westerndecline Posted December 15, 2017 Share Posted December 15, 2017 The seems like it's the equivalent of paying police officers to protect you from theft or cutting the fire department a check before they put out a fire? Link to comment Share on other sites More sharing options...
RaoulDuke79 Posted December 15, 2017 Share Posted December 15, 2017 Insurance is a joke. Pay pay pay, but when it's time to collect, boy oh boy, there's always hoops to jump through and red tape to cut. 1 Link to comment Share on other sites More sharing options...
unbillievable Posted December 15, 2017 Share Posted December 15, 2017 (edited) "In denying Cara her surgery, Aetna said it considers laser ablation surgery "experimental and investigational for the treatment of epilepsy because the effectiveness of this approach has not been established." "Clinical studies have not proven that this procedures effective for treatment of the member's condition," Aetna wrote in its rejection letter. The insurance company did approve her for the more invasive and more expensive open brain surgery, called a temporal lobectomy, even though her medical team never sought approval for the procedure." She got approved for the normal surgery but not the experimental one.... ...so the obvious response is to cry on social media and say that the Insurance company is killing her. Edited December 15, 2017 by unbillievable Link to comment Share on other sites More sharing options...
DC Tom Posted December 15, 2017 Share Posted December 15, 2017 4 minutes ago, unbillievable said: "In denying Cara her surgery, Aetna said it considers laser ablation surgery "experimental and investigational for the treatment of epilepsy because the effectiveness of this approach has not been established." "Clinical studies have not proven that this procedures effective for treatment of the member's condition," Aetna wrote in its rejection letter. The insurance company did approve her for the more invasive and more expensive open brain surgery, called a temporal lobectomy, even though her medical team never sought approval for the procedure." She got approved for the normal surgery but not the experimental one.... ...so the obvious response is to cry on social media and say that the Insurance company is killing her. So "insurance company denies life-saving surgery" is actually "insurance company approves alternative surgery for non-life-threatening condition?" I'm sure there's a name for this sort of logical fallacy. It's called...oh, hell, I'll just pick one at random...let's call it the isomorphism complexity fallacy. 1 Link to comment Share on other sites More sharing options...
westerndecline Posted December 16, 2017 Author Share Posted December 16, 2017 6 minutes ago, DC Tom said: So "insurance company denies life-saving surgery" is actually "insurance company approves alternative surgery for non-life-threatening condition?" I'm sure there's a name for this sort of logical fallacy. It's called...oh, hell, I'll just pick one at random...let's call it the isomorphism complexity fallacy. Non sequitur Link to comment Share on other sites More sharing options...
B-Man Posted December 16, 2017 Share Posted December 16, 2017 I have spent the last 39 years working in the heath care field, from both sides of this issue and this thread is a big pile of embarrassing sh*t. I would be ashamed to have posted it. . 1 Link to comment Share on other sites More sharing options...
westerndecline Posted December 16, 2017 Author Share Posted December 16, 2017 22 minutes ago, B-Man said: I have spent the last 39 years working in the heath care field, from both sides of this issue and this thread is a big pile of embarrassing sh*t. I would be ashamed to have posted it. . If its so bad Then say why lol U just embarrass yourself when you fail to make an argument Link to comment Share on other sites More sharing options...
Pine Barrens Mafia Posted December 16, 2017 Share Posted December 16, 2017 You act as though state run healthcare doesn’t deny care. They do. Often. Link to comment Share on other sites More sharing options...
3rdnlng Posted December 16, 2017 Share Posted December 16, 2017 2 minutes ago, westerndecline said: If its so bad Then say why lol U just embarrass yourself when you fail to make an argument No, you embarrass yourself by posting something and interpreting it completely wrong. Aetna was willing to pay for the more expensive but proven surgery rather than something that they thought was experimental. Insurance companies----bad! Link to comment Share on other sites More sharing options...
Teddy KGB Posted December 16, 2017 Share Posted December 16, 2017 30 minutes ago, westerndecline said: If its so bad Then say why lol U just embarrass yourself when you fail to make an argument He already did. Link to comment Share on other sites More sharing options...
TakeYouToTasker Posted December 16, 2017 Share Posted December 16, 2017 Insurance companies do not cover experimental treatment as a standard practice, and for very good reason. Link to comment Share on other sites More sharing options...
westerndecline Posted December 16, 2017 Author Share Posted December 16, 2017 1 hour ago, joesixpack said: You act as though state run healthcare doesn’t deny care. They do. Often. Who said im for single payer?? 1 hour ago, 3rdnlng said: No, you embarrass yourself by posting something and interpreting it completely wrong. Aetna was willing to pay for the more expensive but proven surgery rather than something that they thought was experimental. Insurance companies----bad! Whether its an ins comp or not. Why is a corporation deciding care instead of the patient....??? Many experimental care has saved lives This was the premise of the post But you immediately went to your ideological talking pts when im not even for single payer Good lord 27 minutes ago, TakeYouToTasker said: Insurance companies do not cover experimental treatment as a standard practice, and for very good reason. Whats the reason Dr says patient could be cured from brain cancer with new drug Patient signs waiver. Go Link to comment Share on other sites More sharing options...
Chef Jim Posted December 16, 2017 Share Posted December 16, 2017 (edited) 1 hour ago, westerndecline said: Why is a corporation deciding care instead of the patient....??? I suggest you learn how insurance works before you B word about it. BTW I really hope there's a petition going around that will allow us to say bi&%$. B Word? Who the !@#$ are we protecting from not being able to say Bit3h?? Edited December 16, 2017 by Chef Jim Link to comment Share on other sites More sharing options...
3rdnlng Posted December 16, 2017 Share Posted December 16, 2017 1 hour ago, westerndecline said: Who said im for single payer?? Whether its an ins comp or not. Why is a corporation deciding care instead of the patient....??? Many experimental care has saved lives This was the premise of the post But you immediately went to your ideological talking pts when im not even for single payer Good lord Whats the reason Dr says patient could be cured from brain cancer with new drug Patient signs waiver. Go No, the insurance company is not deciding care, they're deciding what they will pay for. In this case (you know, the one you embarrassed yourself with) they approved the more expensive but approved procedure. By your logic you would expect the insurance company to pay for any procedure that the patient wanted. What if they thought being bled out was what was necessary? Is that something the insurance company should pay for? You need to up your game before you lose all of your self of steam. Link to comment Share on other sites More sharing options...
/dev/null Posted December 16, 2017 Share Posted December 16, 2017 Dunno which of these makes me feel the worst "Teenage Girl" in title makes me think "Pic?" The Picture, yeah I would She's going to die westerndecline is a member of the same species that I am Link to comment Share on other sites More sharing options...
boyst Posted December 16, 2017 Share Posted December 16, 2017 1 hour ago, /dev/null said: Dunno which of these makes me feel the worst "Teenage Girl" in title makes me think "Pic?" The Picture, yeah I would She's going to die westerndecline is a member of the same species that I am You're right. She will die. But it's not from this, essentially. It's a grosse over exaggeration Link to comment Share on other sites More sharing options...
bbb Posted December 16, 2017 Share Posted December 16, 2017 Even that linked CNN report says Life Changing, not Life Saving. Link to comment Share on other sites More sharing options...
westerndecline Posted December 16, 2017 Author Share Posted December 16, 2017 3 hours ago, 3rdnlng said: No, the insurance company is not deciding care, they're deciding what they will pay for. In this case (you know, the one you embarrassed yourself with) they approved the more expensive but approved procedure. By your logic you would expect the insurance company to pay for any procedure that the patient wanted. What if they thought being bled out was what was necessary? Is that something the insurance company should pay for? You need to up your game before you lose all of your self of steam. Wrong again... What the DR wants.... The one who went to school for this, not an insurance agent. Try again Oh strawman Link to comment Share on other sites More sharing options...
westerndecline Posted December 16, 2017 Author Share Posted December 16, 2017 7 hours ago, 3rdnlng said: No, you embarrass yourself by posting something and interpreting it completely wrong. Aetna was willing to pay for the more expensive but proven surgery rather than something that they thought was experimental. Insurance companies----bad! Another question Does the dr decide what is "experimental" Or does the insurance agent? Link to comment Share on other sites More sharing options...
unbillievable Posted December 16, 2017 Share Posted December 16, 2017 2 hours ago, westerndecline said: Another question Does the dr decide what is "experimental" Or does the insurance agent? Neither. Science decides. Common sense would work too, but that died a long time ago. Link to comment Share on other sites More sharing options...
Recommended Posts