What percentage of ppl w health problems are caused by their own horrible care of themselves?
Of course care for a child or person w a random problem should be paramount. Should any care be available to me if I choose to drink smoke eat horrifically etc? Seems like millions of cases of poor health are ppl doing it to themselves, myself included. I could eat way better.
Byates, "about 70%" is the answer to your question.
That said, I think most to the critique of the company in question is lack of payment and care relative to the service agreement. You not have to have insurance to be sick and die. But yes all it are ingredients to the stew which is health, insurance, food, exercise, choice and so on.
But this is what America is all about... the food industry, big pharma, social media, soon-to-be (or maybe already?) AI, the list is quite long.Quote:
Originally Posted by LongShortLong
Assuming this has started a copycat thing which CEO is next ??
all of that is accounted for when the insurer writes the policy. mortality rate is the reason why health insurance policies for smokers and older people are more expensive than 20 year olds. beyond the age of 65, insurance companies price policies so high that no one can really afford them so the government has a nearly trillion-dollar program to cover the elderly. ironically, because of our hybrid system, that maximizes profitability for the insurance companies, we spend on the order of 3x more on health care per person than comparable large developed economies.Quote:
Originally Posted by byates1
I had Hodgkins Lymphoma. Spent my life trying to be healthy. Don’t smoke, drink, or do drugs. I used to be a foodie nut case.Quote:
Originally Posted by byates1
Treatment was over a million bucks. Of course my insurance covered it minus out of pocket max.
My care team had to go through prior authorization hoop jumping to get me approved for Brentuximab, a more expensive, more effective, less pulmonary toxic med. Also had to hoop jumping for a med that would help me have some semblance of an immune system. One shot in my stomach cost $5000. Had to do it after every chemo. $60,000 total.
Insurance could have denied any of that, but the oncology pharmacist and oncologist worked for me to get it approved. I do that for my patients all the time, too. It’s a huge fucking pain in the ass.
We also have to do “peer to peer” case reviews for insurance to cover some hospitalizations. Basically they hire some prick flunky doc to deny everything and I have to call this asshole and argue why we admitted grandma with pneumonia or whatever else.
Fuck United Healthcare. Maybe this guys death will do the world some good. That’s about the only good thing that could come of it.
Healthcare is so expensive here largely because administrators out number clinicians by a huge margin. It takes so many non-clinical admin to navigate our stupid bullshit system.
/end rant
Here’s a story a friend told me recently. Their cousin was a raging alcoholic and destroyed his liver. Had to have regular liver dialysis and was waiting on the liver transplant list but basically at deaths door. Boom! He gets lucky and a suitable donor found and gets a new liver transplanted!!!! A new man, totally healthy and a new lease on life.
Fast forward a few years and he’s destroyed his new liver with drinking and basically back to where was.
Quote:
Originally Posted by byates1
I thought that the transplant system was designed to put anyone who wouldn't quit drinking at the button of the waiting list
On point as usual. Your case is exactly why great healthcare should be available. Not to mention you work hard raise a family etc. Not some pile.Quote:
Originally Posted by Trackhead
Most ppl take absolute horrible care of themselves. Merica. Had I continued to drink 10-12, 6.7 IPAs a day I'd be a medical case by now. Wouldn't have sought care though. Just would have died.
If we as a nation and a species tightened our game we could solve it. Buttfuckit, cigs, vape, jack, and mcdanks are what I want baby.
I know people who don't want to pay to save the reckless dumb ass who decides to ski off piste. So there's that. IMHO, they are fools that lean towards having narcissistic personalities. Like most 3 old when told to share their cookies until we train them to be a part of a lager society.
I dont know the details but he may have quit until he got the liver then…Party Time!!!!
Quote:
Originally Posted by dan_pdx
It is. Each state does have their own protocols but I now know way more about this than I ever wanted to for liver patients waiting for a transplant in AZ.Quote:
Originally Posted by dan_pdx
https://www.nytimes.com/2024/12/06/m...e=articleShare
“A Guy I Know Had a Liver Transplant. Now He’s Boozing Again
The magazine’s Ethicist columnist on how to support someone with an addiction problem.”
^this was this week’s ethical dilemma in the NYT
Anyone who thinks there is a simple and feasible answer to how to pay for bad luck medical issues but not for “lifestyle choices” must have drank too many IPAs in their youth.
As already mentioned “I’m not paying for your heart attack since you eat at McDonalds” =
“I’m not paying for your broken leg because you skied down something above your ability level”
Hmm how would those decisions get made? Probably by a group of accountants with minimal medical backgrounds who would deny all claims at first and make you justify why you deserve coverage…shit this sounds familiar…
Nobody should worry about $$ when they have a life threatening illness. It’s worse than the illness (was in my case anyway).
A CEO shouldn’t make 10 whatever million while everyone else is trying to pay their ever rising premiums with shittier coverage year over year.
Trackhead - glad you got the treatment you needed. Sounds like you had good people in your corner fighting for your cause (as you’ve done for others)
Having gone through this you have a window into what a patient who isn’t a health professional is up against - which will serve your own patients well when you advocate for them and help them navigate the system.
But it’s sad to think about those who don’t have good people in their corner and have no idea what treatments they are being denied.
This is not intended as a guilt trip for you getting your treatment. All you can do as one person is fight for yourself and your patients to receive the best appropriate care (and vote for people trying to make things better)
Quote:
Originally Posted by Trackhead
My wife could have written this. She has one more treatment to go in 11 days. BCBS MT has been pretty good- the best advice she got from a survivor was to call and request a case manager.
Like Trackhead’s case, UHC initially denied Ms TBS’ chemotherapy drug cocktail. Her Doc said it was a common occurrence, even though the drug in question is standard care in her situation, and they have extra staff just to deal with UHC’s bullshit.
They got it approved the day before she started infusions. So she got what was medically recommended but there was a fair amount of stress/anxiety over this on top of an already stressful situation.
Yeah fuck United Healthcare
Hah! I wonder if it’s the same person? Or is this somewhat common for alcoholics?
Quote:
Originally Posted by bennymac
Not universal but not uncommon for addicts.Quote:
Originally Posted by The Nuclear Option
Scheduling my 3rd free roto rooter procedure tomorrow to remove the rock salt out of my leg vein. I should quit smoking.
Good video.Quote:
Originally Posted by byates1
I had stumbled on some news blurb about that weird pistol that you have to cycle by rotating the knob on the back. The ceo video clearly doesn’t show that. wtf NYPD.
PS. Y’all need to stop cheering the death of a human being.
Human being?!?!?!?
Ex human being?Quote:
Originally Posted by PB
If they catch this guy maybe we give him a presidential medal instead of the gas chamber?
You can thank me for that. I sued the shit out of those assholes several decades back. (pre-ACA)Quote:
Originally Posted by evasive_MT
My lawsuit against BSBC MT, along with multiple other lawsuits by other Montana residents, became the basis for the criminal prosecution of BCBS MT, which resulted in a guilty plea.
https://www.justice.gov/atr/case-doc...file/489571/dl
I have absolutely zero sympathy for the CEO who got assassinated. I will donate generously to any legal defense fund for the assassin if he is ever caught.
I can't recall whether this has been posted here already, but it's another denial of coverage case in extreme detail.Quote:
Originally Posted by Trackhead
https://www.propublica.org/article/u...rative-colitis
On the anniversary of John Lennon getting gunned down on the streets of NYC I'd like to second that emotion. Too many people getting shot already.Quote:
Originally Posted by Core Shot
Meh.
CEO rises to power by not viewing others as human beings.
Those people don’t view CEO as a human being upon his death.
[ATTACH][emoji6[emoji640][emoji637]][emoji[emoji6[emoji640][emoji638]][emoji640][emoji6[emoji640][emoji638]]][emoji6[emoji640][emoji638]][emoji[emoji6[emoji640][emoji638]][emoji640][emoji640]][emoji6[emoji640][emoji637]][emoji[emoji6[emoji640][emoji638]][emoji640][emoji6[emoji640][emoji638]]][/ATTACH]
Quote:
Originally Posted by Core Shot
Maybe we’re “just asking questions” - like you did about whether or not the Holocaust was as bad as they say it was.
Take a long lap.
I can't remember the specifics but a buddy of mine had his wife go into labor very early and ended up in Seattle's NICU for 5 months with twins. He had great insurance and still had to battle the life flight costs. They were double billing everything. He reached out to the Montana AG(? I think) and it ended up resulting in new legislation. Nice to see the system actually work. Although it would've bankrupted many average montanans.Quote:
Originally Posted by Harry
Sent from my SM-S236DL using Tapatalk
Yeah, its complex.Quote:
Originally Posted by JimmyCarter
Most people with the mentality to reach the top of the corporate ladder are assholes...but not all. I've met a few over the years and in my little sample "most" are arrogant, yet incredibly intelligent, complete assholes. So is it a mental illness? I think it is. I am not schooled at all in psychiatry or psychopathology, but these guys seem to only care about wealth and power. We just elected one as our president.
The one good thing that can possibly come from this particular asshole being gunned down is some systematic change within the health insurance industry...but I'm not holding my breath.
using the bernie goetz method to effect changes in public health policy… what could possibly go wrong?
At the very end of this it says:
“ He is still in the wind as of Saturday evening — but Mayor Eric Adams confirmed that police have identified the shooter.”
Quote:
Originally Posted by Evil E
have they ruled out possible unabomber involvement?
Honestly I don’t give a rats ass about this fuck or that fuck. They’re all the same. Only looking for their own perceived power over others.
I truly hate these people. Hate is a strong word and I fully know this and choose to use this word wholeheartedly.
This guy is just another blip in my internet timeline. Nothing more.
It was ANTIFA.Quote:
Originally Posted by stealurface831
Proof = the geniuses at AR-15 dot com have it all figured out.
https://www.ar15.com/forums/General/...tan/5-2764582/
Also my sibling is in the ICU currently, total time in the hospital on this stint just over 7 weeks. UHC insurance has denied a patient that will die soon without continued kidney dialysis 3-5 days a week and needs a kidney transplant to live.
DENIED!
You can argue with me your morality bullshit about this persons kids and wife all fucking day long till you’re blue in the face and I’ll tell you to suck my motherfucking dick.
He ran a company making inhumane decisions for others lives. Reap what you sow motherfucker and make better decisions in your life. Or not you worm food motherfucker.
That’s shitty considering that BV-AVD is the current standard of care for Hodgkin’s. That’s what my wife is doing. She did one cycle of Nivo but developed pneumonitis in an immune reaction, so we switched to the current standard.Quote:
Originally Posted by Trackhead
A friend of hers just finished breast cancer treatment with UHC and they wouldn’t authorize a Nulastra shot until she developed neutropenic fever. My wife’s are authorized as part of her treatment.
I vaguely remember reading about it at the time. Glad that happened before our experience, just as I’m glad there’s been turnover in our local cancer treatment center (read the ProPublica article in the longform magazine article thread).Quote:
Originally Posted by Harry
Again, fuck all these people.
Attachment 506884
Attachment 506885
Attachment 506886
https://bsky.app/profile/kathryntews.../3lcv2xvysgc25
Suspect held for questioning in PA. Sounds like it's probably him. Gonna be interesting to hear what this guy's story is.
Sent from my SM-S901U using Tapatalk