I recently had a conversation with a state representative and a state senator in which I told them about a patient who needed a replacement for a transtibial prosthesis that was more than nine years old and was literally in three pieces. The foot and ankle were broken in half, and the socket was now too big for the patient. He was wearing five thick socks to fill up the socket. The patient’s workplace-sponsored insurance company denied that the new limb was medically necessary.
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