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Hit men aren't what you think

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121–130 of 311 posts

Re: Hit men aren't what you think

#121

Earlier quoted context omitted.

Purpose != intent. Besides, no one is saying there is a single intent so refuting that point doesn't exactly a counter.

Colloquially, no, they are synonymous. https://www.merriam-webster.com/dictionary/purpose https://www.merriam-webster.com/dictionary/intent

But we aren't talking colloquially, we're talking about within the maxim. I'm trying to give you the benefit of the doubt, but it feels like you're doubling down in order to prove a point.

Re: Hit men aren't what you think

#122

Earlier quoted context omitted.

The purpose of a system is what it does. It's functionally isomorphic to a black box where I make a deposit, every time it denies someone medical treatment I get back monetary reward and I can withdraw my deposit at any time. If we ask ourselves, "Should this black box exist?" I cannot reasonably expect people to say, "Yes." Yet, here we are.

> It's functionally isomorphic to a black box where I make a deposit, every time it denies someone medical treatment I get back monetary reward and I can withdraw my deposit at any time. If we ask ourselves, "Should this black box exist?" I cannot reasonably expect people to say, "Yes." Yet, here we are. I am honestly extremely baffled about what your mental model here is. When UHC doesn't deny a claim, who is paying…

I omitted it because it doesn't change the calculus.

    If the child were brought up into the sunlight out of that vile place, if it were cleaned and fed and comforted, that would be a good thing, indeed; but if it were done, in that day and hour all the prosperity and beauty and delight of Omelas would wither and be destroyed.

Re: Hit men aren't what you think

#123
post #112

Earlier quoted context omitted.

The purpose of a system is what it does. It's functionally isomorphic to a black box where I make a deposit, every time it denies someone medical treatment I get back monetary reward and I can withdraw my deposit at any time. If we ask ourselves, "Should this black box exist?" I cannot reasonably expect people to say, "Yes." Yet, here we are.

Without the black box, no one gets any medical treatment at all!

Except every other country is able to function without the black box :/

Re: Hit men aren't what you think

#124

Earlier quoted context omitted.

> It's functionally isomorphic to a black box where I make a deposit, every time it denies someone medical treatment I get back monetary reward and I can withdraw my deposit at any time. If we ask ourselves, "Should this black box exist?" I cannot reasonably expect people to say, "Yes." Yet, here we are. I am honestly extremely baffled about what your mental model here is. When UHC doesn't deny a claim, who is paying…

I omitted it because it doesn't change the calculus. If the child were brought up into the sunlight out of that vile place, if it were cleaned and fed and comforted, that would be a good thing, indeed; but if it were done, in that day and hour all the prosperity and beauty and delight of Omelas would wither and be destroyed.

[deleted]

Re: Hit men aren't what you think

#125
post #110

Earlier quoted context omitted.

Probably the part where people were denied care that they needed in order to provide profits and dividends to its shareholders.

1. Who decides what care is "needed"? Everyone is going to die eventually. I have a relative who believes they "need" ivermectin to prophylactically safeguard against contracting covid. Are insurance companies obligated to provide ivermectin to everyone who demands it, or should they apply some standard of efficacy and cost/benefit analysis? 2. Profits to shareholders and other people contributing their time and reso…

Insurance companies refusing valid, evidence-based treatments != denying unproven demands. Likewise, framing healthcare as either for-profit or purely charitable ignores successful state-driven models worldwide that operate without prioritizing shareholder returns. Such false dichotomies and misdirection don’t justify profit-driven rationing of essential medical services.

> Everyone is going to die eventually

So why provide healthcare at all?

Re: Hit men aren't what you think

#126
post #112

Earlier quoted context omitted.

Without the black box, no one gets any medical treatment at all!

Except every other country is able to function without the black box :/

Most countries do have private health insurance, even if they also have more robust public options.

Re: Hit men aren't what you think

#127

Earlier quoted context omitted.

> It's functionally isomorphic to a black box where I make a deposit, every time it denies someone medical treatment I get back monetary reward and I can withdraw my deposit at any time. If we ask ourselves, "Should this black box exist?" I cannot reasonably expect people to say, "Yes." Yet, here we are. I am honestly extremely baffled about what your mental model here is. When UHC doesn't deny a claim, who is paying…

I omitted it because it doesn't change the calculus. If the child were brought up into the sunlight out of that vile place, if it were cleaned and fed and comforted, that would be a good thing, indeed; but if it were done, in that day and hour all the prosperity and beauty and delight of Omelas would wither and be destroyed.

According to who? It changes the calculus for me. I pay my health insurance because it covers the services I need. I could absolutely opt out if I wanted to, but I don't.

Re: Hit men aren't what you think

#128

Earlier quoted context omitted.

Colloquially, no, they are synonymous. https://www.merriam-webster.com/dictionary/purpose https://www.merriam-webster.com/dictionary/intent

But we aren't talking colloquially, we're talking about within the maxim. I'm trying to give you the benefit of the doubt, but it feels like you're doubling down in order to prove a point.

The maxim, applied here, is an obtuse oversimplification of the problems with the health insurance system, and the barriers to changing it.

Yes, if we could wave a wand and delete the fact that it ever happened, that would be ideal. But the problem is more difficult to solve now, because we have the problem of the health insurance system, and the problem of drastic systematic and economic change.

Re: Hit men aren't what you think

#129
post #115

I don't understand the comments excusing the CEO of his responsibility. I work for a scale-up insurance company, and the CEOs are pretty clear with their mandate: customer service is paramount, we make money by streamlining our processes, negotiating hard with our network, and pricing properly our products. NOT by denying claims. This philosophy is enforced from the top all the way down, with Chinese walls between pr…

How do you avoid losing money due to fraudulent claims, claims for services outside the scope of what you're insuring against, claims for ineffective resolutions to the claimed damages, etc.? Am I supposed to know what a "scale-up insurance company" is?

Scale-up means youngish (10-12years old), mid-size in the countries we are operating, think 3 countries 600-800m revenue.

Fraudulent claims are a tiny percentage of claims, and are rejected after human review, usually involving detectives. In the countries we operate, fraudulent claims are about 6-8% of all claims, and that's usually the level we aim to detect. Being able to absorb some false negatives is usually cheaper than going for the full 100% detection rate. It is definitely more customer oriented than rejecting due to false positives.

Re: Hit men aren't what you think

#130

[flagged]

Even if we do accept that this executive was responsible for many deaths, you will need to find a law that lets you prosecute him or get one passed. There's a reason we don't just let people murder murderers, even if they have very good moral justification for it.

> There's a reason we don't just let people murder murderers, even if they have very good moral justification for it.

It remains to be seen whether this will be allowed. The jury may be unable to agree that this person should be found guilty despite the video evidence.

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