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Related: Editorials & Other Articles, Issue Forums, Alliance Forums, Region ForumsMan responsible for the death of thousands is shot and killed
Am I still supposed to grieve for his family?
Drum
(9,860 posts)Thank you
Drum
(9,860 posts)Me, I live in NYC, as does my wife, our friends, and their families. I dont want shoot-outs on our streets. No matter who gets shot and lies there bleeding, I find no joy or relief in it.
And what of the individual doing the shooting this morning? Are they some sort of justice deliverance hero? Is that the sort of person you might support, even vote for perhaps?
Ugh, I just cant even with this. Great succinct post, though. Enjoy your feeling.
Groundhawg
(987 posts)edhopper
(34,995 posts)And not being bothered by some scum dying are two different things
Groundhawg
(987 posts)kelly1mm
(5,355 posts)Republicans alike?
and it's politicians who created this system where medicare pays these insurance companies to provide (or not) Medicare Advantage. Nobody would be dying in wars without the politicians who stir shit and then fund the wars (proxy or direct US troop involvement).
Maru Kitteh
(29,192 posts)Him, on the other hand, that doesnt upset me. Not popping a bottle of bubbly or anything, but I gotta say, Im really not bothered at all.
Silent Type
(7,149 posts)bad outcome is directly tied to an insurance decision (even as an internal policy), delay of care, pain, etc.
Insurers can be sued just like docs, hospitals, etc., who screw up. Although in the insurers case, one wouldn't file a malpractice, they'd sue the insurer for liability or errors and omissions for a denial which caused permanent injury, death, etc. In fact, in some cases that might get the patient or family a whole lot more money than the restrictive malpractice laws in many states.
edhopper
(34,995 posts)To the dead person's family.
And if it were so easy to sue. Why do the insurance companies still do it.
Silent Type
(7,149 posts)and doctors boot patients out once DRG days are met and they cant justify additional days or treatments, refuse to provide further care because they know Medicare auditors will catch them, etc.
Its not just private insurers screwing up the healthcare system.
Meowmee
(5,903 posts)Very few medical malpractice cases are taken on/brought each year on contingency. If you have money to do it though, money talks as usual. The whole system is set up to protect them.
Silent Type
(7,149 posts)And, at a minimum theyll settle to avoid nuisance and publicity.
Obviously bad things happen, but I dont think anywhere near thousands of deaths due to insurance denials. I do think there are thousands of patients who have say a knee replacement before trying conservative therapy, physical therapy, etc. Medicare has the same requirements in there coverage policies, BTW.
There are lots of initial denials often because doc submitted a few codes wrong, and the vast majority are overturned after doc provides additional information. Medicare will reject claims too for same reasoning.
Now as far as health system, I have supported Medicare/caid for all since 1980. But until Congress wises up, and takes on trump supporters who want nothing to do with gubment insurance, this is what we have. Harris totally avoided healthcare reform this election, probably because it wouldnt sell to trumpsters who hate the government.
Meowmee
(5,903 posts)who denied a claim, and caused death or permanent harm.
They won't settle if they think they can win or get the case dismissed etc. Most cases settle if they agree to it because people do not want it to drag out for years and go to a trial, and because a trial is likely to favor the defendants. But many drag on for years before they settle. It is very costly and time consuming, lawyers will not take on a case on contingency that can't recoup and surpass that even when they know there was negligence. If it goes to trial, it almost always goes in favor of doctors/hospitals because juries favor them in high percentages even with strong evidence of negligence.
Every law is set up to protect doctors and hospitals against this, not patients who have been harmed. Including time limits for declaring and bringing a suit and who can sue. Hospitals in particular have armies of lawyers and agencies to defend them. And nearly everyone involved, even others in the community, not directly involved, circle the wagons at the hint of a possible suit.
One interesting case is the fosamax suits against Merck, a pharmaceutical company, it took 13 years to settle 1200 or so onj cases, about 500 femur fracture cases were thrown out, but have now been revived. Those are just the cases that were brought and accepted by lawyers.
Most medical malpractice cases against hospitals and doctors never see the light of day. The number is somewhere around 20,000 or less that go forward per year to even being declared.
Silent Type
(7,149 posts)Meowmee
(5,903 posts)Last edited Thu Dec 5, 2024, 08:57 AM - Edit history (1)
which is why I mentioned mms as an example because I know what it is like. I doubt there are tons of lawyers wanting to take these cases on.
Edited to add: in one case of malpractice against myself. Where the insurance company denied a huge hospital stay adjacent to an ICU stay all of which was due to serious negligence on the part of my doctors and the hospital. I told the hospital that I was going to sue them if they tried to bill me. they then told me they were going to absorb the cost after they appealed it and it was denied. Actually what I shouldve done was sue them all anyway because I had permanent damage from all of the negligence and I could easily have died.
Silent Type
(7,149 posts)I dont deny insurance companies are a hassle, but its what Congress has allowed us. If you have some stats that show otherwise, Ill listen/read.
Meowmee
(5,903 posts)I will let you do the research as I don't have time now but I will look later. I suspect it still would not be a case with many lawyers wanting to take it on. The thing is most cases are never brought or even attempted to be etc. People are harmed and die, give up etc., they often do not have the strength to take it on as did the op.
LeftInTX
(30,315 posts)Groundhawg
(987 posts)Arazi
(6,995 posts)Literally.
And as United Healthcare is number one in claims denial, yes Id say its a certainty hes responsible for many many dead Americans
edhopper
(34,995 posts)30 % denial of claims.
What do you think happens when people don't get medical care?
LeftInTX
(30,315 posts)He was hospitalized twice earlier this year and we had no problems with coverage.
Second time was repeat of angiogram at a different facility. I took him to the closest hospital for the first one and it wasn't the best decision. Doc was not the best and couldn't get the cath through the blockage
A week later, we went to a large university. They admitted him that day and performed a successful procedure the next day.
It's a medicare advantage program, however it works more as a PPO since his work supplements it.
We've been on it six years. I haven't had any real issues, except the annoying deductible.