She’s a cult leader - better than you - more moral - and fully willing to put your ass in a re-education camp oven, er, classroom.
CEO of United Healthcare gunned down in midtown Manhattan
- Thread starter Thyrsis
- Start date
A very moist chocolate cake.
Perhaps you have no experience with moist things?
Leftism is the most violent cause on earth.
CNN has a story up of people detailing their insurance denials. The one I specifically want to mention is a guy with nodules on his lungs, his doctor wants an MRI to see if it is cancer. Insurance denied it. Lung cancer is very serious and needs caught ASAP. I can understand his frustration, he is an EMT so he has to be aware. The thing is, he is from Colorado. CO was certain insurance in CO couldn't have bad denials. I don't know how this could be anything but. A quick Google suggests regular scans to determine if they are growing or changing shape is SOP .
It would be nice to have a system where the doctor and patient determine treatment, not bean counters.
On the other hand, the article also has a poll by Kaiser, 81% of Americans believe their insurance is doing at least a "good" job.
It would be nice to have a system where the doctor and patient determine treatment, not bean counters.
On the other hand, the article also has a poll by Kaiser, 81% of Americans believe their insurance is doing at least a "good" job.
Crazy legally, no. Sounds like he had a serious back problem, probably had a botched surgery and then got denied coverage for any further procedures. I've heard of people killing themselves after dealing with chronic back problems. Most would consider suicide a non rational action... But severe chronic pain can send people into some dark places
He probably took Iron Heel very seriously.
If a doctor orders something deeming it medically necessary that should be the end of the story. That story is awful.
Saw it mentioned here that insurance denials are up 26% since 2016.
Luigi Mangione's chronic back pain likely 'escalated' homicidal thoughts, board-certified neurosurgeon says
Neurosurgeon Dr. Betsy Grunch, aka @ladyspinedoc, explains how murder suspect Luigi Mangione's possible chronic back pain could have led to suicidal or even homicidal intentions.
Yeah that’s a lot. And you lose in the meantime. So you get a denial letter for treatment. Request review. Go get your records. Set up a meeting with your Dr to pen a ltr to the carrier. Then wait. Then probably denied again. Then probably some kind of reconsideration where you go find more support, somehow, then submit that, then wait again. Then get denied. Then go find a lawyer. Explain it all. Hope they’ll take the bad faith case. Then litigate. God knows how long. In the interim your shit metastasizes and your hope for care is lost and you’re just hoping to stick it to them so you can leave dough for your familySaw it mentioned here that insurance denials are up 26% since 2016.
Luigi Mangione's chronic back pain likely 'escalated' homicidal thoughts, board-certified neurosurgeon says
Neurosurgeon Dr. Betsy Grunch, aka @ladyspinedoc, explains how murder suspect Luigi Mangione's possible chronic back pain could have led to suicidal or even homicidal intentions.www.foxbusiness.com
The doctor and the patient can determine treatment. Always.
The question here is: who pays for it?
I find all the media now coming out in the wake of this murder regarding insurance denials, etc. pretty troublesome. Given the timing, I feel a whole lot of people are going to feel this murderer was justified in doing what he did. Some people are already claiming his action single-handedly changed the anesthesia policy of the company.
This is going to incentivize more of these killings. People like Taylor Lorenz, et al. are not only acting morally grotesquely, they are acting very, very irresponsibly.
Here's hoping we aren't facing a recession anytime soon.
true but
ins co often interject themselves into treatment decisions by outright denying approval or only allowing lesser options.
pts then being forced into a corner just give in
additionally, this comes only after having to jump thru multiple hoops , paperwork and red tape
i fully believe every ins co has a bean counter sitting in a back office somewhere with a calculator saying " if we delay , deny, fvck with this plan/claim by X many days/months then X % of people will just give up
and it just keeps getting worse
i don't know what the answer is
They do have those people and have that policy, which is illegal in many states. If it's not, pass explicit laws making it so.
But then we need enforcement. State AGs could do this, but they are typically headed by stupid politicians who also accept campaign contributions and want higher office. Most state AGs are feckless.
So we've turned over the enforcement responsibility to the private sector. That's people like me. But we work on contingency and these cases are expensive and difficult and insurers do the same thing in court (deny, delay, etc.) that they do to policies. They and their lawyers are very good at it. And judges, by and large, let them get away with it, dismiss cases, deny class cert, etc.
Of course, when and if a lawyer actually succeeds, then people complain about the fee he gets.
So one easy (in terms of getting it done) answer is: pass procedural laws that allow easy class certification, easy access to discovery, and confirms easy pleading rules (they actually already exist but judges don't follow these last ones very often). Turn the contingent fee bar loose on them. You'll get what you want--but it will cost you and everyone else, because premiums will be higher. This solution would allow you to keep the profit motive in the healthcare insurance industry if you think that is of paramount importance.
Sure. If your head is all the way up your ass. Is it?
Socialist UPenn professor hides social media after celebratory post about CEO murder suspect goes viral
Liberal academics appeared to celebrate the murder of UnitedHealthCare CEO Brian Thompson on social media and shared posts defending the murder suspect.
Doesn’t seem like an issue trump and the clan care much about
Identity politics breeds this
Race versus race
Sex versus sex
Class versus class
Then “we” get to kill “them” and be part of the Hero Class.
Every healthcare system is a system of compromises. We are not doomed - that’s loony speak.
The middlemen need to be written out of existence. The middlemen are adding extreme costs into the system - especially on the drug side.
They have laws, I've posted this one before:
Health Insurers Have Been Breaking State Laws for Years
States have passed hundreds of laws to protect people from wrongful insurance denials. Yet from emergency services to fertility preservation, insurers still say no.
It is hard to write a loophole-free law. These companies have very good lawyers to find said loopholes.
Denials are supposed to be signed off on by a doctor at the insurance companies. There are doctors out there signing off on tens of thousands. In other words, an algorithm is doing it. Not what the law is. The article below has a former doctor at Cigna saying it takes 10 seconds to sign off on 50.
How Cigna Saves Millions by Having Its Doctors Reject Claims Without Reading Them
Internal documents and former company executives reveal how Cigna doctors reject patients’ claims without opening their files. “We literally click and submit,” one former company doctor said.
They have laws, I've posted this one before:
Health Insurers Have Been Breaking State Laws for Years
States have passed hundreds of laws to protect people from wrongful insurance denials. Yet from emergency services to fertility preservation, insurers still say no.www.propublica.org
It is hard to write a loophole-free law. These companies have very good lawyers to find said loopholes.
Denials are supposed to be signed off on by a doctor at the insurance companies. There are doctors out there signing off on tens of thousands. In other words, an algorithm is doing it. Not what the law is. The article below has a former doctor at Cigna saying it takes 10 seconds to sign off on 50.
How Cigna Saves Millions by Having Its Doctors Reject Claims Without Reading Them
Internal documents and former company executives reveal how Cigna doctors reject patients’ claims without opening their files. “We literally click and submit,” one former company doctor said.
Oh yeah.....
I'm
familiar with that...
Routinely had some failed cardiologist in PA denying oncology therapies that he most likely knew little or nothing about..., in the evident hope that I wouldn't appeal his findings...
I always did (appeal) and always won... It was an exercise in frustration initially however...
I'm just blessed he wasn't able to "time me out" which may very well have been the plan (I've become a bit of a cynic in my old age),,,
i was younger i think i'd just say fvck it and go cash only
be like doc adams on gunsmoke.......take a couple chickens, apple pie or whatever
