No one talking about the UHC CEO murder?

[Bill Cosby]

How many of you file insurance claims when you get the oil changed in your car?

“Insurance” shouldn’t be for the routine maintenance.

But there’s like a hundred other structural/regulatory things that need to be fixed along with the issue of “health insurance” just serving as an expensive discount club for routine services.

 

[Tskware]

And cash pay?? How is Eastern KY going to pay for a physical (EKG, CBC, etc) out of pocket?

How are the poor and unemployed paying for health care now? They are not paying for expensive health plans. Aren't we all subsidizing them via Medicaid, et al?

 

[WTF Cat]

I disagree, millions of Americans still don't have insurance and still don't go to regular checkups, but many millions used to go to the doctor all the time before the ACA and well before wide spread use of insurance, lots of people would save money if the premiums were cut way down.

Anyway, just an idea. Current system is hardly working very well, since our health outcomes are really poor vs. many other countries.

2 points:

1. A LOT OF OUR PROBLEMS in the US stem from simple diet/food supply/exercise issues, not health care. The rest of the world simply eats better quality food, and exercises more frequently... nothing to do with health care.

2. Its pretty well documented that SERIOUS DISEASE health care in the US is the best/among the best in the world (cancers, etc). Do a little research.

 

[TCurtis75_rivals88839]

How many of you file insurance claims when you get the oil changed in your car?

“Insurance” shouldn’t be for the routine maintenance.

But there’s like a hundred other structural/regulatory things that need to be fixed along with the issue of “health insurance” just serving as an expensive discount club for routine services.

The problem is the predatory billing practices of medical providers. A routine check up shouldn't be billed at $500 or more yet they are. Those check ups should be billed at close to what the co pay is for them. That is the purpose of that co pay.

 

[JumperJack]

People just will not accept that certain universities are radicalizing kids. This dude was pretty normal and then got more and more radical. Tons of people out there just like him that only need a reason to act. Cheering this crap on will mean that more people take that step.

He shouted as he was led in about the American people and their “lived experience.” Hoo-boy. Hate to jump to conclusions but….yeah, another propagandized leftist.

 

[GJNorman1]

Single payer system needs to happen. Prove me wrong

 

[JumperJack]

Single payer system needs to happen. Prove me wrong

Ah yes, the entity that ran us into a 37 trillion dollar hole should handle health care.

Brilliant observation, there.

 

[Tskware]

2 points:

1. A LOT OF OUR PROBLEMS in the US stem from simple diet/food supply/exercise issues, not health care. The rest of the

2. Its pretty well documented that SERIOUS DISEASE health care in the US is the best/among the best in the world (cancers, etc). Do a little research.

2 points:

1. A LOT OF OUR PROBLEMS in the US stem from simple diet/food supply/exercise issues, not health care. The rest of the world simply eats better quality food, and exercises more frequently... nothing to do with health care.

2. Its pretty well documented that SERIOUS DISEASE health care in the US is the best/among the best in the world (cancers, etc). Do a little research.

1 is true, no one should argue the point

2 is also probably true, so long as you have a ton of money and great health insurance

 

[Hank Camacho_rivals115797]

Single payer system needs to happen. Prove me wrong

False.

 

[GJNorman1]

False.

• • Reducing administrative waste: With fewer entities involved, there is less administrative overhead.
    
  • Improving access: Patients have greater freedom to choose their providers and are not limited by networks.
    
  • Reducing financial barriers: Patients no longer face co-pays, deductibles, or out-of-network costs.
    
  • Improving health outcomes: Single-payer systems can provide comprehensive benefits, including mental health, dental, vision, and prescription drugs.

 

[Hank Camacho_rivals115797]

• • Reducing administrative waste: With fewer entities involved, there is less administrative overhead.
  • Improving access: Patients have greater freedom to choose their providers and are not limited by networks.
  • Reducing financial barriers: Patients no longer face co-pays, deductibles, or out-of-network costs.
  • Improving health outcomes: Single-payer systems can provide comprehensive benefits, including mental health, dental, vision, and prescription drugs.

1. F
2. A
3. L
4. S
5. E

 

[JumperJack]

Ah yes, the entity that ran us into a 37 trillion dollar hole should handle health care.

Brilliant observation, there.

I mean, there is literally not one thing the federal government hasn’t made worse by getting involved in it except maybe flood control. That’s it.

 

[JumperJack]

Getting back to this guy, just reading the tea leaves here…his politics will get swept under the rug asap.

 

[Dore95]

I mean, there is literally not one thing the federal government hasn’t made worse by getting involved in it except maybe flood control. That’s it.

The government has done things to improve health insurance and make it worse, including in the same law (ACA). One obvious benefit of government interference is prohibiting insurance companies from denying coverage because of pre-existing conditions. But an obvious negative with the ACA (from my perspective) is the proliferation of "narrow" or limited networks used by insurers to keep costs down.

Anecdotally, my wife has cancer and we've for the last several years been covered under a "narrow network" plan that would preclude her from going to Mayo, Cleveland Clinic, MD Anderson, etc. I wanted to change that, so recently changed to my work's very good (but extremely expensive) BC/BS policy. There's nothing worse than having people tell you that you should go to this doctor or that hospital for a particular specialty and having to answer that you are precluded from doing so by your insurer.

 

[cole854]

The government has done things to improve health insurance and make it worse, including in the same law (ACA). One obvious benefit of government interference is prohibiting insurance companies from denying coverage because of pre-existing conditions. But an obvious negative with the ACA (from my perspective) is the proliferation of "narrow" or limited networks used by insurers to keep costs down.

Anecdotally, my wife has cancer and we've for the last several years been covered under a "narrow network" plan that would preclude her from going to Mayo, Cleveland Clinic, MD Anderson, etc. I wanted to change that, so recently changed to my work's very good (but extremely expensive) BC/BS policy. There's nothing worse than having people tell you that you should go to this doctor or that hospital for a particular specialty and having to answer that you are precluded from doing so by your insurer.

Despite the political aisle differences, life is still beautiful, and I send my best to you and your wife in her fight.

 

[Ukbrassowtipin]

There's a reason people have sympathy for the shooter. It's not because they are bad people. It's because just about every American has either personally seen insurance companies attempt to get out of payments or even make decisions leading to death.

It goes without saying that the man shouldn't have been killed, but even the most ardent corporatist has to admit that it has revealed how poorly insurance companies are viewed by Americans. It's interesting.

Wait until you find out how they actually operate

 

[Ukbrassowtipin]

It is weird though, who goes amd sits in a McDonald's and eats when your picture is all over the place

 

[Ron Mehico]

Wait until you find out how they actually operate

Are you saying the hospital systems and administrators when you say “providers” or the actual doctors. If you’re saying the actual doctors then you are out of your mind. If you’re talking about the hospital systems (some of which are actually partially owned by the insurance companies FYI) then I would agree there is some truth to that.

 

[RexBowie]

Wait until you find out how they actually operate

Imagine seeing a rando Tweet and believing "this is how healthcare actually works".

Arguing with a healthcare insurance shill on Rivals wasn't on my bingo card today, but anyone arguing that the US health system is inefficient and inexpensive is gaslighting. Furthermore, even having this conversation is red herring and amonts to nothing more than a defense of the status quo for no other reason than comfort.

This conversation is heading towards a debate on universal healthcare. That's great. We can have that debate. However, there is a reason why millions of Americans loathe the health care insurance industry. It's because of their personal experience. That's not an argument for universal healthcare, for destroying the system, for starting over...it's a statement of fact. Because it's the truth.

 

[cole854]

However, there is a reason why millions of Americans loathe the health care insurance industry. It's because of their personal experience.

Again...this isn't a WOW moment by any means. ANYTIME you have an insurance policy to protect yourself, home, car, TV, etc.....there will be a time when you get the shaft. There will also be times when you thank the heavens you were covered.

 

[RexBowie]

Again...this isn't a WOW moment by any means. ANYTIME you have an insurance policy to protect yourself, home, car, TV, etc.....there will be a time when you get the shaft. There will also be times when you thank the heavens you were covered.

Whether or not you label something as a WOW moment doesn't change anything. Pat yourself on the back. You knew that Americans were outraged by health insurance before a CEO was murdered. What point does this make?

 

[cole854]

Whether or not you label something as a WOW moment doesn't change anything. Pat yourself on the back. You knew that Americans were outraged by health insurance before a CEO was murdered. What point does this make?

You are the one that keeps pounding on this point as if it is some new revelation.

 

[RexBowie]

You are the one that keeps pounding on this point as if it is some new revelation.

Exactly. And I do think it's interesting. So, the basis of your "argument", to be clear, is that what I think is interesting is not interesting. In other words, Im arguing with a 4th grader.

 

[Cold Stout Beer]

He shouted as he was led in about the American people and their “lived experience.” Hoo-boy. Hate to jump to conclusions but….yeah, another propagandized leftist.

All Liberals have anymore are meme's and sarcastic laughing emoji's. They know they are on the wrong side of what's right but they are arrogant and smug and just shrug their shoulders. Losers, basically.

 

[Tskware]

. . . , but anyone arguing that the US health system is inefficient and inexpensive is gaslighting. Furthermore, even having this conversation is red herring and amonts to nothing more than a defense of the status quo for no other reason than comfort.

I am confused, did you mean efficient and inexpensive? The statement above makes no sense to me at least.

 

[ukcatz12]

Much of our health issues are self induced....not the fault of the insurance company.

This a dangerous train of thought to follow to its logical end. It would allow healthcare claims to be denied for anyone except for the people who live a 100% healthy lifestyle. A few pounds overweight? Too bad, denied. Don't workout enough? Denied. Smoked back in high school? Denied. Live near a superfund sight? Denied.

People who actually need healthcare should get it, regardless of if their problem is "self induced" because often the reason it's "self induced" has very complicated causes.

 

[ukcatz12]

1. A LOT OF OUR PROBLEMS in the US stem from simple diet/food supply/exercise issues, not health care. The rest of the world simply eats better quality food, and exercises more frequently... nothing to do with health care.

And a lot of this is baked into how we've structured out society. Our suburbs aren't walkable. We market addictive food to children. Our work culture is horrible compared to the rest of the world which leaves people with very little free time. At what point do we look inward and discuss changing our society as a whole instead of blaming individuals?

Since this has gotten political, I'm guessing if we tried to change a lot of this one side of the aisle would push back a lot more than the other.

2. Its pretty well documented that SERIOUS DISEASE health care in the US is the best/among the best in the world (cancers, etc). Do a little research.

IF you can pay for it. Which is kind of what people have a problem with, not the quality of care. If you can pay for it the quality of healthcare is top notch. If you can't you're screwed.

 

[notFromhere]

The problem is the predatory billing practices of medical providers. A routine check up shouldn't be billed at $500 or more yet they are. Those check ups should be billed at close to what the co pay is for them. That is the purpose of that co pay.

The irritating truth is that they're billed that way because there's a middle man that needs their cut.

The insurance plan will only "cover" (notice I didn't type "pay" here) $X towards Y (your procedure or line item). You pay the rest of the gross charge for Y. These costs plus your co-pays and premiums added together go towards your deductible. Yall know what happens when you reach your deductible.

What you may NOT know if that the insurance company doesn't automatically pay the portion of X that they "cover" in your plan. They have the option to still negotiate with the provider to pay less than that, and not pass any savings on to you.

So if your service cost $10,000 (for say a 1 hr trip to the hospital ER), insurance may require a copay of $75 that day,
-and then from $225-2,925, to be collected later... which you pay.
-The insurance company can and will negotiate the remaining bill, and may wind up paying only $500 - $2000 for the trip to the ER, while you've come out of pocket up to $3k (plus your premiums).

Something that could have been billed at only $500-$2500 has to be billed at 10k for the hospital to get its minimum met in order for it to make a still obscene profit.

 

[notFromhere]

That 1 hr ER figure is not exaggeration. A friend of mine has a friend that went to the ER at Central Baptist. Was there for an hour and sent home. Bill was $11k before insurance was factored in.

Contrast that with the same length of visit at an UTC that can be paid in cash at way less than $700 outside of large metro areas.

Considering the person was paying insurance premiums of at or over $700 per month for a married couple on the same plan, that's pretty disgusting. Considering some people pay nothing in premiums, co-pays, and billing, receiving absolutely FREE CARE, that is really fkd up.

 

[notFromhere]

This a dangerous train of thought to follow to its logical end. It would allow healthcare claims to be denied for anyone except for the people who live a 100% healthy lifestyle. A few pounds overweight? Too bad, denied. Don't workout enough? Denied. Smoked back in high school? Denied. Live near a superfund sight? Denied.

People who actually need healthcare should get it, regardless of if their problem is "self induced" because often the reason it's "self induced" has very complicated causes.

Then health "insurance" needs to be abolished. That's what has driven billing through the roof.

 

[WayneDougan_rivals170043]

I disagree with Ron and Cole. Here' why:

1. Insurance companies claim they want to cut costs. BS. They want as much healthcare spend to flow through them as possible. Then they can raise rates, make only a 3% profit margin, and claim they are doing a benefit to society by helping control costs. But 3% margin on $400B is a lot of money going into the shareholders pocket.
2. Insuring all aspects of healthcare (e.g., physicals) has helped pushed this money to flow to the insurance companies. And it also hides the pricing of the service. My mom said that back in the day, you'd go to the doctor, they'd charge you say $50 for a physical, and then you'd submit it to insurance for reimbursement. Now, it's all between the insurance co and the doctor's office. So you don't see the price.
3. Your point about not getting physicals. That's definitely the low IQ point of the day. First, there are already high deductible plans meaning you are paying for those services. Secondly, the insurance companies could say if you want to be on our plan you are required to get bi-annual physicals at X cost.

 

[Anon1714148537]

I know that Juan Soto isn't doing anything to harm someone else, in the way a CEO of a health care company can be *perceived* to do so.. but I think the point stands. What stops someone mentally unfit from killing any millionaire, CEO, athlete, model, etc.. IF what society is saying today that "It's ok if you kill someone with money!"?

Plus Yankee fans are d-bags, so I wouldn't be shocked..

Literally no one said it’s okay to kill anyone. It’s a strawman argument. In fact, I explicitly stated the opposite.

Exactly, but the people that are drawing the ire are in positions

Then health "insurance" needs to be abolished. That's what has driven billing through the roof.

3 great post in a row. This issue isn't a left or right problem. Ordinary people are preyed on in this system and something needs to change.

 

[bigblueinsanity_rivals250340]

It is weird though, who goes amd sits in a McDonald's and eats when your picture is all over the place

After wearing a mask for days. All the way from Atlanta on a bus. Left completely zero evidence all that time until suddenly...hes leaving evidence all over the place.

 

[Ron Mehico]

I disagree with Ron and Cole. Here' why:

1. Insurance companies claim they want to cut costs. BS. They want as much healthcare spend to flow through them as possible. Then they can raise rates, make only a 3% profit margin, and claim they are doing a benefit to society by helping control costs. But 3% margin on $400B is a lot of money going into the shareholders pocket.
2. Insuring all aspects of healthcare (e.g., physicals) has helped pushed this money to flow to the insurance companies. And it also hides the pricing of the service. My mom said that back in the day, you'd go to the doctor, they'd charge you say $50 for a physical, and then you'd submit it to insurance for reimbursement. Now, it's all between the insurance co and the doctor's office. So you don't see the price.
3. Your point about not getting physicals. That's definitely the low IQ point of the day. First, there are already high deductible plans meaning you are paying for those services. Secondly, the insurance companies could say if you want to be on our plan you are required to get bi-annual physicals at X cost.

Those are great points and you’re absolutely right, especially the deductible. Even though I have health insurance I haven’t been to a doctor in probably 5 years, so really most of what I was saying is ********. I would definitely agree that the less the insurance companies are involved in anything, the better. I think this whole entire thing should be eye opening for everyone, especially how the death was basically celebrated. There is a real massive frustration with healthcare in this country to the point of cheering on murder. Not good, something is broken. My brother is an ICU physician but hasn’t gotten a raise in 13 years while the hospital he works for and the insurance company that dictates his work have been rolling in cash. The power and money is in the wrong hands, and not sure how to turn it around. Also, in fairness to me, I had no idea I was agreeing with Cole as I’ve had him on ignore for years so had I known I would’ve questioned my posting.

 

[chroix]

Society is completely broken when people celebrate murder. Doesn’t matter what he did. Change the system.

 

[WayneDougan_rivals170043]

Society is completely broken when people celebrate murder. Doesn’t matter what he did. Change the system.

That Taylor Lorenz lunatic should be blacklisted from journalism.

 

[chroix]

“Progressive”

 

[Ukbrassowtipin]

I wonder how one party lost the working class...attacking min wage employees bc of the cheering of bloodlust

 

[wildcatwelder_rivals]

Yes, our universities are turning our youth against everything decent, it's not even debatable. Disgusting filth.

https://www.foxnews.com/media/socia...tory-post-about-ceo-murder-suspect-goes-viral

 

[gobigblue812_rivals29381]

Wow.