By skyforbes My psychiatric diagnoses haven't been updated in almost 15 years, despite clear changes in my issues. My psychiatrist just stares blankly at me while I talk and then says "so keep same?". That's usually the whole appointment.
Therapists covered by Medicaid also just stared while I talked, offering a few sentences of support and that was it.
My PCP offices don't really want to deal with anything outside a checklist of 13-14 medical problems and often refuse to give referrals outside those problems.
Local ERs don't really seem to care if I live or die the next day, just making sure I'm not going to die the same day.
Providers aren't rude but 'good bedside manners' are non-existent and I've only had a single provider do the sorts of things that constitute that like sitting down at eye level and at least pretending to be interested, and that was before Medicaid.
I've never had a dentist follow-up with me outside appointments about anything important, even if I request it, even for referrals.
Luckily I'm young and so my immune system and stuff is good but if I were old and my body weren't able to handle various issues I don't know how I'd cope.
And lastly i don't know if this is the fault of what Medicaid covers or if health care in general in the USA has gone down the tubes.