One of many of my own barriers:
In 2024 I struggled to access Vimpat, an ASM that helps reduce focal seizures and then for me generalized seizures that follow. I’ve been on Vimpat for years. However, it’s the only prescription of all that I take that I cannot use generic, it must be brand name.
Private health insurance decided they needed lengthy decisions between my neurologist’s decision, the years of proven effectiveness, the lifetime of medications that haven’t helped, and my own experience and decided I didn’t need it and could try something less expensive (I have, and it’s well documented).
The outcome was astronomical medical bills from uncontrolled seizures, loss of income, disruption of my life and relationships, my parenting. Of the many seizures, there was the one last month where I smashed my head on my dad’s garage floor, the one where my glasses broke into my face convulsing on a sidewalk. Also the one where my son was at urgent care for an illness and I had one in the middle of the conversation with the doctor (my son said the doctor wasted one rescue medication spray from my purse because he didn’t use it right. That’s another few thousand dollars lost in one spray.)
I haven’t been able to drive since December and had to move away from my family home to have Uber and public transit access for medical care. It takes a lot of time to sell a house and move a family so I’m now living away from them because of uncontrolled epilepsy and intersectional factors.
What insurance ended up paying out was tens of thousands more in escalated medical care, rescue therapy refills, than if I’d just been kept on Vimpat. Not to mention the socio-economic and financial impacts on my entire life this year. My epilepsy is in my temporal lobe where emotion also lives. That also led to a hospitalization. Thanks to systemic failure of health insurance and US health disparities failed outcomes of health.
What if I didn’t have insurance at all? What if people that do don’t want to access any limited fund resources so there’s more funds for those that won’t ever get an insurance approval because they don’t have the privilege of year of paperwork hassle to get immediately necessary medications?
After all this, health insurance decided to override and cover Vimpat again. My neurologist and I said this could all happen but our voices and lived experiences didn’t matter.
This is one experience in just a span of months. I have a lifetime of them and others with additional intersectionalities have exponentially more. This length post is a simplified version of many more complexities that are interwoven.
Please take this survey if you have a disability and want to share:
US Government Accountability Office survey to obtain the lived experiences of people with disabilities regarding the barriers faced trying to access healthcare is open until Nov. 30. Caretakers can also answer the survey on behalf of the person they care for. https://lnkd.in/eNaxS6A3
GAO Survey on Disabilities and Health Care
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