Our healthcare system is so fucked up. The fact that a person’s insurance determines the quality of their care, or whether they even get certain kinds of care made available to them in the first place is fucked up. The fact that physicians have to dance around the greed of insurance companies in order to provide patients what they think is appropriate is fucked up. On multiple occasions we’ve had patients who care was delayed because insurance companies were fighting over who should pay. We’ve had local mental health services say, nope we don’t want to deal with this patient, but them on a bus and send them to LA to establish care there. Sad day.