"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.)
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Feds help health insurers hide their dirty secret: denials on the rise
211–220 of 301 posts
Re: Feds help health insurers hide their dirty secret: denials on the rise
#212I 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…
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Re: Feds help health insurers hide their dirty secret: denials on the rise
#213I 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…
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Re: Feds help health insurers hide their dirty secret: denials on the rise
#214It 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.
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Re: Feds help health insurers hide their dirty secret: denials on the rise
#215I don't know what happened but this super duper upvoted post disappeared from the home of hn. perhaps moderators temporarily shadow content that is upvoted too much? Or else?
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Re: Feds help health insurers hide their dirty secret: denials on the rise
#216I 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…
I'm an anesthesiologist. What they denied was paying me to do it. You can still get "moderate sedation" from a nurse - a benzodiazepine and opioid. Patients strongly prefer having what amounts to a general anesthetic; your chances of recalling anything are low either way, but propofol results in a much faster recovery to full consciousness afterward. Go gain 100 pounds and develop sleep apnea. Then they'll approve it…
Propofol (or equivalent) is a must. I know people who have had a colonoscopy without it, and have regretted it due to significant pain.
Note that they approved the colonoscopy, just not the anesthetic. Also, to get approval for a colonoscopy, one just needs to have persistent intestinal pain or note that they have a history of polyps.
Re: Feds help health insurers hide their dirty secret: denials on the rise
#217Let the health insurance companies deny claims. But then let the medical providers duke it out behind the scenes! Leave patients alone and don't send them bills six months later.
Re: Feds help health insurers hide their dirty secret: denials on the rise
#218I 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... .
Sedation 100% is a medical necessity. Firstly, it hurts a lot without it. Secondly, if you need polyp removal, that's going to burn like hell.
Re: Feds help health insurers hide their dirty secret: denials on the rise
#219Earlier quoted context omitted.
Otoh some medical providers like to over bill and over treat.
Yes, insurance companies deny claims, but this is mostly because they don't have the money to pay for things most of their money is spent on care in the first place: they're forced to optimize and people get hurt in the process. Providers do far more damage. UHCs profit margins are only 6%, their operating costs are extremely low[0], and if you look across G7 insurers in the US pay more than the government does in ev…
Why are the providers behaving differently and in different circumstances in US vs. Japan/Germany/France?
Re: Feds help health insurers hide their dirty secret: denials on the rise
#220Earlier quoted context omitted.
It becomes pedantry of the law is not right. Eg. If the law is based on an oligarchy over a democracy.
Until the day we can point to a country that implements a direct democracy with a fair way to obtain citizenship for whoever is involved in its society, all laws will always remain a tool of a minority to arbitrarily rule a majority. The concern is not whether laws are rights or wrongs, but which privileges and which hurts they reinforce for which classes in the society where the national myth is eager to present the…
> Until the day we can point to a country that implements a direct democracy with a fair way to obtain citizenship for whoever is involved in its society, all laws will always remain a tool of a minority to arbitrarily rule a majority.
There's Switzerland.