• Mouselemming@sh.itjust.works
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    4 months 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.

  • Jo Miran@lemmy.ml
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    4 months ago

    Just because it is legal doesn’t mean it shouldn’t be punishable.

  • JaggedRobotPubes@lemmy.world
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    4 months 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.

    • GodlessCommie@lemmy.worldOPM
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      4 months 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.

    • monkeyslikebananas2@lemmy.world
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      4 months ago

      What civil war though? There are no possible civil or geographic divisions. A class and culture war are the only possible ways out of this mess.

      I am on the side where we destroy the culture of greed and eat the rich.

  • Flying Squid@lemmy.world
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    4 months 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.

  • iAvicenna@lemmy.world
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    4 months ago

    hospital care is not necessary but because we care about our customers we will go the extra mile and cover her aspirin costs

  • Awesomo85@sh.itjust.works
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    4 months 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.

    • nickiwest@lemmy.world
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      4 months 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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        4 months 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.

        • nickiwest@lemmy.world
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          4 months 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.

  • finitebanjo@lemmy.world
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    4 months 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.

    • Allonzee@lemmy.world
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      4 months ago

      Yeah, not like there’s any urgency to the situation /s

      A lawsuit isn’t the same as your loved one surviving.

      • finitebanjo@lemmy.world
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        4 months ago

        There is actually no urgency to this specific case. This patient will demonstrably not delay their own care for fear of debt.

      • finitebanjo@lemmy.world
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        4 months ago

        Less than a single percentage of denied claims get appealed, a lot of people apparently don’t even know the option is available.