What the insurance companies think of as “unnecessary care”. Not what the doctors, nurses, or patients consider necessary.
Sounds like we need more adjustment.
He said a bit more than that:
“We guard against the pressures that exist for unsafe care or for unnecessary care to be delivered in a way which makes the whole system too complex and ultimately unsustainable,” Witty said.
He added that employees should “tune out” criticism of the insurance company, saying that it “does not reflect reality.”
Witty said the company is going to “continue to make sure that we put patients, consumers, and members first, as we always have done. The mission of this company is truly to make sure that we help the system improve by helping the experience for individuals get better and better.”
“There is nobody who did more to try and advance that mission than Brian Thompson. And there are very few people in the history of the U.S. health care industry who had a bigger positive effect on American health care than Brian,” Witty said. “We are going to make sure that we not only acknowledge and honor that legacy of Brian, but we’ll continue it.”
Nobody goes to get Healthcare just because they ‘want it’ but don’t need it.
No doctor prescribes things that aren’t medically necessary.
Health insurance as it exists in the US is a social cancer.
The fact that a licensed doctor has to make a case to an insurance company about what a patient needs is mind boggling to me. Every doctor I’ve talked to has told me that this is the worst part of their job.
Emergency services should never be privatized. Imagine firefighters having to ask some insurance company to cover the water they need to put your house out.
Imagine firefighters having to ask some insurance company to cover the water they need to put your house out.
It literally used to be like that. Firefighters would refuse to put out the fire if you didn’t have evidence that your fire insurance covered them.
Yeah, I believe the motivation for moving to public fire departments wasn’t even a moral decision. Fire from uninsured burning buildings has an extremely high risk of spreading to an insured one, so putting out all fires minimizes risk to paid subscribers.
My takeaway is: The only way to get American systems to care about the poor is if the rich might receive some collateral damage.
Oh, didn’t you know? People in America get uneeded medical operations all the time! That’s what this whole abortion fight has been about. Women all over the country, just loving getting abortions! It doesn’t physically and emotionally devistate you at all! They LOVE getting these ticklish abortions!
And for guys? They are quite frankly addicted to getting colonoscopies, and double heart bypass surguries. Have you seen how often men get those? Can’t get enough of it! And then there’s this other thing they do. It’s called an “annual health checkup”. Serves no purpose. Makes no sense. It’s just a friendly chat with these busy doctors. Just wasting their time!
And kids??? Don’t even get me started on kids! It’s always headlice this, and chicken pox that! Running snot out of their mouth, and coughing…
Speaking of coughing! What the hell was that whole Covid-19 trend all about, eh? Just a fad. Just a bunch of people all claiming to be sick…deny them all I say!
…ok, all sarcasm aside, it really does feel like this is how our countries insurance claims handlers think. And then sometimes politics gets involved, and the whole thing is just innocent people suffering for some other asshole to buy a yacht. And it’s not even the doctors that get the yachts. I’d actually be FINE with a doctor being rich. They’re the ones out there who actually help people. No, it’s not the doctors who get rich. It’s these useless fuckclowns in suits, who deliver no benefit to society whatsoever. Sitting at a desk, in charge of peoples lives, and deciding that operation, or that treatment is just being done for no reason.
Which is why America has cheered on the act of murder. Myself included. Luigi murdered that CEO, and the world is a fractionally better place for him having done that. One of the other companies even just said they’re “rethinking” their plan for placing limits on anastesia. So as a direct result of this murder, there other probably thousands of people who will go through surgury, who otherwise would have been in great pain, who now WON’T be. All because this CEO got shot, and these other CEOs are having a cause/effect on rethinking the concept of saving money at the expense of people’s suffering.
THIS is why we’re cheering Luigi. Yes, he murdered someone. Did it right in broad daylight. Witnesses around. Zero chance to say he didn’t do it. And yet the country is BEGGING for jury nullification for Luigi. We WANT to see him set free, without consequence. The CEOs need to learn that these aren’t just numbers on a line graph. These are people. These are human beings with physical and emotional feelings that their decisions affect. We empathize with Luigi because we understand he’s been affected by this same shit system. We understood it LONG before he was identified. I even posted this comment days ago, before he was identified.
CEOs should take notice before it’s too late. Because sometimes you don’t get the chance to learn the lessions of cause and effect. Brian Thompson learned no lession. He just got shot, and never even knew who was shooting him or why. And while I’m not specifically advocating for that kind of violence, I am saying it IS the natural logical outcome from the situation these CEOs have created. I will cheer the next shooter, just as I have cheered Luigi. Until these guys learn that people are numbers, and earth is not a playground, I will not feel empathy for the consequences of their actions coming back to bite them. I may never be the one to pull the trigger, but I will openly support those that do.
Adding to that: I’d like to see the top dogs at insurance companies go through the same thing they put us through. No MRI or CT scan for you. You get ibuprofen and PT because nothing else is necessary. Maybe in a few years you’ll get surgery, when the problem is almost hopelessly bad. You get to shell out 5 or 6 figures for it, and no, you don’t get to use your millions. You have as much money as someone who absolutely can’t afford it. Oh, and that time off work? Unpaid.
And make them pay for the consequences of their actions. How many people like Wilfredo Engalla have there been and will there be? He had lung cancer, but it was misdiagnosed as colds and allergies for 5 years. When he found that out, he sued Kaiser. They forced him into arbitration and dragged out the case so nothing happened until he died, because they thought they would only have to pay half as much that way. In the end, his family got $150,000 (minus tens of thousands in costs to get that far).
Do that to enough people for enough years, and eventually you find out people have a breaking point. Who would have thought.
When I had United Healthcare my doctor would often perform multiple routine services when I saw him. UHC denied every single claim, saying services performed weren’t the purpose of the original appointment. They wouldn’t just deny the claim for those services, they denied the claim for the entire visit and it happened almost every time I saw my doctor.
United Healthcare obviously didn’t want me to make multiple visits for the same services because that would have cost much more. The crooks running the company were instead pocketing huge unearned profits because they knew few people would appeal their constant denials. Health Net served up other flavors of the same shit.
These companies need to be put out of business permanently.
they knew few people would appeal their constant denials
They have learned over time how people behave and they weaponized it against the working people.
Who fucking time to shuffle paper like that when you got a full time job and/or severely sick.
They use same tactics in other industries too.
