The Best Plan We’ve Got


I received a sharp blow yesterday.

My insurance will no longer pay.

My nurse called to give me the news:

the right medicine, I cannot use.

My doctor tried all that he could.

The response to his pleas was no good.

“It is way too expensive,” they said,

“but if she’s in a hospital bed,

we’ll accept the claim, and we’ll pay.”

I’ve been told I must do it that way.

We all know it will cost them much more

when I’m jailed on the third or fourth floor.

 They’ll spend more than they would in a year

if they’d kept it from getting severe.

Yes, the medicine does cost a lot…

though in my case, it is all I’ve got,

’cause the others aren’t options for me.

They’re as bad as my illness could be.

All traditional treatments have failed.

In the end, illness always prevailed.

So, I must steer toward death and then flirt,

tempt disaster, risk my life, and hurt.

I must point straight and drive down that road

to encourage catastrophe, goad.

Once that sick, my life’s so tough to save.

It’s so hard to keep me from the grave.

And yet nobody asked what I thought.

I’m just told it’s the “best plan we’ve got.”


2 Comments (+add yours?)

  1. Carolyn Shepherd
    Apr 07, 2014 @ 11:15:44

    Insurance companies make me so angry. It’s like the insane process of applying for medicare disability. They make the whole process so arduous and arcane that they are planning that a significant number of applicants will either give up or die before completing the process. (I know that going through that process made me want to die.) It’s planned attrition so as to reduce payout .In your case they hope that you are not as sick as claimed, or if you are, the treatment will come too as to once again reduce cost..They are slowly phasing out the approved treatment for the old or chronically ill. We are just not a good return on their investment.This may seem inflammatory or off the wall, but this is exactly what happened in Germany leading up to WWII. Maybe I;m paranoid about this. Indeed, I hope I am.



    • rhymaphilia
      Apr 07, 2014 @ 17:00:47

      While yes, the insurance company is hoping I’m not as sick as I claim, I’ll give them the benefit of the doubt that they don’t hope it’s too late once I get the treatment. They just don’t want to pay if they don’t have to. In my case, however, it’s not that they’re phasing out an approved treatment for my chronic illness (Myasthenia Gravis). My problem is that none of the approved treatments work for me and I’m flat-out allergic to the most common drug used to treat it. What I need is IVIG, which is approved to use in a crisis for my illness, but not as a regular prophylactic treatment, which is how we use it for me. It’s a very rare disease and no one will bother to get funding to establish that it can be used as a maintenance treatment. My insurance has approved it by the final appeal for the last three years and two months. This time, on final appeal, the answer was still no. We don’t have long to wait, though; it’s a week after the first dose they denied me and I already have trouble talking and chewing/eating. I’ll take myself in before I lose swallowing and way before breathing. They will spend a LOT more on this within the next week than they would if they approved me for the entire year to begin with. The hope is that they will see and not make me do it like that every time.



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