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Old 04-16-2018, 01:41 PM
 
Location: Houston
26,979 posts, read 15,884,808 times
Reputation: 11259

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Quote:
Originally Posted by lifeexplorer View Post
This is asinine.

When you sign up with the private insurer, you already know what is covered or not. They are just doing things by the contract which you agreed.

As someone whose wife has ran up 400k of medial bills fortunately 95% paid by BCBS I can say no you do not know. At each stage of her recovery from a traumatic brain injury insurance approval has been needed to get to the next stage.

Sadly, health care has to be rationed under any system.
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Old 04-16-2018, 01:42 PM
 
Location: OH->FL->NJ
17,003 posts, read 12,588,356 times
Reputation: 8921
Quote:
Originally Posted by lifeexplorer View Post
This is asinine.

When you sign up with the private insurer, you already know what is covered or not. They are just doing things by the contract which you agreed.

So it is okay for private insurers to have death panels. GOT IT!
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Old 04-16-2018, 01:45 PM
 
Location: North Carolina
6,957 posts, read 8,490,829 times
Reputation: 6777
Quote:
Originally Posted by ottomobeale View Post
So it is okay for private insurers to have death panels. GOT IT!
Yeah, like that treatment is experimental, we don't cover it!
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Old 04-16-2018, 01:54 PM
 
79,907 posts, read 44,184,586 times
Reputation: 17209
Quote:
Originally Posted by ottomobeale View Post
So it is okay for private insurers to have death panels. GOT IT!
All forms have death panels. Even private pay.
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Old 04-16-2018, 01:55 PM
 
45,573 posts, read 27,172,269 times
Reputation: 23876
Quote:
Originally Posted by ottomobeale View Post
So it is okay for private insurers to have death panels. GOT IT!
There are options to operate outside of the insurance companies. I don't think they hire security to block parents from their children... neither do they have the authority of the court system.
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Old 04-16-2018, 01:59 PM
 
22,923 posts, read 15,484,713 times
Reputation: 16962
Quote:
Originally Posted by DRob4JC View Post
The authorities don't cut you off from getting other care in the US.

Nobody said people would stop dying...
No?

https://www.medicareinteractive.org/...ls-and-appeals

https://www.palmettogba.com/palmetto...DID/8EEL725344

Making sense of Medicare denials, ICD-10 codes for common claims | Medical Economics

Medicare Denials, Audits & Appeals

How come all these sites and hundreds more exist if "authorities don't cut you off"?

And:

https://www.healthcare.gov/appeal-in...ision/appeals/

I love this one:

https://www.huffingtonpost.com/wende...b_3137831.html

It would seem to this casual onlooker that not only can the authorities cut you off.......you have way more authorities that have incentive to do so.
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Old 04-16-2018, 02:01 PM
 
Location: North Carolina
6,957 posts, read 8,490,829 times
Reputation: 6777
Quote:
Originally Posted by DRob4JC View Post
There are options to operate outside of the insurance companies. I don't think they hire security to block parents from their children... neither do they have the authority of the court system.
In this country, you better have a boatload of money, if you're planning treatment outside of the insurance company that covers you.
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Old 04-16-2018, 02:02 PM
 
45,573 posts, read 27,172,269 times
Reputation: 23876
Quote:
Originally Posted by pknopp View Post
The epi-pen did not go to $600 because of government regulations. It did because of corporate, free market greed. There is NO one answer.
Who pays the manufacturer... me and you - or government and insurance companies?

Because government and insurance companies are the direct customers - the companies charge a ton more than necessary because the customers have deep pockets. It's just like shopping in the rich suburbs versus a regular part of town. If businesses can charge more, they will.

How much product would they sell if regular people bought the product - at $600 for an epi-pen? They would be forced to bring down prices.
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Old 04-16-2018, 02:08 PM
 
Location: North Carolina
6,957 posts, read 8,490,829 times
Reputation: 6777
Quote:
Originally Posted by DRob4JC View Post
Who pays the manufacturer... me and you - or government and insurance companies?

Because government and insurance companies are the direct customers - the companies charge a ton more than necessary because the customers have deep pockets. It's just like shopping in the rich suburbs versus a regular part of town. If businesses can charge more, they will.

How much product would they sell if regular people bought the product - at $600 for an epi-pen? They would be forced to bring down prices.
They got you over a barrel, either way! They wouldn't bring the prices down. They'd let some of their customer base die off and raise the price to $1200. Capitalism doesn't operate on a humanitarian basis. Greed is still good here in America!
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Old 04-16-2018, 02:10 PM
 
79,907 posts, read 44,184,586 times
Reputation: 17209
Quote:
Originally Posted by DRob4JC View Post
Who pays the manufacturer... me and you - or government and insurance companies?
Both.

Quote:
Because government and insurance companies are the direct customers - the companies charge a ton more than necessary because the customers have deep pockets. It's just like shopping in the rich suburbs versus a regular part of town. If businesses can charge more, they will.

How much product would they sell if regular people bought the product - at $600 for an epi-pen? They would be forced to bring down prices.
That doesn't apply the things people MUST buy, only to things that are optional.
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