Health care victory

[FlashLackey]

Remember all the healthcare reform scaretalk of "death panels"?
That is the actual business model of what goes on in our current insurance industry.
Bonuses are given based on denial of claims and are termed "medical savings".

A claim cannot legally be denied if it is for something that is legitimately covered by a persons insurance policy. Law enforcement matter. Not health care.

Giving a bonus to an employee for making sure that they aren't paying for things that they were never obligated to pay for seems like a legitimate business practice to me.

In countries with single-payer systems that have to ration health care, there are panels that review patients on a case by case basis to determine where they should be in line for a treatment or whether they should receive it at all. In that sense, "death panels" are very real and are a genuinely scary prospect.

One tactic used to deny claims is if a policyholder is extremely sick and needs continued expensive treatments it is common to classify the treatment as "experimental" and therefor not covered.

If a persons insurance policy does not cover experimental treatments and the treatment they seek is indeed experimental, that person has no right to expect the insurance company to pay for it.

An insurance company could not refuse payment to one client by saying that the treatment is experimental while funding other patients seeking the same treatment. If they did, it would be a slam dunk case and pay-day for the defrauded client.

Loyal rogue that is an outlandish claim! if something like that were true surely there would have been some sort of story in the new paper, or a best selling novel later turned into an award winning movie which im sure would star an up and coming actor, someone of matt damons caliber..

Matt Damon? Caliber...?

That aside, do you believe everything you see in the movies?

what we need is a non-profit solution, but that will never happen because of the greed our nation has been building a foundation on.

A non-profit solution like the United States Postal Service? Which government run, non-profit solution would it be most similar to?

Also doesn't take a genius to realize that if you tax pharmaceutical companies that those costs will also be passed on to private insurance companies.

Interesting dynamic appearing there - the taxes (at something like $40B) vs 30 million or so new potential customers, I don't think that industry knows if this plan will help or hurt them, but it's pretty clear that the costs per pill are going to go up, up, up.

Now we're cooking with gas (clean of course).

Indeed. I think that not understanding how business works is at the root of a lot of misunderstanding about national policy. Do they even teach economics in public schools any more?