To be fair, I've had doctors pad the bill. I'm lucky enough to have decent insurance and I have a few stories about doctors taking advantage of that.
this post was submitted on 11 Dec 2024
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You know, at face value he's absolutely right. We shouldn't claim care that is unnecessary or maybe even harmful. But where we disagree is that I think that decision should be left to our medical professionals
Really what it should be is that if a doctor prescribes unnecessary care, they should go after the doctor, not the patient. Doctors have malpractice insurance. If the health insurance can't win a case of malpractice, then they should pay the bill. Why are patients in the midfle here at all.
This is still validating the profit incentive of private health insurance.
If the doctor prescribes unnecessary care, it should be none of these peoples' business, because they shouldn't be allowed any stake in the decision whatsoever.
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Insurance claims are approved or denied by medical professionals. In the state of NY it's even required for a specialist to approve or deny specialist care.
Some doctors are just absolute scum.
Even if this were the case (it is not in any real sense, see your other replies), the fact that it is done by a for profit entity that will lose money by approving a claim all but ensures the process will not be neutral or correct.
They are done by medical professionals who have no obligation or incentive to serve the best interests of the patient. If your doctor fucks up, he can be found liable. If the insurance doctor fucks up, there is no liability whatsoever. Cases have been brought to court and then immediately thrown out because there is no legal basis for holding them accountable.
Except in this case, they used AI to help them make decisions. The lawsuit is still ongoing so I shouldn't speak in definitive terms, but considering the circumstances and evidence I think it's pretty clear than they have tried to automate some processes and didn't audit them properly.
There is a lot of crap that they’re able to instantly deny through your plan’s terms and conditions.
It’s worth reading the plan summary of what won’t be covered, even if it’s prescribed treatment. Some of the shit that’s hidden in there is fucked up.
This year someone in my family started to have to pay out of pocket for their GLP1s because their diseases didn’t progress far enough for the treatment to be covered. They’d rather you hurry up and die than pay for expensive drugs that keep you alive for longer.
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I don't have a source. But i've read they are incentivized to go through as many claims as they can, and not to approve too many.
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I miss Anonymous. Those fuckers would be figuratively burning down UHC right now.
What actually happened to them? Did key members get tracked down or something?
I don't have sources, but I seem to recall reading somewhere that the OGs aged out or got caught, and the new gen that replaced them weren't as ideologically driven or competent or something. I think they still technically exist but aren't nearly as influential as they once were
It's also not as easy to hack electronic systems anymore. It's not that they are invulnerable, but the vulnerabilities are generally more complicated and difficult to exploit. Setting aside people still running Windows XP or something, vulnerabilities get patched pretty quickly today. State actors have the time and resources to still do straight up electronic hacking, but opportunities for individuals are sparse.
Of course there is still the human element. Most data breaches done by individuals nowadays rely, at least in part, on social engineering.
Another thought this just popped into my head is that the next generation may not have been brought up with the same fundamental hacking skills that were somewhat inherent in being technical in the late 70s-mid 90s. Could you still learn them?…Of course, but having grown up with BBSs and LoD (Legion of Doom, and the like) and pre-WWW, some things were just more prevalent when it came to learning about the guts of systems and “cybersecurity” (that word didn’t really exist back then).
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I think they all just got jobs, honestly.
In this economy?!?! /s…kinda
Actually that makes sense, and saddens me a bit there wasn’t a contingent to pass the torch to.
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Did he not have a PR person tell him that video was a bad idea? Or more likely, did he not listen to their advice?
Headline says video was leaked. It was probably a private meeting. Agree that it was a stupid thing to say regardless.
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Tune out the noise!
#BANG!
These dudes have their own dicks all the way down their throat.
And you wish that'd prevent them from talking. Alas here we are.
Or at least develop chronic backpain.
I know right?
Now I'm a bit jealous!
Did that guy just paint a big ol' target on himself?
Can we gamble on how long they have left?
That'd be some good old fashioned capitalism.
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That’s a cute email address