Ashlee Vance, “For Speech-Impaired, Insurance Fights Remedy”, front page of the NYT, September 15: SAN FRANCISCO — Kara Lynn has amyotrophic lateral sclerosis, or A.L.S., which has attacked the muscles around her mouth and throat, removing her ability to speak. A couple of years ago, she spent more than $8,000 to buy a computer, approved by Medicare, that … Continue reading Perverse consequences