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How To Reduce or
Eliminate Drug Cost

 August 12, 2009

By  Brian

An earlier post from this blog annotates the woeful and absolute outrageous treatment being heaped upon one of our members, Ron Markowicz, by the Worker’s Comp System, including his own attorney, whose firm appeared to be in collusion with the Insurance Carriers by ceasing all pertinent services to his case apparently driven by fear of potential corporate harm through future litigation.  No medical help for months.  No answers from the attorney—-only mis-statements.  No help anywhere.

As a former vocational counselor, I have seen this type behavior before—and it generally stems from a surgical mistake, then when an injured worker continues to complain, the first thought emanating from the Carriers, attorneys, et. al  is:

‘Stop the services!  Send out false information to the worker!  Make outrageous claims that the worker is not complying with the various service providers! Cover your ass!’

And ad naeuseum….the spin merchants, coupled with loss prevention departments of these huge insurance conglomerates begin to work their magic—–here’s what they do to a lot of people who might have a legitimate complaint:  they simply stop sending their monthly check.  No explanation.  Can you imagine the panic?

As it is, you are lucky if you receive two thirds of your normal salary while on the Comp System—and now, suddenly,  you have no money to pay for anything!  Most of the times, they will re-start the financial benefits, but not before causing the injured person to suffer further through stress by making them late for credit card or rent payments.   Add to it a nightmarish quality– I have personally heard insurance company rehab co-ordinators,  while at industry ‘functions’, exclaim great humor at how many  people they ‘put the screws to’ that week.

Folks, this stuff is industry wide, and it sickens me to watch it continue.  This should be considered health care reform, too, and the political writers seem to simply ignore the horrendous level of abuse perpetrated by the ‘business’ side of this system, while the person who is already hurt and suffering, suffers further at the hands of those who should be honestly assisting them to achieve their best level of  gainful re-entry to the work world. (or determine that will never be possible)

It should be obvious to all that creating an adversarial system, instead of a truly philanthropic, medically progressive streamlined system, the worst of all possibilities occur, where delays are normal, and communication among the providers is poor, at best.  Built for failure.

And, as all our members know, the Social Security Disability system certainly seems bad enough— difficult and hurtful at many turns.

At this writing, there over a million cases which are officially ‘backlogged’ in the Social Security Disability system.  Unless you take the  free course offered here at the Disability Digest, you can easily wait three full years before receiving benefits. (and that’s if you’re not backlogged)  Three years!  No excuse can be offered which might even approach credibility.

But the Worker’s Comp System—-if anything can be more problematic than Social Security Disability, it’s this damnable system in which Ron Markowicz continues to suffer.  But, some progress had been made.  There may be a ray of sunshine.

While I cannot comment on case specifics,  I can say that some advancement is being made on the medical side, as Ron’s original physician is only now re-activating his services to him, but still faces an uphill battle against a  stone-walling industry.

Also, due to many different and serious inquires to the Nevada Governor’s Office, there has been progress toward publicizing Ron’s case fully, exposing it for the utter disgrace it remains.  As it may involve the National media, his case could be re-opened, and the proper medical procedures enacted post haste.  These major corporations do not appreciate black marks against them, as stockholders are already nervous these days.

So, with enough pressure, Ron would immediately receive the attention he needs, and in the proper order,  which is vital in his case.

He is truly disabled, suffering the results of several breaks in his back from a serious fall while at work, then surgical mis-feasance resulting in pieces of metal floating in his back, now invading the surrounding soft tissue, creating intractable pain.

The link to the initial information in this case is a fairly long read, including my post describing the Worker’s Comp System, and the specific details of his case—then, a page of a well kept medical file which further elucidates Ron’s situation.  Again, if any readers have a golden rolodex, please forward this appropriately.

http://www.thedisabilitydigest.com/blog/235/missing-in-action-justice-for-disabled-injured-worker/

We continue to press our efforts towards resolving this unsettling dilemma, as justice should have it.  The overarching reality is: Ron’s case could be your own.  He did not violate any ‘rules’ and was always forthcoming with his medical providers and insurance carrier.  That was pre-surgery.

Today is a different story.

Best to all involved,

Advocate

john at thedisabilitydigest.com

UPDATE:  AS OF THIS WRITING, MR. MARKOWICZ HAS TERMINATED THE SERVICES OF HIS ATTORNEY, AND SUDDENLY, APPROVAL HAS BEEN GRANTED FOR AN’ EMERGENCY INJECTION’, TREATMENT WHICH HAS BEEN WITHHELD FOR THE PAST FOUR MONTHS. REAL MEDICAL TREATMENT NECESSARY FOR HIS SURVIVAL.  GREAT NEWS!

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Understanding Continuing Disability Reviews: Key Updates and Guidance


Welcome to our latest blog post where we delve into the critical topic of Continuing Disability Reviews (CDRs), which are essential for individuals receiving disability benefits. The focus today is on recent statistics and personal anecdotes that highlight the ongoing importance of staying informed about CDRs.

What is a Continuing Disability Review?
A Continuing Disability Review is a routine process for individuals who have been approved for disability benefits. The Social Security Administration (SSA) conducts these reviews to determine if the health of a beneficiary has improved to the point where they can return to work, and thus no longer qualify for benefits.

Recent Case and Discussion
Recently, a case surfaced involving a person who had been receiving Social Security Disability Insurance (SSDI) for end-stage kidney failure since they were 20. Despite their condition remaining unchanged, they received a notification of health improvement at age 50 and were at risk of losing their benefits. This situation underscores the unpredictability and significance of understanding the CDR process.

How CDRs Work
During a CDR, beneficiaries might be asked to complete a short or long form detailing their current health status. The forms are then reviewed, and if further information is needed, a full medical review may be initiated. It's crucial for recipients to respond promptly to any communications from the SSA to avoid complications or cessation of benefits.

Statistics and Trends
In 2022, approximately 1.5 million of the estimated 9 million disability recipients underwent CDRs. Of these, about 125,000 had their benefits terminated. These statistics reflect a consistent review rate, with an apparent annual increase in the number of reviews conducted, emphasizing the necessity for beneficiaries to stay vigilant.

Key Takeaways
Stay Informed: Always keep your contact information up to date and pay close attention to all correspondence from the SSA. Missing a notification or failing to respond can lead to benefit termination.
Understand the Review Frequency: Depending on the expectation of medical improvement, reviews may occur more frequently. Typically, conditions considered likely to improve are reviewed sooner and more often.

Prepare Adequately: If a review is scheduled, ensure all medical documentation is current and complete. Understanding the review process and preparing accordingly can significantly affect the outcome.

Seek Expert Advice: Engaging with professionals who specialize in disability rights and CDRs can provide crucial support and guidance. For instance, next week, we will feature an in-depth discussion with Attorney James Mitchell Brown, a veteran in the field of social security disability.

Conclusion
Continuing Disability Reviews are a standard part of the disability benefits process, but they can be daunting. By staying informed, prepared, and proactive, beneficiaries can navigate these reviews successfully. Remember, the goal is not only to retain benefits but also to ensure that the support aligns correctly with the individual’s current health needs.

Stay tuned for more updates and expert insights in our upcoming posts, and don't hesitate to reach out with your questions or for further information.

Brian


My name is Brian Therrien, and I'm a professional researcher. So when a number of my friends went through unexpected downturns in their life and required disability assistance, I left no stone unturned to try and help them.

At first, I was concerned with how to qualify for disability, ... but as I learned more about the system, I realized that people also really needed help with getting approved, maximizing their benefits, and most importantly, supplementing their income without losing their benefits when they were ready to transition back to the work force.

That's why when you subscribe to my FREE disability newsletter you'll get concrete help with ALL the issues you'll encounter in the disability system

Brian Therrien

related posts:


The Spoon Theory: A Real-Life Guide to Managing Energy with Chronic Illness


What To Do If SSA Surveillance Leads to a Mistake — And You’re Blamed for It


 Documenting Every Condition, Head to Toe

Questions? Comments? Get in touch... we're happy to help!