I'm still confused how he's getting tax-payer tits. Is this a Colorado thing or a federal government thing or an "I'm poor and mentally ill so gibs" thing? Isn't this the type of situation that small-government conservatives could build entire campaigns on?
It's absolutely insane, isn't it? CO has pretty good state-sponsored healthcare (Medicaid vs the federal MediCARE) for folks who are disabled or otherwise unable to work/get employer sponsored health insurance, and by good I mean fairly liberal and comprehensive in a lot of ways.
Kaiser, a giant conglomerate monopoly type medical provider is the one contracted to provide the majority of Medicaid services it seems, based on Kevvy's tweets. Kaiser is not known for good care, quick care or any sort of bedside manner, but they ARE known for doing anything and everything to make money for themselves.
So the situation here is that BA is not a "typical" covered thing for Troons, but Kevvy has lucked upon a situation where there's probably some vague language in CO Medicaid troon care about covering BA under circumstances where it would "vastly improve" the patient's quality of life, and Kaiser is in this for all the money they can make off of Kevin.
So he goes to see a therapist who is a Kaiser employee. That therapist makes money writing a boilerplate letter for Kevvy to get tits (or in the past, a frankengina) who then goes through other Kaiser doctors/employees, all of whom are getting paid by the state of CO for this service. Kaiser doesn't care that this isnt gonna help Kevvy, and they don't care that they're wasting resources because this is all about the almighty dollar. BA is such a routine procedure at this point, it's relatively cheap for Kaiser to perform, with a high payout from the state to their underlying cost ratio.
This is also why he can't get a call back about his revision; he's going to have to go out of state and out of "network" (ie, not Kaiser) to get the new Amhole drilled. If it doesn't make them money Kaiser will not do a damn thing. He's never getting the new hole unless some doctor in CO working for Kaiser starts doing PPT.
Sorry to Sperg slightly about all this, I just wanted non burgers to see that this isn't about activism on the part of his medical provider. This is blatant capitalism, just like so much related to Troons. They're great lifelong moneymakers for the system.