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

Post by [deleted] » Fri, Dec 13, 2024, 3:43 PM UTC

AdmiralAsshat wrote: post #103

tboyd47 wrote: post #65

Earlier quoted context omitted.

There are lots of people who get freaked out and go to the hospital for every little thing. We used to have a term for that: "hypochondriac." Now it's become socially acceptable, so you don't hear the term as much. Everyone knows Americans pay the most for medical treatment, but the life expectancy is not that high. If you know your behavior isn't good for you, but you can't stop yourself, well, that's an addiction.

On the contrary, if the healthcare system in the US weren't such shit, more people would probably be going to primary care doctors and getting Preventative Care before it becomes an emergency, and requires a trip to the hospital. But many people don't, because visiting a primary care / walk-in clinic / urgent care is expensive, so they ignore it, until it becomes un-ignorable. Now it's an ER visit.

Post by MichaelZuo » Fri, Dec 13, 2024, 3:43 PM UTC

Noumenon72 wrote: post #101

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…

You were not denied a colonoscopy, but anesthesia during a colonoscopy, which is not medically necessary[1]. Tough line to draw though. 1: https://www.mayoclinichealthsystem.org/hometown-health/speak... .

Post by timr » Fri, Dec 13, 2024, 3:45 PM UTC

garciasn wrote: post #132

timr wrote: post #115

Earlier quoted context omitted.

> 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. It sounds like something is getting lost in translation. Presence or absence of anesthesia does not change the medical necessity of the procedure. > I'm 45. Colonoscopies are a thing. I had a friend die at 52 t…

My father's mother had it. My mother's father died of it early. I am predisposed.

Post by tossandthrow » Fri, Dec 13, 2024, 3:45 PM UTC

ahupp wrote: post #118

tossandthrow wrote: post #5

Earlier quoted context omitted.

It is funny that the sentiment that nothing excuses a murder is being circulated in the US - a country that still carried out death sentences.

Murder is by definition an unlawful homicide. This isn’t just pedantry; it’s the most parsimonious explanation for why someone would support the death penalty and object to something like the assassination.

Post by ahupp » Fri, Dec 13, 2024, 3:46 PM UTC

carlgreene wrote: post #7

andrelaszlo wrote: post #2

"No industry malfeasance could ever excuse murder. Period." Murdering a murderer to save many innocents could be considered ethical by some? (Not saying that's the case here, but nypost made an interesting categorical statement.)

I'm trying to figure out if these deaths caused by insurance denials could actually be considered murder. I think they would definitely qualify as being premeditated, but can you consider them "killing"? They are causing death due to omission of expected care, but can the omission of something like medical care be considered the cause of death?