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re: article detailing the lengths health insurance companies will go to deny coverage

Posted on 2/3/23 at 8:04 pm to
Posted by deeprig9
Unincorporated Ozora, Georgia
Member since Sep 2012
64059 posts
Posted on 2/3/23 at 8:04 pm to
quote:

the frick i did, asshat... go ahead and quote anything i've said that even remotely comes close to this hyperbole, and share with the class... we'll wait...


Sorry, got you mixed up with Peazey in the rapid fire. You did not say that. Peazey did.
Posted by SammyTiger
Baton Rouge, LA
Member since Feb 2009
66658 posts
Posted on 2/3/23 at 8:05 pm to
When the Soviet Union fell, and various countries literally crushed under the heel of a Communist Dictatorship broke off, and they wanted free trade and blue jeans and shite like that.

How many, ditched universal healthcare?
Posted by Taxing Authority
Houston
Member since Feb 2010
57297 posts
Posted on 2/3/23 at 8:06 pm to
quote:

you REALLY don't see how people taking care of themselves decreases overall healthcare expenditure?
quote:

It sounds correct but is it actually? I'm just asking.
The most expensive patients in the system are non-compliant diabetics. These are people that will not manage a chronic, but very manageable disease, despite serious and repeated health issues.

If those poeple aren't going to make much effort to take care of themselves... I'd love to hear how we're going to make the masses of people running around 50-lbs overweight... to suddenly start caring for themselves.

Ultimately, if your own health isn't incentive enough to be healthy... what external motivation will?
This post was edited on 2/3/23 at 8:09 pm
Posted by Strannix
District 11
Member since Dec 2012
48956 posts
Posted on 2/3/23 at 8:17 pm to
Did anyone read the article, insurance companies are shite but its not as cut and dry as it looks, his care was fully covered by the family plan he was on, he switched providers to the United Healthcare Student plan with a serious chronic pre-condition. They wanted to save some money by switching carriers midstream and have them pickk up the tab for his ongoing treatment. That's kind of shitty honestly. That's not "insurance"
Posted by Strannix
District 11
Member since Dec 2012
48956 posts
Posted on 2/4/23 at 12:43 pm to
Bump, this article is misleading, United Healthcare should have denied him, he should have stayed on the original policy.
Posted by frogtown
Member since Aug 2017
5037 posts
Posted on 2/4/23 at 1:00 pm to
quote:

Bump, this article is misleading, United Healthcare should have denied him, he should have stayed on the original policy.




I was too lazy to read it. Thnx for setting the record straight.
Posted by chRxis
None of your fricking business
Member since Feb 2008
23624 posts
Posted on 2/4/23 at 2:47 pm to
quote:

Not unlike our college education system.

another system that needs a complete revamp... i'd also make this free... but hard as frick to actually get into... think Ivy League-esque requirements for every single college in America... and a total reduction in the number of colleges overall, to reduce bloat and excess spending... but again, if you can make it there, it's free....

makes no sense to saddle your highest earning/most productive citizens with insane amounts of debts, vs. having them be better equipped to spend discretionary monies, as well as investing....

Posted by chRxis
None of your fricking business
Member since Feb 2008
23624 posts
Posted on 2/4/23 at 3:09 pm to
quote:

I'd love to hear how we're going to make the masses of people running around 50-lbs overweight... to suddenly start caring for themselves.


simple... money... in the form of tax breaks, tax incentives, increases to HSA yields, etc... the answer is always, or at least almost always, money
Posted by Taxing Authority
Houston
Member since Feb 2010
57297 posts
Posted on 2/4/23 at 3:37 pm to
quote:

another system that needs a complete revamp...
Yet… you want to duplicate for medicine. I find that odd.
Posted by Taxing Authority
Houston
Member since Feb 2010
57297 posts
Posted on 2/4/23 at 3:39 pm to
quote:

simple... money... in the form of tax breaks, tax incentives, increases to HSA yields, etc... the answer is always, or at least almost always, money
we could accomplish this by not subsidizing their care.
Posted by Grievous Angel
Tuscaloosa, AL
Member since Dec 2008
9696 posts
Posted on 2/4/23 at 3:45 pm to
quote:

Is it your insinuation that a government system would be better and wouldn’t also deny coverage?


It is. My experience with the IRS, tag office, TSA, Post Office, etc is always so fast, wonderful and friendly that I believe the Federal Government could manage the entire healthcare sector much more efficiently than the private sector.

This post was edited on 2/4/23 at 3:46 pm
Posted by Delacroix22
Member since Aug 2013
3960 posts
Posted on 2/4/23 at 4:09 pm to
quote:

Overall, medicare for he and my mom has been very good


Overall, medicare for him and my mom has been very good

God you don't sound smarter using the nominative case for everything, actually learn when it is proper to use instead of shoehorning it into prepositional phrases thinking it makes you sound smart

frick
Posted by chRxis
None of your fricking business
Member since Feb 2008
23624 posts
Posted on 2/4/23 at 4:25 pm to
quote:

we could accomplish this by not subsidizing their care.

but then you also don't give your population an incentive/reward for adhering to better health, nor do you get to pump some spending money that your populous now has, back into the economy... you pay a little to gain a lot...
Posted by chRxis
None of your fricking business
Member since Feb 2008
23624 posts
Posted on 2/4/23 at 4:28 pm to
quote:

you want to duplicate for medicine

duplicate? i'd like to minimize profit motive in private sector, and have great healthcare for ALL Americans... given the system we currently have, i ain't duplicating shite
Posted by La Cucaracha
Lafayette
Member since Oct 2016
383 posts
Posted on 2/4/23 at 4:30 pm to
quote:

As someone in hospital administration...Traditional Medicare is 100% the best payor, the easiest to work with, the one that approves the most and gives the most choice to its patients.

Medicare Advantage plans can be the devil. They vary considerably between plans on what levels of care, drugs, tests, etc. they approve and basically, you get what you pay for.


I am in healthcare administration and agree that Medicare is the best for the insured. From a provider standpoint, I respectfully disagree. For example, my billing department uses a very finite group of CPT codes and it is not uncommon for Medicare to randomly reject claims, even though the HCFA is completed the exact same way, every single time.

Advantage plans are the devil.

The analogy I like to use is: Let’s say you need a new car. Medicare is going to give you a Rolls. If the Advantage plan doesn’t deny you, it is going to give you the cheapest car on the market because it runs.

The way these Advantage plans prey on the elderly makes me sick.
Posted by latxwoman
Member since Mar 2019
749 posts
Posted on 2/4/23 at 5:11 pm to
quote:

My Dad is on Medicare and has had several health issues the last 8 years including 2 cancers and he has been well taken care of. He has been able to choose what oncologist he wanted which is more than I would get with my private insurance. Overall, medicare for he and my mom has been very good


Medicare and Medicaid are very good coverage for the most part. If only we could do the same for all people in the US.
Posted by VerlanderBEAST
Member since Dec 2011
18985 posts
Posted on 2/4/23 at 6:56 pm to
quote:

what alternative do you think will benefit the individual more?
a healthcare system similar to every other 1st world country
Posted by calcotron
Member since Nov 2007
8294 posts
Posted on 2/4/23 at 7:58 pm to
If you can't see that the systems (from drugmakers to caregivers to insurer systems) are completely broken, you just haven't looked into it at all. It needs to be blown up and started from scratch. The insane amounts of wasted money and pointless processes and roles, the inefficiency of getting anything done. It's locked in place because the lawmakers are getting paid, that's it. It makes no sense on its own.
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