That's their job? It's not even limited to private insurance companies. Public health systems have lists of what is considered good value for money too, even if the treatments themselves are theoretically life saving. The US is the biggest market for new and rare drugs specifically because other countries consider the prices too high.
Denying their customers claims for healthcare coverage they are entitled to under the plans they pay for is the opposite of their job. Healthcare companies just keep doing that anyway because it makes them more money when their customers are too sick, stressed, exhausted, or eventually dead to fight the wrongfully denied claims.
People die because of this, but the insurance companies don't care because it makes them more money when they refuse (at least initially) to provide the services they were paid to deliver. United Healthcare alone was wrongfully denying claims over 90% of the time.
The health insurance industry is filled with serial killers who are happy to kill in exchange for money.
>Denying their customers claims for healthcare coverage they are entitled to under the plans they pay for is the opposite of their job.
Can you provide some examples? The examples I heard of are never straightforward like "person has a broken hip, insurance refuses to pay for a hip replacement". There's always some complication like "the doctor thinks they need some special procedure/drug that costs extra". If it's in the area where there's a plausible judgement call to be made, I don't see how it's any different than a public healthcare system denying care due to cost reasons, even if theoretically taxpayers are "entitled" to some vague standard of care, and without the care the patient might actually die.
>United Healthcare alone was wrongfully denying claims over 90% of the time.
AFAIK that claim was claimed by plaintiffs with no supporting evidence, and denied by the defendants.
IIRC the one that got Kirked was about to start, or had recently started, denying more than a fixed amount of time for anesthesia. If the operation runs longer than expected, you won't be anesthetised for all of it.
> The examples I heard of are never straightforward like "person has a broken hip, insurance refuses to pay for a hip replacement". There's always some complication like "the doctor thinks they need some special procedure/drug that costs extra".
There are a couple examples in the legal complaint (https://cdn.arstechnica.net/wp-content/uploads/2023/11/class...) where the insurance company denied extremely typical things like physical therapy and skilled nursing facilities (the most common form of post-acute care). Nothing special there.
Here's another one for you:
Deirdre O'Reilly's college-age son, suffering a life-threatening anaphylactic allergic reaction, was saved by epinephrine shots and steroids administered intravenously in a hospital emergency room. His mother, utterly relieved by that news, was less pleased to be informed by the family's insurer that the treatment was "not medically necessary." (https://kffhealthnews.org/health-industry/denials-of-health-...)
Now, I don't have all the details of this case, but neither epinephrine shots or steroids are a special procedure/drug. That would be considered the standard treatment for life-threatening allergic reactions depending on the circumstances and how long ago this occurred.
I can't think of any reason why they'd ever deny epinephrine, and although steroids have fallen out of favor in recent years as standard treatment in every case, they are still called for in common situations like when epinephrine alone isn't doing the job, or when the reaction has triggered an asthma attack.
Evaluating these can be challenging. Even though many people are sharing their stories of how they've been screwed over online (and publicly exposing their private medical matters in the process), there's often a lack of hard details. Both government regulations intended to protect patients and insurance industry policy intended to protect the corporations can make independent verification of these complaints difficult.
The best source for examples will be lawsuits against insurance companies which can surface instances collected through the discovery process and used as evidence at trial, but that can take many years and may never come to light if those lawsuits get settled first with the victims and their surviving loved ones paid off and silenced.
If you think that denying a specific treatment (justified or otherwise) is comparable murder for hire, then I don't think there's anything worth discussing between the two of us.
Yeah, in my opinion an unjustified and profit motivated refusal to save a life is the same as intentionally taking that life. It's just the trolley problem and you're arguing that there is some innate nobility in refusing to touch the switch.