Feeling that wave of disappointment wash over me

A letter from a doctor to United Healthcare's Appeals and Claims Disputes Department, visibly angry and sarcastic, complaining about denying anti-nausea medication for a child on chemotherapy. The letter is addressed to 'buttheads at the insurance company' and mocks their decision, suggesting the child's nausea is 'all in his head' and that the company saved money by denying coverage. The text is overlaid on a scanned document with some redactions and a dark social media post interface.

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