You must log in or register to comment.
Universal health care? I don’t want government making my health care decisions! We have for-profit companies for that.
Death panels?
Believe it or not, that’s also Frank.
Fun fact, he was named after the health insurance industry’s inspiration, 1789 France.
Feank is a busy man. Denying medical treatments, sitting on death panels. Is there nothing Frank can do?
Oh yeah, Frank can’t approve medical treatment.
Don’t be so sure it would be different. I collapsed, nearly drove off the road 3 times in one week and decided that it was enough and went to the doctor. He sent me home, wrote me in as extreme burnout (completely true, I had to sleep at work for every coffee break to make it through the day and 30 mins before driving home to actually make it). So I thought Great, I will rest for a few months and go back to work after that! Nope. The state heath insurance office said Our specialists decided, that you are perfectly fine. No sick pay. Get back to operating the industrial concrete blender. The health center doctors signed a letter, but no, I was fucked. So on top of this I got extreme financial stress. We got out of this crap by renting our cabin and starting going full into an outdoor adventure business. What a great time. Where was this? In Sweden in January 2019.
Sounds like a flaw in the system. I fail to see how health insurance should ever be involved between patient and doctor in a “universal” health care system. Sure doesn’t happen where I live.
Sounds more like an intended feature
It’s cute that you expect Americans to feel sympathy because your employer didn’t take your burnout seriously
Oh, most of us do, we’re just too burnt out ourselves to do much but grunt out, “sorry, bub. I know it sucks.”
That’s how I end almost every conversation.
Yum… crab bucket.
Do people believe that there? I can assure you the government has no roll in our health care decisions, and what the doctor wants the patient can always get.
Far too many, yes.
Oh yeah, it was a major propaganda position back in the 00s and it’s part of how obamacare got that way.
Frank didn’t even look at it. He just fed your claim into their computer and it spat out a rejection.
Bold to assume he bothered to feed it to a computer when you can just reject without having to do that. Feeding something to a computer takes time, and time is money y’know.
Frank bought a self-inking stamp that says “REJECTED” and saw a 70% productivity increase.
Frank has management written all over him!
Everything is filed electronically, having a person step in will always be more work and money dude…
And leaves a nasty paper trail!
i have a friend who’s a transplant patient and has been taking the same meds for over 10 years post transplant-- every year it’s a furious battle with insurance who, every year, decides the meds are no longer “medically necessary” and drops coverage for it. fucking helloooo these are anti-rejection pills, the textbook definition of “medically necessary.”
it’s not that insurance companies are stupid, it’s that they’re saving money on people dying when those people don’t get what they needed to live.
insurance is the biggest fucking scam of all time
The insurance system does not work in the medical field, it would never work because insurance is for managing risks that are unknown, like a house flooding or your car getting hit in an intersection.
In medical “insurance” it is often dealing with known issues, and the insurance system is just not set up to deal with preventative care, annual check ups, mammograms, blood tests, or pre-existing conditions. It would be like trying to use car insurance to pay for an oil change, which is just as ridiculous as it sounds in your head.
That’s exactly why the term “insurance” should be used when discussing a single payer system, it’s not really insurance, it should be a collective action group that works together with the medical community to find a middle ground where hospitals can still exist and pay wages to their staff, the people can get the medical care they need without getting thrown into poverty for daring to get sick, and the government benefits from having a healthier population as a whole.
Too bad theres way too much money in the short term in keeping this all private, and having a sicker population, so we have decades of insurance company propaganda to work against, and a huge population of people that don’t understand that by doing single payer health care your taxes would go up, but you also wouldn’t be paying out the nose for medical insurance & medical care (because they don’t cover anything). Also think of a world where your health care isn’t beholden to your employment, all the different choices you’d make in your life.
Sometimes the Frank is an AI that is wrong 90% of the time. That’s fine, because reasons.
Sometimes the Frank is an AI that is wrong 90% of the time. That’s fine, because
reasons$$$.I fucking wish. At least then I wouldn’t have to be put on hold for 30 min just to have to eventually explain to a person who was hired 3 weeks ago how to do their job.
Private insurance always has you speak to an actual adjuster for authorization, mainly because they know any sort of automated system would be more accurate and faster than having you talk to their undertrained and understaffed employees.
Private insurance’s goal is to erect as many barriers between the provider and the patients as possible, and then blame the provider for all the barriers. It works every time.
“I have the best insurance, they told me it would be covered”. Nope, Medicare is the best insurance and you traded that away for a privatized Medicare supplemental that lies to you about your coverage.
The private for profit health insurance industry - because what could make number go up better than a (LEGALLY MANDATED) do nothing middle man who’s only purpose is to take your money and ensure as little as possible is spent on healthcare sitting between you and not dying?
Had my buddy over who brought over his incredibly questionable 30yo brother who shared some real incel levels of talk. He used my bathroom and asked if I wore tampons since a pack was visible. Like bro, I have a wife and a daughter.
Anyways, that guy works in health insurance!
I don’t know how much decisions he can actually make. But that dude has a middle-level education about sex ed and struggled to explain what a period is. And he is one of the barriers to approving/rejecting your health care.
“You want me to whip out my dick and slap you with it since that was the stupidest question I’ve heard?”
Maybe if you can’t afford to pay premiums that allow you to have an IRM, just
don’t indulge in expensive illnessesdie already.I love how the insurance company, the party that has no medical expertise whatsoever, gets to unilaterally decide how much that MRI will cost you today.
The sad thing is they do hire some licensed healthcare professionals to fall back on when appealed. They just look for the least compassionate MDs to rubber stamp denials.
Yes I would like to change this, too. Who do I vote for to make this happen? Just kidding I don’t have access to $10B of “free speech.”
I work for a neurologist practice, and the amount I have to argue with insurance (and inevitably have to get the neurologist on the phone to directly request something for many) is insane. A good chunk of my job isn’t providing care, but arguing with insurance that the care is necessary. These companies are actively delaying patient care, and try to blame the physician whenever possible.
Wildly infuriating, especially when the denials are worded along the lines of “we reviewed this, and don’t consider it medically necessary”. Motherfucker, a doctor said it was necessary and listed the clinical reasons why this test or procedure would be beneficial. Nothing has radicalized me for universal healthcare more than working in healthcare.
The health insurance company has little motivation to care about your health, but doctors have little motivation to care about money and money is actually important too. Ultimately you end up paying for all that unnecessary testing and there has to be some mechanism for controlling cost.
With that said, one time I was appealing a rejection of home care for my grandfather and I mentioned that his condition had declined and he was currently in the hospital. The guy from the insurance company said that clearly someone in a hospital doesn’t need home care and so my appeal should be rejected and I should file a new claim (which can take months) after my grandfather was home again. The arbitrator didn’t agree with that (although she said that she could postpone the hearing until he was discharged if that was what the insurance company wanted) but I was still so angry.
That study is idiotic. It’s literally an embodiment of the joke: “You could have found it faster if you looked in the last place first”.
Standardized triage testing has been shown over and over to save many more lives than doctor intuition alone. Just because a test rules out a diagnosis doesn’t make it “unnecessary”.
20 years of experience believes
What are ‘experience believes’? Is this sentence missing some punctuation?
Oof man. Reread the entire sentence.
I’m a grammar nerd, but come on. This doesn’t help anything.
There should be a comma after experience.
I’m drunk in the back of the car and I’m crying like: a baby coming home from the bar.
