My sister was inbetween health insurances in her job , and of course , needed emergency gall bladder surgery . The surgeon wanted $ 4000 , they agreed on $ 2000 . She had the surgery , and when she told me the cost , as a Medical Biller I advised her that ins co have fee schedules and would pay between $ 500 and $ 900 depending on the co.

Question: Why is it necessary to say " of course " my sister needed surgery ?
Answer: It indicates she had to take care of it before she had insurance because insurance wo n't ever cover it ..It means that you ca n't use insurance for Gall Bladder ." Of course " indicates that it is sarcasm and very sad .None of the above choices .