🔧 Skill Level: Intermediate
🧠What This Tool Is
This guide is your survival map for navigating—and resisting—the newest attack on your right to medical care: the CMS pre-authorization expansion rule. They’re branding it as a time-saver. But don’t be fooled—this is an efficiency scam that dumps care delays, privacy invasions, and administrative chaos onto patients and small clinics.
This isn’t reform. It’s repression in a lab coat.
🚨 Why It Matters
Pre-authorization isn’t new, but CMS just supercharged it. Previously simple, routine services will now need government or insurer permission. That means:
- Fewer doctors can afford to stay independent.
- Patients will wait weeks—or months—for treatment.
- Insurance companies will follow CMS’s lead and do the same, all while raising your premiums.
- Every step of your care will now be logged, tracked, and sold in the data marketplace.
- Clinics serving marginalized and rural populations will be the first to shut their doors.
This rule weaponizes bureaucracy to collapse small providers and commodify your care. If we don’t resist now, this will become the industry standard.
🛠️ Step-by-Step Instructions
Step 1: Know If You’re Affected
Check with your provider if they accept Traditional Medicare. If yes, ask how this new rule will impact their ability to schedule and provide services. Ask directly:
“Will I now need pre-approval for care I didn’t before?”
And if they say yes—ask what their plan is, and whether they’ll keep their doors open.
Step 2: Protect Your Privacy
Demand written documentation of where your data goes during the pre-auth process. Use encrypted email to communicate with your providers (ProtonMail, Tutanota), and opt out of data-sharing programs whenever possible. Ask your provider not to release more info than is strictly required.
Step 3: Pressure Elected Officials
Use tools like resistance.directory/links/ to contact your House Rep and Senators. Tell them to reverse CMS’s new rule and protect provider autonomy. Scripts help, but fury is welcome.
Step 4: Share Your Story
Delays, denials, outrageous billing for “non-authorized” care—collect it all. Share it publicly (or anonymously) through Resistance Kitty or legal aid groups like Speak Up for Justice. These stories build lawsuits and sway public opinion.
Step 5: Support the Survivors
Find small clinics, therapy offices, or mutual aid networks in your area and support them financially if you can. Leave public reviews. Recommend them. Help them transition to cash-pay or sliding-scale models if they’re ditching insurance.
Step 6: Raise the Alarm
Use flyers, zines, stickers, blog posts, and protest signs to spread the truth:
“CMS Isn’t Saving Time—They’re Killing Clinics.”
“Pre-Authorization = Delayed Care, Denied Lives.”
Distribute in pharmacies, hospitals, waiting rooms, and health events.
đź–¤ Resistance Means Care
Health is not a luxury. Access to a doctor shouldn’t come with a permission slip. CMS’s new rule is an act of policy violence that will cost lives. It’s a war on working-class survival, and your resistance starts now—with your voice, your story, your refusal to comply with corporate deathcare.
Meow means protect your community. Claw back your care.
#Revolution2025
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