this post was submitted on 09 Jan 2025
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A breast cancer surgeon had to "scrub out mid-surgery" to call a UnitedHealthcare representative because the insurance giant questioned whether the procedure she was in the middle of performing was really necessary.

Dr. Elisabeth Potter posted her story to Instagram this week, and the post has gotten more than 221,000 likes.

Still wearing her scrub cap, Dr. Potter began her video saying, "It’s 2025, and navigating insurance has somehow just gotten worse."

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[–] JusticeForPorygon@lemmy.world 182 points 3 weeks ago (2 children)

Proud to say as of the first of the year I'm no longer insured with these dirtbags.

I'm now insured with some other dirtbags.

[–] BlueLineBae@midwest.social 38 points 3 weeks ago (1 children)

Some dirt bags are slightly less bad than other dirtbags. That's why I have Comcast Internet.

[–] pelespirit@sh.itjust.works 44 points 3 weeks ago (8 children)

Who could possibly be worse than comcast.

[–] MagicShel@lemmy.zip 19 points 3 weeks ago (4 children)

Small regional providers. Ever heard of Wow! Internet? I assure you they are terrible.

[–] zod000@lemmy.ml 15 points 3 weeks ago

In my experience Wow! is less scummy that Comcast, but also less reliable. Overall it is probably a wash.

[–] Infynis@midwest.social 10 points 3 weeks ago

Wow was the answer I was expecting too lol

Or Frontier

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[–] underisk@lemmy.ml 12 points 3 weeks ago (1 children)
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[–] WraithGear@lemmy.world 11 points 3 weeks ago (3 children)

Sad to say, my company was bought by another, and i am forced to change to these dirt bags. I currently have a malady that will require surgery. Not that it matters, the old company declined my last surgery anyway and i paid out of pocket

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[–] tacosanonymous@lemm.ee 100 points 3 weeks ago (6 children)

I sure wish someone would do something about this.

We need a hero. Someone who will do whatever it takes even sacrifice themselves if necessary to proclaim, "this is not okay. You will not get away with this."

[–] Lemminary@lemmy.world 54 points 3 weeks ago (3 children)

Nah, we need to realize this isn't on any one person's shoulders but on everybody and start a mass movement.

[–] UnderpantsWeevil@lemmy.world 22 points 3 weeks ago (1 children)

Mass movements always exist, you just have to join them.

But mass movements also demand a lot of your time and energy, which you may not have if you're staring down the barrel of multiple major medical procedures. What's more, they demand a political system receptive to their demands.

The appeal of stocastic violence is that it doesn't require an enormous long term collaborative good faith effort. It just requires a few vigilantes with more rage than sense.

After decades of campaigning on health care reform (literally straight back to the 1940s) and posting a ton of Ls (particularly since Carter and the neoliberal turn), Luigi might not be transformative but he's cathartic.

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[–] AreaSIX@lemm.ee 14 points 3 weeks ago

I've been hearing for decades that the 2nd amendment is fundamental to the American identity, because it's supposed to be an insurance against this type of tyranny against the American people. There you have your mass movement, making claims on that insurance, using what's purported to be fundamental to the national identity of the country. What tyranny is the 2nd amendment protecting against if this doesn't make the cut?

It's really hard to disagree with Luigi when he wrote "evidently, I am the first to face it with such brutal honesty". Brutal honesty is what this state of affairs calls for. It's time to water Jefferson's proverbial tree of liberty.

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[–] Bassman1805@lemmy.world 22 points 3 weeks ago

Someone call user4616250

[–] NoneOfUrBusiness@fedia.io 14 points 3 weeks ago (3 children)

Nope, y'all don't need (or deserve tbh, speaking as someone not from the US) a hero. You should try to hold your own government accountable for once; the last time that happened was the Civil Rights Movement I think?

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[–] Ascrod@midwest.social 12 points 3 weeks ago
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[–] octopus_ink@lemmy.ml 80 points 3 weeks ago (2 children)
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[–] Daze@sh.itjust.works 78 points 3 weeks ago

Calling it now:

UHC will deny the anesthesia claim because they wont understand why they needed so much time to perform the procedure.

[–] Infynis@midwest.social 74 points 3 weeks ago* (last edited 3 weeks ago)

My partner had this same thing happen. She needed a neurosurgery to install a nerve stimulator in her neck. Her insurance approved a surgery to implant a test device, but then when it was determined it did solve her issues, denied the surgery for the permanent stimulator, forcing her neurosurgeon to write to them to get it approved. Then, during the surgery, they sent another denial. Fortunately, U of M is fantastic, and their hospital just covered the cost of the surgery due to the level of bullshit the insurance company pulled. Otherwise she would have ended up with multiple scars on her head and neck, and nothing to show for it, other than continuing nerve pain.

[–] Nougat@fedia.io 65 points 3 weeks ago (2 children)

There are doctors and providers who just don't take UHC because they are such a pain in the ass to deal with.

[–] MagicShel@lemmy.zip 52 points 3 weeks ago (1 children)

There was one single doctor in a fifty mile radius who would deliver my youngest because UHC. Had there been zero, we could've gone to anyone and they'd have had to cover it, but because there was one provider, we had to use him.

[–] AnarchistArtificer@slrpnk.net 16 points 3 weeks ago (3 children)

It reminds me of enshittification, in that the end product involves both regular people and businesses customers being fucked over (but the regular people are fucked over worse/for long). In this analogy, the doctors are the business customers. Enshittification doesn't apply here though, because this system has always been shitty for everyone, even if it's getting worse. If this scenario "rhymes" with enshittification, it's just because they both are based on capitalism being toxic

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[–] UnderpantsWeevil@lemmy.world 9 points 3 weeks ago (1 children)

UHC has an enormous client pool, though. Their business model involves lots of kickbacks to HR/Execs and tons of money on marketing, as well as regulatory capture and consolidation/cartelization of competitors.

"Well, I simply won't do business with you" isn't a practical option for most hospitals, particularly in the ER or other time sensitive setting.

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[–] samus12345@lemm.ee 54 points 3 weeks ago
[–] skeezix@lemmy.world 51 points 3 weeks ago (9 children)

Well, you assholes voted in trump and the republican cabal so dont expect any change soon.

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[–] WhatYouNeed@lemmy.world 44 points 2 weeks ago (7 children)

Medical insurance companies should be forced to also provide life insurance to the same customer.

Then they have incentive to keep their customers alive.

[–] RagingRobot@lemmy.world 33 points 2 weeks ago (2 children)

Idk if it's only for like 200k and the procedure costs more than that then they have an incentive to kill you

[–] candybrie@lemmy.world 14 points 2 weeks ago (1 children)

In the current scenario, they have to pay nothing if they kill you. It's just pure savings. In the other, they have to pay $200k.

[–] Chip_Rat@lemmy.world 10 points 2 weeks ago (3 children)

That's true but it's a business. Yes they would prefer to pay nothing but if the law passed they had to cover life insurance then they straight up have a number to beat. If it's gonna cost $200,001 to keep you alive then nope, denied.

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[–] pelespirit@sh.itjust.works 10 points 2 weeks ago (5 children)

Universal healthcare would have the same effect. The government would spend a lot more money on preventative care.

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[–] pjwestin@lemmy.world 35 points 3 weeks ago (4 children)

Cigna has this cool new thing they do where, after they deny a medication for our son, they have a nurse call us and tell us why our doctor was wrong to prescribe it in the first place. You know, because a nurse who has never been in the same room as my son knows more than the fucking doctor who examined him.

[–] underwire212@lemm.ee 10 points 2 weeks ago

Jesus Christ that’s horrible. Fucking manipulative pieces of shit

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[–] Andromxda@lemmy.dbzer0.com 31 points 2 weeks ago
[–] Arghblarg@lemmy.ca 28 points 3 weeks ago

I hope the surgeon said, at least, "Even if you conclude against my advice that it wasn't necessary based on your data before this call, it is most definitely necessary now, as the patient is open on my operating table at this moment." <slam>.

[–] Bytemeister@lemmy.world 28 points 2 weeks ago (2 children)

We need to make it a crime to deny claims on necessary healthcare. 10x penalty (paid to the victim directly) for denial. 30x if they were denied using AI or an automated system.

[–] chaogomu@lemmy.world 24 points 2 weeks ago

Or, remove the ticks.

Make health insurance illegal. Single payer healthcare where all is approved.

[–] Hazor@lemmy.world 12 points 2 weeks ago (2 children)

Just make it not up to the insurance company. If the healthcare provider believes it's necessary care, then the insurance company pays. Full stop. They get no say in the matter, and denial is not an option.

"But health insurance would become unprofitable!", they'll cry? Good. Necessity shouldn't be exploited.

This would incentivize abuse of the system by quacks and malicious profiteers trying to overbill, but Medicare/Medicaid seem to manage that problem just fine through fraud laws/policies.

If the insurance company believes it's actually unnecessary care, they can take up a complaint with the medical board and only get to claw back money if an independent panel of doctors in the same specialty agrees that it was unnecessary or unethical. A bonus from this is that insurance companies would have incentive to make sure doctors are well-trained to know what testing/treatment is actually warranted. Btw, "necessary" doesn't only get to mean you get the minimum required to keep you from dying today; quality of life and long-term prognosis must be required considerations.

If the insurance company believes it's fraud, they can take it up with law enforcement too.

Another thing that could help would be to make the medical/nursing/etc boards better equipped for investigation/enforcement of ethics complaints and to make disciplinary records follow those who would move to another state to get a new license, and also make those disciplinary records readily accessible by the public on a centralized national database. Bad actors will not be able to continue being bad actors if they lose their license, can't get a new one, or wind up in jail.

Even better, let's just have a national healthcare system.

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[–] Whats_your_reasoning@lemmy.world 26 points 3 weeks ago* (last edited 2 weeks ago) (1 children)

Police recovered bullets at the scene that read, "delay, deny, defend

Depose. Say it, DEPOSE.

I can understand this one instance being an editorial slip-up, but I’ve seen way too many news articles that reference the bullets while omitting that one particular word - depose.

It’s the word that scares the oligarchs the most. Which is all the more reason for us to repeat it, even if journalists won’t. DELAY, DENY, DEPOSE.

[–] witten@lemmy.world 13 points 2 weeks ago* (last edited 2 weeks ago) (2 children)

Dude, you got the words wrong too: https://en.m.wikipedia.org/wiki/Luigi_Mangione (See "Alleged Role ...".)

(EDIT: The parent comment now has the correct words!)

In your defense, the cops initially reported the words from the bullet casings incorrectly before later making a correction. And half the media has been confused about it ever since.

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[–] niva@discuss.tchncs.de 24 points 2 weeks ago* (last edited 2 weeks ago)

CEO got killed but everything still working as intended. For everyone who was worried I can bring relieve, UnitedHealthcare is still working well.

[–] mindbleach@sh.itjust.works 21 points 3 weeks ago (1 children)

Doctors across the country need to adopt a "just fucking do it" attitude, and tell their legal departments to fuck off.

On this and other topics.

[–] Zink@programming.dev 19 points 3 weeks ago (1 children)

The problem with that is that they care about their patients, and it’s their patients who will suffer the most when the insurance company tells them both to fuck themselves.

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[–] billwashere@lemmy.world 13 points 2 weeks ago (3 children)

At this point if I ever switched jobs and the new employer had United Health Care I would politely thank them for their time and get up and walk out of the interview.

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[–] kipo@lemm.ee 12 points 3 weeks ago

The Adjuster has entered the chat.

[–] Subverb@lemmy.world 12 points 2 weeks ago (1 children)

Insurance companies are parasites killing their host.

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[–] Gammelfisch@lemmy.world 12 points 2 weeks ago (4 children)

One cannot be a true medical doctor in the USA.

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