I Was a Health Insurance Executive. What I Saw Made Me Quit.
https:// www.nytimes.com /2024/12/18/opinion/health-insurance-united-ceo-shooting.html I Was a Health Insurance Executive. What I Saw Made Me Quit.
One story that we couldn’t keep out of the press and that contributed most to my decision to walk away from my career in 2008 involved Nataline Sarkisyan, a 17-year-old leukemia patient in California whose scheduled liver transplant was postponed at the last minute when Cigna told her surgeons it wouldn’t pay. Cigna’s medical director, 2,500 miles away from Ms. Sarkisyan, said she was too sick for the procedure. Her family stirred up so much media attention that Cigna relented, but it was too late. She died a few hours after Cigna’s change of heart.
Ms. Sarkisyan’s death affected me personally and deeply. As a father, I couldn’t imagine the depth of despair her parents were facing. I turned in my notice a few weeks later. I could not in good conscience continue being a spokesman for an industry that was making it increasingly difficult for Americans to get often lifesaving care.
One of my last acts before resigning was helping to plan a meeting for investors and Wall Street financial analysts — similar to the one that UnitedHealthcare canceled after Mr. Thompson’s horrific killing. These annual investor days, like the consumerism idea I helped spread, reveal an uncomfortable truth about our health insurance system: that shareholders, not patient outcomes, tend to drive decisions at for-profit health insurance companies.
What a frustrating article. We have an author that admits to being part of an effort to decrease access to healthcare and refers to the death of a monster in a human suit as a tragedy. He also admits he fucked up and has gone on to work with organizations that advocate for the right to healthcare.
I think I'm frustrated with this piece because it feels so lukewarm. Maybe that's by design so that it reaches a wider audience. I'm just tired of seeing the insurance industry and its executives handled with kid gloves. It is unambiguously evil to make the kind of money they make off of healthcare.
71This is exactly why healthcare cannot be a private service. Companies will optimize the patients out of the equation in search of more profit.
The only way it could not be devastating if there was a competing service that had no profit incentive like a public healthcare system.
19it took an impromptu visit to a free medical clinic, held near where I grew up in the mountains of East Tennessee, to come face to face with the true consequences of our consumerism strategy.
At a county fairground in Wise, Va., I witnessed people standing in lines that stretched out of view, waiting to see physicians who were stationed in animal stalls. The event’s organizers, from a nonprofit called Remote Area Medical, told me that of the thousands of people who came to this three-day clinic every year, some had health insurance but did not have enough money in the bank to cover their out-of-pocket obligations.
That shook me to my core. I was forced to come to terms with the fact that I was playing a leading role in a system that made desperate people wait months or longer to get care in animal stalls or go deep into medical debt.
73Maybe it should be illegal for certain industries to be publicly traded companies. The pursuit of profit to please faceless investors is a recipe for blind and insatiable pursuit of profit. The stock market is basically a ponzi scheme at this point with so many layers separating humans on one end from the humans on the other end of the profit/product dynamic, that it becomes a system that blindly drives itself.
15reveal an uncomfortable truth about our health insurance system: that shareholders, not patient outcomes, tend to drive decisions at for-profit health
For any diabetics on Lemmy this is the exact same sentiment I hate about dexcom. My son has autism and cannot manage his own diabetes, this his G7 is a lifesaver literally for my ex and I to manage his diabetes for him.
Numerous interactions with the company, and his Endo, have made is very clear that diabetics are second to making money in all their decision making at dexcom. It's disgusting. For the record I'm a Canadian as well, and because of the autism we get the G7 via a government subscription at no cost. That doesn't mean we don't still have to deal with dexcom on all bullshit issues like sensor failures.
7I'm gunna go out on a limb and predict this guy doesn't get shot unless he goes hunting with the Cheneys regularly.
25Oh I've read his book he's great. I see a lot of people here debating his morality but the important aspect of his book is that he describes the actual tactics in detail.
11It is exactly as I expected.
5I was an intake rep for an insurance site. It sucked. I was so disenfranchised that I chose a new career. Now I work at an elementary school, and it's awesome!
Having said that, the glee that I see people projecting about Mr. Thompson's murder is horrible.
The fact that so many instances on Lemmy celebrate murder--especially .world--disgusts me.
UnitedHealthcare sucks. The insurance industry sucks.
Murder is never the way to solve those issues though.
-16The conclusion of this essay should be neither surprising nor outrageous. A corporation is a machine specifically designed for the sole purpose of maximizing shareholder value. If that's not what it's doing, it's malfunctioning.
We the people have, via our elected representatives, chosen to have a system where corporations control what healthcare we can receive. If you want to blame someone (which isn't productive) then blame the fellow Americans whose votes have supported and continue to support the current system. They're the ones whose job is to make decisions guided by morality.
Blaming corporations is particularly unproductive because they can't make decisions guided by morality. If they appear to do so, it's because creating that appearance is expected to maximize shareholder value and the appearance will be maintained only as long as it continues to maximize shareholder value.
People laugh at the products with warnings on them against doing something that should obviously be a bad idea. Well this thing says "aim away from face" and the public keeps aiming the thing at its face. Whose fault is that?
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