After watching the program last night, I tried to think of one of my patients who is on disability
who is actually"disabled".....Other than than Bipolar ones, I could not think of one
I used to do intake psychosocial assessments at a for-profit psychiatric hospital. We generally catered to the Medicaid/Medicare population, most of whom were severe chronic drug addicts clearly in need of detox/rehab--yet we always found some creative (or fraudulent) way to manipulate the clinical information so they could meet criteria for inpatient psych LOC. (And so the hospital could make tons of money by billing whichever ever public assistance program happened to manage the patients' care.)
Anyway, we had droves of young patients (early 20s to mid-40s) who were on SSI ("total" disability) for a ludicrous variety of nonsensical etiologies. As part of my assessment, whenever I noticed that any young, healthy-looking person of working age was covered Medicare, I invariably asked each of them the same question, "What is your disability." This is a very legitimate question--and let me tell you, the answers people come up with speak volumes!
Over half of them had absolutely no idea whatsoever about the identity and/or the nature of their documented medical condition(s) which qualified them as disabled.
And even more disturbing.....I'd estimate that close to 25% of them had never even realized that, in fact, they were indeed suffering from a "disability"! (I had to bite my tongue every time one of these patients rudely hastened to dismiss my question, usually with a stank attitude and an indignant outburst along the lines of, "I ain't got no f-ing disability!"). For the sake of clarity, I always took my time to clearly inform them that they were mistaken, and to point out that, by virtue of the fact that they had already been a long-term Medicare recipient by the age of 26, they were considered ipso facto to be officially and severely disabled.
Who knew that a low-speed fender bender, which took place seven years ago in a parking lot, could have such devastating permanent effects on both the mind and body? Go figure...