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Does
Your Government Really Care if You Become Disabled and Need Benefit
Assistance?
by Tim Moore
Does
your government really care if you are disabled? That's a question that
is becoming more and worthy of the public's consideration.
Recently,
I was on the phone with a disability claimant who needs to have his
reconsideration filed and I asked him if he had been seen by any doctors
recently. He gave the all too common answer: "No, I haven't been
able to go. My insurance ran out a long time ago".
This
is a very common situation. And I've heard it so much that I've become
somewhat desensitived to it. But...if you really think about it, these
situations (which ARE extremely common) are horrendous.
Let
me put on my examiner/caseworker hat for a moment. The disability system
is set up so that the prospect of being approved for disability weighs
entirely on a claimants medical records. And not just on medical records,
but on recent records (aside from closed periods).
Well,
ding ding ding (wake up bureaucrats, politicians, and red-tape functionaries),
if the process for eventually---we hope---getting approved for disability
benefits can take up to 3 years (I'm not pulling that number out of
a rabbit hat either----just call any attorney or non attorney practicing
in the raleigh north carolina area and they will sullenly confirm this
information), then how can a claimant be expected to have decent medical
record documentation by the time they get to a hearing (a destination
most cases will arrive at)?
Answer:
an unacceptably large percentage of claimants won't (I typically tell
people to seek out a county health department, free clinic, or even
go the ER, if need be---but's let be honest, that doesn't take the place
of records generated via an ongoing treating physician relationship).
Now,
before I go on any further, I acknowledge the notion that the disability
system is not responsible in any way, shape, or form for facilitating
a claimant's access to medical care while a case is pending in order
to substantiate a claim (i.e. ensure that records are in place to support
allegations of disability). But, even for those claimants who had mainstream
employer-provided health insurance, COBRA only lasts 18 months.
So,
when the process can last 2 or 3 years, where does that leave claimants?
In a bad way, without a doubt. Not only are they put in the position
of finding it difficult to document their impairments----to add insult
to injury their conditions will sometimes worsen as a result of having
inadquate access to medical care.
Now,
back to the headline of this post. THESE HUGE WAIT TIMES came into effect
under the administration currently sitting in office. So, do they care?
Do they really care about those who are least able to assist themselves?
I
would have to say no. They do not.
I
will leave you with this anecdote: about 2 years ago I tried to assist
one particular claimant whose situation was quite miserable. He had
no access to medical care and his living conditions were beyond the
pale. To try to help him, I contacted the following agencies in his
city (not my own area of operation): the salvation army, catholic social
ministries, and urban ministries.
Want
to know what I was told? They were out of funds. THIS WAS IN FEBRUARY
OF THAT YEAR.
So,
what does that say about the federal administration's notions of faith-based
charities taking up the slack from the government cutting back: that
it is essentially useless and disingenuous rhetoric.
In
addition to being a former disability examiner, I used to be a food
stamp caseworker, medicaid caseworker, and an afdc worker, and I can
tell you unequivocally that private charities will never be able to
fill any gap left behind by the feds, but that's another conversation.
Now,
why this article? Because there are changes in the works that while
masquerading as reform of the social security disability system...will
actually make the system more hostile to disabled benefit applicants.
Chew
on this as a parting thought. The people who are trying to "reform"
social security disability are the same people who tried to (or are
trying to, as the case may be):
1.
bust the federal employees unions (and have to some extent succeeded),
2.
altered regulations regarding overtime compensation in a way that was
clearly hostile to workers,
3.
are trying to limit the ability of mesothelioma victims to seek compensation
(the sick part part about this is that mesothelioma has an incubation
period of up to 40 years following exposure to asbestos fibers and the
diagnosis itself is a literal death sentence----no one survives, even
following a pneumonectomy).
And
these are just a few things.
So,
to address the question we began with: does your government really care
if you become disabled and need immediate benefit assistance to avoid
falling into a financial abyss? Perhaps to some extent...but, unfortunately,
I would have to say, not particularly much.
About the Author
The author of this article is Timothy Moore, who, in addition to being
a former food stamp caseworker, medicaid caseworker and AFDC caseworker,
is a former disability claims examiner. He publishes information at
Social Security
Disability Tips and Secrets which features a helpful and informative
Social Security Disability faq