What's new
USCHO Fan Forum

This is a sample guest message. Register a free account today to become a member! Once signed in, you'll be able to participate on this site by adding your own topics and posts, as well as connect with other members through your own private inbox!

  • The USCHO Fan Forum has migrated to a new plaform, xenForo. Most of the function of the forum should work in familiar ways. Please note that you can switch between light and dark modes by clicking on the gear icon in the upper right of the main menu bar. We are hoping that this new platform will prove to be faster and more reliable. Please feel free to explore its features.

Business, Economics, and Taxes 2: That's Why We Fight to Take the Means Back

742001549_1565377978500482_5540038512523021637_n.png


Better things aren't possible. Too expensive. How will you pay for it?
I had insurance deny a medication for ALS, which is a progressive, rapidly fatal, incurable disorder. They wanted the patient to "fail" the one medication they were on before we started the only other FDA approved medication.

I asked them if they could define "fail" for me which they couldn't. I asked if they would prefer me to call them after the patient died, and we could sprinkle the other medication on their grave. They approved the medication after that.
 
My doctor knows how to play the game. She said I needed a medication but the insurance would deny it. So she prescribed a different, much more expensive, medication that the insurance would also deny. Then she contacted the insurance company and they agreed to give me the other medication as a compromise.

If you need a dollar, ask for ten and negotiate your way down to five.
 
I had insurance deny a medication for ALS, which is a progressive, rapidly fatal, incurable disorder. They wanted the patient to "fail" the one medication they were on before we started the only other FDA approved medication.

I asked them if they could define "fail" for me which they couldn't. I asked if they would prefer me to call them after the patient died, and we could sprinkle the other medication on their grave. They approved the medication after that.
I was rather surprised to have to get pre approval for what is a life saving biopsy that is common for older men. That should not have even needed it.

Just illustrates my question of the morality of making shareholders profit on people getting sick. Which naturally want cost cutting. Aka denial of service. For sick and dying people. Fing kidding me.
 
I was rather surprised to have to get pre approval for what is a life saving biopsy that is common for older men. That should not have even needed it.

Just illustrates my question of the morality of making shareholders profit on people getting sick. Which naturally want cost cutting. Aka denial of service. For sick and dying people. Fing kidding me.
Sort of like, once something is found on a mammogram and the doctor recommends you get a follow up in 6 months to monitor the situation....well now it's diagnostic not preventative, so insurance doesn't need to foot that bill. I really appreciated the pink t-shirt my company handed out a few months later, 'cause they care about breast cancer, just not enough to find a health insurance provider that cares about it.
 
Sort of like, once something is found on a mammogram and the doctor recommends you get a follow up in 6 months to monitor the situation....well now it's diagnostic not preventative, so insurance doesn't need to foot that bill. I really appreciated the pink t-shirt my company handed out a few months later, 'cause they care about breast cancer, just not enough to find a health insurance provider that cares about it.
Remember all the pearl clutching over death panels? Or the "if you like your health insurance you can keep it" line?

They seem to be okay with corporate death panels. And don't have a problem with "If your employer likes your health insurance you can keep it."
 
My gastro got me an 18,000 dollar script for 12 capsules for treatment of c diff which is a nasty disease. Got the c diff from 4 days of cipro.
 
Back
Top