Medicare and power wheelchairs

There is an interesting article posted on
AlterNet.org
About
Medicare keeping the door shut on the disabled.

The gist of the article concerns Medicare and its policy to either pay or not pay for power wheelchairs. The answer lies in the results of a strict checklist. The bone of contention is that “it boils down to one question: Does the patient need a wheelchair inside the home?”

According to the article, “If you can limp 10 feet to the bathroom, or move from the refrigerator to the sink to make dinner, then Medicare will not cover a power wheelchair, even if you can't walk down the block to the grocery store for the food in the first place.”

This approach seems almost like a silly argument, one that makes no sense in the broader scope of individual needs. If a person is barely functional in their home, but can manage just a little bit, then Medicare says, “Well then…you certainly don’t need a power wheelchair,” even though providing such an assistive device may enable the person to get out of the house and get a job.

Compound this with individual pride and the innate quality of people trying to show they can do as much as they can, demonstrating their will to be strong in light of a disabling condition, even when this demonstration of will is at the reviewing athority who will report their findings of the individual's ability/disability to Medicare? When showing they can walk ten feet, no matter how much is done with a limp or the level of pain they endure when doing this, will be the very deciding factor that will shoot that person in their all-------too-able foot.

Wouldn’t it make sense to empower a person by providing the tool that would give him the potential to go to work and have private employer-provided health insurance, getting him off of Medicare as a result?

I don’t consider myself a liberal, nor a bleeding heart, but I am a passionate defender of rights of people with disabilities. However, I am also a tax-paying citizen and also understand the need for Medicare to protect its budgetary constraints, carefully scrutinizing the criteria for incidents when they will pay for a person’s expensive piece of assistive technology. However, there should be a more common sense review to consider when Medicare will fund these items.

The article illustrates clearly that items such as this which Medicare reigns over with a tight fist often goes unnoticed by legislators, as it is not a big hit on the political radar screen. In time, though, I believe this will change with the graying boomer population and the effects of this aging bringing on a variety of disabling conditions. Medicare’s ability to be so stringent in its governance for power wheelchairs may change as does the age of our population.