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UnitedHealth's Effort to Deny Coverage for a Patient's Care (2023)

propublica.org

261–270 of 394 posts

Re: UnitedHealth's Effort to Deny Coverage for a Patient's Care (2023)

#261

Earlier quoted context omitted.

It seems the insurance company was happy to pay for treatment that wouldn't work though (the approved treatment had already been tried), they denied a treatment that was working.

One costs $60/year, the other is over $2M/year and not tested and not widely used outside the US

Wouldn't the dual biologic be at least $120k per year?

It's at least $60,000, not $60.

Re: UnitedHealth's Effort to Deny Coverage for a Patient's Care (2023)

#262

Earlier quoted context omitted.

That’s not what the article says. It says patients have access to the treatment for free, but sometimes delivery can be delayed by a few months due to shortages. The study only considered people without health insurance and says people with health insurance don’t face the same supply shortages. > Most patients (n = 172, 83.9%) reported at least one failed delivery of biological medicine in the last year, with a singl…

Where does it say "free"?

Relevant quote

"In CD, the PCDT does not offer any biologic other than anti-TNF drugs. Despite being approved in Brazil, new biologics such as ustekinumab and vedolizumab are not available for these patients [28,29]."

Re: UnitedHealth's Effort to Deny Coverage for a Patient's Care (2023)

#263

Earlier quoted context omitted.

[flagged]

> The gleeful mockery is largely from anonymous accounts. I remember when the same type of thing was attributed to "Russian bots" after the 2016 election. I worked in medical-adjacent areas for a decade. I dated a doctor, and I asked him what people feel in his hospital about that. He said that basically NOBODY has any sympathy for this CEO. The most concern is at the level of "we shouldn't condone murders". And you…

[flagged]

Re: UnitedHealth's Effort to Deny Coverage for a Patient's Care (2023)

#264

Earlier quoted context omitted.

Ghoulish? Internet? Have you spoken to regular people not terminally online? They have no sympathy for the CEO. I had sympathy for him as a human and a worker, but his behavior was beyond the pale and unfortunately rule of law doesn’t exist in the US.

> Have you spoken to regular people not terminally online? They have no sympathy for the CEO Everyone I have spoken to has no sympathy for him as a CEO but sympathy for him as a human. He is wrong and the healthcare system is broken. But this was also murder. If your sense of empathy is so fucked that you’re pro murder, you need to speak to a professional. (If you’re struggling with this and don’t want to let hate tu…

To paraphrase the Joker: when tens of thousands of people die because their health insurance denies needed care, nobody panics. But kill one little insurance CEO and everyone loses their mind.

I’m personally much more interested in why people are so uncaring about a bad system that kills a ton of innocent people, than in why people don’t care about the murder of someone who got wealthy making it happens.

Re: UnitedHealth's Effort to Deny Coverage for a Patient's Care (2023)

#265

Earlier quoted context omitted.

According to that poll only 65% are happy with their health care coverage (page 8): https://news.gallup.com/file/poll/654047/2024_12_06%20Health... On page 5 you can see 79% are dissatisfied with the cost of health care.

You’re right, I only looked at basic graphs and confused “the quality of health care you receive” (the numbers I gave) vs “your health care coverage”. Still, that’s a huge dissonance between personal experience and opinion on the nationwide state of things, and I find that interesting because I doubt we can fix it unless a significant majority of people find it enough of a personal priority to vote that way.

I suspect one complication in this type of polling is “relative to what?” I hate my insurance company with a passion and I think they are part of a perverse system of incentives that wildly inflated healthcare costs, but they are a dream compared to my last company. Am I happy? Depends on how you ask.

Re: UnitedHealth's Effort to Deny Coverage for a Patient's Care (2023)

#266

Earlier quoted context omitted.

One costs $60/year, the other is over $2M/year and not tested and not widely used outside the US

Wouldn't the dual biologic be at least $120k per year? It's at least $60,000, not $60.

I meant Prednisone is $60/year. I'm not sure that's quite right but it's very cheap, that's roughly my out of pocket cost in the US

Just one of the biologics is 500k/year

Re: UnitedHealth's Effort to Deny Coverage for a Patient's Care (2023)

#267

Earlier quoted context omitted.

https://news.gallup.com/poll/468176/americans-sour-healthcar... There’s a huge difference between how people view health care in general, and their own health insurance. According to the linked survey, in 2023 it was notable that only 72% of people had a favorable view of their own health insurance. In recent decades that has indeed sat around 80%, as OP claimed. Again, that’s their _own_ insurance, while views of he…

According to that poll only 65% are happy with their health care coverage (page 8): https://news.gallup.com/file/poll/654047/2024_12_06%20Health... On page 5 you can see 79% are dissatisfied with the cost of health care.

That's probably because 65% of people have no real chronic medical conditions and/or are on Medicare.

I'm pretty well-off, so I can just throw money at my problems, and avoid dealing with insurance nonsense (denials and delays). So I'm fine with my health care coverage.

I'm not at all fine with my insurance company. And I'm actually in a very privileged position because I helped select this insurer for my company.

Re: UnitedHealth's Effort to Deny Coverage for a Patient's Care (2023)

#268

Earlier quoted context omitted.

> you need to speak to a professional I love this dismissive attitude that anyone who fails to empathize with someone who makes tens of millions a year AND denies health insurance claims is somehow mentally ill. Get real.

> anyone who fails to empathize with someone who makes tens of millions a year I’m not saying feel sorry for him. I’m not even saying don’t indulge in schadenfreude. Where you should know it crosses the line is in celebrating the killing and the killer. Because I promise you that someone with equal or more conviction in their righteousness would similarly take pleasure in the murder if someone you find, if not virtuo…

This sounds an awful lot like “don’t have opinions, because other people will have different opinions.”

Ok, someone will take pleasure in the murder of someone I think doesn’t deserve it. So what? Obviously I don’t like that, but people think all kinds of stuff I don’t like. Why should this particular opinion change mine?

Virtually everyone would take pleasure in someone’s murder. Osama bin Laden, say. Hitler, if we were in a different time and he hadn’t done the job himself. There are some people so principled they really wouldn’t feel that way for anyone, but for most of us it’s just a question of who falls into that category. Is has been a little surprising to find out that so many Americans consider this guy to be worthy, but just a little.

Re: UnitedHealth's Effort to Deny Coverage for a Patient's Care (2023)

#269

It’s bullshit like this that makes me realise how lucky we are in countries that have public health care. Sure it has problems but private systems seem to have zero advantage for the average person. Pay more for less effectiveness AND a bunch of people get nothing.

Please point to the public health care system that does not have limits on what drugs and treatments are approved.

Sure, right after your point at a private insurance plan that has no limits on what they'll pay.

Re: UnitedHealth's Effort to Deny Coverage for a Patient's Care (2023)

#270

Earlier quoted context omitted.

If the doctor prescribed it, it shouldn’t be the insurance company’s decision to deny it. That’s how it works in most countries. Too bad it’s expensive, but that’s why people pay a lot more than $60/yr for insurance.

No, that's not how it works. Which countries work that way? Where can a doctor prescribe untested drugs and have it paid for?

I’m not sure about any countries that allow untested drugs or treatments for conditions not covered by the insurance company.

I’m saying that in many countries, like Brazil, an insurance company can’t deny a treatment for a covered condition because it’s too expensive.

So, for example, if the insurance covers prostate cancer, the doctor can prescribe any medically proven prostate cancer treatment and the insurance company can’t say they’ll only pay for a cheaper treatment.

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