Is healthcare a "right?"

Washington hospital was not the problem San Joaquin county hospital was. What makes you think a very ill person is willing to study a foreign language?

Had they spoken English, or German or Spanish, at least I would have had a chance to understand something they said. The point also was they were loud. The inmates were not in my room. So I did not need to discuss keys to their restraints.

 

No Republican approved the ACA in the Senate.That means it was not bipartisan.

In the house 39 Democrats did vote it down so in the house it was bipartisan. It barely made it as it is.
Bill: H.R.3962 - An act to provide a physician payment update, to provide pension funding relief, and for other pu...
Description: Affordable Health Care for America Act
Result: Passed by a margin of 2 votes (simple majority required to pass)
Date: November 7, 2009 at 11:16 p.m. EST (vote source)
R D Total
Yes 1

219

220
219
1

No 176

39

215
39
176

https://projects.propublica.org/represent/votes/111/house/1/887

 

Easy buddy. That didn't happen in canada....it wont here

 

Private insurance fraud is far greater. When health insurance does not pay legitimate claim it is a fraud.
But it does not go to your statistics.

 

I know the value of a dollar because there was a time that we didn’t have a pot to pee in as they say. My husband came from the worst poverty I have ever seen and dropped out of high school at 16 and ended up a vice president on Wall Street and retiring in his 40s. He never forgot his roots and was extremely generous Especially with environmental issues.

 

The insurance policy states clearly that surgery is covered, that is all I need to know.
If insurance refuse to pay for separate anesthesiologist bills because anesthesiologist is not in the network it is a fraud.
Of course we can call it legal fraud and continue to convince ourselves that fraudulent Health care system is a greatest in the world.

 

You DO realize she can't dictate what her tax dollars goes towards, right? Please tell me you know this.

 

ACA is a step to the right direction, but it has failed to lift the ban on purchase of health insurance managed by the government.

 

As I pointed out I didn't get charged separately for anesthesiologist when I had my hernia surgery. Neither did my mother when she had her mastectomy.

 

Legality of the deception and fraud does not make less painful.

 

This is anecdotal evidence, Many people I know had different experience.

 

Sure you do.

 

If you hate health insurance companies so much and think all they do is deny claims then it begs the question....why do you have health insurance?

 

Because of the ban on Medicare for people younger then 65.
Health care is a monopoly, supported by the government.
Monopoly has no competition so it can charge any amount of money for any procedure (in theory).
Health insurance business is another monopoly that monopolize payments for health care providers.
In order for me to get health care I have to buy health insurance, as the only way to have some kind of protection from health care mafia

 

What you dont understand is that some hospitals do not have anesthesiologists on staff. They instead use anesthesiologist groups that sub contract to numerous hospitals. The hospitals do not do this so that insurance companies can charge out of network fees and make a few more dollars on anesthesia. Hospitals do this because logistically it makes sense for them to sub contract out anesthesia services. Whatever confusion that emanates from this arrangement impacts Medicare and private insurance alike.

As I said, your lack of understanding does not prove fraud. It only proves your ignorance.

 

But wait...you keep telling us all that health insurance companies deny claims. So if you insurer denies all your claims then why bother paying for health insurance on top of having to pay for all the claims that get denied by your insurer?????? That seems silly. You should just cut out the middleman and just pay for services as you go. You're welcome!

 

Many medical services sub-contract, like anesthesiologists, surgeons, x-ray staff. They basically 'rent space' from a facility. It's less expensive for the facility, and limits liability issues on both sides of the arrangement.

You didn't know this? The one who is all about Medicare-for-all, and you didn't know this?

 

About the only post that made any sense. America is 70 years behind all the advanced industrial nations worldwide in providing health care plus a safety net and employment rights for all their people.

 

Another example.
A

Come on, you know precisely what I am talking about.
There is no way I can pay medical expenses from my pocket, it will be empty in no time.

I was talking about built-in externalities related to health care insurance business.
One of them is to deny claim on the basis of the fact that sub-contractor is out of network.

 

I understand, but that is dishonest business, i.e. it is much worse then Medicare.
Why people want to be cheated by private insurances is beyond my comprehension.

 

You have stated over and over that insurance companies make their profits by denying claims. Are you walking that back now? Are you conceding you grossly exaggerated the claim you made about insurers denying claims as a way to make profits?

 

Insurance don't 'deny' a claim because a provider is 'out of network'. Most policies have a fee schedule/percentage that is paid for out of network providers. In cases of emergency care, appeals may be filed, and the insurance company may pay an additional percentage above the 'out of network' fee schedule.

Mayhap some additional investigation would behoove you?

 

I do not care, how they run their business.
If they cannot provide services they should not be in the business.
But since they are monopoly they can do whatever they want.
Cheat, deceive, sue people for money etc.

 

Yea, I understand, you suggested to hire an investigator.
It is not my business.
When I am buying the product I am buying the product, not convoluted agreement with unpredictable results.

We are talking about whether Medicare is worse then Private insurance.
The Medicare is definitely better, the only solution is to lift the ban on Medicare.

 

I've had 'private insurance' for 30 plus years, 18 of them with one employer. Two different carriers. I developed a chronic condition about 13 years ago. My insurance provider has not declined a single claim for me, and have correctly applied my OOP maximum, my deductible, and benefits for DME. (Durable medical equipment).

While I would much prefer to not have to deal with insurance since it is a front loaded payment mechanism, I've broken about equal between what the insurance has paid, and what my bills have been. I've paid for a number of things out of pocket because of deductibles and such, but that's called planning ahead.