Really what it should be is that if a doctor prescribes unnecessary care, they should go after the doctor, not the patient. Doctors have malpractice insurance. If the health insurance can’t win a case of malpractice, then they should pay the bill. Why are patients in the midfle here at all.
This is still validating the profit incentive of private health insurance.
If the doctor prescribes unnecessary care, it should be none of these peoples’ business, because they shouldn’t be allowed any stake in the decision whatsoever.
Really what it should be is that if a doctor prescribes unnecessary care
That’s the core problem. The entity that defines unnecessary care is health insurance. And there are TONS of stories of them denying Diabetes medication for people with diabetes and anti-nausea meds to pediatric patients getting chemo.
If they were doing the right thing, no one would be pissed off. The “recent target” was the one to decided to run on AI driven denials that were denying 90% of care for months.
They are not fulfilling their duty to take the money from the subscribers and pay their righteous medical bills and instead using it as raw profit.
They are employing their own ‘doctors’ to prove stuff that is definitely necessary is labeled unnecessary.
Not just meds. Patients with chronic pain are expected to take painkillers for treatment but omg if the doctor prescribes therapy deny that shit. Even though therapy helps faaaar better than medications for chronic pain sufferers.
Really what it should be is that if a doctor prescribes unnecessary care, they should go after the doctor, not the patient. Doctors have malpractice insurance. If the health insurance can’t win a case of malpractice, then they should pay the bill. Why are patients in the midfle here at all.
This is still validating the profit incentive of private health insurance.
If the doctor prescribes unnecessary care, it should be none of these peoples’ business, because they shouldn’t be allowed any stake in the decision whatsoever.
It’s the same trick as rebranding bank robberies to identity theft. It puts the blame on the consumer who can’t afford to defend themselves.
Huh, I hadn’t thought of that as a Crying Indian.
That’s the core problem. The entity that defines unnecessary care is health insurance. And there are TONS of stories of them denying Diabetes medication for people with diabetes and anti-nausea meds to pediatric patients getting chemo.
If they were doing the right thing, no one would be pissed off. The “recent target” was the one to decided to run on AI driven denials that were denying 90% of care for months.
They are not fulfilling their duty to take the money from the subscribers and pay their righteous medical bills and instead using it as raw profit.
They are employing their own ‘doctors’ to prove stuff that is definitely necessary is labeled unnecessary.
Reminds me of the Tobacco Instrustry setting up the “Tobacco Institute”, to disprove any links between smoking being addictive, and lung cancer.
They were constantly gaslighting the public, even tried to discredit the Surgeon General for his report on second hand smoke.
Not just meds. Patients with chronic pain are expected to take painkillers for treatment but omg if the doctor prescribes therapy deny that shit. Even though therapy helps faaaar better than medications for chronic pain sufferers.
It’s the conflict of interest in the “decision maker”
My attitude is that if the doctor prescribes unnecessary care there’s a professional board for that.
Though let’s be real, the health insurance for profit industry is the problem and it’s not going to get better until we get rid of it
Yeah, but the professional board is kinda like an HOA board. Should be more like a jury of all regular doctors or something.
Patients usually have the least amount of power. That’s why.