Health insurance risk

 

Is Medicare Risking Our Vision?

By freelance author Andrew Lawrence

That's me

As a senior citizen, in late May 2026, I went to my eye doctor, a prominent eye surgeon, as I had blurry vision in my left eye. I knew what to expect because I had cataract surgery on my right eye years ago.

They did lots of tests at the office and the doctor told me I had a thick cataract, and it would cost me $1,000 to have it removed. $1,000?  “Why?” I asked. He didn’t respond and scheduled me with an associate doctor who would do it for no additional cost. I was confused. And nervous. I trusted this surgeon and did not feel confident about another doctor doing surgery on my eye.

Why should necessary laser eye surgery cost me money out of pocket? I had Medicare. And supplemental insurance with Blue Shield of California. Laser eye surgery is common; shouldn’t it be covered? The eye doctor’s office person told me that the laser surgery technique they used was not covered.

I called Medicare. They told me that it is covered. Now I was very confused. I asked Medicare. “Then why is my eye surgeon charging me $1,000?” They didn’t know. Was my prominent eye surgeon charging me an extra $1,000 because he was a prominent eye surgeon? Was Medicare wrong and this laser surgery was not covered?

I decided to investigate further. I wanted to, had to, solve this puzzle because my vision was at risk.

Days later, I called my eye surgeon’s office again. The representative explained the issue further. Prominent surgeons use a technique known as Femtosecond Laser surgery for cataract surgery. It is bladeless, very precise, and safer than the old cataract surgery. They said it was not covered by Medicare. I asked, “Why not?”. The representative responded that she didn’t know. I asked, “How long have up-to-date surgeons been using this laser technique?” She said, “10 years or more.”

I was stunned. This latest, better cataract surgery has been practiced for a decade or more and Medicare does not cover it? How could that be?  According to Google AI, “Femtosecond laser-assisted cataract surgery (FLACS) has been practiced for about 18 years.”  That being the case, why isn’t it covered by Medicare?

I called Medicare again. The representative said they did not know why it was not covered. I responded, “Well, shouldn’t it be? How do I get this covered? Who makes these decisions?  The higher-ups?” The Medicare rep could not help me.

As my vision was at risk and, on behalf of 60 million Americans over the age of 65 who may face cataract surgery, I decided to contact the top official at Medicare and try to get this procedure covered ASAP. I went online to the Medicare website to get that person’s email contact. There was no email contact for ANY of the Medicare executives or services. What, no email support? OK, then I would contact the government agency that oversees Medicare: the U.S. Department of Health and Human Services (HHS). Headed by Robert F. Kennedy, Jr. There was no email address for contacting them either.

That leaves me with contacting the White House, and President Donald J. Trump. They have a contact form on the White House website. As this is a critical medical issue, potentially affecting 60 million Americans, I will send a message to the White House.

By not updating to modern medical/surgical technique coverage, is Medicare putting our health as seniors at risk? Putting our vision, YOUR vision, at risk? Is that what’s happening in America’s 250th year?

 

Andrew is the author of 20 self-help books, including the Elderly Diary. www.ElderlyDiary.com