We Are All Republicans, We Are All Federalists
Dr. Nick van Terheyden had bone pain that he could not explain. He was fifty-eight, a physician in Maryland. A specialist ordered a $350 blood test for vitamin D deficiency. The test came back positive. The deficiency was severe enough that if left untreated, it would lead to osteoporosis.Van Terheyden’s insurer was Cigna. They refused to pay for the test.The corporate medical director who signed the denial letter said the test wasn’t medically necessary. Van Terheyden read the letter, looking for the clinical reasoning. There was none. Only generic language, a response from a machine. He…
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