Quote:
Originally posted by lendaddy
With all due respect, how would you know this? How would my situation have been different in your state? Don't get me wrong, I'm a big fan of the great experiment so if your State has a better solution all the better.
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I don't know if your situation would have been different in RI.
What you describe is a guy with a pre-existing condition that made his condition more severe due to a work-related injury. I must say that I have no idea how the arthritis plays into this, as I don't believe there is a surgical remedy for that, and he was paid the cost of surgery. There are hints that he may be a malingerer, but you have given us nothing solid in that respect.
Your lawyer appeared to accept the bona fides of the worker's claim with no objection. That tells me a lot. So far the system appears to be working exactly as intended. He hurt his hand on the job and wants it fixed. No pain and suffering, no outrageous lawyer fees, just medical expenses to cure his work-related injury, with a small fee to his lawyer.
Your problem is paying for a $30k surgery that is medically necessary but you suspect the guy will never have. I understand that, but hardly evidence of widespread fraud and abuse.
Should they make him get the surgery if he gets paid for it? Not a bad idea ... but no reason to throw out the entire system.