Before I start this story, the answer is 'yes,' the story is true. It sounds like something someone would make up as a story as to why the system is broken, but it's not.
Case Manager: "Yes, sir, did you want to talk with me?"
Patient: "I just wanted to complain about something."
Case Manager: "Okaayy..."
Patient: "Before I moved here (to our state), I looked up online which states get the largest proportion of federal funding for welfare and Medicaid. I am very disappointed so far in the amount of assistance I have received."
Case Manager: "Well, we are a very poor state, statistically. What assistance were you applying for?"
Patient: "I have a place to live and my application for federal housing was turned down because of that. I was denied welfare because I haven't had a job in several years and couldn't prove my income qualified."
Case Manager: "Well, I won't be able to help you with any of that."
Patient: "Well, I need you to get all my medicines for free. I need you to call all the manufacturers of the medicines they are putting me on and get them to give them to me for free. I also need you to write off this visit to the hospital so I don't have to pay for anything."
Case Manager: "Sir, I cannot do that."
Patient (continuing): "I need you to call Medicaid and tell them that I qualify."
Case Manager: "Well, I can help you with the application..."
Patient: "I really want to tell you how disappointed I am about not being on welfare by now. It's not right that I have to wait like this."
Ok, I left a lot of this conversation out because there is a lot of backstory I won't go into, but the gist of it is this: a HEALTHY 40 year-old man left his home state and came to ours SPECIFICALLY to live off the government for the rest of his life. He had worked manual labor for most of his life, had zero disabilities and was upset that this kept him from getting all the free money he wanted. He had not worked in several years because he didn't feel like it, not because of a shortage of manual labor jobs out there (he said this).
These people, while a very small minority, actually freaking exist. The only redeeming part of the story is that the federal aid office saw through his B.S. and refused him most of the aid he claimed he deserved.
Patient: "That's not right."
You're right sir, it isn't. I'm just glad this is the first time I've ever truly encountered someone like this. We complain about patients who feel entitled all the time, but most of them can be simply laughed off because we know they won't get what they want or if they get it, it's not something that matters. This guy might not, but if he persists, eventually he'll find a loophole that will allow him to live off other people's efforts and he will do this because he thinks he deserves it by virtue of his birth. A sad existence, to be sure.