Ashley Madison

United Healthcare CEO shot and killed in Manhattan

Sonic Temple

Dreamers learn to steer by the stars
Feb 14, 2020
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Yes, he did intend to kill people. You don't pay out if they die, do you?

Stating that an insurance company is just following the business model is correct. The business model in this case is to not give people medical care. If a person chooses to head that company, and spend their time as CEO trying to figure out ways, or paying others, to figure out ways, to do this, then they are imo, sociopathic assholes. No one is forcing them to be the CEO. It's voluntary and pays well. They pay them to take on the responsibility of the policies.

Btw the AI resulted in a 90% second opinion denial. And was illegal. So what are the consequences for this? A fine? Paid for by the company?

Yes, delaying and denying care kills people. To state otherwise is ludicrous. And indifference is not a defense. Leave a person dying the side of the road after an accident, not call 911, even if you didn't have any part in the accident, and you are a piece of shit.

He chose to be part of a system that places money above lives. It's that simple.
Brilliant.
 
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The Oracle

Pronouns: Who/Cares
Mar 8, 2004
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On the slopes of Mount Parnassus, Greece
Sorry for the long post, I was accused of being a pseudointellectual the other day so I was reluctant to say everything I wanted to say. But there it is
Kitty let it fly...You're posts are fascinating. Well thought out and stated.
 

K Douglas

Half Man Half Amazing
Jan 5, 2005
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Room 112
The "business" model is gambling and scamming. It's take people's money then do their level best NOT TO PAY OUT. It's that simple.

So no, it isn't commie. It's basic consumer protection.

And it's not about not giving a product, it's about denial of healthcare to people. It's about letting them suffer and die.

Go ahead, explain the virtues of this business model. I'm waiting.
Your description of the 'business model' is not rooted in reality. For the most part the market works. Every insurance company will look for legal ways to not pay out, its part of due diligence. So is the solution to to off every CEO of an insurance company that wronged a customer? If so we'd have no CEO's left.
You also realize that the health insurance industry in the United States is quite regulated. They just can't cut off someone's insurance or deny claims because they feel like it. There has to be a valid reason behind it. Otherwise they would be buried in legal claims against them.
 
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Shaquille Oatmeal

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There has to be a valid reason behind it. Otherwise they would be buried in legal claims against them.
Yeah.
Very valid reasons like not reporting acne.
Found suddenly when the person filed a claim for uterine cancer.
Must just be a coincidence.
Very valid legal and totally acceptable reasons such as this one below.
 

K Douglas

Half Man Half Amazing
Jan 5, 2005
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Room 112
We was directly responsible. He was the CEO. He made the policy calls. That's the job? If the CEO isn't the leader and policy maker, then who the fuck is, and why is it a tough job?

Seriously, explain the business model. Who is responsible for the policies that end with 32% denial rates and using the AI illegally?
Using AI isn't illegal. If they know that the AI isn't functioning properly or if its rigged and systematically denying claims at inordinate rates, then there is grounds for a regulatory investigation and a potential class action lawsuit against the company.
 
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kittykellykat

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Using AI isn't illegal. If they know that the AI isn't functioning properly or if its rigged and systematically denying claims at inordinate rates, then there is grounds for a regulatory investigation and a potential class action lawsuit against the company.
Yes! They have been using “AI” and automated stuff since the 70s lol
 

Butler1000

Well-known member
Oct 31, 2011
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Using AI isn't illegal. If they know that the AI isn't functioning properly or if its rigged and systematically denying claims at inordinate rates, then there is grounds for a regulatory investigation and a potential class action lawsuit against the company.
It is if it's SUPPOSED TO BE AN ACTUAL DOCTOR. Either way the point being is IT SHOULD BE CRIMINAL. And the CEO charged with a crime. The day they said corporations are people was the day capitalism became a means to criminal activity. People making criminal decisions are shielded from consequences.
 

K Douglas

Half Man Half Amazing
Jan 5, 2005
27,930
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Room 112
It is if it's SUPPOSED TO BE AN ACTUAL DOCTOR. Either way the point being is IT SHOULD BE CRIMINAL. And the CEO charged with a crime. The day they said corporations are people was the day capitalism became a means to criminal activity. People making criminal decisions are shielded from consequences.
The other thing people seem to forget is United isn't the only healthcare insurance provider out there. If you don't like the way they operate find another insurer. Utilize other means such as health savings accounts or health reimbursement arrangements. When my company employed Americans we negotiated paying them additional $ and they used that to find their own preferred insurance providers.
 
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jalimon

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Jan 10, 2016
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Using AI isn't illegal. If they know that the AI isn't functioning properly or if its rigged and systematically denying claims at inordinate rates, then there is grounds for a regulatory investigation and a potential class action lawsuit against the company.
There was a class action filled in 2023 which found the proof of the use of AI. Not sure if it settled as of now and if yhey paid damages.

The thing is let’s say you pay 1800$ per month for your family. You get refuse treatment. You ask for review of the decision. Would you be happy to receive a second denial written by AI? Without knowing that it was written by AI?

Me? I would want to shoot someone.
 
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Butler1000

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Oct 31, 2011
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Your description of the 'business model' is not rooted in reality. For the most part the market works. Every insurance company will look for legal ways to not pay out, its part of due diligence. So is the solution to to off every CEO of an insurance company that wronged a customer? If so we'd have no CEO's left.
You also realize that the health insurance industry in the United States is quite regulated. They just can't cut off someone's insurance or deny claims because they feel like it. There has to be a valid reason behind it. Otherwise they would be buried in legal claims against them.
They are buried in claims. And you just admitted they are in the business of NOT PAYING CLAIMS. And that it is good for business and how they make a profit. Way to go. Now the next step is to realize they pay politicians to make make as many legal loopholes as possible, and you are getting enlightened. Quite simply considering the mass, bipartisan reaction to this, support for the killer, I'd say it's proof the "market(stock)" are the only ones benefiting. And the providers, pharmaceutical companies that over charge. Did you ever consider that somewhere along the way the PATIENTS should benefit as well? Clearly they aren't.

32% claim denial, when other companies are sitting at 7% and it's twice the industry average. And a second opinion AI with a 90% failure rate designed by the company. They did indeed feel like denying legit claims. And did it.


The solution is Medicare for all. But when both parties are paid to not let it pass, despite polling showing the majority want it, and the MSM, also paid via advertising dollars, become propaganda tools for the industry, then guess what?

Madame la Guillotine awaits.

After the assassination the CEO of Blue Cross canceled plans for a policy to stop Anesthesia coverage DURING A SURGERY. So yes it worked. A few more and maybe they will get it.
 
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Butler1000

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Oct 31, 2011
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The other thing people seem to forget is United isn't the only healthcare insurance provider out there. If you don't like the way they operate find another insurer. Utilize other means such as health savings accounts or health reimbursement arrangements. When my company employed Americans we negotiated paying them additional $ and they used that to find their own preferred insurance providers.
Except employer paid for most is the only option. Right? Add in deductibles, co pays and they really do nothing. And think about what you just said, it cost businesses more too. For what? An extra layer of bureaucracy? Paying a middleman? Paying inflated costs? Paying shareholders?

Cripes you keep on proving my point. Universal healthcare is cheaper, costs businesses less, and even allows(like mine) to ADD coverage like dental, eyeglass, physio and more. Meanwhile in the USA, only Platinum payers gain decent coverage. The rest have to get approvals, waiting months sometimes, fighting many times for it.

Sounds like "death panels" to me!
 

Phil C. McNasty

Go Jays Go
Dec 27, 2010
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It's interesting that this issue seems to be uniting a lot of left-wingers and right-wingers
 
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