From ginmar

"There's a young woman named kill. She has a very bad spinal condition that has afflicted her in every aspect of her life; working, studying, exercising, just living. The pain is horrible and she needs surgery for it. However, as much as her spinal surgeon argues with the insurance company, the insurance company will not agree to pay for the initial operation. Because her spinal condition causes her such pain and movement restriction, she needs to have weight loss surgery before she can move on to having spinal surgery, which her insurance will cover. But they will not cover the weight loss surgery. They say it's cosmetic. In fact, it's necessary before she can have the spinal surgery. The spinal problem is what caused the need for the weight loss surgery. It's a vicious circle of the sort only a dedicated bureaucrat could come up with. As rm--who knows kill in real life---says, "The internet has saved houses, cars, and more. What about a life?""