• @[email protected]
      link
      fedilink
      42 days ago

      Two weeks ago people were posting stats on the front page showing the industry average denied claims is around 16% and UnitedHealth denies double that at 32%, so that means the vast majority of claims are approved even for the worst examples.

      • @[email protected]
        link
        fedilink
        English
        28
        edit-2
        2 days ago

        68% in particular is stretching the term “vast majority” especially when that 32% is people who pay for insurance every fucking month for the explicit purpose of being covered.

        They aren’t asking for a handout. They are entitled to this coverage. They paid for it already!

        • @[email protected]
          link
          fedilink
          2
          edit-2
          2 days ago

          Right right right, but that’s more than zero. That’s tens of millions more cases than zero. We need to understand every action, or inaction, will have consequences to make the best possible decisions. Some users are advocating armed violence against the offices that would be allocating funding for healthcare, not even the CEOs but the actual workers at the company, it is each of our responsibilities to weigh the pros and cons and examine all of our options to solve these problems.

          Theres no easy way. It’s not as simple as pushing a button or pulling a trigger.

          • @[email protected]
            link
            fedilink
            English
            42 days ago

            Oh come the fuck on you can’t seriously be going “I’m just saying it’s not zero!“ and acting like this is the discussion at hand.

      • @[email protected]
        link
        fedilink
        English
        202 days ago

        I’m sure we’d be pretty sanguine about a school bus driver who gets 68% of the kids to school safely, too.

        • @[email protected]
          link
          fedilink
          2
          edit-2
          1 day ago

          If the options were a bus with 32% fatality and no bus with 100% fatality, would you advocate we tear down the bus?

          • @[email protected]
            link
            fedilink
            English
            152 days ago

            And we only have those two choices because of capitalist gaslighting. Given those two options, I would advocate deposing a few more insurance executives to improve the situation.

            • @[email protected]
              link
              fedilink
              12 days ago

              Alright, clearly you’re lost.

              This is a post about making threats of death and violence to people who work in an office building handling insurance claims, getting it to shut down for the day.

              • @[email protected]
                link
                fedilink
                10
                edit-2
                2 days ago

                I don’t think swingingthelamp is lost.

                I think they just hit you with the polite version of the “coconut island” cohesive nature of capital.

                I think capitalist realism is what makes many of us choose the lesser evil of 68% mortality.

                • @[email protected]
                  link
                  fedilink
                  English
                  31 day ago

                  Excellent, I’d not heard of the coconut island parable before! That’s very apt.

                  I was thinking of the False Dilemma fallacy. The notion that the only two options are a school bus service with 32% casualty/loss rate, or no bus and a 100% casualty/loss rate, is capitalist gaslighting when we can plainly see the government bus company in other countries getting all the kids to school. For less cost, at that.

                • @[email protected]
                  link
                  fedilink
                  11 day ago

                  You kind of defeated yourself by admitting the 32% is the lesser evil that you still wouldnt choose because you associate it with a different political tribe.

                  You’re literally advocating we harm ourselves as an alternative to “caPiTAlisM”.

                  • @[email protected]
                    link
                    fedilink
                    11 day ago

                    I’m not sure you understand that I don’t subscribe to the same binary choices you do.

                    It’s not an ideological tribe that dictates my decision. I understand that better options exist and I choose those.

      • Bahnd Rollard
        link
        fedilink
        14
        edit-2
        2 days ago

        Ideally it should be 0% (this is too optomistic, but I am not one make that figure) people pay into an insurance system to distribute risk. If a company cant resolve the inflow/outflow problem (not even going to get into profits, for-profit insurance is unethical) then it needs to be managed by an organization that can. ~30 governments (USA not amongst them) that have solved this problem for their citizens and anyone requiring medical assistance within their borders.

        • @[email protected]
          link
          fedilink
          42 days ago

          Right right right all cool, but I was conversing with that other user who claimed nothing was getting approved.

            • bizarroland
              link
              fedilink
              102 days ago

              Especially when you consider that these claims are not being made by random people but by trained board certified physicians whose entire livelihood depends on them providing prompt and appropriate care for their patients.

              I feel like even 16% being rejected is very high

              • @[email protected]
                link
                fedilink
                22 days ago

                Well, the claims are reviewed by physicians but they’re often not in the specialization of the care provided so they can make mistaken judgements and a great way to appeal it is to ask the insurance company for proof that the physician who denied the claim does specialize in the type of care being reviewed.

                Unfortunately most people don’t know that, less than 1% of denied claims are appealed.

              • @[email protected]
                link
                fedilink
                9
                edit-2
                2 days ago

                What is this comment supposed to bring to the discussion? Edit: bro is like im going to win this debate by having a very narrow defensible argument that 1 is smaller than 3

                  • @[email protected]
                    link
                    fedilink
                    82 days ago

                    Yeah you’re right, we shouldn’t have a system that requires people to go to extreme measures in order to get meaningful reforms.

      • @[email protected]
        link
        fedilink
        82 days ago

        If you presume the other health funds are acting rationally, accepting legitimate claims, rejecting those that are not covered by the policy of the person claiming them, then for every illegitimate claim denied by the average fund United deny one illegitimate and one valid claim.

        In what way is that not terrible?

        • @[email protected]
          link
          fedilink
          22 days ago

          I’m not sure who you’re arguing against but it isn’t me.

          I’m not defending anything. I’m just pointing out an obvious lie.

          Why do you think none of the claims being accepted is not terrible but 84% being accepted is terrible? Are you pro-debt and unnecessary death and sickness?

          • @[email protected]
            link
            fedilink
            72 days ago

            100 minus 36 is 64, not 84.

            I never suggested all should be accepted. I made an assumption for my argument that the average health funds are acting fairly. I don’t believe that, incidentally, since many are far below the average and I don’t believe they are approving invalid claims

            • @[email protected]
              link
              fedilink
              22 days ago

              Two weeks ago people were posting stats on the front page showing the industry average denied claims is around 16% and UnitedHealth denies double that at 32%, so that means the vast majority of claims are approved even for the worst examples.

              Two weeks ago people were posting stats on the front page showing the industry average denied claims is around 16%

              industry average denied claims is around 16%

              16%

                • @[email protected]
                  link
                  fedilink
                  22 days ago

                  Right, this entire thread I made, which you were replying to, as well as the post above it, was about the entire industry and every single person who works in it.