Microblog Memes

It's supposed to be that insurance converts inherent risk into a predictable cost, but health insurance is not really doing that. The costs remain unpredictable.

Insurance is, at its core, a reasonable halfway measure towards public control of a critical resource. If you need something only very rarely, but it's something that needs to exist ALL THE TIME just in case, insurance allows you to pool your resources with other people in the same boat and afford to keep an industry around just in case. Somebody will always be using it right now, and it'll be there when you need it, because you paid into the pool.

The problem is, as always, the insertion of capitalism into the solution. If someone has to profit from this set of relationships, the motivation to provide the resource is in competition with the motivation to extract more profit. This is what happened to healthcare.

Insurance is only a halfway measure because we already have an organization capable of managing common resources that individuals use only rarely but which the public needs all the time: that organization is the government, or the governments at various levels. We manage lots of things this way: fixing roads, stopping houses from burning down, pulling people out of floodwaters, that kind of thing. You don't need it all the time, but it's there when you need it because you're paying taxes to a government that has no profit motive from it. Insurance should only ever have existed temporarily while government infrastructure was debated and organized, but the for-profit industry managed to capture enough of the government to keep itself alive indefinitely.

In short, insurance isn't inherently bad, just not meant to be a permanent fix. Capitalism is bad.

And these cunts get to say 'doctor is wrong you don't actually need that'

Insurance must be the only industry that actively tries not to deliver the service that its customers pay them for.

Want to hear something crazier? They don’t even have doctors. Non doctors are telling your doctor what is medically necessary.

their profits only exist when human beings are denied care. humans have to suffer for that stock price.

Is this a US thing that I’m to Europe to understand?

TBH Hospital Boards aren't all that innocent, either.

Pooling everybody's money so that the ones who are unfortunate get money to help with their situation definitely is a product. Just because you don't understand something doesn't mean it doesn't exist.

When I had top surgery (getting the fat sucked out of my tits so I could put an “M” on my drivers license, funny how many jobs fell through right I9 verification…), I did a lot of research into what I needed to do to get it covered. I got letters from doctors and therapists, I’d been in hormone therapy for a while, and my policy said it covered it. I checked with a rep, they said yeah, you just pay for it up front and submit for reimbursement.

So I took out a $5500 loan, had surgery, and then attempted to file for reimbursement. Turns out that my specific policy, from my step-dad’s employer had a rider that exempted it. Somewhere buried in the fine print, didn’t come up until after I had taken out the loan.

It’s pretty common for trans people to end up turning to sex work to finance their medical care (and tbh, survival in general). That’s how I joined that statistic.

I've been fighting with my insurance company since May. My wife had a medical emergency and I had to take her to the ER at 3AM on a Sunday. The team of doctors treating her all agreed she needed to be hospitalized and have emergency surgery. She was admitted and underwent surgery and was out in three days.

A week after she was discharged we received a letter from the insurance company letting us know they had decided not to cover the $67k hospitalization bill because they had decided it wasn't medically necessary.

So yeah, that's great. Not to mention we had finally hit our $6,000 deductible (after I had cardiac issues and ended up in the ER the previous month) so insurance would finally have had to actually pay something.

So glad we pay them $1500 a month for them to make decisions on what is medically necessary and what constitutes an emergency after the fact.

What's this "we" bullshit? You and I never had a say in it. It's not like we get to vote on this stuff.

Disclaimer: I think the current U.S healthcare system is hilariously bad and should be heavily reformed.

Insurance is not a bad thing, and there is a clear product involved in it. To demonstrate, you can go to a doctor in the U.S and pay in cash for the treatment. As I've understood it, you can even negotiate lower prices than the list prices if you are paying in cash. Still, it's probably going to be expensive to the point of potential financial ruin.

This is the product that insurance offers in any domain it operates - buying your way out of risks you cannot accept. Fundamentally, the concept is sound, albeit very poorly implemented in the case of U.S healthcare.

It's basically just a bunch of people pooling their money together and having that pool of money pay in the case of an adverse event.

One of the primary alternatives to the mess that is U.S healthcare today is in fact another form of insurance - it's just that enrollment would be mandatory and as such the risk spreading would be as uniform as possible, along with subsidies for people carrying higher amounts of risk. That's fundamentally what universal healthcare is in other countries.

If you squint your eyes just enough, insurance is like gambling... You are betting that something is going to happen to you, the insurance company is betting against that. The insurance company can improve their chances by adding conditions to that something.

Same as student loan "servicers" collecting billions in interest to just keep track of peoples' debts.

All health care costs then also are greatly inflated just so these a-holes can make money without affecting what the doctor gets.

My favorite is when they send me and letter in the US mail for the sole purpose of telling me they decided to cover our medication the doctor prescribed. The language they use is infuriating.

As if we should call them back and praise them, be grateful for their service, and just ignore that I’m paying them.

This! Health insurance is the reason why medical costs in the US are so ridiculous. Health insurance, and IMO all insurance, is a scam. And since the "customers" (people who NEED care) can't see the price of service beforehand, there is no way for them to choose the most cost efficient option, which allows providers to charge whatever they want. Then the insurance company can come up with reasons not to pay and put the client on the line for the cost.

Insurance transition from protection against highly unlikely emergencies to our default payment system is the biggest scam in world history.

No no no! Their product is keeping the system operating properly. You know, checks and balances. And by that I mean check you bank balance because your medical care just cost more than anywhere else in the world.

My ex suffers seizures. After years of bad doctors, he managed to see a neurological specialist who helped him manage his issues. His doctor informed his insurance that treatment was working and his symptoms had regressed - he even managed to earn his driver license back. His insurance took that as "he's better now" and kicked him off. They sent him a bill for thousands of dollars that he had to pay before he could try to get back on his plan. He wasn't able to afford his medication, nor his therapy, and his symptoms came back swinging. I still have a photo of his rejection letter somewhere that I keep as a reminder of how backwards and awful the insurance system is.