The fact that there's shares to be had for denying care is crazy. They know denying care is their business! Meaning that the money they didn't spend on your care doesn't go back into the pot for everyone in your group, they are pocketing some of the money whenever they deny someone. That's it. They don't help anyone but themselves. There should be a requirement that insurance companies publicly announce how much money they made from denying care

Those same ones who screamed about fema prisons... At some point, we'll catch on that these conspiracy theories are actual plans...

Every accusation is a confession, right? That's how conservatives work. They're unimaginative people with poor empathy. They think about what they would do and assume that's what everyone else would do, too. They are trash. Failures. Disappointments.

More than that: fully automated death panels.

Evangelical Christianity. They have always claimed that “absolute evil” exists. They have won the philosophical debate, by demonstrating the Platonic form of evil.

The goal of the healthcare system should be to treat people.

The goal of a good healthcare system is to treat people. The goal of ours is to treat the rich to another yacht. Healthcare providers bill far above cost for profit, knowing that either the insurance or the patient will have no choice but to eat the cost. Insurance providers use high healthcare costs to justify high policy prices and then do unethical shit to avoid paying out.

The hospitals make money. The insurance company makes money. The shareholders and corporate owners make money. The people needing healthcare get screwed.

The system is, unfortunately, working as intended for those who benefit from it being the way it is.

Med schools should accept more than 2% of applicants.

The problem is a lack of residencies, and there’s been lobbying to keep the number of residencies low, to keep doctor wages high.

Rejecting claims does have some legitimate purposes.

Invalid ID numbers, people aren’t actually a customer of the insurance company, unreadable data, and actual medical fraud to name a few.

Denials should trigger a government review that the insurance company must justify to a neutral 3rd party that has a medical degree

Cystic acne treatment is frequently covered by insurance and the same treatment is desirable to those that suffer from normal acne. Emotional support animals required doctors notes and were desirable for free admittance on planes. Ozempic as a weight loss drug. Topical steroid treatments for treating inflammation. Glasses to see better than 20/20.

There are all kinds of medical treatments (relatively) healthy people would want if they were affordable and knew they existed.

Going to be weird when they let Luigi Mangione out and the head of CMS immediately unalives.

This is just wealth transfer to keep another AI company afloat. Most of them live and die on investor cash, and never turn a profit.

I'm still incapable of fully accepting that's real.

ok, as a non american, that's not a real government site, right? this is a good joke?

Kleptocracy. They just aren't bothering to hide the fact that they're selling off the government for parts anymore

Willful hatred

perverse intentions?

This is why I'm so thankful for mortality and chose not to have children. Please, universe, let reincarnation not be a thing.

As someone who lives with constant pain, calling pain relief of any kind "wasteful" enrages me. See if pain relief has "little benefit" when im done with you, mufucka

If payments out of pocket were reasonable maybe we are charged like a hundred times what everybody elsein the world pays.

Investors like private equity have taken over Health Care and are extracting the life savings of baby boomers for medical care that used to cost a reasonable amount of money.

Yes, I said, lying.

The machine won't let me get treatment for the thing that makes me narrate my actions, I explained with a weary sigh.

This is the point. They want to erase any legacy either of them left. Trump is a petty little asshole who is still mad that Obama made fun of him once.

And who knows how long that'll take. While we're waiting to see if your pain is considered valid enough to warrant relief, here's a wooden spoon to bite down on.

I'm a feeling a hungary for summa those Italian meat balls delivered at 1200fps...

So bribe the private sector to deny all claims routed through them first

The AI models getting paid most the most they deny is private sector grift built in here.

Luigi has allegedly already done his part. Mario needs to step up and help his bro out.

Probably some terms and conditions you signed as part of the contract

What's stopping me from just suing them for breach of contract rather than going through their appeals process if they illegally deny my claim?

The cost of a lawyer that can hope to match theirs. They don't care if it loses them money as long as it deters others from trying the same.

What’s stopping me from just suing them for breach of contract rather than going through their appeals process if they illegally deny my claim?

Medicaid is a government provision that has no contract that underpins it. With something like United Healthcare, there is a bargained for exchange of mutual consideration (you give $ and UHC provides insurance subject to all the terms and conditions in the contract).

That is not something in Medicaid because Medicaid isn't getting anything in exchange for its health coverage. The government can put whatever restrictions on it that it wants. The benefit comes from the government having one more contribution to the ecconomic system. However, that is too attenuated of a benefit to say that there was a bargained-for exchange.

They're fine if they make money for the right billionaires.

I think someone else mentioned that doc oz is the head of medicare now.

Because the military is for "protection" and the uber wealthy earned it (by some definition of earned)

if(true) { return deny } else { return deny }

They'll still use AI for it though, even just to write the program that just does a single line of code: reject();

The point is fraud. They give you just enough to think they will cover you when you really need it. And by then, they've already extracted the optimum amount they were gonna get from you.

the incentives perfectly match the goal

The ethics of sabotaging AI are even less murky than the ethics of what Luigi did. We need tech Luigis.

As it turns out murdering a random CEO doesn't fix the deep issues with out healthcare.

CEOs are just cogs in the machine at the end of the day. Investors, the rest of the company leadership and the government are all to blame as well.

It is crazy that it is ok to profit off of denying people care.

Violence is like duct tape. If it hasn't solved your problem, you didn't use enough of it.

Taking claim validity away from the doctor that's actually in charge of the patient's care is already fucked. AI cost cutting doesn't belong in medicine full stop. It shouldn't be a for-profit "industry" in the first place. We're so fucked nobody can even think about this without insane, anti-human framing coloring everything