Chronic Pain

A 51 year old female living and dealing with lumbar back pain and fibromyalgia. Sharing things I do for relief, reduce stress and control weight gain.
Showing posts with label .Disability. Show all posts
Showing posts with label .Disability. Show all posts

Thursday, November 7, 2013

Disability Fraud

In October 60 Minutes had a segment regarding Disability and the state it is in today.  The following week at the end of the show they added a bit at the end to say they had a enormous response following the air of that program.  Responses from people who are on disability and really need to be on it.   Most I agree with and a few I don't.  It's like the old saying goes, "the good have to pay for the bad".  You can go to 60.com and read them if you like. Unfortunately, the show said very little in defense of people who qualify.  If your just curious of what was said, I'll fill you in.  Don't quote me because it was a couple of weeks ago, but for the most part this is what set people off.  There is an incredible list of comments made about the segment mostly from people on disability.  I went back to recap some of the shows important facts and I saw them all.  60 minutes said they got a lot of feed back and they were not kidding.

Sen Tom Coburn, M.D. of Oklahoma talks about how well-heeled and well-connected lawyers, doctors and judges have gamed the system for their own profit at the expense of taxpayers and the truly disabled alike.  On first take of the show so many were angry feeling he is not on our side.  I don't think he is  against us.  It's about all the people on disability that should not be because of these lawyers who work with doctors who have 13-20 reports signed fraudulently in same day all by same doctor.  This is the case for Eric Conn an attorney in KY who has 3rd largest disability law firm.  He has made 13 million dollars in legal fees paid for by the federal government in the last 6 years.  This is the kind of thing Sen Coburn wants to put and end to.  That, I am not against. 

What does make me upset is just what upset the commenters.  They only talked about people on disability who should not be.  People who had help form a shady attorney.  They even went so far as to state that a lot of aliments were subjective ailments.  Their examples were Fibromyalgia, chronic back aches and depression.  (noted were the FM causing joint and muscle pain along with chronic fatigue ) He states, ( Sen. Coburn) that if there is any job you can preform in our economy where did all these people come from?  This many people you ask?  12 million would be the answer.  Are you shocked by that number?  I was.  Up by 20% in the last 6 years years.  

In 1971 fewer than 20% were represented by an attorney and now over 80% of claimants are represented.  What they don't say is the percentage of claimants who are turned down automatically on the first application automatically.   One particular section on the show focused in area in WV where there are few jobs due to plant closures and other big business closed.  Most people were out of work.  Unemployment benefits expired and they were desperate.  Filing for disability was the next step in their need to survive. A lot of these people were over 40 so they had some type of ailment or impairment.  They filed for disability based on that.  Remember, I'm repeating for you not saying I agree or it's ok.

 Lawyers who no longer work for the firm who helped a lot of these people get benefits say most cases should have not made it to court.  These attorneys are adding to the bad rap for the disability system seeking out people to help get benefits.  Every day I see at least 2 commercials for lawyers who only do "disability cases".   They list all the ailments you can have to qualify for benefits.  I assure you it's not that simple. 

True disability people will get hurt when this fund runs out of money because of the crooks in this system.  Senator Coburn's final point. " These problems show you how broken it is. You take a good concept that's well meant,  don't manage it, don't monitor it and congress doesn't oversee it then you end up with places like WV counties, where you are born to be on disability".

No one is getting rich on disability benefits.  Disability is a minimum wage benefit with the benefit of Medicare after two years if you choose to accept it.   I haven't given up on going back to work.  I would love to get up and go to work and be with other women and earning a paycheck  again.  Another joy in that would mean my pain level would be down enough that I could work 8 hours a day.  Until it is stripped away from you, you have no idea how devastating it can be.

A lot of the area the story was about used FM and depression in their claim.  It was terrible the way they made it sound so unreal.  They said, " kind of hard to prove you have it, but also hard to prove you don't".  Let me assure you, those of us that are on disability for a "just" cause would much rather be working and not dealing with the pain we live with.  I personally miss being out in the work field.  I miss the connection I had with my co workers. Every office I worked in (dental) my co workers were like family.  We all supported each other in work and personal life.  I also miss my salary which was WAY more than disability benefits.  

When I first applied in 2011 I had all my medical records starting from 1998.  My attorney did not pay any doctors to fill out his form.  He asked for copies of all my records from every doctor starting from 1998 regarding my back and had his staff comb through them and decided for himself he if thought I had a case.  I can tell you it may be easy in those two stories of KY and VA, but it wasn't for me.  I  have a friend who is in way worse shape than myself.   She has had 3-4 surgeries on her spine in different areas over the years and she was turned down.  She uses a walker and like me can only sit or stand for a limited amount of time.  She like myself worked for as long as she could dealing with her disability.  Her doctor is the one that told her she could no longer work.  She was also denied and had to appeal.  What are people in this situation supposed to do?

I'm sure people who know little or don't know anyone on disability let this program leave the term "disability" as a cheating system for people who just don't want to work or go back to work if they lost their job.  They cannot speak for everyone.  My voice is one to be heard that we're not all liars and cheats.  It's hard enough to feel your being judged all the time by people who don't know you if your disabled or not.  Don't judge a book by it's cover.  Just because someone looks ok does not mean they are not disabled.  I bet you know someone who is one disability and shouldn't be.  I knew someone in my past when I was young who definitely was capable of working and just didn't want to.  She was just fine with the minimum wage check every month to be able to stay home, v smoke and play cards with her friends all the time.  Keep in mind everyone is different.  Be open minded if you don't know the facts.

I know a lot of disabled people were very hurt and angry over some of the things said on the program but in the long run I think Senator Coburn is on our side.  He doesn't want to take our benefits away, he wants us to be able to keep them.  Which means taking them away from people who don't qualify "legally" so the program will not run out of money in 2015 like they are stating it will.  That is a pretty scary statistic.  

Disability will be the first entitlement program to run out of money.  When the trust runs out the truly disabled will see benefits cut or every working American's will have to pay more in taxes.  If you do the math, (disability checks will be cut by 20 or 25% on what they receive each month) that's a good amount of money from an already small income.  What do you think?

If you'd like to know where my information came from you can go to 60 minutes.com and 60 minutes.com/overtime to see the program in its entirety. 

Full of H.O.P.E.
Theresa



YOU'RE BLESSED WHEN....

when you're at the end of your rope. With less of you there is more of God and his rule

when your content with just who you are--no more, no less.  That's the moment you find yourselves proud owners of everything that can't be bought.

when you care.  At the moment of being "care-full" you find yourselves cared for

when you've worked up a good appetite for God.  He's food and drink in the best meal you'll ever eat. 






Tuesday, October 8, 2013

Decisions, decisions...

The time has come that I can no longer put of making a decision on accepting or declining the benefits that come along with disability.  I've been in touch a with a representative of Medicare Plans.  My attorney gave me his number and told me to hang onto it. The day I starting getting information regarding Medicare benefits I should give him a call.  Please don't try and figure it all out on your own.  I clearly see why now.  It can be quite confusing. 

We're clear on one thing.  It would be a lot less expensive premium if I take the medicare coverage.  Everything is different though.  I've had to do  a lot of research to prepare to sit and meet with the Humana Representative.  For example; checking with all my doctors to make sure they take this plan.  I also went online and entered all the prescription medications I take to see what they would cost under this plan.  Some were the same but several were more expensive. A couple they don't cover.  Mainly it was the newer prescriptions that haven't been around forever. It works on a tier plan and depending where the drug falls depends on your payment for it.   Certain tiers give you different coverage.  Long story short several of the medications I take are $20 to $30 more per month so it you multiply that times 12 it almost makes up half of the savings.  

I spent several hours on the phone today trying to get answers.  I called Humana directly since the website would not give me a clear answer on if some of my doctors were involved with the plan or not.  The most important ones are, but for the ones that aren't I want to see  what my options are to replace them.  I've seen some of these doctors since 2006 or earlier.  It all boils down to dollars and cents.  Honestly, my husband asked me forget the money, does it benefit you to be covered with Humana insurance? If not just leave things as they are.  I couldn't really answer that.  I think we will be close to breaking even.  I just have to do a little more homework tomorrow.  The deadline is closing in so I have to make my decision. 

My daughter and her family left for Disney World FLorida.  I was worried about the storm that was brewing around in the gulf but it turned out just fine. At half way they stopped for the night and completed their journey the next day.  My daughter has kept myself and P's other maw maw excited with a lot of pictures all day, everyday.  They are all so cute.  He is surly have a great time and making some wonderful memories.  Nonna is so happy for him.

I'm a bit worried about my daughter.  Her feet are hurting her after 2 days and 2 parks.  MAGIC KINGDOM & HOLLYWOOD STUDIOS. P, ha..he is a brave little fellow.  He's riding all those big rides with his dad and mom.  I thing some momma is very willing to sit out because of the long lines. This gives her a chance to rest her poor feet.  

Maw Maw and I (Nonna) have been in stitches all day with pictures and texts from mom.  P's little sister will get to hear all about big brother seeing all of his favorite characters.  It is so obviously clear how happy and excited he is to be there.  I have so many pictures. Here is a wrapped up preview she made for instagram.


Magic Kingdom
Magic Kingdom
Swimming is down to a minimum.  Last time I was in the pool was Thursday evening.  The temperature had made it back to 90.  I enjoyed that swim so much thinking it may be my last.  Thursday night P came over to sleep so mommy could get started with shopping, finishing up some work and packing in the early morning.  No swimming that evening.  

Friday morning P and I set out at 8 to go and pick up A at our usual meeting place.  We picked her up and came back to my house. They played and had a great time together.  After lunch P's mom came and A had to come to OT with me and watch me be tortured once again.  My right side the therapist agreed was better.  The left, worse.  She could hardly touch it.  After consulting with her peers she came back and told me we needed to add a harness to keep my wrist from moving.  Keeping my wrist from moving keeps the tendon at rest so it can heal.  I still need to do the exercises and stretches at home.


I have to admit I noticed a big difference the first day.  This brace is so much more comfortable than the one she made for me on the right hand.  I realized just how much it helped when I took it off Sunday to do some dishes. As I was unloading the dishwasher I could feel how sore and swollen it is.  Tonight after the stretches I rubbed the area with a medicated cream and then measured out of curiosity to see if it was still swollen.  Around my right elbow measures  an inch larger than the left one.  This sure does seem to be a slow healing process. However I am glad to be better on one side at least. 

A stayed until Sunday.  On Saturday night I took her to see her daddy when he got off work.  He is working 13 days and 1 day off until Thanksgiving so it is hard to get some visitations in right now. I was so proud of the them both.  When we left they both did so well.  I took a couple of pictures of them together.  (are you surprised?)  A likes to take 2 always!. One silly and one with a smile. Silly usually means her tongue out.  This has been her routine for quite some time now.  It's funny, as I mentioned earlier I'm getting a lot of pictures from my daughter and many have P's tongue out.  I asked if he got that from Lou Lou.  (her nickname at their house) and she said, no he's just so happy he is beside himself and don't know what to do with it.  Too funny, that kid.


Saturday night
Friday
We are experiencing a fall like week here in Baton Rouge. Cool in the morning and late evening.  Next week vacation.  Woo hoo, I just can't wait.  We've checked the extended forecast for Destin and it looks awesome.  October is our favorite time to go and we've never been disappointed.  The weather is perfect and the crowds are minimal.  Hopefully I will feel well enough to go to a couple of places we love to shop each year.  

I started typing last night and got really sleepy.  (this is a GREAT thing) I put down the computer and picked up first thing thing this am to finish.  I plan to head to AT&T before I let myself get tied into another survey and can't upgrade my phone. I want to look at the new iphones and see if I like them.  After that I'm off to OT.  Sometimes I don't like change.  I could very well keep the one I have.  Instead of my usual inspiring bit I have to leave you with some more pictures that will clearly show you how much fun my grandson is having.  Oh how I wish I could be there with him.

Living with H.O.P.E
Theresa



Dinner with Mickey & friends
One Happy Boy!






Hey look, it's Pluto
Think I'll take a picture with him :-)