Monday, June 09, 2008

Health & Well Being

Been meaning to post this for a little while. I was reading Therapy Doc's blog over at "Everyone Needs Therapy" like I usually do. There was a post on ADHD and the need for a family assessment before prescribing medication. Now I am not going to comment on ADHD or the treatment options. The only part I want to comment on is the closing line which was, "Of course, medication is so much easier, right?"

It has really made me think about the health care system, the medical model, and what we are willing to accept. Let's face it therapy is work. It is not an easy process. It involves taking a chance... and opening yourself up.... being real. Deep down I am sure that most people would say that if they could just take a medication and skip the hard work of therapy they would. We're prone to go with what's easier. Let's face it this is part of the reason that some people self-medicate.

We seem to have embraced the fact that medication is the be-all and end all. In some circumstances it is warranted but I can't help but wonder if there is an over reliance on medication and a negligence on anything that doesn't fall under the medical model. If it can't be prescribed then it may get overlooked.

I can say, for sure, that the insurance company whole-heartedly embraces the medical model and this may be at the detriment of the patient. Take my Fibromyalgia for instance. I am on Trazodone to help me sleep but this does nothing for the pain. My doctor even admitted that medications wil largely be hit or miss. I go to the chiropractor and this helps tremendously. There's two problems. For one, I have to pay up front and be reimbursed. Compare that to medications where they just swipe my card and deduct the 80% automatically. Secondly, they only cover $200/year. That's only 3 months worth of visits. Then I'm on my own. I don't want to rely on medication when there is a holistic approach that helps. So in the end I feel like I am getting screwed by the health care system. After all I have something that works but affording it is a little more challenging. At least with my old job it was $500 which would cover me for 7 months.

Chiropractic care is just one example.... Therapy is another good example. My company will pay up to $200 to see a psychologist and then you're on your own. You would think by now that people could really get the help they need. But no.... I just wonder if things will ever change. I wonder if we will ever have a situation where people can get the help they need and not just be locked into the medical model where pharmaceuticals rule.

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