“That call was just this wake-up call. If they can ring me in the operating room, not for something urgent, just for that, and to ask me to justify her staying overnight … we have lost our way.”
She takes a call while operating? She cannot be reached if she doesn’t want to be reached. I can’t imagine my surgeon taking a call.
There is mention of her social media posts. Some have a good picture here. A social media darling who will take a call on her phone during surgery whining about not having her way.
If she was any good she could have a practice not reliant on insurance. The best plastic surgeons are usually out of network if they are in any network at all.
“If she was any good she could have a practice not reliant on insurance”
Breast reconstruction is typically a mandated benefit.
Patients expect insurers to pay for most of the cost.
“The Women’s Health and Cancer Rights Act of 1998 (WHCRA) is a federal law that provides protections to patients who choose to have breast reconstruction in connection with a mastectomy.
“If WHCRA applies to you and you are receiving benefits in connection with a mastectomy and you elect breast reconstruction, coverage must be provided for:
“All stages of reconstruction of the breast on which the mastectomy has been performed;
Surgery and reconstruction of the other breast to produce a symmetrical appearance; and
Prostheses and treatment of physical complications of all stages of the mastectomy, including lymphedema.”
“WHCRA requires group health plans and health insurance companies (including HMOs), to notify individuals regarding coverage required under the law. Notice about the availability of these mastectomy-related benefits must be given:
To participants and beneficiaries of a group health plan at the time of enrollment, and to policyholders at the time an individual health insurance policy is issued; and
Annually to group health plan participants and beneficiaries, and to policyholders of individual policies.”
https://www.cms.gov/cciio/programs-and-initiatives/other-insurance-protections/whcra_factsheet
NOTE: The page is probably outdated. The PPACA is based on “medically necessary”.
If she was any good she could have a practice not reliant on insurance
So, only patients who can pay out of pocket deserve a surgeon who is “any good”?