Nine years ago, Medi-Cal saved my life. I was diagnosed with thyroid cancer, and could not pay for my care. Medi-Cal covered two surgeries, two hospital overnights, two diagnostic outpatient visits, an examination and consultation with a prominent oncologist, and the coordinative work and monitoring laboratory work of my primary care provider, who was proactive throughout the experience. My surgeon operated twice, because the foci of cancer in the second lobe were submicroscopic at the time of the first surgery, and he concluded from the slides he examined microscopically that this lobe was healthy. It is good surgical practice not to perform a complete thyroidectomy, when one lobe can remain and do the work of both. When, months later, the foci of carcinoma in the remaining lobe became microscopic, it was clear that this lobe, too, needed to be removed. I asked this well-thought-of young surgeon what motivated him to do such conscientious work for such a low rate of reimbursement under Medi-Cal, and he said, “ love.” Those were the high and palmy days of Medi-Cal, when increasing numbers of specialists were not taking Medi-Cal patients but the perception was, still, that the best doctors considered such a denial of service unconscionable.
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