re: Yesterday, FORTY-FOUR Senate democrats voted for human euthanasia

Posted on 3/2/19 at 11:34 am to BigAppleBucky

Posted by SmackoverHawg

Member since Oct 2011

31111 posts

Posted on 3/2/19 at 11:34 am to BigAppleBucky

quote:
Former Aetna Medical Director Admits To Never Reviewing Medical Records Before Denying Care quote:. . . former Aetna Medical Director, Dr. Jay Ken Iinuma, admitted under oath that “he never looked at patients’ records when deciding whether to approve or deny care.” This admission was made during a deposition in a lawsuit brought against Aetna by Gillen Washington, a 23 year old with common variable immune deficiency (CVID) who was denied coverage for an infusion of intravenous immunoglobulin (IVIG) four years ago.

Happens all the time. ALL insurances. They even outsource this shite now. And guess how these places make their money? By denying care. It gives BCBS/AETNA/UHC etc a scapegoat for the denial (not our decision, it's theirs). But once again, the physician can circumvent the system and get it done. Never had an incident where I couldn't get something approved that was reasonable and necessary. Just ridiculous the amount of time I have to spend doing this shite. And most of the time, the medical review physician doesn't know jack shite about what he's denying and has a script/menu to guide his denial. Always ALWAYS get the physicians name. Record the conversation, preferably with the patient in attendance and vocalize that you have done all you can and any undesirable outcomes now fall fully in the lap of the physician reviewer and insurer. Bam, approved. They just count on most doc's not jumping through the hoops. I also have good specialists I can access to help me get things we need. It's a game.

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Posted by SmackoverHawg

Member since Oct 2011

31111 posts

Posted on 3/2/19 at 11:42 am to BigAppleBucky

quote:
BigAppleBucky

quote:
Here are two stories about real death panels:

Not exactly. There were ways for these treatments to get approved. There are many, many meds that medicare will not cover under ANY instance. If you think gov't healthcare won't result in more rationing and worse coverage and care, you're ill informed or delusional. Read up on European healthcare. It's this kind of shite on steroids, except you have no appeal options, you either accept the shite care your gov't clinic/hospitals give or you pony up cash and go private. UK has a thriving private healthcare system that you never hear about. Since it's not burdened by the gov't and indigent care, it's more affordable, but ONLY to those with private insurance (which exists in UK for those that don't want the shitty "free" care) or those that can pay cash in full.

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