For instance, the orthopedist who specializes in hip replacement may not be on your insurance plan. Or the plastic surgeon who gets the best cosmetic results with his breast reconstructions after mastectomy may not be covered. Patients on this plan had to drive to another city to have this test performed. Obese patients may have difficulty getting tests, too, since many MRI and CTScans have weight limits, and if you weigh over 300 pounds and your HMO has an exclusive contract with one radiologist there is a chance that you may too large for their machine. Speaking of the obese, this is another group whose needs are not met by most managed care plans.
Obesity is a real medical problem for some people.
I am not talking about people who do not like the way they look in their bathing suits. I am talking about people who weigh twice as much as they should or more. These people run the risk of developing severe medical problems including diabetes, high blood pressure, crippling arthritis of the hip, knees and ankles, and even, in some extreme cases, fatal heart and lung disease. Dieticians can be difficult to see, unless you are a diabetic. Forget about seeing a nutritionist to discuss a weight loss diet.