Canada: Long-haul COVID patients battle for disability benefits, says lawyer

‘The problem that the long-haulers have is that there is no established diagnostic criteria for this, there’s no testing,’ says Barrie lawyer Steve Rastin

As the medical community struggles with how to address lingering health issues related to COVID-19, those patients  known as long-haulers  are struggling with more than just their health.

Barrie-based lawyer Steve Rastin says a battle is brewing between those with long-haulers who have been unable to work and are looking to use their benefits to survive, and insurers refusing to pay up.

A year-old British study found that 10 per cent of those who have been infected with COVID-19 are believed to have symptoms that do not resolve over the subsequent months, describing it as a multi-system disease.

But Rastin figures that could be the bottom end of the scale  an American study suggests it could be up to 30 per cent.

But even at 10 per cent, that represents 140,000 Canadians of the 1.4 million infected with COVID-19 who could be long-haulers.

Their struggles with insurance companies over benefits have already resulted in lawsuits.

“We don’t have a working definition of long-haul COVID” outlining how long a patient has symptoms before they’re considered long-haulers, Rastin said. “There’s not one unified set of symptoms for everybody.”

Long-lasting symptoms often include fatigue and brain fog. But some people have also complained of muscle aches, shortness of breath and/or gastrointestinal issues as well as other medical problems.

A local respirologist earlier told BarrieToday that the symptoms are varied and the medical community is stumped about how to deal with the underlying cause of all the problems.

Some with lingering symptoms who have been off work for an extended period have been hitting a brick wall as they apply for long-term disability benefits. Rastin says insurance companies want proof that the applicants are indeed ill and unable to work.

“The problem that the long-haulers have is that there is no established diagnostic criteria for this, there’s no testing for this… a lot of insurance companies are requesting objective evidence,” he said.

Susie Goulding, who launched the COVID Long-Haulers Support Group Canada, which now has about 14,000 members, says that lack of definition of what makes a long-hauler is the problem. Insurance companies have relied on that “loophole” to prevent disability payouts, she says.

“They’re denying claims left, right and centre,” Goulding said. “Because there is no definition, these insurance companies don’t have any code to write off of.

“The people who haven’t been supported throughout this whole pandemic are the people who actually have been affected by the virus directly, who have the virus and who aren’t able to work. They’re falling through the cracks,” she added.

Goulding, who had the virus during the first wave, is critical of Canada’s national health system, which only acknowledged long-lasting COVID-19 symptoms in recent weeks, much later than other countries, she says.

In a July 7 statement, Canada’s chief public health officer indicated the prolonged or recurring symptoms, it referred to as Long COVID, are recognised by the World Health Organization as “post-COVID-19 condition.”

Initial findings led by the Public Health Agency of Canada indicated that most  83 per cent  of laboratory-confirmed COVID-19 patients continued to experience one or more symptoms within four to 12 weeks and 56 per cent beyond 12 weeks.

Read more at  https://www.bradfordtoday.ca/local-news/long-haul-covid-patients-battle-for-disability-benefits-says-lawyer-4203667