United Healthcare denies claim of woman in coma

Why? “Line must go up”

Because doing otherwise wouldn't maximize profits. There's no actual competition in the market for consumers to choose. Nearly all Americans get insurance through their work, and have absolutely no say in what companies those options are from, and those options might only change at the end of the year if the company changes their insurance partner (which I'm sure takes months to negotiate). UHC has no reason to change unless they are forced to. Customer Satisfaction in the industry is abysmal because there's no incentive for the companies to actually be good.

They had their underwriters run the numbers and they determined it's more profitable to continue business as usual and just invest in private security for executives.

Of course they wouldn't try to behave well. Remember that the bosses in this organization are all incredibly selfish. They are rich, they want to get richer, and f*** everybody else. Although the company itself might benefit from a positive PR campaign, none of these people individually would, so they're not going to push for one.

It's a strange kind of honesty about bad behavior. Everyone is so selfish that they can't even pretend as an organization that they would like to do the right thing.

I don't think you can pivot a 465 billion dollar company. Especially one where being unethical is a profit making feature.

They won't fix themselves, hell why even reign it in if the system rewards bad behavior?

In Corey Doctorow's short story (Radicalized, in the collection Radicalized) the health fund attackers typically used explosives against the entire board and their support staff

I wonder if that would be more effective

they know that the publicity is temporary and does not matter because a corporation is not a democracy

The simplest explanation is they literally can't change, they've built this level of callousness into their DNA. It's useful confirmation that for-profit health insurance is beyond saving.

CEO's come and go and one just went

The ingredients you got bake the cake you get

So, if you get sick, cross your fingers for luck

'Cause old Richard T. Burke ain't givin' a fuck

• Jesse Wells, United Health

They're not scared enough yet.

What incentivize do they have? The vast majority of their customers have no choice but to be their customers. They just need to keep the companies that companies contract with to set up benefits happy. That's a very small pool and most aren't customers of theirs. And especially with the anti-regulation party coming into power, there's no reason to fear government intervention. But even before that, it wasnt really a threat.

CEOs will be blown away by the answer.

Let’s take aim at this problem

Your second word.

Whatever idea we come up with is worth a shot

I'm not sure, but I bet someone is losing their mind over this problem!

Yeah, every story like this plants a seed in someone's mind to be the next Luigi. UHC executives are cultivating their own demise.

Wait! They got a new CEO?

Given who is about to be sworn into office, I'm not sure too much progress will happen, but people will certainly get an idea of how much they're getting fucked.

Maybe after the next election?

Saint Luigi, protect us!

Bing, Bing, Wah-gunshots

Jesus Christ its almost been a month it feels like three.

I think they probably count on the Edward Snowden effect - i.e. people are massively outraged for a few weeks, then they lose interest, move on to the next hot topic and nothing changes.

AI forgot all the people who will seek vengeance for her, however...

And I'm here for it.

Question -:why is there no website that lists and compiles these issues?

Is it shutdown by their legal?

Maybe someone could start a database distributed as torrent. So many people can host it and spin up as needed?

That type of delay works for them just as well as any other.

Player 2 has been trapped by Bowser inside the Koopa Dungeons, it's Player 1's turn.

Brian Thompson didn't learn shit he's dead. And I doubt that Stephen J. Hemsley, the Executive Chairman of UnitedHealth Group and Brian Thompson's co-defendent in an insider trading lawsuit, likely didn't learn squat either but is currently still alive.

Always has been.

That's why it was created this way. The objective was always for it to be a load of s***.

Bob actually tried to milk the insurance companies for money, IIRC. He wasn't entirely a monster, but definitely had no chill.

Dr. Bob Kelso: What the hell people? I saw Maggie Kent in the park. Why didn't we treat her?
Nurse Carla Espinosa: She has no insurance.
Dr. Bob Kelso: Well, why didn't we do what we always do? Why didn't you fix it while I turned my back and pretend not to notice? You know the dance.

Was Bob actually denying the claims, or just passing the buck to the lawyer character? Can't remember his name.

Edit: Ted! No wonder I didn't remember that. They barely ever actually said his name.

Stephen Helmsley:

He was managing partner and chief financial officer at Arthur Andersen.

Super shocking that he was doing insider trading at UHC. They hired a known crook and paid him tens of millions a year.

Hemsley: He is a member of the National Executive Board of the Boy Scouts of America, the organization's governing body.

And I'd vote you not guilty.

And you would be NOT GUILTY

they have infinite ceos

Not a violation unless he has identified the patient

It was delay, deny, depose iirc

And cleaning it up with hundred dollar bills.

Fuck these rich assholes

It's "whoever".

Definitely

Always more castles

Because work needs to be systemic. Not one-time adventure, but every tuesday in the morning.

The reason for denial given was that the doctor didn’t prove the treatment was medically necessary, not that it costs too much.

I agree with the insurance company too and most doctors would. I'm not sure who this doctor is but most people in healthcare industry that actually work ICU will agree. I also challenge commenters here to speak to your (hospital) healthcare friends about it too, especially if they work ICU.

ICU beds are very limited and honestly not designed to house pts who are intubated or comatose indefinitely. They are designed to be short term with active treatment. Otherwise, if they need to live somewhere as a comatose pt, they need to go to a subacute facility, forever on a vent. That's the real reason why United Healthcare denied. "Not medically necessary" ('for hospitals' is what they left out).

If hospitals kept every uninduced comatose pt, they wouldn't be able to treat anyone else (think stroke, cardiac, trauma, severe pulmonary, etc). Pts with TBI for example, 50% will never have consciousness returned and just have to live in this vegetative state. . Not only that but hospital staff isn't trained to provide long term care. They aren't educated or specialized in doing so. Some hospitals only have let's say 20 ICU beds. Larger ones maybe 40. But even without people living in them, they are near 100% capacity every day.

Subacute facilities are also really difficult. They have trouble staying afloat because the care they provide is so expensive and most are reimbursed at a loss (Medi-Cal).

Theres lots of things wrong with the healthcare system but like this poster said, its not a good example. There are honestly literally millions of other examples that are absolutely egregious.