I have been singing Kaiser’s praises as a HMO for the past nearly 2 years that I have been a member. It is delightful and refreshing how easy it is to get care there, in a variety of ways. I have had video visits, phone visits, email interactions and a flu shot in a walk-in clinic. The pharmacy was amazing; I’d request a refill on my app and my drugs would be in the mail to my house the next day, free shipping. This was also one of the first encounters with a provider in a long time (and few and far between throughout my life, truth be told) where I felt honestly cared for and listened to as a real, individual person. . Everything so organized and helpfully connected. I was kind of reveling in feeling so good about my health care provider for once, that I was shocked when it all abruptly went to shit.
See I have a minor medical condition that wreaks havoc on my body and mind on a monthly basis. To add more fun to the situation, I am approaching menopause with all of the wacky symptoms that entails. I’ve been offered medications and treatments, even a hysterectomy to treat these things. Some of those things I have tried with variable success and some I have declined (cutting out my womb for anything less than raging cancer seems extreme to me, no thanks). I was thrilled to see that my beloved Kaiser offers yearly visits with a contracted naturopath. Hooray! How progressive! And much more in line with my own personal belief system about wellness. I immediately requested a referral from my primary care doctor and my request went to the review board for a blessing.
It was denied.
The reason? I am allowed care from the naturopath only after I have failed all traditional, “accepted” treatment. Since my employment has changed and this is America, my health insurance (and therefore, my healthcare providers) has also changed. Frequently. Don’t get me started on how messed up that whole scene is. However, as a result, records do not always follow in an orderly or timely fashion (I love our HC system), so the Kaiser reviewer was unable to see what I have already been through. For a hot minute I was all fired up and ready to collect all of my records to prove to them that I deserve these visits with a naturopath, I have earned them. But then it dawned on me how utterly fucked up and ass backwards this is. Why is this type of care reserved for “failed” cases? What if I want to reserve traditional care for the scenario where naturopathy has failed? Why am I not allowed to choose the primary modality that suits my needs and values? Kaiser: you have let me down; the honeymoon is over and now I can see you are just like all the rest.