• jet@hackertalks.com
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    4 days ago

    But if they make you stop, and prove, and justify something obvious. Maybe the patient will die before you can order more expensive services. Think of how much money they could say if if their patients die when they’re in the hospital before running up a bill!!!

    • LandedGentry@lemmy.zip
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      4 days ago

      This is exactly the issue doctors are also now facing with abortion restrictions. These expectations are unbelievably onerous and lethal. This is a field where seconds can matter and they want to let lawyers and health insurance companies hem and haw as long as they want because God forbid they maybe occasionally enable something that wasn’t strictly necessary or spend a few dollars more in the pursuit of literally determining life and death.

  • Awesomo85@sh.itjust.works
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    5 days ago

    The provider receiving the largest amount of subsidy from the federal government through the ACA?: United.

    They fuck Americans because the government encourages them to fuck Americans.

    This is socialized healthcare.

    • ArchRecord@lemm.ee
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      5 days ago

      Breaking news, this just in: Socialism is when a capitalist government subsidizes capitalist non-government corporations that are still allowed to seek a profit. /s

    • nickiwest@lemmy.world
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      5 days ago

      No, it’s government-subsidized privatized healthcare.

      Socialized healthcare wouldn’t have a profit-driven middleman involved.

      • Awesomo85@sh.itjust.works
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        5 days ago

        And you trust the government to manage a socialized healthcare system for hundreds of millions of people without any corruption or profit motive?

        You’ve made it quite clear to me that you have never had to deal with the VA.

        • skizzles@lemmy.world
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          4 days ago

          As someone that has to deal with the VA on the regular, it does work.

          They have given me the mental health care, medical care, and medication that I need to live a normal life.

          The VA is by no means perfect, but many people complain about the VA, when THEY are the problem for not following up, or maintaining appointments or even following general instructions.

          Yes, it’s a complicated annoying system, but it can and does work. They will drop you quick as fuck if you don’t keep up with your shit.

          I have had a few bad experiences with the VA as well to be fair, but two things happened, I learned how the system worked and I started going to a different location and had a completely different experience, with a Dr that actually seems to give a shit, unlike the civilian Dr that kept trying to get me to make 5+ appointments for an issue that should have only taken two, just to squeeze more money out of me.

          So yeah, I’m sure the VA is corrupt just like everything else but they are one of the main reasons I don’t have a bullet in my head right now.

        • nickiwest@lemmy.world
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          4 days ago

          No, I haven’t had to deal with the VA.

          But I did move from the US to Colombia. And I’ve received more thorough care from the national healthcare system here than I ever did in the US. Instead of simply treating my symptoms (which is the general practice in the US), the doctors here actually found the underlying conditions that I’ve apparently been living with for years, possibly even decades.

          The healthcare system here is concerned with keeping the population healthy instead of increasing shareholder value. It takes a bit longer than in the US, but I have the peace of mind of knowing that (1) my doctor isn’t getting kickbacks for prescribing me a specific medication, and (2) regardless of what is needed for my treatment, I won’t go bankrupt paying for it.

          So, while I don’t necessarily believe that a government can manage much of anything without any corruption or profit motive, I do have some evidence that a government can manage healthcare in a way that provides greater benefit to its citizens than the privatized healthcare industry in the US.

  • JaggedRobotPubes@lemmy.world
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    5 days ago

    I know we hate it and they’ve really done and will still do some deeply fucked up shit, but man…maga is anti-establishment like the left. I’d rather have a class war than a civil war.

    A class war could mayyyyyyybe have a constructive resolution. But a civil war? 0% chance. None.

    I don’t want either at all but for Christ’s sake at least have it over the right thing if you’re gonna have one.

    • deaf_fish@lemm.ee
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      4 days ago

      In case you weren’t aware, we are in a class war. If you haven’t been paying attention to what is happening to Luigi. They are throwing the book at him. They want him dead. They want to send a message. It’s not about justice or law anymore.

      Your only option at this point is to acknowledge the class war is happening or stick you head in the sand and try to pretend it isn’t.

    • GodlessCommie@lemmy.worldOPM
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      5 days ago

      MAGA, whether it’s regular or Blue, isnt anti establishment. They fully support their own versions of establishment, and both defend the status quo. There will be no form of civil war among the citizens, but they will keep us divided with meaningless culture war bullshit because it doesn’t threaten their positions of power.

  • Flying Squid@lemmy.world
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    5 days ago

    I just was amazed at myself when I said, “oh thank god,” when my wife told me her health insurance would be switching from UHC to Anthem in January. Like no, no thank god, it’s still horrible.

  • Etterra@discuss.online
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    6 days ago

    United Health Care Executive Ghouls: We can prove that this isn’t medically necessary because if they turn off the life support then the patient will stop suffering from the described symptoms.

    I’m like 90% sure that health insurance executives are undead creatures that feed on the death and suffering of their “customers.”

  • finitebanjo@lemmy.world
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    6 days ago

    There is an appeal system for cases like this. Like this specific case is an easy appeal, if they denied this after appeal then a lawsuit could take them to the bank.

    Also, the Hospital won’t discharge them even if it doesn’t get paid on time.

  • Mouselemming@sh.itjust.works
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    6 days ago

    For every denial of claim, the burden of proof should be on the insurance company. The assumption should be, if a doctor ordered it, it was necessary.