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Feds help health insurers hide their dirty secret: denials on the rise

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Re: Feds help health insurers hide their dirty secret: denials on the rise

#71

Post by seneca »

boxed wrote: post #58
TimTheTinker wrote: post #41

Earlier quoted context omitted.

In the 20th century, I think the death sentence was only ever applied for first-degree murder and for treason. A claim denial that results in denial of life-saving treatment could never be counted as either of those charges.

> A claim denial that results in denial of life-saving treatment could never be counted as either of those charges. First-degree murder is when you willingly, and with forethought, plans and carries out the killing of a human. Which seems to me to be 100% what you described.

Denying a claim can not kill someone. Disease and injury killing a person. Claim denial prevents financial support for intervention in resolving a disease or injury. That is not the same thing, and equivocating them is sophistry.

Re: Feds help health insurers hide their dirty secret: denials on the rise

#72

Post by Miner49er »

It shouldn't even be legal for health insurance providers to deny claims. It's essentially them practicing medicine without a license, because they're making calls about what healthcare a person needs or doesn't need, only a person's doctor(s) should be able to make those decisions.

Re: Feds help health insurers hide their dirty secret: denials on the rise

#73

Post by OutOfHere »

xyzzy4747 wrote: post #48
mrbungie wrote: post #33

Earlier quoted context omitted.

The point here is that "democratically passed legislature" is not at people's service.

It's the least bad system.

It's legalized corruption to the max. It's the worst implementation of the least bad system.

Re: Feds help health insurers hide their dirty secret: denials on the rise

#74

Post by tommilburn »

garciasn wrote: post #47

I was just denied a colonoscopy as not medically necessary by UHC, coincidentally three days before their CEO was killed, because they don't want me to have anesthesia to do it; they argue I should be awake. When I called to refute the denial, which was denied, I asked them to find the person, if it was a person, who denied it and shove a tube up their ass without anesthesia and then reassess whether it's medically n…

that's insane! everyone should get a colonoscopy, and i believe they're recommending them for people over 40 if you meet certain risk categories

signed up for an account with my real name to share a doc i've been working on for a long, long time now - i've had UC since high school, and have written an extensive guide of what i've learned, if it helps you or anyone else you know who might be getting scoped:

https://docs.google.com/document/d/1bTW2rdF744woSPpFsUeSaFYa...

Re: Feds help health insurers hide their dirty secret: denials on the rise

#75

Post by drweevil »

>"An appeal means coaxing your doctor and staff to spend hours filling out forms and making repeated phone calls to joust with an insurance company employee."

The hospital where I receive my cancer treatments once told me "don't worry, our Denial Team is handling this."

They have a Denial Team. That is to say, insurance companies are imposing cost overheads on providers and patients due to their illegitimate profit boosting tactics. And our government can't be bothered to enforce the ACA's basic requirement to track and report denial rates.

>"No industry malfeasance could ever excuse murder.

"Period."

And yet, that's what it took for our media to start reporting on this? We have some real problems in this country, and a corporate news media asleep at the switch, or at worst complicit, is one of the most serious.

Re: Feds help health insurers hide their dirty secret: denials on the rise

#77

Post by jbb67 »

garciasn wrote: post #47

I was just denied a colonoscopy as not medically necessary by UHC, coincidentally three days before their CEO was killed, because they don't want me to have anesthesia to do it; they argue I should be awake. When I called to refute the denial, which was denied, I asked them to find the person, if it was a person, who denied it and shove a tube up their ass without anesthesia and then reassess whether it's medically n…

But it's not usual to have an anesthetic for a colonoscopy is it? I've had two without. I was offered a light sedation but then I couldn't have driven home afterwards. It wasn't particularly awful without.

It's it usual to be asleep? I've not really heard of that. Is it a US thing?

Re: Feds help health insurers hide their dirty secret: denials on the rise

#78

Post by analog31 »

oulipo wrote: post #34
lopalimpa wrote: post #12

Earlier quoted context omitted.

"Murdering a murderer to save many innocents could be considered ethical by some?" This is a heavy statement. More I read, heavy it gets. Kill people it never the answer. The ideia that "I" have the power is weak. People, together, have power, however they don't know what to do. In his case the easiest way to win is pressuring the government, with the people, for clear changes.

Well, in 1789 France, we killed people It worked beautifully

Sarcasm acknowledged.

Re: Feds help health insurers hide their dirty secret: denials on the rise

#79

Post by staticautomatic »

shdksjxbcb wrote: post #61
weberer wrote: post #15

Earlier quoted context omitted.

Everybody knows how bad it is. Everyone wants to change it. But I don't see how it can change as long as both parties are on the payroll https://www.opensecrets.org/orgs/unitedhealth-group/recipien...

The American people need to stop seeing the other party as the enemy. As long as that’s in place, the parasites at the top will remain in power. Unfortunately, it’s easy for them to create conditions to perpetuate and widen the American political schisms. And they’ve convinced both sides the common historical solutions (nationalism, limited democracy, religion) are for low IQ bigots. Things are likely too far gone.

The republican corporatist leaders are indeed the enemy. Their voters are not.

Re: Feds help health insurers hide their dirty secret: denials on the rise

#80

Post by kstrauser »

garciasn wrote: post #47

I was just denied a colonoscopy as not medically necessary by UHC, coincidentally three days before their CEO was killed, because they don't want me to have anesthesia to do it; they argue I should be awake. When I called to refute the denial, which was denied, I asked them to find the person, if it was a person, who denied it and shove a tube up their ass without anesthesia and then reassess whether it's medically n…

Good god. I went to get one, and in the pre-screening, the anesthesiologist asked if I wanted to be awake for it. “Doc, I don’t want to be awake, I don’t want to feel a thing, and I don’t want to remember a thing. Put me out.”

Requiring people to be awake is a good way to guarantee they don’t get the procedure. Which mathematically makes it far more likely for the insurer to incur enormous colon cancer treatment expenses, erasing their profiteering.

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