Wednesday, September 16, 2015
What is the "Appearance of a Normal Gait"
But it did bring up a question has been tickling the back of my brain since I first saw it in the proposed LCD DME changes to Medicare coverage. What is the appearance of a normal gait? Who exactly is to determine what is normal? How is this not a derogatory term when speaking of someone with a physical disability? The entire idea of normalizing something is based in the subjective observation of an individual, and one's opinion of normal will differ wildly from another's opinion.
The more that I think about these changes to the guidelines, the angrier I get. It is terribly obvious that people that do not have a disability are writing them. It is all about the money involved, and even though these changes do not directly affect me right now since I am not on Medicare, they will indirectly influence my insurance company and their decision on how they will cover my prosthetic care. As a community of amputees we stood up and took the fight to the one hearing they had on the proposed changes, but that cannot be the end of the battle. I have a little bit of experience in politics, having served on the city council in Johnson, Arkansas for a term. I would have continued in the position, but my family and I moved to another city.I learned a lot from that short stint in office; like how certain people in politics do what is best for themselves, rather than what is best for the community as a whole. There are some people at CMS that the changes will benefit. Lower overhead costs will allow for further waste in excess personnel as well as allowing for them to remain under budget.
If you haven't contacted your governmental representatives, you need to do so, whether you are on Medicare or not. These changes will affect your insurance, and it will drive the cost of prosthetic care higher than it already is. Take a stand, or plan on sitting down the rest of your life.