Today I'm thinking about how getting disability benefits is so much harder if you don't have access to financial resources and/or good insurance.
I'm currently filling out a short questionnaire to evaluate whether they're going to initiate a full medical review.

I have 30 days to complete it (minus the time it took getting delivered, thanks this administration)
My dad is helping me with the form, and also we're getting a letter from my GP summarizing my current health issues and reasons why I can't work.

But if you're going to a free clinic? Lol those doctors mostly do not have time for this kind of paperwork.
Like I consider myself lucky that I have found a psychiatrist I don't hate who takes my insurance

But she's part of a big hospital system so if it's pretty impersonal, and her office explicitly does not provide documentation for disability benefits or worker's comp
Also, it usually takes a week or two (at best) to schedule an appointment with a doctor, plus then they have to write a letter and get it to you. Within 30 days is pushing it. https://twitter.com/UntoNuggan/status/1321887291883855872?s=19
Insurance doesn't pay for doctors to write letters to help you stay on disability benefits, or fill out pre-authorization forms for expensive medications, or write a letter to HR about what accommodations you need to work
Last time I had a medical review, I had to meet in person with a private contractor hired by social security to evaluate my mental health, because I didn't have a psychiatrist willing to write a letter on my behalf. https://twitter.com/pyrrhl/status/1321889185314283521?s=19
In my area, if I wanted to see a private psychiatrist it would cost roughly $400-500 for an initial consultation and roughly $175-200 for every follow up visit. Plus I'd probably have to pay them for time spent writing a letter documenting my disability.
Consider how much harder it is for marginalized people to get a doctor to believe that we're actually sick. Consider how many doctors are loud about patient being "malingerers" or "anxious"

Now consider how hard it is to find a Dr who will document that you're too sick to work
What happens if you have an HMO and the doctor won't refer you to a specialist so you can simply get a diagnosis

Much less ask that specialist to document how that condition affects your ability to work
People think qualifying for disability is purely about how disabled you are

But a lot of it comes down to if you can pay for a lawyer, or fancy tests, or how privileged you are (wrt race, class, gender, sexual orientation, etc etc)
When I went in for my disability review, the interviewer said he was going to tell SSA I was "very honest"

I mean, I am? But also we all know white people get the benefit of the doubt, and I am 100% certain white privilege played a role in my disability review going well
Exactly this. For every test and scan and durable medical equipment and pre-authorization and accommodations letter. https://twitter.com/loafingcactus/status/1321893578549972992?s=19
One of the questions on my mini disability review questionnaire is about whether I've been to a doctor since my last review, when, and what for

But if you're too sick to go to a doctor regularly or have med trauma or can't afford it? https://twitter.com/JentoInfinity/status/1321894907515150337?s=19
[disability benefits]

My friend applied for disability benefits and while they were waiting for the endless bureaucracy, they went on a bucket list trip before they became too disabled to go. Wheelchairs were involved.

The judge used this as proof they were still able to work
[disability benefits]

Yup there are all sorts of reasons for not getting medical treatment, but social security just assumes it's because you're not "really disabled" https://twitter.com/JentoInfinity/status/1321897331504123906?s=19
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