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Health Care Reform Proposals Do Not Address Problems For Insured

Armen Hareyan's picture

The Wall Street Journal on Wednesday examined how for"those millions of insured Americans who get lost in the U.S. healthcare system's giant maze," the "journey is frustrated by coveragelimits, denied claims and impersonal service." Every major presidentialcandidate "has introduced a health care reform plan," but, for the"most part, these plans focus on providing coverage to the 45 millionuninsured or reining in medical costs" and "do little to address themyriad hurdles insured patients often encounter when they seek care,"the Journal reports.

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The Journalprofiled Barbara Calder, a former chef who has a rare genetic disordercalled Ehlers-Danlos Syndrome, in which the connective tissue in thebody disintegrates over time.

According to the Journal,"although she began suspecting she had the diseases 16 months ago andhad health insurance, she spent a year battling numerous roadblocksjust to see a specialist who could diagnose her condition." Efforts tonavigate the health care system "can be especially maddening" forpatients with rare genetic diseases because few physicians "know aboutsuch diseases" and "health insurers' computer programs tend not torecognize them," the Journal reports (Carreyrou, Wall Street Journal, 11/16).

Reprinted with permission from kaisernetwork.org. Youcan view the entire Kaiser DailyHealth Policy Report, search the archives, and sign up for email deliveryat kaisernetwork.org/email. The Kaiser Daily HealthPolicy Report is published for kaisernetwork.org, a free service of The HenryJ. Kaiser Family Foundation.