Very far from the only working one. I have a working one, for now, but we don't know how much longer I will be here because I am currently dying from a government paperwork error that nobody in government has the authority to fix.
Long story short, my Medicare records got screwed up. Some database entry isn't in the correct state that allows their processes to proceed. None of the humans I can get in contact with has the authority (or knows anyone with the authority) to manually correct the record, because that would be outside of their processes. Since the record isn't in a valid state, my access to medications I need to stay alive is being cut off. The retail cost of the just one of the medications is more than 100% of my income.
Have you contacted your US senator or US representative? They can often clear up these kinds of issues by locating the single person in government that you actually need to talk to.
I wonder what would happen if you contacted your representative's political opponent, esp this being an election year. You might be able to use the leverage from the opponent to make the incumbent fix the problem.
Currently looking into overseas mail-order. I'm too far from Mexico or Canada to drive there; I haven't considered darknet/alibaba because if I get sold a fake, I won't be able to tell without lab tests, and I can't afford the lab tests. There's also some concern that by the time I have negative lab results that would indicate a fake it may be too late to save the kidney anyway.
You need to talk to an attorney, as this understanding is incomplete. Parties can and do sue the federal government all the time. Look at the Supreme Court decisions this week alone which include several cases against the United States.
But I also suggest physically going to your congressperson’s office (the local one in your district, not DC) and explaining the situation. Instead of calling/waiting for a response.