this post was submitted on 18 Dec 2024
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https://mas.to/@MikeBeas/113666556469008087

EDIT: I think you should get the service you pay for, just so that's clear.

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[–] onnekas@sopuli.xyz 4 points 1 week ago

I would assume that I actually get a coffee when I go to Starbucks and pay for it.

[–] JustZ@lemmy.world 3 points 1 week ago (1 children)

The customers of insurance companies are shareholders.

[–] Wrench@lemmy.world 1 points 1 week ago (1 children)

That's not what a share holder is

[–] JustZ@lemmy.world 1 points 1 week ago

You misunderstand. The service that insurance companies provide is one that is for shareholders. It's a way of allocating and rationing medical care while also keeping business going.

Poor people don't own hospitals. Poor people can't develop medicines and medical equipment. Can't train and hire doctors. That stuff is extremely expensive. The capital class owns that stuff, right?

They aren't just going give it away are they? But they do need a labor force that, though desperate, isn't too sickly that their labor can't be exploited.

The service that health insurers provide to their actual customers, the capital class, is to reallocate the aforementioned expenses back onto workers by way of premiums and limiting care to the bare minimum.

This is why health insurance is tied to employment in America. You (most likely) didn't hire your health insurer and negotiate your insurance contract, your employer did. It's not for you, it's for them, and really, for their owners, who extract the value of your healthy labor from your employer.

And this isn't come an-cap or communist hot take, this is just the economics of how healthcare works in America. You're getting the care, sure, and if you're covered hopefully you're in the road to recovery and won't become insolvent due to medical debts, but this system is not for your benefit. It's not out to save you money. You are at best an afterthought, a concept of a customer. More of a number.

The OOP described is, in different terms, as if health insurer was nothing more than a risk pool cooperative.

Here are the customers of UNH:

They also own the hospital groups, the device makers, and the pharmaceuticals.

Crowd sourcing heathcare funds and taking bets on who gets sick sounds great but only if it's some capitalist Rube Goldberg Machine. Otherwise that's communism.

[–] just_ducky_in_NH@lemmy.world 1 points 1 week ago
[–] cyborganism@lemmy.ca -2 points 1 week ago* (last edited 1 week ago) (11 children)

The worst part is, they actually hire doctors to analyze claims and they're the ones making the decisions whether the claims are accepted or not.

Edit: clarification

[–] sunzu2@thebrainbin.org 2 points 1 week ago (1 children)

Shouldnt a doctor be "reviewing" the patient before making decisions?

Like wtf is is this middle manning. You go see doctor, then another insurance doctor is checking his homework but only based on paper work and with a financial incentive to deny as many claims as possible.

Also, I bet they explicitly state they are not rendering care when they review a claim, CYA legal shit. So are they even acting in their capacity as medical professional or just paper pusher with an MD. I don't think it even requires a licese.

[–] cyborganism@lemmy.ca 1 points 1 week ago
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