a nurses' perspective on the need for reform of our current healthcare system
today at work I was baffled that an insurance company was denying precert for a bone marrow transplant as ” all the criteria” had not been met. It is easy to sit behind a desk and click criteria on your computer, but when did we lose compassion for our fellow human beings? And I got an email that I should have pended a case to the doctor yesterday and not approved it. It was a 2 yr old with a hematocrit of 4.7. This is such a game. We are just pending cases to justify physician adviser salaries. And yes I am totally aware my job should not exist. However I do believe these patients need an advocate who will stand up for their best interest.