Disgusting.

Delete this.

What is disgusting? As a non-American, seeing the reactions of many Americans to the murder tells me that they hate the system. And indeed the system is to blame. There’s no bad people, there’s only bad incentives.

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Insane.

20characters

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What is insane? I was not referring to the murderer but to people working in the healthcare system in the US.

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You need healthcare insurance for the unexpected… but then to pay in fairly and get denied unfairly because of corporation profit margins of the company… that makes a crazy amount of income. Not good.

Good insurance breaks even… like military USAA.
The military personnel was charged at a higher rate due to perceived risks. The military prople are actually less risky.

So they created their own company… USAA

When USAA makes a profit… everyone gets a dividend back. Great insurance… but you have to have military connection.

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Precisely. The incentive for UnitedHealthCare is to deny claims; the more they deny, the higher their profits. Its why the CEO was being paid from $15 Million to $43 Million per year (from reports I’ve seen of the his pay online).

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They also have the incentive to attract customers, so if they deny claims too often, customers will learn about it and choose competitors. However, in the US, most people are covered through employer-sponsored plans. So, that incentive is diluted and indirect compared to systems where individuals are insured directly. I also don’t know if it’s easy to switch from one insurance to another, including between states.

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There are huge switching costs associated with changing health insurance costs. As you mention, mostly its impossible because its tied to your employer in the USA; so really for most people its a virtual impossibility. The company chooses its health insurance provider - and the employee take what they are given. Also - the problems of the denial rates are only truly apparent to people in any real way when you become sick (seriously sick) at which point you aren’t in a position to change health insurance companies or change your employment.

Also, many states or regions of the USA have very limited number of health insurance carriers in a given geographic area, so basically a monopoly or oligopoly situation, so the regular levels of competition (price and service) have been muted or suppressed, or eliminated from the equation.

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Presumed assassin got arrested in a McDonald’s and his profile picture on YT is him posing with a happy meal. What does this mean?

image

P.S. I have an alibi…

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:cry:

Ya’ll should start a gofundme for this guy.

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I found this talk to be very informative:

They don’t talk much about denial of service, but there have been recent stories in the news about using AI, and contracting companies specifically to deny care.

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Unfortunately, it seems prudent be skeptical of the interviewee, Dr. Dr. Saum Sutaria, because he made $18.5 the Chairman/CEO of Tenet Healthcare. He was also “a former leader in McKinsey & Company’s Healthcare and Private Equity Practices”. McKinsey is often hired by healthcare companies be find ways to increase profits.

I wasn’t then surprised when, throughout the interview, he (a) did not think there were great ways to reduce costs, and (b) subtly but very clearly kept saying that the American people largely responsible for the US having the world’s highest health care costs. In my summary, he said we can’t change the system very much because Americans prefer choice, immediate care, and do not care for their own health. All may be true, but he did not discuss the incredible opportunities in the the highly rigged US health care system.

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No question that a McKinsey consultant is probably not going to criticize his current, or potential customers (any of the healthcare companies), so that is a very valid point.

But - I was confused by the statement above. I assume it was mistyped, but perhaps you could clarify.

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I apologize for not proof-reading before posting. Dr. Sutaria made $18,518,110 ($18.5M) in total compensation last year as the Chairman and CEO of Tenet Healthcare Corp. There are several sources for this, including Salary.com, which is linked below.

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Providers overcharge because they know insurance will cut the amount they reimburse dramatically. That’s why people without insurance get shafted in the USA. They pay full price.

I hate to say it, but the socialized medicine in Hong Kong is amazing. Poor people can get treatment equivalent to some of the best care in the USA. Just not the bleeding edge of care.

One of my friends here told me his grandfather is still alive at 104. It’s hard to find so many people my age whose grandparents are still alive!

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@amuser It’s not the providers, or more specifically the physicians - it is completely out of my hands what is charged when I work for corporate groups (I work for both HCA and Ascension).
It is a badly broken system, and insurers, who I refuse to deal with and have a cash only private practice, deny, delay and make things very difficult, increasing my time by 100% to appeal everything.

The scam of pricing of things from labs, to services, radiology with several sets of prices. Consumers need to beware - I make sure to route my patients through cost effective options depending on their policy and deductible.

For us, on a high deductible plan, I don’t use it for anything, I pay cash for everything. It will only help me when something big happens.

I worked in AU and from a patient perspective, their system is better. They also restrain themselves from spending hundreds of thousands of dollars on futile care, and make sure everyone gets basic decent care at little cost (beyond taxation of course).

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As a physician, I realize I will be defending physician pay. Having said that, physician pay in the US has essentially been stagnant for 20 years, while the cost of everything else has gone up. I personally, in the civilian arena, have not had a pay raise in the past 17 years.
Medicare payments to physicians went down last year even though inflation obviously went up.

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Yes…a medical career is not as lucrative as it was in the 70’s and 80’s.

Working at a medical university… I see school debt is higher… out pacing potential income.

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A law enforcement bulletin obtained by The Associated Press said that at the time of his arrest, Mangione was carrying a handwritten document expressing anger with what he called “parasitic” health insurance companies and a disdain for corporate greed and power.

He wrote that the U.S. has the most expensive health care system in the world and that profits of major corporations continue to rise while “our life expectancy” does not, according to the bulletin.

Mangione had severe back pain from childhood that interfered with many aspects of his life, from surfing to romance, Ryan said.

Well, at least he seems to have a pretty accurate picture of the US healthcare system and longevity environment.

source: Suspect in the killing of UnitedHealthcare’s CEO struggles, shouts while entering courthouse

On the issue of what group is responsible for most of the high prices of medical care in the US, I’ve heard that its mostly the hedge-fund and private-equity owned hospital networks that are the key beneficiaries of the current system, in terms of extracting maximum profit.

But of course, I’m sure there is plenty of blame to go around, with really bad incentive structures driving the entire system.

Given the huge and “positive” response on social media to this story, and broad news coverage and social media engagement by millions of people, I would suspect were going to see a lot more attacks of all sorts on the US healthcare system as it currently operates:

Online, fans exist for almost everything and everyone. Following the shooting death of Brian Thompson, a fandom emerged around his suspected killer that seemed unifying in a way few others have been. He became an avatar that anyone who’d ever struggled with a hospital bill could understand.

Many of the most engaged posts on X mentioning Thompson or UnitedHealthcare following the shooting “expressed explicit or implicit support for the killing or denigrated the victim,” the Network Contagion Research Institute (NCRI) wrote in a report compiled before Mangione’s arrest. Rhetoric that was once more at home on 4chan or 8chan was spreading to other forums. “[T]his phenomenon was once largely confined to niche online subcultures,” the authors wrote. “We are now witnessing similar dynamics emerging on mainstream platforms.”

Mass shooters and other perpetrators of violence often become memes, NCRI senior adviser Alex Goldenberg told The New York Times, “but what’s disturbing about this is that it’s mainstream.” People reacted to the death of Thompson like it signaled the start of a class war.

Read the full story: The Internet’s Obsession With Luigi Mangione Signals a Major Shift (Wired)

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Praise for United Healthcare CEO Assassination Goes Viral

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