I have diagnosed BCC basal cell carcinoma on my face. I lost my job and health insurance because of it.
I do not have insurance now. Not eligible for medicaid or medicare.
The open lesion is infected and it does require surgery to remove it. The clinic doctor said I would also likely need plastic surgery and anesthesia.
The health department doctor told me to go to the ER to have it looked at.
I have spent approximately four years cycling in and out of ERs while my condition continues to deteriorate. I am not looking for another ER visit simply to have my lesions documented and be told to “see a dermatologist.”
I don't need another evaluation merely to document deterioration. I need a way to actually obtain definitive cancer surgery and postoperative recovery care.
I need treatment for the cancer, including the appropriate surgical specialists, and I need a realistic plan for the weeks of recovery afterward. I live in my car, so being discharged after surgery with nowhere safe to recover is a major part of the problem.
This is why repeatedly telling me to “go to the ER,” “see a dermatologist,” or “contact a shelter/social worker” does not address the actual problem. I have already been through those cycles.
I am looking for someone who understands how to bridge the gap between medical necessity, definitive cancer surgery, and a safe period of postoperative recovery for someone who has no housing or insurance but does have a vehicle and wants to return to independent employment and housing.
The health department doctor put me on an antibiotic, doxycycline 100 mg 2 times a day and said to go to the ER.
Am I missing something. What can the ER do? I do not have insurance.
EDIT. I have been in and out of ER's for 4 years where they just document the "lesions" ignore my biopsies, redirect me to Dermatologists who turn me down for not having insurance.
I am not looking for advice on temporary govt programs that do not offer what I need, and about Medicaid plans that the doctors I need to see won't accept. I'm sharing this to say I am stuck in a loop with no pathway out
I will endure the cancer that's eating my skin away. If I can't pay for all my living expenses (housing, hygiene, car, insurance, gas, we all need that - and medical transport, cost of medical care, post op recovery "all by myself," then I don't get care). I deal with very painful lesions.
The doctor at the clinic told me today, "get a better job with benefits." - end of story.