“… The “dirty secret” of the insurance industry is that most denials can be successfully appealed…”

40 points

Pictured: average Lemmy user.

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0 points

Too thin

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42 points

I wish the average Lemmy user was writing open source tools that help people fight mega corps. That would be amazing!

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5 points

might try that tbh, what’re your ideas?

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10 points

I’m not sure what you can do. But she wrote a cool tool that generates appeal letters automatically. Just find what is bothering you and work on it.

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3 points

Same thing but to automatically send emails to your local political representative. Bonus points if I don’t even have to know who it is

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7 points

Tag yourself, I’m the dog

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2 points

I’m calling the oddly placed bosu ball.

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6 points
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You go human

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56 points

Interesting idea, but I imagine it suffers from similar issues to writing legal opinions: by signing your name to it, you’re swearing that it’s all true. Given AI’s propensity for making things up, you need to check everything.

I wouldn’t be surprised if ‘knowingly filing a false appeal’ is a reason to boot you off the plan in the first place.

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1 point

I think when you use AI to write the claim and there turn it to be errors even after you checked it, it could still be a case of negligence. Like, not that I think it necessarily should be, but I can see that one could make the argument.

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27 points

It’s still a lot easier to review and understand something you weren’t able to write than to also write that same thing without knowing how to write it.

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1 point

Indeed. Just need to remember that AI can and will hallucinate entire studies or court cases into existence.

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4 points

I wouldn’t be surprised if ‘knowingly filing a false appeal’ is a reason to boot you off the plan in the first place.

For that to be an issue you would have to “know” it was false.

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7 points

You signed it, verifying that you knew what it entailed. That’s what the comment was pointing out.

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3 points

What’s the legal code if you THINK something is true and you affirm it, but you are wrong. It can’t be the same as lying since you thought it was true.

I really wonder what the law says on something like that.

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8 points
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Usually when signing things off like this, it’s affirming that you believe all statements to be true. They would have to prove you willingly lied, not that you were simply wrong, which is very difficult to prove legally.

That said, IANAL.

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1 point
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by signing your name to it, you’re swearing that it’s all true.

Lawyers too use qualifiers like ‘To the best of our knowledge’ and ‘in our studied opinion’ to indicate that opinions may differ. That’s why judges exist, and some of them are -so reasonable- that they will accept that people cannot be expected to decide whether a hospital’s decision to operate -immediately- is not good enough.

These US ‘insurance’ companies are in the business of making money from people’s health problems. In MOST OF THE CIVILIZED WORLD that’s not how health-care works. We, the people of the US, let the system get rigged this way … we have to fix that. Permanently.

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-92 points

Gender affirming surgery can be the opposite of health care, supporting what neuro-diversity thinks it needs is often harmful to that individual. For example, you wouldn’t prescribe unlimited sleep for someone with narcolepsy.

The states has bad healthcare but this is a misleading article, and not necessarily in support of patient health.

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Maybe take that transphobic take to a community that doesn’t have LGBTQ+ resources as a pinned thread.

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-23 points

Could you please point out how their statement was transphobic? Basically, what they said is just that “gender affirming surgery can sometimes be harmful to health”, and surely that’s just a true statement, not even an opinion, really.

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20 points

They are saying gender affirming healthcare is often harmful when the medical literature available says the exact opposite. What motivation do you think they have for misrepresenting available medical knowledge?

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33 points

Here’s your reminder about gender affirming treatments like testosterone pills and jawline surgery and hair transplants: Elon got all three

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13 points

And i think he eats bulking powders enough for Arnold, but forgot the training.

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2 points

Ha I wouldn’t use Elon Musk as an example of someone who makes good decisions.

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8 points

Is prescribing sleep surgery?

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-1 points

No but its giving the neuro diversity what it wants, which isn’t always bad, but can worsen an individuals health.

You wouldn’t prescribe complete isolation as a treatment for social anxiety, except in very extreme and uncommon cases.

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21 points
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An opinion that ignores all actual research.

Gender affirming surgery helps 99% of people who receive it! So sure, technically, there’s a tiny minority who regret it. More people regret Lasik and boob jobs, should we ban those too? Many people regret a night out drinking, how about we ban that too. Drinking causes way more harm than giving estrogen or testosterone pills to folks.

On the other hand, I like that my friends have the freedom to express themselves any way they want. They aren’t hurting anyone so let’s let them be free to wear whatever clothes they want and take whatever hormones they want.

So join the side of American freedom and let’s stop policing what clothes people wear or what name they use.

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-2 points

It’s about risk.

I don’t think many people are seriously suggesting banning gender affirming surgery, I certainly am not.

But to your point; yes it would be better if more thought, research, alternatives and wholistic health was put into LASIK, or alcohol, or even just food.

Both individuals and society would benefit, which is why many governments make medicine essentially free.

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27 points
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Okay, i happen to actually have narcolepsy & be gender nc, and have a trans partner, i feel like i can speak with some authority on this.

Gender affirming surgery can be the opposite of health care

Every surgery can be, but gender affirming care is one of the least regretted surgeries in existence. By opening this way, you frame the argument as different for trans healthcare. Its not.

We’re also not children. Dont infantilize trans people. We have the same right to make choices others don’t understand, just like cis folks can.

And narcolepsy is a chronic inability to get delta wave sleep. Extra sleep is absolutely treatment. I can see what your getting at, but you’re choosing examples you don’t understand and misinforming people.

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-1 points

I think we agree about surgery, which is kinda the point. And because of that trans healthcare is not different than other health care, that’s also the point.

And I completely agree extra sleep can be used to treat narcolepsy, but it can also make things worse, which is why you need to look at all the options, balence etc.

Medicine is rarely a simple matter of one treatment for all issues.

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4 points

What does one need im order to get a prescription for unlimited sleep? I gotta get on that

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1 point

I’ve heard that there are lots of ways to help you take an infinitely long nap.

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1 point

lol

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2 points

There’s been quite a few reports for this comment, I don’t know if it’s right to remove it, since to me it just comes off as misinformed more than anything and I believe seeing the rebuttals here, coupled with the original comment, is actually more helpful and constructive to the conversation.
Even so, I’ll let the reporters decide if they still wish to hide this comment.

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3 points

I agree with this analysis of the reported comment, and chose to leave it as it has provoked a constructive conversation. It does not appear to be malicious in nature. I will keep an eye on this post to make sure things remain civil. Thank you.

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1 point
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Yeah, though I am still quite unsure, the majority were for removing: 2 that have reached out again, against none other than you who agreed on keeping, factoring in the initial reporters, 5, minus 1 who I count from before, I think I should still remove.
I’m actually past the deadline I gave myself but I want to hear what you think first

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1 point

As someone with IH/N2 (idiopathic hypersomnia/narcolepsy type 2) extra sleep doesn’t do shit.

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0 points

Exactly.

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2 points

Like hair plugs? Or Viagra?

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0 points

Kinda, but more dangerous and political

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7 points

Hehe her dog is a donut hole with a PhD.

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3 points
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I think the PhD may be honorary in Timbit’s case. Though I suppose if she has a doctorate as well, she may have used him as a rubber duck, and therefore given him credit on her Doctorate Thesis, thereby granting him a doctorate as well? I dunno if that would work.

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