One story that we couldn’t keep out of the press and that contributed most to my decision to walk away from my career in 2008 involved Nataline Sarkisyan, a 17-year-old leukemia patient in California whose scheduled liver transplant was postponed at the last minute when Cigna told her surgeons it wouldn’t pay. Cigna’s medical director, 2,500 miles away from Ms. Sarkisyan, said she was too sick for the procedure. Her family stirred up so much media attention that Cigna relented, but it was too late. She died a few hours after Cigna’s change of heart.

Ms. Sarkisyan’s death affected me personally and deeply. As a father, I couldn’t imagine the depth of despair her parents were facing. I turned in my notice a few weeks later. I could not in good conscience continue being a spokesman for an industry that was making it increasingly difficult for Americans to get often lifesaving care.

One of my last acts before resigning was helping to plan a meeting for investors and Wall Street financial analysts — similar to the one that UnitedHealthcare canceled after Mr. Thompson’s horrific killing. These annual investor days, like the consumerism idea I helped spread, reveal an uncomfortable truth about our health insurance system: that shareholders, not patient outcomes, tend to drive decisions at for-profit health insurance companies.

  • Universal Monk@sh.itjust.works
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    3 days ago

    But one has to look at the whole thing and wonder, can it change through non-violent means at all?

    Doesn’t matter. I will never advocate murder. I don’t care what the argument is. If you don’t like a product, then don’t use it. But don’t fucking murder a person walking down the street because you are pissed at the company he works for.

    Thank God that most of society doesn’t think the way Lemmy does when it comes to this subject!

    I had a shit insurance company. They never paid any of my claims. So you know what I did? I dropped them. I went uninsured because the insurance company wasn’t doing shit. So I stopped giving them money.

    And you know what? If everyone did that, then the health insurance company would go out of business. You don’t HAVE to pay for health insurance if you feel it’s denying every fucking claim. Because if they are denying every claim, then you don’t really have health insurance. So you are no worse off for not having it.

    The Democrats didn’t do shit about it. The Republicans didn’t do shit about it. But if we all stopped paying premiums, then guess what? People would wake up.

    But you don’t fucking murder people to make your point. I don’t give a fuck what your point is.

    Luigi committed murder. The jury won’t let him off just because they don’t like insurance companies. I hope he gets life in prison. Lemmy can feel free to write him all the fan letters they want, but doesn’t change my mind about it.

    • ShareMySims@sh.itjust.works
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      2 days ago

      No amount of deepthroating rich murderous boot will save you when your turn comes to face off to your insurance company, and it will come.

      • Universal Monk@sh.itjust.works
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        2 days ago

        No amount of deepthroating murdering scumbags like Luigi will save you when it comes to your bitching about society on Lemmy.

        Also Luigi was one of the rich people you all seem to hate so much. And his family was rich.

        And I hope he spends the rest of his life in prison and is all pissed off because prison doesn’t have very good vegan options and doesn’t recycle. :)

    • kipo@lemm.ee
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      2 days ago

      If everyone dropped their health insurance tomorrow, a lot more people would die and face bankruptcy and homelessness. People don’t want to hurt themselves in order to change the system; they want to hurt their oppressors in order to stop the oppression.

      • Universal Monk@sh.itjust.works
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        2 days ago

        I’m talking about people who think that every claim is being denied. If every claim you are posting is being denied, then you don’t really have insurance.

        And regardless, murdering someone isn’t the answer.

        • Pandantic [they/them]@midwest.social
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          2 days ago

          So, what is your view or a way to change? As you say, not everyone is getting their claims denied, but we all have to go through bs claim denial that is thrown at us so that the profits of our insurers can go up. So what is the answer? Abandoning our insurers isn’t practical, as the poster above you said, so what recommendations do you have?

          • Universal Monk@sh.itjust.works
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            2 days ago

            Murder isn’t the answer. I didn’t say I had a solution. I said that I don’t think murder is the solution. And I don’t care how much hate or how many downvotes I get. I’m not going to advocate murder. Ever.

    • healthetank@lemmy.ca
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      2 days ago

      The problem with your “drop them if they don’t cover you” bit is that people generally won’t find out until something serious happens, and then they’re screwed regardless, OR their employer pays a good chunk of their premiums, so they figure they’re better off to keep that and hope something winds up covered.

      Not American, but we studied this in school. The insurance/free market problem is twofold - healthcare is a captive industry, and the knowledge base required to understand what is and isn’t a good plan is well beyond most of the population.

      Healthcare is a captive industry in that no one can stop using it entirely. Car insurance? Never get a car, you avoid it. Arguments of car-driven infrastructure aside, that’s not a captive industry. So you, at some point in your life, are going to need healthcare. But, you have no idea how bad it’s going to be, what’s going to be wrong with you, etc. so your needs are extremely unknown. Again, to use a car insurance comparison, your choices are fairly limited here in Canada at least. The govt has set minimum standards that all insurers must provide, and then you can choose to increase above that. But those minimum standards cover enough that you’re very unlikely to be totally screwed with enormous debt after an accident no matter what causes the accident, etc.

      This leads to the fact that healthcare is so ridiculously complicated that sorting out what is and isn’t covered by various insurers (who regularly change their plans) is beyond the average person. They have no way of knowing how much a surgery for appendicitis might cost, and if the 2mil max Plan A covers will be enough. Now multiply that by a thousand illnesses.

      Healthcare should not be left to the free market - at a minimum, there needs to be a robust, extensive, and functional public insurance to avoid stupidity like bankruptcy from basic, lifesaving surgeries.

      • Universal Monk@sh.itjust.works
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        2 days ago

        Healthcare should not be left to the free market

        Totally agree. Murdering an insurance CEO isn’t the answer tho. Which was my original point.

        • healthetank@lemmy.ca
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          1 day ago

          I would agree, except that this has been a problem ongoing for the last twenty years with no progress made by protesting/following legal channels. From my perspective, without the threat of violence, both US parties have too much to gain by maintaining the status quo to respond to general peaceful protesting or trying to legally change things. If your perspective is that these people are causing deaths, and the legal system isn’t willing to change quickly enough, an argument could be made that the slow protests/incremental change is causing more deaths.

          • Universal Monk@sh.itjust.works
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            1 day ago

            except that this has been a problem ongoing for the last twenty years with no progress made by protesting/following legal channels.

            Cool. Doesn’t matter. I don’t think murder is the answer, and I will never advocate it. Lemmy will be on the wrong side of history when it comes to this subject. Cold-blooded murder is never the answer.

            And if Luigi would have had some Republican tattoos and history and did this, you all would be crying and memeing about how he should be in prison.

    • Tgo_up@lemm.ee
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      2 days ago

      You despise the French revolution and thinks it should never have happened?

      • Universal Monk@sh.itjust.works
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        2 days ago

        I’m not talking about the French revolution. I am talking about right now, here in the US.

        And I hope Luigi spends the rest of his very long life in prison. He’s a fucking scumbag murderer. I don’t give a fuck what Lemmy thinks.

        • Tgo_up@lemm.ee
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          1 day ago

          And I’m talking about another time in history in a country where the elite had taken too many of the resources for themselves, that the average person could no longer accept which, resulted in violence that affected massive changes…

            • Tgo_up@lemm.ee
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              8 hours ago

              I’m trying to have a discussion and understand your point of view. I’m not trying to change your mind.

              I’m just saying that pretty much any time in history where major changes happened in the power structure of a country or region, it happened through violence.

    • Pandantic [they/them]@midwest.social
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      2 days ago

      Every thing whe have here in the US came from blood of others. The native Americans, the British, the slaves, the immigrant workers, etc. We wouldn’t be here as a country if it weren’t for revolution, and we wouldn’t be without slaves but for civil war. I know you wish it weren’t true because revolution and war are no fun, but if you think this system will change itself without a fight, I’m afraid you haven’t been paying attention.

      • Universal Monk@sh.itjust.works
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        2 days ago

        I don’t care. Murder is wrong. And I hope Luigi spends the rest of his very long life in prison. He’s a fucking scumbag murderer. I don’t give a fuck what Lemmy thinks.

        • Pandantic [they/them]@midwest.social
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          2 days ago

          Murder is wrong.

          Is it wrong when a police officer kills a perp in self defense?

          Is it wrong when they do it to save the lives of others?

          Is it wrong if their boss told them to do it?

          Is it wrong if their government told them to do it?

          Where do you draw the line on murder?

    • timestatic@feddit.org
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      2 days ago

      Thank you for stating that point. I really want to like lemmy as I deleted my reddit account and generally like the idea of a federated system a lot more. The people celebrating this murder as and act of heroism has disgusted me to the core. That it’s so widely believed violence and self-justice will solve the root cause of this system when it will just affect a symptom but not solve anything in the long run.

      From nearly all ethical standpoints this murder was unethical and unjust. I wish I could just turn this discussion off on lemmy since its strong bias of this echo chamber is strongly noticeable. I too hope and think the jury will find a decision that is just.

      The only way where I see violence justified is in authoritarian dictatorships, where the public has no sovereignty and the dictator acts willingly harmful to their populace in either exploiting them, attacking them and killing them. Other than that probably in self-defence and situation of war. But this is a completely different scenario. Killing a CEO since you don’t like their company.

      Whats next? Killing somebody because you don’t like their face? But I guess we agree on that notion.

      • healthetank@lemmy.ca
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        2 days ago

        From nearly all ethical standpoints this murder was unethical and unjust.

        Really? I definitely don’t agree with that. The starting base that you’re likely missing is that this man is directly responsible for the preventable deaths of thousands to hundreds of thousands of people. He joined UHC as the CEO in 2021, so has had some time to work and adjust the company. Since he joined, he has changed their policy and implemented measures to deny additional claims (see, chatbot rejecting peoples claims), causing their denial rate to skyrocket to ~30%. Source is here in the XLS files the government provides. UnitedHealtcare claims it pays 90% of claims but hasnt actually provided data showing that.

        Since his company posted enormous, increasing profits in every year he was CEO, and the denial rates, I’d argue he’s led the company to deny healthcare claims.

        Some easy ethical frameworks where this is acceptable?

        Utilitarianism - you could argue that killing him has caused companies to back off other healthcare cuts (see BlueCross and their anaesthesia cuts). The ripples it has caused are likely to impact what decisions CEOs of other healthcare organizations make regarding patient care and denials.

        Natural law theory essentially argues that law and morality are separate. An example that might be clearer is slavery - I’d argue killing a slaver is morally correct, because I believe that slavery is immoral, even is slavery is legal in that country. I believe that healthcare should not be a for-profit industry, and that denying people care to prioritize “line goes up” is immoral. Those who are making the decisions to do that are thus directly contributing to the preventable deaths of countless people.

        Rousseau talks about the social contract theory, and basically says if a government approves immoral actions (which I count for-profit healthcare as), they forfeit their legitimacy, and thus people have the right to rebel.

        Retribuutivism by Kant argues punishment should be proportional to the crime. If you accept that he is responsible for deaths (not legally responsible, but morally), then this is definitely moral, though its worth noting Kant though murder is a serious, irreversible action and recommended other options before murder.

        I could keep going, but those are the easy ones.

        • timestatic@feddit.org
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          19 hours ago

          Yet those companies will probably just postpone these policies until the public has cooled off of the topic.

          Rule utilitarianism states that “an action is right as it conforms to a rule that leads to the greatest good”. Murder as a general is right. The reason is that this murder is just a short-term thing that doesn’t undo all the deaths that have happened. The general abidance to rule of law without self-justice is worth way more than any single person dying in nearly all cases.

          In the categorical imperativ Kant argues that you should “Act only according to that maxim whereby you can at the same time will that it should become a universal law.” If it became a universal law that you could kill anyone you deemed evil this would end in a worse result for everybody. Thus it cannot be wanted.

          The family and friends around him mourn and the new CEO seems like he is not about to roll over and accept every health insurance claim. The death is dividing citizens which believe he is a hero while others believe he is a murderer. The responsibility off of all those unneeded deaths are claimed by not only the CEO but also by legislators who didn’t account for universal healthcare. It is on the sitting government and parties for not supporting change. It is on the employer partly for not buying a higher premium package that includes more things or choosing a different company with a smaller denial rate. It is on the individual employee inside UH denying claims. It is on upper management like Brian Thompson and the people around him who are at fault for making this worse. And then there’s the stakeholders that don’t press on more ethical practices. Then its also on Americans voting against parties that wish to change the healthcare system in a beneficial way for everybody.

          As the head of a company Brian Thompson also had the responsibility to steer it in an ethical way which it seems he did not do. His death has sparked public debate which is a good thing. This does not necessarily mean choosing a murder was the right way of doing things that optimizes utility for everybody.

          The only statement you made was about Utilitarianism. Every other argument built on that. Retribuutivism for example is a legal concept and the punishment is not chosen by a person but written down in law.

          I also agree with the sentiment that law and morality are different from each other but I do still not see this murder as morally right. UH is just one of many healthcare insurers and if the problem was solved legislatively it would benefit everyone.

          I appreciate you approaching my statement from a logical standpoint and not just slinging insults at me like some other people. I believe we do not have to share the same view to get along or have an interesting conversation.

      • Universal Monk@sh.itjust.works
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        2 days ago

        The people celebrating this murder as and act of heroism has disgusted me to the core.

        Thank you for being brave enough to agree with me! As forward-thinking as the idea of Lemmy and the Fediverse is, I was super disappointed at how much people here are celebrating cold-blooded murder. Luigi is no hero. He legit walked up behind a guy and murdered him. Totally cowardly way too. Shot him in the back!

        I’ll stay on Lemmy for now, because I know that most people here have no emotional maturity. I feel that most will look back on this like older people look back on their early cringy, edgy Myspace emo phase.

        Thank goodness that most of society does NOT agree with Lemmy on this. All of their talk about “Jury will never find the guy guilty!!” is BS. The jury will find him guilty. Rightfully so.

        The guy is a terrorist. And Lemmy admin should realize that many, and I mean MANY posts to Lemmy lately could def raise FBI alarms.

        I see people on here saying stuff like, “Don’t talk about your plans here, it’s too public. DM me for the next target…”

        Lemmy thinks they are planning some sort of revolution. It’s not a revolution. It’s edgy hippy vegans talking about murdering rich people.

        And admins are gonna find out real quick that hey are letting shit get out of hand.