The laws were also the start of a private equity gold rush. Both laws forced private insurance companies to cover mental health care-including anorexia-as they would any other condition. That seemingly changed with the passage of Mental Health Parity in 2008, followed by the Affordable Care Act four years later. That stereotype was often a self-fulfilling prophecy: Few insurances covered ED treatment, so only the wealthy or those willing to mortgage their homes could afford care. “But such a disease is affecting the daughters of well-to-do, educated and successful families.” Just a few decades ago, eating disorders were considered obscure illnesses “that selectively befalls the young, rich and beautiful,” Hilde Bruch, a physician who treated anorexia at her private Houston clinic, wrote in her 1978 book The Golden Cage. “They would hear that she had Medicare and Medicaid, and the conversation would just be over.” “They would hear that she had Medicare and Medicaid, and the conversation would just be over,” Kendall says. ![]() But Baker kept running into the same problem: No facility that provided the long-term care that Farmer needed accepted Medicare or Medicaid. Now so frail she could barely breathe, Farmer asked her best friend to find a clinic that could help.
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