Is This The Real Reason Insurance Won’t Cover Stem Cell Therapy? It’s NOT Stem Cell Therapy Costs.
Stem Cell Therapy vs Insurance Companies – What They Don’t Want You To Know.
Stem cell treatment is becoming increasingly popular. Many people have benefited from it, and there is no significant
scientific evidence to demonstrate its effectiveness. We have a large number of people who rave about their results.
It is not uncommon for a traumatic brain injury (TBI) patient to exercise & have joint pain which could slow their physical therapy progress and something like PRP may help with their joint discomfort.
Of course, it is worth the effort to overcome the discomfort because they don’t want to have traumatic brain injury effects years later which would be even more devastating.
Yet, no matter how much evidence is out there and how many people swear that the treatment has helped them recover from diseases,
from degenerative joints, chronic pains, to cancer, the insurance companies still refuse to pay for it in most cases.
“Stem cell procedures have the potential to bring radical healing to people with autoimmune disorders, multiple sclerosis, certain types of cancer, heart disease, and many other conditions. Those requiring such procedures, however, must find creative ways to pay for them.” The stem cell costs are often paid for by making monthly payments.
Regenerative medicine has several options such as Wharton’s Jelly which is offered by providers and other options like amniotic.
While insurance companies not paying for treatment is nothing out of the ordinary, since their business is to pay for as little as possible, it is strange that they are receiving billions of dollars from their customers and that they gladly use this to pay for painkillers. Painkillers, by the way, have caused a veritable epidemic of addiction issues, known as the opioid crisis.
“The opioid epidemic is being called the worst public health crisis in American history, with its lethal consequences exacting a toll on users, families, and law enforcement nationwide.”
It is equally suspicious that insurance companies will not even query a claim for a $30,000 knee replacement surgery. This is despite the fact that many knee replacement surgeries fail.
“Each year, more than 300 patients elect to receive revision knee surgery at Hospital for Special Surgery, despite the fact that their original surgery was performed elsewhere. The most common symptoms of a failed knee implant are the pain, instability, swelling and stiffness across the entire knee (generalized) or in a small section (localized).”
Additionally, there are numerous very serious potential complications associated with knee replacements, knee revisions, and taking painkillers. Going under anesthesia is always risky because hospitals are breeding grounds for bacteria, and the number of deaths associated with wrongful drug administration and infections is truly staggering. Additionally, it is important to consider the age factor as well. Many people who choose to have joint replacements are aged 50 or over. The older people get, the more likely it will be that they will experience complications from surgery.
“Age is a known risk factor for complications after knee arthroplasty; however, age-related risks for a variety of complications of total and partial knee arthroplasties have not been well quantified. Age is an important independent predictor of surgical complications after knee arthroplasties. Surgeons can share these quantified age-specific risks with patients to guide management decisions.”
Yet, despite all of this, insurance companies seem more than willing to pay. This may be because they would not be able to collect premiums at the volumes that they do if people are not constantly having surgery and require treatment for the associated complications. Perhaps, in a sense, insurance companies are creating customers, not cures?
This scenario of insurance not wanting to pay for health services that are helping people is not new. In fact, stem cells are an essential part of what bone marrow transplants do in healing cancer. But it took years and years for insurance to pay for bone marrow transplants. In fact, there are other progressive cancer treatments like those done at Chipsa Hospital (see Chipsa Hospital Reviews ) but since insurance will not help then that makes it difficult for a number of people to afford the Chipsa Hospital costs.
So insurance is basically doing what they have done for years.
Think about this.
If they were to jump on board and pay for stem cell treatment, it would effectively mean that they could not continue to collect some of the huge premiums, since rates are based on experienced losses. The fewer losses for segments that exist, the less opportunity for insurance companies have to justify the rates. In other words, stem cell therapy would reduce the need for joint replacements and many other things that insurance companies have to justify their existence. This is NOT a carte blanch statement, or in other words, we are NOT saying that this is the only reason for their decisions. And we are definitely ‘PRO’ insurance. BUT, we are bringing it to the conversation because nobody is talking about this. Another way to think of it is this: If you did not have the pains and need to buy the painkillers then why would you have to pay for this type of coverage? You wouldn’t – right? And since stem cell therapy is positioned to radically reduce many of the issues that allow for insurances to charge what they charge, then could that be why they are dragging their feet?
And let’s be clear here. If you’re wanting to jump on the boat and talk about FDA and other ‘reasons’ that insurance companies are not willing to pay for stem cell therapy, then you’ve got your head in the sand. Think about this for a second. The FDA approves stuff, and then what got approved ends up killing, deforming, or other things all of the time. Just turn your TV on and listen to the attorney ads that constantly stream on your screen. The FDA definitely has a role and a place, but if you’re naive to think that BIG Pharma and its billion dollar lobby campaigns are not constantly turning the wheels of what gets approved and what doesn’t then just keep your head in the sand.
Is the light bulb starting to go off now?
“The amount of insurance premiums charged by the insurance companies is determined by statistics and mathematical calculations done by the underwriting department of the insurance company. The level of insurance premium charged to a customer depends on statistical data that exists about the life history, age, and health.”
In a sense, the insurance companies are also holding doctors to ransom, lowering their fees while increasing premiums at the same time. Hence, the question arises as to where is the money going. Doctors are earning less, technology is getting better and more affordable. Could it be that the money is simply going to insurance companies, the same companies that own banks and are part of the global financial empire? If so, then insurance companies wouldn’t have any interest in paying for anything, including stem cell therapy, that would bring premiums down.
“In the US, everyone has access to healthcare, but what happens if you can’t afford the monthly payments? Health insurance prices have seen an increase every year, and don’t show any sign of slowing down, even with the Affordable Care Act.”
Indeed, the reasons why health insurance prices are so high are complex but mainly demonstrate that you aren’t actually paying for the health treatment you are likely to need. Rather, you are paying for the issues that these companies have faced in the past. In other words, you’re paying for administrative costs, marketing costs, and preventive care. Consider, as well, the most expensive diseases in this country: heart disease, diabetes, smoking-related illnesses, obesity, trauma-related disorders, cancer, mental disorders, arthritis and joint disorders, COPD and asthma, high blood pressure, normal childbirth, and back problems. You are effectively paying for the treatment of all these conditions, when you may only experience one of them. And whichever one you have, you may be able to address it with stem cell treatment, but that would mean the insurance companies earn less, as they can charge you less.
Conspiracy theorists would have you believe that the real danger lies in big pharma. They are supposedly the ones creating customers, not cures. But the reality is that insurance companies are just as bad, if not worse. They constantly drive up their prices while refusing to cover the products such as stem cell therapy, but are still willing to pay for painkillers made by big pharma that actually cause more problems than the health challenge the pain killer is supposed to be helping. Yet, stem cell therapy DOES help people get better. Somewhere, the math just doesn’t add up.
Naturally, the above thoughts and ideas are just conjecture and speculation. However, the reality is also that questions have to be asked. You are the one paying these premiums, you are the one who has to have treatments that you may not want because your insurance company won’t pay for the things that you do want. Do you really want your insurance to tell you what a smart decision and the right decision is when they don’t really care about whether or not you suffer? Add to that the fact that your family is missing out on making memories, and you’re missing out on the quality of life.
Isn’t it about time you started doing what is best for you?
And isn’t it about time that you give some thought to how your pain just may be impacting your loved ones? That’s right, insurance and their decisions should not be the main factor in you at least learning more about your options.
THR or TKR should not be the first option for you to go to if you’ve run the course of getting the various shots. In fact, joint replacements should always be the last option. And you should be able to do the best natural choice that helps you, and not be under the control of a pencil pusher in a building that is only looking at the bottom line profits.
Stem cell therapy for knee, hip, and joint pains is not cheap. But, the quality of your life is worth it. Even if you were to make a monthly payment so that you can have much better health then many people are doing just that. In fact, most people say their monthly payment to get stem cells is less than their cable bill. And which is more important? Cable or your health?
It’s not a trick question. But it is a question that you will need to answer for as long as insurance companies and big pharma work to keep natural regenerative medical options off the ballot of being part of your insurance benefits.
It does not matter if you’re looking for joint pain services or for help with other health situations. People all over are asking when will regenerative medicine get covered by insurance. It’s not a matter of whether the therapy works because the principles for it working are the basis for bone marrow transplants which took years for health insurance to pay for – yet, it eventually did pay for this life saving treatment.
The politics of getting this breakthrough medical treatment to help with chronic pain will be a battle that will be waged for a long time. The FDA wants to be sure it is used for what it should be used for and not for anything else. But be sure, that money is really the driving force. This treatment has the potential to turn the pain industry and surgery business upside down just like Uber and Airbnb did the taxi and hotel industry.
You can be sure that Big Pharma and Insurance Industry will not give up the fight easily. In the meantime, people will continue to have questions and if they wait for someone else to pay for this treatment then they will wait in pain most likely for a long time.
It boils down to this.
There are going to be a lot of questions and a lot of battles between politicians and the billions of dollars behind the big Pharma industry.
Medical advancements are always great, but the pace at which they can be used is tempered by safety concerns, and rightfully so. Yet, the use of regenerative medicine and the principles of stem cells being introduced into the body to regenerate is a practice that has been around dating back to the 1950s. The technology to allow for the types of uses being practiced today is continuing to advance, but the principle is the same. Stem cells help your body regenerate. That means that it represents a threat to any industries that are making money based on you staying in pain.
There is no doubt that there will be multi-billions of dollars will be lost if regenerative cell therapy continues to disrupt the medical industry by leading to the need for fewer surgeries and the need for fewer pills and other harmful shots designed to ‘cover up’ pain.
The longer they can negate the use of stem cell therapy the more money they can make until they can figure out a way to get into the regenerative medicine business.
Yet, there is a glimpse of hope on the horizon. But not much, and to learn more you’ll need to look here. It appears that for very specific instances and for only certain illnesses Medicare will help pay for a small portion of stem cell therapy. But, we should take this as a step in the right direction and small steps are still steps.
Once again, this is not a conspiracy post, but it is an observation that definitely merits conversation. In the end, regenerative medicine will likely provide treatments that a number of folks would have only thought possible in Star Trek or The Jetsons. Yes, the results will seem that futuristic. Frankly, there’s a great number of people who already feel that the results they’re enjoying are so incredible that they find it hard to believe just like some of the scenes from Star Trek.
Time will tell.