• Skiluros@sh.itjust.works
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    16 days ago

    The NYT op-ed is a fascinating read. Very much in the style US oligarchs. Pompous, but still trying to be folksy. Dishonest, but with an attempt to enable plausible deniability.

    a brilliant, kind man who was working to make health care better for everyone.

    If that was Thompson’s goal, he wouldn’t be working for a US health insurance company.

    We understand and share the desire to build a health care system that works better for everyone. That is the purpose of our organization.

    This is clearly false. This a for profit corporation.

    I wonder what the goal of this piece is?

    • jeffw@lemmy.worldM
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      16 days ago

      Are non-profit insurers really any better? Many of the blues are non-profits

      • orcrist@lemm.ee
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        15 days ago

        Of course they’re better. There are no shareholders to pay off, so the system itself is more efficient. But that alone doesn’t solve the problem. Only national healthcare will provide a comprehensive fix.

        • jeffw@lemmy.worldM
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          15 days ago

          Are they? They are just as brutal about denials. The most hated insurance company I work with is a nonprofit. I’d welcome anyone with a blue cross or blue shield plan to tell me their positive stories. Or any other nonprofit, for that matter.

  • ynazuma@lemmy.world
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    16 days ago

    From the article:

    Witty added that Thompson was “never content with the status quo” and praised the CEO for advocating for ideas that “were aimed at making health care more affordable, more transparent, more intuitive, more compassionate — and more human.”

    This is a complete lie

    UHC. Leader in denials under Thompson

    https://www.forbes.com/sites/amyfeldman/2024/12/05/unitedhealthcare-denies-more-claims-than-other-insurers---angering-patients-and-health-systems/

    Thompson accused of insider trading

    https://www.huffpost.com/entry/unitedhealthcare-brian-thompson-insider-trading-lawsuit_n_6751a2abe4b01129dffa8789

    Record profits for UHC under Thompson. 20-25% of claims denied

    https://www.forbes.com/sites/brucejapsen/2024/01/12/unitedhealth-group-profits-hit-23-billion-in-2023/

  • Avid Amoeba@lemmy.ca
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    16 days ago

    “We understand and share the desire to build a health care system that works better for everyone. That is the purpose of our organization,” he wrote.

    Liar, liar, pants on fire.

    • Godnroc@lemmy.world
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      16 days ago

      “Once we’ve finished draining the blood from the neck of the people we ensure their remaining time is as comfortable and wonderful as is possible. That is the purpose of our organization.”

      • octopus_ink@lemmy.ml
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        16 days ago

        “Once we’ve finished draining the blood from the neck of the people we ensure their remaining time is as comfortable and wonderful as is possible**. That is the purpose of our organization.”

         

        **Without violating any end of life profitability constraints, of course.

  • pelespirit@sh.itjust.works
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    16 days ago

    PR working overtime here. You can’t serve shit soup and tell us you understand it’s flawed and it has potato in it. We’re not going to eat it. Universal healthcare for all please.

  • yarr@feddit.nl
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    16 days ago

    This is so much bullshit:

    Witty added that Thompson was “never content with the status quo” and praised the CEO for advocating for ideas that “were aimed at making health care more affordable, more transparent, more intuitive, more compassionate — and more human.”

    Yeah, fucking sure. Here’s what happened under his watch:

    • Emergency Room Visit Denials: In 2021, the company planned to deny insurance payments for non-critical visits to hospital emergency rooms, a move criticized by the American Hospital Association for potentially deterring patients from seeking necessary emergency care.
    • Automated Claim Denials: The company began utilizing artificial intelligence to automate claim denials, raising concerns about the fairness and accuracy of such automated processes in evaluating individual patient claims.
    • Insider Trading Allegations: Thompson faced allegations of insider trading, with reports indicating he sold a significant portion of his shares shortly before a Department of Justice antitrust investigation into UnitedHealth Group became public, leading to a drop in the company’s stock price.

    This is just lip service by the new boss. They could drop their rates, have more transparent claims process or any one of a hundred moves that THEY could initiate and would not require new legislation. Guess what, since that gets in the way of profit, they won’t bother. People are already getting bored of this news cycle. In another week everyone will be talking about something else and UHC will still be raking in profits taken from the wallets of cancer patients.

    Actions speak louder than words and I don’t see any actions here!

    • TrickDacy@lemmy.world
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      15 days ago

      Yeah, the profit motive makes it literally impossible to improve. Human nature is trash. The only hope we have is to form institutions. But in the United States anyhow, that’s not in style. What is in style? “Fuck you, I got mine”

      • SkyeStarfall@lemmy.blahaj.zone
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        15 days ago

        How is it human nature when it’s literally the system that is the problem? This is not about individuals, but about systems, specifically the profit motive

        Competition for the most profit under capitalism is literally the driving factor for all of this. If you don’t do it, someone else will take your place and do it instead

        • TrickDacy@lemmy.world
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          15 days ago

          You’re missing the point entirely. Which was that the current system is just letting the worst of human nature run wild

          • Reyali@lemm.ee
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            15 days ago

            (Not who responded to you, but) I agree with you when you put it as “the worst of human nature.” I take issue with the idea that all of human nature is trash.

            The systems we live in absolutely bring out the worst in people because it drives desperation. Desperate people will do what they must no matter how they hurt people, and the whole “hurt people hurt people” then runs rampant.

            But human nature also contains the helpers, community, love, and so much more. We need systems that encourage those things, not to write off all our problems as just how we are.

            • TrickDacy@lemmy.world
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              15 days ago

              Yeah I am with you actually. I should’ve written “can be trash” really. there’s a lot of good in people but the worst people tend to seize power unfortunately. Hence the shitty systems that make even good people into worse people

    • TheKingBombOmbKiller@lemm.ee
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      15 days ago

      Emergency Room Visit Denials

      Wait, do American hospitals charge people for visiting patients in the ER? Or is this about reimbursements for transport and parking?

      • keckbug@lemmy.world
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        15 days ago

        They do, often at elevated rates. A simple visit and x-ray, perhaps to check on an ankle after a serious mis-step, can easily hit several thousand dollars in charges beyond any transport costs.

      • pixelscript@lemm.ee
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        15 days ago

        Assuming you’re not being sarcastic, “visit” in this context is talking about the patient themselves going to and using the ER, not a bystander visiting a patient who is already there.

        • TheKingBombOmbKiller@lemm.ee
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          15 days ago

          Ah, that makes more sense. I misread. With all of the horror stories I hear about American health care, it seemed farfetched, but not entirely out of the realm of possibility.

    • superkret@feddit.org
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      14 days ago

      So according to their plan, patients are expected to know whether their chest pain is actually a heart attack before they go to the ER, and if they guess wrong, they’re bankrupt?

  • _haha_oh_wow_@sh.itjust.works
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    16 days ago

    Oh ok, does that mean you’re going to take that $22,000,000,000 you stole from your customers by denying their claims and actually take care of them like you were supposed to in the first fucking place then?

    No?

    Hmm…

  • modifier@lemmy.ca
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    16 days ago

    Lots of lies in here, but some truth:

    Witty said that Thompson was among the people working in the health care industry who “try to do their best for those they serve.”

    We believe that. The problem is who he served. It wasn’t his policy holders, that’s for sure.

    • orcrist@lemm.ee
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      15 days ago

      It wasn’t corporate shareholders either, not with all that insider trading he was doing. He was serving the hell out of his own ass.

  • Pandantic [they/them]@midwest.social
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    15 days ago

    Witty said that while UHC is willing to “partner with anyone” who could help the system work better, “clearly, we are not there yet.”

    “We understand and share the desire to build a health care system that works better for everyone. That is the purpose of our organization,” he wrote.

    I would love for him to explain to me why they NEED to deny 1/3 of their claims to keep their business afloat and how they are using their $23.1 billion profit to benefit the policy holders rather than the share holders. That would be a real article, a real plea to the populace. This is just an article full of empty words that mean nothing, but it does show us how scared you execs are, which is nice.

    Oh, and I liked this part (emphasis mine):

    Witty added that Thompson was “never content with the status quo” and praised the CEO for advocating for ideas that “were aimed at making health care more affordable, more transparent, more intuitive, more compassionate — and more human.

    Yea, like the Ai denial system? I bet that really gave it the human touch. I mean, I really can’t believe he said that part.

    • WindyRebel@lemmy.world
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      15 days ago

      I would love for him to explain to me why they NEED to deny 1/3 of their claims to keep their business afloat and how they are using their $23.1 billion profit to benefit the policy holders rather than the share holders.

      Short answer about benefitting policy holders vs share holders is they’re not. They won’t.

      The other part of this is why they deny claims? Short answer is the loss ratio (diving claims paid plus adjustment expenses by the total amount of premiums earned) that they report on during earnings calls.

      It’s apparently one of the most important things to pay attention to. The lower that number, the better! Higher means it freaks wall street out and stocks lose money.

      Learned about the loss ratio from Vox’s Today Explained podcast.

      • Pandantic [they/them]@midwest.social
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        15 days ago

        Short answer about benefitting policy holders vs share holders is they’re not. They won’t.

        Yeah, I said that knowing this was true, and I guess props on them for not lying their way out of that part… 🙄

        The second half of what you said is why these companies, that literally have peoples health and wellbeing in their hands, should NOT be for-profit companies. They are actually profiting, and celebrating their record profits, off of hurting people. It’s insane.

        Thanks for the podcast share, I’ll check it out.

  • Mortoc@lemmy.world
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    16 days ago

    “No employees — be they the people who answer customer calls or nurses who visit patients in their homes — should have to fear for their and their loved ones’ safety,” Witty wrote.

    There’s something we can all agree on. Executive fear though…

    • Frozengyro@lemmy.world
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      16 days ago

      They shouldn’t have to fear for their safety either, they should just do right by their customers and it wouldn’t be a problem.

    • ikidd@lemmy.world
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      16 days ago

      They should be exactly as uncertain of their survival as the people that they’re deciding claims on.

    • chiliedogg@lemmy.world
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      16 days ago

      No insurance customer should have to fear dying because their medically necessary procedures are denied. Of all the things wrong with Healthcare, prior authorization should be target number 1 for legislators. It should be 100% illegal for insurance companies to require pre-authorization.

      If a doctor regularly prescribes unnecessary treatments or medication, let the proper ayluthorities investigate and pull their credentials, if necessary. Don’t kill thousands of people to save a buck and say it’s to protect them from unnecessary procedures.

  • TheObviousSolution@lemm.ee
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    15 days ago

    “It’s not us and the millions of dollars in lobbyists we spend to make sure the health care system is the way it is, it’s the health care system that’s flawed.” The United Healthcare CEO was being investigated. The way they’ve shifted the narrative to say “Hey, we were fighting for you all along, we are the good guys!” is absurd but predictable. Though it took hurting them where it mattered to them - tanking their share price - for them to do it.

  • Laereht@lemmy.world
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    16 days ago

    “We know the health system does not work as well as it should, and we understand people’s frustrations with it. No one would design a system like the one we have,” Witty wrote. “And no one did. It’s a patchwork built over decades.”

    So it’s nobody’s fault. And nobody can fix it I guess. Oh well, guess we just take it then. Good to know nobody is responsible for a despicable system that kills when it should heal.

    • psivchaz@reddthat.com
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      16 days ago

      The thing that gets me is that it’s true. It’s a patchwork… of so many people taking more than they should and giving less than they should. If UHC tomorrow used every penny of the premiums they charge purely to cover healthcare, they still wouldn’t fix the problem. A fix would require change to the pharmacies, the drug companies, the medical equipment companies, the hospitals and hospital networks, and more levels of bullshit middlemen than I even know exist. No single person, be they President or CEO or billionaire, can fix it.

      He is still an asshole though. He is just pointing to the problem and saying “Good people are trying to fix it.” Are they? Where’s the evidence? I would love to read an article that made me think, “Yes, the healthcare industry is making one small step in the right direction” but it hasn’t come up. If this dude wants me to sympathize with him or with Brian Thompson, he should say ONE THING that either of them has ever done to address the problems of the industry and make things genuinely better for everyone. My money is that he can’t.

    • orcrist@lemm.ee
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      15 days ago

      Describing it as a patchwork is such an abdication of accuracy and responsibility, too. Any old system has evolved over time, and this one has had half a century to get into the state that it’s in now. Just because something is old and has been modified many times over the years doesn’t mean that the current situation is accidental or inevitable.

    • ramsorge@discuss.online
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      16 days ago

      I think that will require corrective action, apologies, retribution, and active lobbying for a better healthcare system… as a start.

      My guess, they’re just buying time.

      Dddepose!