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Originally Posted by wdgld
How would the same scenario work out in the US?
Would his insurance cover it?
Would it depend on the type of cover?
What if he had no insurance?
This is obviously a very expensive drug, before the NHS has said no. I'm curious if there is a situation in the US where the guy wouldn't get it there either.
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Yes there most certainly are cases where a patient would be denied the care by their insurance company. My dad, who died from cancer, was denied certain treatments by the insurance company and my parents had a very good insurance plan. We in the States can also count on reading stories or watching a piece on TV about some folks being denied treatment by their insurance companies. My wife's stepfather is a doctor, he will certainly talk your ear off on how some of his patients are denied treatment as well. Trust me, it's not perfect here because of different standards in care. The richer you are, the better the care you can expect to receive. I know several people who have dropped their insurance plans because they can't afford the costs. That's a big gamble.
Our insurance companies are trying to make a profit and administrators, who often are not MDs or any other type of medical training, are making decisions as to whether or not a procedure or medication is required. And you guessed it, they never saw the patient themselves.
