Seriously, what can we do?

Everyday I see patients in the office, it’s repeated denials, exuberant cost, more visits in shorter times, frustrated patients (who understand that the insurance and pharmaceutical corporations are fucking then). The denials for things internists like myself ordered just 3 years ago is ridiculous and frankly insulting. Requiring a cardiologist to order and get an approval for an exercise stress test…..

I just had a wellness visit denied from OCTOBER because I billed “primary osteoarthritis of the hand, unspecified” necessitating that I addend my note with laterality despite there not being a Dx for bilateral OA of the hands….. no doubt this claim will take another 3 months to process before we might even get paid for which we will still have to pay a 5% fee to get paid electronically from the insurance company.

What can we honestly do? Is there a way we can meaningfully organize? Who in congress is not corrupt that can help with change? What can I even do at the local level in my community?

I have no faith in our system and I’m finding myself just waiting for the collapse of society.