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Thread: Depressed woman loses benefits over Facebook photos

  1. #81
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    Re: Depressed woman loses benefits over Facebook photos

    Quote Originally Posted by misterman View Post
    So? They'll go out of business anyway if they pay for every claim, no matter how wasteful or unnecessary.
    I am not talking about wasteful claims. I am talking about the legitimate ones that are denied, unethically.

    And if they go out of business because of that...GOOD.
    "Never fear. Him is here" - Captain Chaos (Dom DeLuise), Cannonball Run

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    Quote Originally Posted by Wiseone View Post
    This is what I hate about politics the most, it turns people in snobbish egotistical self righteous dicks who allow their political beliefs, partisan attitudes, and 'us vs. them' mentality, to force them to deny reality.

    Quote Originally Posted by Navy Pride View Post
    You can't paint everone with the same brush.......It does not work tht way.


    Quote Originally Posted by Wessexman View Post
    See with you around Captain we don't even have to make arguments, as you already know everything .
    Quote Originally Posted by CriticalThought View Post
    Had you been born elsewhere or at a different time you may very well have chosen a different belief system.
    Quote Originally Posted by ernst barkmann View Post
    It a person has faith they dont need to convince another of it, and when a non believer is not interested in listening to the word of the lord, " you shake the dust from your sandels and move on"

  2. #82
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    Re: Depressed woman loses benefits over Facebook photos

    Quote Originally Posted by Ethereal View Post
    First, why do they actually have to see the patient in order to make an informed decision? The attending physician's report should be sufficient.
    If this were true, they would accept the physician's treatment recommendations.

    Secondly, they aren't overriding a treatment option. They are simply refusing to pay for it. If I don't give you money for lunch am I denying you access to cheeseburgers?
    If you contract with me that you will buy me lunch, and then decide that YOU feel I am not hungry, even though I tell you that I am, then you are breaking your contract. This is what the insurance company is doing. YOU do not tell me whether or not I am hungry.



    And if he didn't?
    That is a different matter and not what I am discussing.
    "Never fear. Him is here" - Captain Chaos (Dom DeLuise), Cannonball Run

    ====||:-D

    Quote Originally Posted by Wiseone View Post
    This is what I hate about politics the most, it turns people in snobbish egotistical self righteous dicks who allow their political beliefs, partisan attitudes, and 'us vs. them' mentality, to force them to deny reality.

    Quote Originally Posted by Navy Pride View Post
    You can't paint everone with the same brush.......It does not work tht way.


    Quote Originally Posted by Wessexman View Post
    See with you around Captain we don't even have to make arguments, as you already know everything .
    Quote Originally Posted by CriticalThought View Post
    Had you been born elsewhere or at a different time you may very well have chosen a different belief system.
    Quote Originally Posted by ernst barkmann View Post
    It a person has faith they dont need to convince another of it, and when a non believer is not interested in listening to the word of the lord, " you shake the dust from your sandels and move on"

  3. #83
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    Re: Depressed woman loses benefits over Facebook photos

    Quote Originally Posted by Ethereal View Post
    Patient: Doc, I've got a runny nose. Can you help me?

    Doctor: That depends. You got insurance?

    Patient: Yup. Sure do.

    Doctor: Excellent! Nurse, prep this patient for a CAT-scan and an incisional biopsy, stat!

    Logical fallacy.
    "Never fear. Him is here" - Captain Chaos (Dom DeLuise), Cannonball Run

    ====||:-D

    Quote Originally Posted by Wiseone View Post
    This is what I hate about politics the most, it turns people in snobbish egotistical self righteous dicks who allow their political beliefs, partisan attitudes, and 'us vs. them' mentality, to force them to deny reality.

    Quote Originally Posted by Navy Pride View Post
    You can't paint everone with the same brush.......It does not work tht way.


    Quote Originally Posted by Wessexman View Post
    See with you around Captain we don't even have to make arguments, as you already know everything .
    Quote Originally Posted by CriticalThought View Post
    Had you been born elsewhere or at a different time you may very well have chosen a different belief system.
    Quote Originally Posted by ernst barkmann View Post
    It a person has faith they dont need to convince another of it, and when a non believer is not interested in listening to the word of the lord, " you shake the dust from your sandels and move on"

  4. #84
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    Re: Depressed woman loses benefits over Facebook photos

    Quote Originally Posted by CaptainCourtesy View Post
    If this were true, they would accept the physician's treatment recommendations.
    Not necessarily. Two physicians can reach different conclusions based upon the same set of facts. It happens all the time.

    If you contract with me that you will buy me lunch, and then decide that YOU feel I am not hungry, even though I tell you that I am, then you are breaking your contract. This is what the insurance company is doing. YOU do not tell me whether or not I am hungry.
    This is a spurious analogy since it fails to account for the stipulations inherent to any contract. You can eat when you're hungry but you cannot buy 100 cheeseburgers at a single sitting.

    That is a different matter and not what I am discussing.
    I don't think it's a different matter. I want to discuss it.

    What recourse should an insurance company have against arbitrary treatments?

  5. #85
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    Re: Depressed woman loses benefits over Facebook photos

    Quote Originally Posted by CaptainCourtesy View Post
    Logical fallacy.
    Why is it a logical fallacy?

    Vader suggested that health insurance companies should have no say in how a doctor treats his or her patient, despite the fact that said company is expected to pay for whatever treatment the attending physician deems "necessary."

    What happens if the attending physician orders a CAT-scan on a boy with a gash on his pinky finger? According to Vader, the insurance company should just pay for it no questions asked. That's the logical progression of his argument.

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    Re: Depressed woman loses benefits over Facebook photos

    Quote Originally Posted by Ethereal View Post
    Not necessarily. Two physicians can reach different conclusions based upon the same set of facts. It happens all the time.
    Sure. When they see an examine the patient. That would be an ethical difference of opinion.

    This is a spurious analogy since it fails to account for the stipulations inherent to any contract. You can eat when you're hungry but you cannot buy 100 cheeseburgers at a single sitting.
    How do YOU know how hungry I am?

    I don't think it's a different matter. I want to discuss it.

    What recourse should an insurance company have against arbitrary treatments?
    It is a different matter. I would have no problem with a third party arbitrator assessing the situation...for either side, and either requiring the provider to reimburse the insurance company for arbitrary services, or requiring the insurance company to pay for services they denied.
    "Never fear. Him is here" - Captain Chaos (Dom DeLuise), Cannonball Run

    ====||:-D

    Quote Originally Posted by Wiseone View Post
    This is what I hate about politics the most, it turns people in snobbish egotistical self righteous dicks who allow their political beliefs, partisan attitudes, and 'us vs. them' mentality, to force them to deny reality.

    Quote Originally Posted by Navy Pride View Post
    You can't paint everone with the same brush.......It does not work tht way.


    Quote Originally Posted by Wessexman View Post
    See with you around Captain we don't even have to make arguments, as you already know everything .
    Quote Originally Posted by CriticalThought View Post
    Had you been born elsewhere or at a different time you may very well have chosen a different belief system.
    Quote Originally Posted by ernst barkmann View Post
    It a person has faith they dont need to convince another of it, and when a non believer is not interested in listening to the word of the lord, " you shake the dust from your sandels and move on"

  7. #87
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    Re: Depressed woman loses benefits over Facebook photos

    Quote Originally Posted by Ethereal View Post
    Why is it a logical fallacy?

    Vader suggested that health insurance companies should have no say in how a doctor treats his or her patient, despite the fact that said company is expected to pay for whatever treatment the attending physician deems "necessary."

    What happens if the attending physician orders a CAT-scan on a boy with a gash on his pinky finger? According to Vader, the insurance company should just pay for it no questions asked. That's the logical progression of his argument.
    Because that is a ridiculous overgeneralization and would not occur.
    "Never fear. Him is here" - Captain Chaos (Dom DeLuise), Cannonball Run

    ====||:-D

    Quote Originally Posted by Wiseone View Post
    This is what I hate about politics the most, it turns people in snobbish egotistical self righteous dicks who allow their political beliefs, partisan attitudes, and 'us vs. them' mentality, to force them to deny reality.

    Quote Originally Posted by Navy Pride View Post
    You can't paint everone with the same brush.......It does not work tht way.


    Quote Originally Posted by Wessexman View Post
    See with you around Captain we don't even have to make arguments, as you already know everything .
    Quote Originally Posted by CriticalThought View Post
    Had you been born elsewhere or at a different time you may very well have chosen a different belief system.
    Quote Originally Posted by ernst barkmann View Post
    It a person has faith they dont need to convince another of it, and when a non believer is not interested in listening to the word of the lord, " you shake the dust from your sandels and move on"

  8. #88
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    Re: Depressed woman loses benefits over Facebook photos

    Quote Originally Posted by CaptainCourtesy View Post
    Sure. When they see an examine the patient. That would be an ethical difference of opinion.
    You never explained why a physician has to see a patient in order to make an informed decision. Instead, you went in a circle after I stated the attending' physician’s report would be sufficient.

    How do YOU know how hungry I am?
    I don't know exactly how hungry you are but I know you're not hungry enough to eat 100 cheeseburgers at a single sitting. Why don't you have one cheeseburger, see how you feel, and then get back to me.

    It is a different matter. I would have no problem with a third party arbitrator assessing the situation...for either side, and either requiring the provider to reimburse the insurance company for arbitrary services, or requiring the insurance company to pay for services they denied.
    Has this "third party arbitrator" seen the patient? If not, what makes them qualified to determine whether or not the treatment was arbitrary?

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    Re: Depressed woman loses benefits over Facebook photos

    Quote Originally Posted by CaptainCourtesy View Post
    Because that is a ridiculous overgeneralization and would not occur.
    If Vader had his way how would anyone stop it from occuring?

    Could Vader object to such a thing given his earlier statements?

    On what grounds could he object to it?

  10. #90
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    Re: Depressed woman loses benefits over Facebook photos

    Quote Originally Posted by CaptainCourtesy View Post
    I am not talking about wasteful claims. I am talking about the legitimate ones that are denied, unethically.
    Aha! So wasteful claims should be denied?

    First you were saying the insurance companies should completely stay out, now you say they can deny wasteful claims. Good.

    And if they go out of business because of that...GOOD.
    They will ALL be out of business, genius.

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