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We need to start treating each other like we treat our dogs. Man’s best friend. We have no problem doing the right thing for our pets, even if it’s difficult, so they aren’t suffering yet we don’t do the same for each other.
I agree. I was the “victim” of balance billing. My kid was born in a hospital I work at. I had been there about a year. Some tech came to do a hearing screening on my newborn. Didn’t think anything of it. Turns out the audiologist worked for Pediatrix and were OON and they wanted some stupid bit of money. I was pretty knowledgeable about billing and coding stuff. I could have made it ugly but being in the middle sucked bad. I cant remember the amount but it wasnt huge but it’s frustrating.
I couldn't afford to get three more months out of our little guy, and we had to euthanize him.
Not quite.. i agree that insurance in this form is a mess. That being said they protect you financially which is the point of insurance. I mean what has my life insurance in done for me. I pay and pay and pay. The purpose is to prevent catastrophe. Thats my 2 cents. If I incur 100k in medical bills they cover much of it. I can assure you i am not a fan of UHG nor the other insurers. UHG is the bottom dweller in terms of their behavior and I would have said that before they killed this dude. What we expect from our insurance in the US is stupid. Need routine care.. Insurance for the win.. it’s dumb.. Again hospitals and doctors are complicit. Look at the billed charges of a screening colonoscopy. Anesthesia doesnt mind charging you an arm and a leg for a noctor to sedate you. They charge as if it’s a real doctor. Minimal complaining about that. The ED is the same. Send in the noctor to take care of septic granny. It’s cool though cause i get those RVUs.
Other than the founding fathers the others are all made up..
I stand corrected. The others are what we have left from history or writing. Unsure the quality of information for each of those..
You’re breaking the first rule of Fight Club!
I have.. Grew up in circumstances that required fighting. I don't start fights but I would. Havent been in one for a while. That being said this dude just executes the plan put forth but the BOD and shareholders. The next one may be different but not because of anything other than this may serve as a Libby zion moment.. i think though more likely the momentum dies, we move onto the next thing and its back to the status quo. I truly hope its not the case but it is much more likely than not. Lots of talk.. minimal meaningful action then nothing.
I disagree on the car analogy.
Sure...
pmc.ncbi.nlm.nih.gov
By your logic, the docs who do the actual denials in these companies should be targeted next becuase with this comparison of supervillain (hilter) the docs would be the SS right? As a physician advisor I've had docs deny stays, SNF, rehab, etc on the phone. They were directly responsible. And I get the whole Insurance is bad argument and I am not defending it but the comparison to Han Solo is bull****. Han Solo was trying to get laid/paid and got roped into some crap. His whole motivation was that sweet princess and some coin.
I wrote this long thing and knew we would just go back and forth because you assume ideal actors in an ideal system. There isn't enough money in the system to do the things that everyone thinks is the right thing was the point. We can't get everyone to agree on the right thing either. Who pays for it and who gets to decide how it is distributed. Society so far has come up with this as the solution that has been widely used.
Actually they deny because they want to. I've become friends with a few of the guys I talked to on the phone and they don't get incentivized contrary to popular belief. One of them I went out for drinks with. He approved some and denied some.
These convos are hard cause they are quite complex with multiple layers. Overall, i would say in an ideal system docs ARE totally overpaid. IN our system we are underpaid. Med school loans of 300k and giving up years of your life require a hefty payback. Dump the NP/PAs and make way way more doctors. It’s cheaper overall and better. The avg doc will be dumber but I think it’s ok. They wont be dumber than your above avg NP.
Regardless of what the edgelords of reddit claim the bad PR caused them to back off due to the timing. They weren't afraid that Healthcare John Wick was coming for them. PR messes with stock price and spooks investors.
Completely agree with these two points. Couldn't state them better. In the UK system docs are paid less. All the European utopias we salivate over have lower doc salaries and better residency hours too top it off. Get rid of middle management at all levels including the hospitals.
I mean more expenditure means more money spent.. less money spent = more profit. I can assure you they know how much money they make to pay people to deny claims.. No reason to share it publicly.
Your point I get.. that being said revenue is closer to $370B.. Not all of that revenue comes from health insurance. you are right.. it would cut their profits.. who knows how much.. They are simply playing the game that is out there. Reform the game or IMO stop complaining. That they play it better than others is a testament to their skills and hiring. We dont like it but it’s what it is.
Your last sentence is something that more people need to understand. The more someone gets involved with the healthcare system, the less of a chance they have of getting back to ‘normal’. Honestly, most chronic pain patients would be better off completely getting away from the healthcare system.
The only difference between this and a mass shooting was motive.
Well, and the number of victims.
Not all mass shootings are at schools. I think motive is the major determinant of the number of victims. Regardless, it’s a much bigger problem than just ‘guns’.
I'm aware, I think the number of victims to be a mass shooting is 3.
