know the school district is required to pay most of that right?

Atleast in my state. They have two choices, deal with him or place him elsewhere, if they choose to place they have to pay.

What good is speech therapy for many autistic kids anyways?
 
2008-09-16 02:05:13 PM  
They won't pay? Great, let's disintermediate them. Bring on national health care like every other goddamn civilized country in the world.

It'll help the auto makers and other US manufacturers, too.
 
2008-09-16 02:06:33 PM  
Rev. Skarekroe: Insurance companies?
Refusing to pay?
No!


Gotta love insurance companies. When you actually use the service you are paying for they raise your premiums.
I was told by an agent of my insurance agency that even though I've been healthy and never visited the doctor/hospital, my rates went up because it's just a matter of time before I start falling apart.
 
2008-09-16 02:07:13 PM  
Just send them to specialized camps where they can have total concentration.
 
2008-09-16 02:09:05 PM  
cartoon corpse: Why does miscreant genetic trash 'think' they get to ride on the backs of everyone else? nature provides an incentive for you to be productive. it's called survival. and parents THINK BEFORE you reproduce.

thats some nice trollin', lou.

thanks chief.
 
2008-09-16 02:09:19 PM  
+1

clever headline.
 
2008-09-16 02:09:55 PM  
Shadowknight: So, I'm reading this headline, asking myself what the fark the Subby was trying to get at. Right around the time he/she broke it down to cost per day, I got it. Not only did I laugh, but I laughed hard.

Almost as much as when I was scrolling through my cable box's HBO schedule, and I saw a listing for something called "Autism: The Musical." I instantly began laughing uncontrollably at the mental image of a bunch of people rocking back and forth on a stage yelling the same lyric over and over again while not looking at each other.

So, yeah, thanks for this Subby. Now I'm laughing at Autistic people again. Just ensuring my trip to hell, I see.

/also laughed when I heard NPR talk about the Special Olympics Cerebral Palsy Soccer team
//I'm a bad man




In BC they have a golfing tournament for the Canadian National Institute for the Blind.

It always cracks me up when they announce it over the radio.
 
2008-09-16 02:11:54 PM  
tweekster: Just send them to specialized camps where they can have total concentration.

meow.catsplz.com
 
2008-09-16 02:12:27 PM  
I'll probably go to hell over this, but we should let nature play its course.

//I'm just saying..
 
2008-09-16 02:14:16 PM  
www.mitefchicago.org
approves
 
2008-09-16 02:15:33 PM  
bigjnsa: I'll probably go to hell over this, but we should let nature play its course.

//I'm just saying..


Thing get really ugly when nature gets its way. I agree in principle, but I don't think I could handle the reality.
 
2008-09-16 02:16:24 PM  
pandabear: opiumpoopy: But the diagnosis is far too much of a subjective judgement to ever expect insurance companies to provide cover.

Just to help you out a bit with this--there isn't a "continuum." There are a number of diseases that have different causes but similar symptoms. "On the spectrum" is a nice way to describe behaviors, but has little to do with underlying causes.

I'm quite familiar with Landau-Kleffner syndrome. In the case of this disease, autism (social withdrawal) is a symptom, not the disease. The real disease is focused epileptic activity in the speech producing and decoding centers of the brain, at the juncture of the left temporal and parietal lobes. An (sophisticated) EEG can confirm that autistic behavior is caused by this disease, rather than classic Kahner's autism, the underlying cause of which is unknown.

LKS is treatable by medications and sometimes by surgery. So there is a medical basis for it, and my health insurance (in Mass) pays for the medical part, and for some supplemental educational parts too, such as speech therapy. My town pays a lot for my son's schooling. The state DMR also provides some money.


This comment is right on the money. My 2 brothers have fragile x and the symptoms will vary based on the percentage and location of the break in the x chromosome. My older brother is very mildly autistic but very functinal to the point where he can hold down a job and participate in activites without too much hassle. My younger brother is severly autistic, and while my family has been able to get him to the point where he can work and do some things, he'll have to be supplied some form of help the rest of his life. Same disease and two completely varied outcomes.

For the person who asked if people were hiring full time help... there are cases where that might just be what is called for because the person may require constant supervision for their own safety.
 
2008-09-16 02:18:21 PM  
Nightsweat: They won't pay? Great, let's disintermediate them. Bring on national health care like every other goddamn civilized country in the world.

It'll help the auto makers and other US manufacturers, too.



Doesn't work that way.

In Canada it is not covered under national medical it is up to each province if they want to pay for each specific therapy and/or care.

For instance in British Columbia ABA therapy is funded through the Ministry of Families. You are alloted 20K per year (it costs about $60K) until the age of 6 and it is dropped to 6K.

The schools are supposed to make up the difference but, there is not enough money in the school system. Therefore, the child is left behind.

We have a son who was moderately autistic. After intensive therapy over 4 years and spending over 160K of our own money, he is almost indistinguishable and his academics are at a level 3 years above his peers.

Unfortunately, now that he is in the school system, and his funding has been cut, we are fighting tooth and nail to get him the help he needs. I myself am approaching corporate sponsors to bring programs into the school.

/private insurance covers very little
 
2008-09-16 02:18:33 PM  
Using this logic, I can sue the school district because they won't stitch up cuts or set broken bones.
 
2008-09-16 02:19:50 PM  
xanadian: Also:

i249.photobucket.com

/got less than nuthin


Wrong part of Massachusetts. :D
 
2008-09-16 02:20:03 PM  
cartoon corpse: Why does miscreant genetic trash 'think' they get to ride on the backs of everyone else? nature provides an incentive for you to be productive. it's called survival. and parents THINK BEFORE you reproduce.

There is always one of you eugenic tuff guys in every one of these threads. With the rates of people being diagnosed with autism being 1 in 150 one of you will be bound to have an autistic child for yourself. THINK ABOUT THAT before you reproduce.

This assumes that you can make it out of your mom's basement and convince an actual woman to have sex with you.
 
2008-09-16 02:21:23 PM  
Sadly America no longer has the money to fund a national health care program. After eight years of deregulating everything in sight for the benefit of Bush's Base, you know, The Haves and Have Mores, the government is so far past broke, the economy ready to catastrophically tank that there isn't any money to fund it.

But don't get all gloomy because of this! At least we are winning the War on Terrorism! I mean Global Extremism. And we got Saddam and we'll surely get Bin Laden any day now. Any day now, I'm sure of it.

Cause our Fearless Leader and the Maverick and the Pitbull won't blink. That's the way they are wired, so committed to our sacred mission! It's all part of God's Special Plan!

So what if the bill for all of that was another Great Depression? World-wide economic meltdown? People in breadlines, unable to fill up their gas tanks and go to the mall? Those are the complaints of a bunch of Elitist whiners! Cause we are winning the War! Not pulling out before the job is done! We are Americans! Not Quitters!

So when you are sitting around reading this defeatist stuff by candle-light in a few years remember it WAS worth every penny of the trillions we spent. Every penny! You'll see! By candle light!

We may be poor, but we are FREE! America - HELL YEAH!

/Jesus is coming soon
//everybody look busy
 
2008-09-16 02:21:48 PM  
Those amouts do seem to be a little high. I make half that a year and I'm a productive (hey when I'm not on fark) person working a full time job. So what they are saying is for every autistic person will will likely never generate much back, it takes the entire income of two people making a slightly above avg. American income. Something ain't right there, can we contract some of that out to China via Wal*Mart?
 
2008-09-16 02:22:01 PM  
rawstory.com

Well the parents of special needs children should sleep better knowing that they will have an advocate in the white house in a few months.
 
2008-09-16 02:22:14 PM  
tweekster:
Atleast in my state. They have two choices, deal with him or place him elsewhere, if they choose to place they have to pay.

What good is speech therapy for many autistic kids anyways?


It pretty much depends on the kid, of course. Some kids can benefit, some kids need a lot of work before they can get to that point.

/wife works with children with disabilities
//another reason I'm glad she doesn't go on Fark
///she probably views me as bringing her work home with her ;)
 
2008-09-16 02:23:20 PM  
ExJerseyGirl: Playing autistic to get the "goodies?" What the fark are you talking about?

You know, the goodies (sex)

/Ex Jersey guy who has played assburger to get the goodies
 
2008-09-16 02:24:03 PM  
justanotherfarkinfarker: will will

should be who will. I may have caught the special.
 
2008-09-16 02:25:13 PM  
AverageJoe77: Rev. Skarekroe: Insurance companies?
Refusing to pay?
No!

Gotta love insurance companies. When you actually use the service you are paying for they raise your premiums.
I was told by an agent of my insurance agency that even though I've been healthy and never visited the doctor/hospital, my rates went up because it's just a matter of time before I start falling apart.


People tend to get sicker as they age. Your rate is directly based on your age, of course it's going to change year to year.
 
2008-09-16 02:25:30 PM  
Before anyone mentions Asperger's, I thought I'd get this out of the way:

sidesalad.net

/Big-ass burger
 
Displayed 50 of 272 comments

First | « | 1 | 2 | 3 | 4 | 5 | 6 | » | Last | Show all



This thread is archived, and closed to new comments.

Continue Farking
Submit a Link »






Report