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Dec 16 2024 09:28am
Quote (duffman316 @ Dec 16 2024 09:25am)
Luigi was caught too soon imo, there is still plenty of work to do

https://www.propublica.org/article/unitedhealthcare-insurance-autism-denials-applied-behavior-analysis-medicaid
The insurer that has been paying for her son’s therapy, UnitedHealthcare, has begun — to the befuddlement of his clinical team — denying him the hours they say he requires to maintain his progress. Inside the insurance conglomerate, the nation’s largest and most profitable, the slashing of care to children like Benji does have a reason, though it has little to do with their needs. It is part of a secret internal cost-cutting campaign that targets a growing financial burden for the company: the treatment of thousands of children with autism across the country.


UHC denies claims for anti-nausea meds for kids with cancer, because nausea isn't technically changing their health. its just makes their lives miserable, so its denied because its not medically necessary. disgusting practice.
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Dec 16 2024 09:52am
Quote (thesnipa @ Dec 16 2024 03:20pm)
"If you buy X, Y, Z you can't criticize X, Y, Z" is terrible logic. companies want the feedback of their customers, the good the bad and the ugly.

You're missing a critical part.
Legally Binding Agreement

You can be a customer of a business without signing any agreements.
This is not one of those cases.

e- so lets say your health insurance refuses to cover your medical bill.
You agreed that, that can happen. It was your responsibility to understand what you were agreeing to.
Especially when the agreement distributed to the consumers is legally vetted before so.

People need to read, learn and understand the Law.

Ignorantia juris non excusat
ignorance of the law excuses not

This post was edited by Mondain on Dec 16 2024 10:01am
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Dec 16 2024 10:30am
Quote (Mondain @ Dec 16 2024 09:52am)
You're missing a critical part.
Legally Binding Agreement

You can be a customer of a business without signing any agreements.
This is not one of those cases.

e- so lets say your health insurance refuses to cover your medical bill.
You agreed that, that can happen. It was your responsibility to understand what you were agreeing to.
Especially when the agreement distributed to the consumers is legally vetted before so.

People need to read, learn and understand the Law.

Ignorantia juris non excusat
ignorance of the law excuses not


Somehow you've shifted the goalposts from "if you dont like it stop paying" to "well there's a 1,000 page contract you should have read".

but this is nonsensical, what if as a consumer i do read all of the fine print? then magically i can complain?

you're also making a lot of bad comparisons, like the buying a car. if i read the contract of a car purchase i can contest and get changes line items. with health insurance especially if its employer pool insurance you can't change anything, its either opt in or out. this is a loss of consumer agency compared to most contractual agreements.

overall tho just saying if u buy a product u cant criticize it is illogical. not buying a product is one way, not the only way, to get change in the products you buy.
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Dec 16 2024 10:32am
Quote (thesnipa @ Dec 16 2024 04:30pm)
Somehow you've shifted the goalposts


no, I did not move the goalpost.

You didnt read my post that you quoted originally.

e- just like you clearly haven't read the agreement you signed with your insurance company.
If you're unable to understand it, (which is not an excuse in Law), hire a lawyer to read it for you or don't sign it.

e2-"By signing below, I hereby acknowledge that I have completely read and fully understand the..."
You signed and therefore through signature, acknowledge you read it and are agreeing to it.

e3- I am not defending insurance companies.
I'm tell people to take personal responsibility for their legal actions.
Because that is how the law works.

Don't like that? Learn the Law and enact changes you want.

This post was edited by Mondain on Dec 16 2024 10:42am
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Dec 16 2024 10:59am
https://www.yahoo.com/news/seven-reasons-why-americans-pay-100720536.html

7 excuses.

Honestly, while I do not agree with this action of taking another life, there is no empathy from a lot. I understand where this is all coming from.

$$$
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Dec 16 2024 10:59am
Quote (RedFromWinter @ Dec 16 2024 07:55am)
Why are ParD members comparing the shooter to the likes of school shooters, mass murder, church shooters, club shooters, terrorists? It was a US citizen killing another US citizen, simple as that, not a mass incident with heinous collateral damage.. Justified, no, but let's not play la la land and pretend Lordling CEO is some white knight of healthcare philanthropy.


Because its literally that, a terrorist attack.
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Dec 16 2024 12:04pm
Quote (Goomshill @ Dec 16 2024 10:59am)
Because its literally that, a terrorist attack.


As much as Jan 6 was an insurrection. Barely meets the base prerequisite of the broad def.
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Dec 16 2024 12:05pm
Quote (Mondain @ Dec 16 2024 10:32am)
no, I did not move the goalpost.

You didnt read my post that you quoted originally.

e- just like you clearly haven't read the agreement you signed with your insurance company.
If you're unable to understand it, (which is not an excuse in Law), hire a lawyer to read it for you or don't sign it.

e2-"By signing below, I hereby acknowledge that I have completely read and fully understand the..."
You signed and therefore through signature, acknowledge you read it and are agreeing to it.

e3- I am not defending insurance companies.
I'm tell people to take personal responsibility for their legal actions.
Because that is how the law works.

Don't like that? Learn the Law and enact changes you want.


literally no one is claiming the health insurers are operating illegally. they're saying they should run their business differently, or failing that as its a high bar in a stock selling company, that law makers should adjust the law to reduce their profit by force.

you said people should stop paying for health insurance if they dont like how health insurance works, which is a really dumb statement. u can add 12 edits it wont change how dumb that idea is as a concept let alone when it's applied to health insurance.
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Dec 16 2024 12:06pm
Quote (thesnipa @ Dec 16 2024 01:05pm)
literally no one is claiming the health insurers are operating illegally. they're saying they should run their business differently, or failing that as its a high bar in a stock selling company, that law makers should adjust the law to reduce their profit by force.

you said people should stop paying for health insurance if they dont like how health insurance works, which is a really dumb statement. u can add 12 edits it wont change how dumb that idea is as a concept let alone when it's applied to health insurance.


He is a professional pontificator, pay no mind
Member
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Dec 16 2024 12:07pm
Quote (Stauf @ Dec 16 2024 12:06pm)
He is a professional pontificator, pay no mind


oh im aware ty tho lol. he hardly every says anything let alone something worthwhile.
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