Refusal to give reasons for the denial may suggest that a good reason does not exist. Some reasons must be offered or the decision-making process cannot be subjected to the necessary scrutiny. The kind of research and monitoring of AT that is necessary would be burdensome for most state governments. It is unlikely that any one individual could do produce major change on a private or voluntary basis. However, people and groups with common interests and shared concerns can combine their resources to provide the grass roots, citizen-based oversight that is needed.
Today there are many organizations engaged in the managed care evaluation process.
While different groups have different grievances with managed care and with particular MCOs, many share the desire to make managed care more responsive to consumer demand and to legal control. No one should suggest that if people with disabilities get AT, senior citizens would have to go without prescription drugs in order to make up the cost. Legal resources can be helpful. The recent involvement of the American Bar Association in the provision of free legal assistance to children recently cut from the SSI roles suggests a number of important possibilities for their future involvement. Attorneys can help as well.