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11-05-2008, 09:59 AM
| | Junior Member | | Join Date: Nov 2008
Posts: 1
| | | Denied Treatment Legal? What is the name of your state (only U.S. law)? MA
I was referred to a pain management clinic by my p.c.p.I completed the registration and was then told i could not receive pain management treatment until i get treatment for depression.
I have health insurance as required by MA law.Is this legal?Do i have any recourse? | 
11-05-2008, 11:09 AM
| | Senior Member | | Join Date: Jan 2001 Location: Washington state
Posts: 10,757
| | Quote: |
I have health insurance as required by MA law.
| Massachusetts does not require the citizens of the state to have health insurance. Yes. Treatment providers can place prerequisites on the services they provide. No.
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11-05-2008, 11:13 AM
| | Member | | Join Date: Apr 2005 Location: Southern Ca.
Posts: 659
| | | medical Quote:
Originally Posted by Harley138 What is the name of your state (only U.S. law)? MA
I was referred to a pain management clinic by my p.c.p.I completed the registration and was then told i could not receive pain management treatment until i get treatment for depression.
I have health insurance as required by MA law.Is this legal?Do i have any recourse? | I am curious if you go for pain management who made the diagnosis that you had depression. And wouldn't a person that is in constant pain be in a state of depression that would probably get better when the constant pain got relieved.
something just doesn't sit right with what went on. | 
11-05-2008, 11:44 AM
| | Senior Member | | Join Date: Feb 2006 Location: Philadelphia, PA
Posts: 11,722
| | | Yes, racer, the law in MA DOES require all residents to have health insurance.
The doctor does not have to accept you as a patient. It is a medical fact that most sufferers of chronic pain also suffer from depression, and that the depression makes the pain harder to treat. That they want you to get treated for depression is only because it will help your overall outcome. | 
11-05-2008, 12:15 PM
| | Senior Member | | Join Date: Jul 2006 Location: by the bay
Posts: 1,506
| | Quote:
Originally Posted by barry1817 I am curious if you go for pain management who made the diagnosis that you had depression. And wouldn't a person that is in constant pain be in a state of depression that would probably get better when the constant pain got relieved.
something just doesn't sit right with what went on. | Treatment for depression and chronic pain go hand in hand. Pain management is made much easier when the depression is also being addresssed.
OP, how long have you been treated for pain, what kind of pain is it, and what medications have you taken?
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11-05-2008, 12:36 PM
| | Senior Member | | Join Date: Nov 2001 Location: Massachusetts
Posts: 21,155
| | | Racer, the state of MA has required all residents to have health insurance since July of 2007. The bill was signed into law by our former governor, Mitt Romney, and has been in effect for over a year. Additionally, employers of more than 10 employees are required to offer insurance to their employees. Only one other state (Hawaii) has such a requirement of employers; no other state (as yet) has such a requirement of its citizens.
Failure to comply can result in fines and loss of tax credits. Insurance carriers submit a letter verifying coverage that must be filed with our state taxes. | 
11-05-2008, 01:28 PM
| | Senior Member | | Join Date: Jan 2001 Location: Washington state
Posts: 10,757
| | | What do the folks that can't afford health insurance do?
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11-05-2008, 01:54 PM
| | Senior Member | | Join Date: Nov 2001 Location: Massachusetts
Posts: 21,155
| | | That's a valid question and you do NOT want to get me started on it. Believe me, you didn't hear me say I approved of the law, only that it existed.
Supposedly there are plans available through the state for low income families. Let's just leave it at that.
I've been boiling over this whole issue every since that ******* Romney signed the damn bill.
But whether it makes sense or not, yes, it is quite true that all citizens of Massachusetts are required by law to have health insurance. | 
11-05-2008, 04:11 PM
| | Member | | Join Date: Nov 2007
Posts: 219
| | Quote:
Originally Posted by racer72 Massachusetts does not require the citizens of the state to have health insurance. | Massachusetts most certainly does require its citizens to have health insurance, effective as of 7/1/07. | 
11-05-2008, 04:13 PM
| | Member | | Join Date: Nov 2007
Posts: 219
| | Quote:
Originally Posted by cbg That's a valid question and you do NOT want to get me started on it. Believe me, you didn't hear me say I approved of the law, only that it existed. | Do you feel as I do that the employer mandate is an ERISA violation and that the only reason it hasn't been legally challenged is that nobody who wasn't already offering coverage to their employees is being hit hard enough financially to pay for the litigation? | 
11-05-2008, 04:29 PM
| | Senior Member | | Join Date: Jan 2005
Posts: 14,154
| | Quote:
Originally Posted by davew128 Massachusetts most certainly does require its citizens to have health insurance, effective as of 7/1/07. | Yeah - they already established that above 
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11-05-2008, 09:17 PM
| | Member | | Join Date: Jul 2007
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| | | So I guess there aren't any businesses with ten employees, just a whole bunch with nine!
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11-06-2008, 01:45 PM
| | Member | | Join Date: Apr 2005 Location: Southern Ca.
Posts: 659
| | | the joy of government intrusion Quote:
Originally Posted by JustAPal00 So I guess there aren't any businesses with ten employees, just a whole bunch with nine! | If I were running a business and was mandated a cost based on number of employees you can bet that I would look to be under that cap. And you can bet that if I needed more people after that I would be going to temp services to have the temp be responsible for the extra people. | 
11-06-2008, 01:48 PM
| | Member | | Join Date: Apr 2005 Location: Southern Ca.
Posts: 659
| | | pain management Quote:
Originally Posted by lealea1005 Treatment for depression and chronic pain go hand in hand. Pain management is made much easier when the depression is also being addresssed.
OP, how long have you been treated for pain, what kind of pain is it, and what medications have you taken? | I am so in agreement with the need to treat both, but I am willing to bet that if a person is in severe pain and depressed, treating the depression without treating the pain would be a study in futility, while treating the pain without treating the depression might get much better results | 
11-06-2008, 02:54 PM
| | Senior Member | | Join Date: Feb 2006 Location: Philadelphia, PA
Posts: 11,722
| | | Treating the pain without treating the depression is equally as futile as vice versa. You are a doctor, you should understand the mind-body connection as well as anyone! Isn't a patient who's terrified of the dentist going to perceive more pain then a non-phobic patient? | |
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