Urban75 Home About Offline BrixtonBuzz Contact

"Healthcare" in the US

This one is a bit more complicated than it looks - I don't want to stray in Devil's advocate territory, because the Devil is the Devil, he doesn't need help but on this one consider the source and accept that it's a case of 2 things being bad.

The people massively reporting it with very emotive language is the trade body for anaesthetists and for all the talk of "arbitrary length" it's not entirely picked out of nowhere. the HMO is planning to use the tables already in place with Medicare.

Because the system is a bit bonkers, it often happens that the anaesthetists is out of network even if the hospital where the patient is getting their operation done is in network and it leads to all sorts of billing shennanigans.

It's one of those consider the source moment - a bit like how the pharma PR machine was nudging journos to write articles about how asthmatics where destroying the ozone layer
They’ve rowed back on it since. Maybe the execs have changed their mind…

There has been significant widespread misinformation about an update to our anesthesia policy. As a result, we have decided to not proceed with this policy change,” the company said in a statement. “To be clear, it never was and never will be the policy of Anthem Blue Cross Blue Shield to not pay for medically necessary anesthesia services. The proposed update to the policy was only designed to clarify the appropriateness of anesthesia consistent with well-established clinical guidelines.
 
They’ve rowed back on it since. Maybe the execs have changed their mind…
They're not much better here.

I know of one insurer who thought that external cardioversion - a procedure designed to restore a heart with an adverse rhythm into a normal rhythm by delivering up to 200 joules of electricity via the skin of the patient's chest wall - was okay to be done without general anaesthesia and objected to settling an anesthesia fee.

Arseholes.
 
What a fantastic combination of sentences

View attachment 453968

Just goes to show that these health insurance people are not cackling supervillains, just ordinary and probably quite dull people who have convinced themselves that the monstrous things they do are simply necessary. Well obviously you can't just go around giving out medical treatments, or the whole system would crumble. And it's just not in them to question whether a system that works like that should exist. Particularly when that system has given them many shiny things. Would something evil give people shiny things? Impossible.

Which is not to make excuses for these people at all. There's no level of indoctrination that could make denying healthcare to a sick child feel like the right thing to do. You have to be a person without conscience to allow yourself to become part of that. You have to, on a bone deep level, not care who lives or dies. I don't know how people end up like that and I don't care, I just want them to be put in a secure facility somewhere they'll never be allowed anywhere near a decision that affects someone else's life.

Shooting them works too of course. I can't feel sympathy for them if that happens because I don't really think being alive without any kind of moral existence even counts as being alive.
 
Zenkus’s post referenced a 2020 study published in the Lancet, which estimated universal healthcare for Americans — rather than the current system in which most consumers rely on public and private insurance — would save 68,000 lives annually. Zenkus told the Financial Times he “would never celebrate anyone’s death”
 
ust goes to show that these health insurance people are not cackling supervillains, just ordinary and probably quite dull people who have convinced themselves that the monstrous things they do are simply necessary. Well obviously you can't just go around giving out medical treatments, or the whole system would crumble. And it's just not in them to question whether a system that works like that should exist. Particularly when that system has given them many shiny things. Would something evil give people shiny things? Impossible.
'little eichmanns'
 
Cory Doctorow in measured fury: a long essay wondering why there haven't been more assassinations like this
I don't want people to kill insurance executives, and I don't want insurance executives to kill people. But I am unsurprised that this happened. Indeed, I'm surprised that it took so long. It should not be controversial to note that if you run an institution that makes people furious, they will eventually become furious with you.
 
The system truly is fucked:

Some 77 per cent of respondents to a 2024 survey of 200 US healthcare providers said claims denials were increasing, nearly double the figure of 42 per cent in 2022, according to Experian. The survey found the time it takes to be reimbursed for a claim was increasing with 67 per cent of respondents reporting a lengthening of payment times in 2024 compared with 51 per cent in 2022.

 
Back
Top Bottom