by Lisa Gesson
If you read my article last month on the written follow-up letter, you might remember that I suggested different letters for dealing with being ignored and receiving a negative response. Those letters should be written differently. After sending a letter, however, there is little difference between being ignored and receiving a negative response.
You made a polite verbal complaint, you wrote a brief follow-up letter and now what? At this point, these are the scenarios you are dealing with: They said they would take care of your problem, or they ignored you or they gave you a negative response.
They said they would take care of your problem. Great! But now you need to be vigilant and make sure that something happens. Make sure that the work they promised to do, whether it was building a ramp, removing a restrictive sign or implementing a new policy, gets done in the timeframe promised to you, or ask what has slowed the process and what will be the new date of completion.
They ignored you or gave you a negative response. This is a very frustrating situation, but don’t lose hope. You can try calling again, and if you still get no response, go over this person’s head. Send the head of the organization, office or agency a letter outlining the situation and enclose a copy of your original letter. (Never send the only copy!) If your first letter was already to the “big boss,” it may be time for you to look elsewhere for advice. Contact the Advocacy Program at United Spinal Association for advice on your particular situation; every problem is as different as every individual. We’ll do our best to advise you on the next course of action, and work with you to find a helpful solution.
Moving Forward
Whatever the resolution, please be sure to share your successes and challenges with others. The best advocates share advice, both giving and taking, from others. If you have a problem, chances are, others experience the same or a similar problem, maybe even with the same person. Don’t forget that someone lived through this problem before you, others will deal with it after you and you can help alleviate other people’s difficulties by sharing and modeling your advocacy skills for newer advocates. Even if you did not get the problem completely solved to your satisfaction, using these skills to help others with their problems means that you are achieving a positive and remarkable impact. That makes you a forward moving advocate. Congratulations!
Lisa Gesson is a Regional Advocate.



Hi Lisa Gesson,
After doing things the way it is suppoded to be done. Red flags started going off. And, while being partially disabled from 1995 to 9/07 gave me a decent peek into the fight of a fully disabled person… In 9/07 I would become 100% disabled, and let me just say, I had no idea.
And, now I have a Good News David takes on Goliath and David wins story to tell… Except my writing is iffy at best, and being in constant pain makes me mess up, and repeat stuff… So I end up making more of a mess… So here is the short of it…
Aetna my medical insurance, denied my providers, and even my appeal letter… Instead of falling apart, I did panic, and get sscred. I tried asking for help all over.. Non, would come…
4-25-08 Operation Keep My Independence started full force… And, on 4-30-08 the top most Director of Medicine for Aetna as well as a person he used to talk to me, heard my requests loud and clear. They called me about 9.30 AM that day, and by 2.24PM he overturned the denial based on solid facts.
What I was appealing for: TiLite ZRA configuration the best possible for my needs… And, Spinergy rear drive wheels… The next day I got the Autherization number, and my measurements taken, and the orider placed.
What the medical insurance industry was not ready for was for a layperson like me to actually know how it wored from all sides. As well as I knew my rights as a patient, customer, and person. I also could read, and fully grasp the ERISA stuff… And, nothing sadly was in place to prevent, or protect a person from what I was facing… In fact I need to locate someone who would like to help me write my book on how in four days I took down goliath, and I have never had more fun in my life.
Wheelman
Proactive Patient & Advocate
Now I need some means to share…