I thought you were saying no one offered proof that insurance companies are refusing to pay for coverage. What these cases tell you is ,yes they do. The reason they come to light is because they wound up in courts. Each and every transgression does not. It is their practice to search and find ways to deny coverage that has been paid for.
What is the point that these may be illegal actions? I said before that insurance companies deny coverage. They get away with denying lots of coverage . Do you think each and every illegal denial goes to court and gets rectified? They cheat their customers to make more money. Are you comfortable with that?
Which is an example of just sitting around and whining. Why shouldn’t these things happen at all? We are talking humans, big business and a million details. Even if it were possible that one could have an entity of humans that was totally non-corrupt, shit would still happen, people who make mistakes try to cover up and everyone wants to hold on to their jobs. Expecting that a company or a government run entity will care if one person’s claims have been messed up is, what? Idealistic? Expecting that such shit would never happen is a bit unreal.
Really? Is that why my friend in Canada is starting year three waiting for his kidney?
I’m not sure that you do either, since there is no such thing as one universal UHC. If the US sets up a UHC anything at all like they run Medicare or Medicaid, some services will be denied (which is only logical), some bills won’t be paid and some doctors are either not going to accept those under the UHC or will quit working, depending on how universal the coverage actually is, since those are the things that are already happening with Medicare and Medicaid.
Not all of them. At times, none of them.
The relevance is that if they get caught, they don’t “get away with it” so I kind of doubt any insurance company goes about advertising that they do their best to not pay claims.
Actually, unless they finally got the money back from the wrong dr, they ended up paying twice. Anyway, that example was about what to do - I wasn’t talking something big and horrible, such as the examples of retroactively canceling a policy or not paying for big dollar claims. Things like that, when reported to authorities instead of message boards, end up costing them big fines and maybe their license to sell insurance in that state.
The two of you have demonstrated your lack of ability to grasp a continuing analogy. Note that “murder” was in quotes.
Please read what I actually write, as it clearly said that no one offered proof that insurance companies go about saying they are doing their best to not pay claims. I am well aware that they don’t pay at times, since it has happened to me, my friends, my family…
This, right here, is what I want you to prove. Is that clear enough? I want you to prove that statement that you just made. That insurance companies do their best to illegally deny coverage.
Are you comfortable with the fact that every company in the US does that? What is special about insurance companies?
The waiting time in the US varies from 1-6 years. Did you actually think you could walk into a hospital in the US and get a kidney transplant tomorrow?
You know this based on what? The fact that there are no doctors working in Canada or Western Europe. They all quit?
They don’t get caught all the time. And if the fines are low for the times they do get caught and you aren’t allowed to sue them, then in my opinion the do get away with it.
‘Murder’ being in quotes indicates that you were quoting what I said; not that you were using irony, or whatever it was you thought you were doing. You’re very good at pointing out your lack of communication skills. Also, you still don’t understand the concept of analogies.
Well, DUH! :rolleyes: snort Do you really think that people or entities that engage in unethical behaviour routinely admit to it? And if you’d bother to actually read responses, you will see that yes, there is proof that insurance companies deny claims they are obligated to pay.
Again, you have already been given proof. But you seem to have a problem with reading comprehension. Maybe you don’t make a habit of reading, so here’s a video.
What? Insurance companies are not going around saying they are going to rip off the customers therefore it is OK ? You require an announcement of intent to defraud before you can believe it actually happened.? You get more ridiculous all the time. If you were not in a coma during the house hearings, you would have heard insurance company employees say that is exactly what they were paid to do. Insurance company doctors were paid to find ways to deny legitimate claims. They were paid bonuses due to how good they could cheat their customers. Ex-execs said that policy was to deny claims. I don’t know why I bother. You are not able to admit you are dead wrong . You can not do it.
Just sitting back and saying it’s fine for insurance companies to screw people is what’s unreal. Just because things happen a certain way now doesn’t mean that people shouldn’t try to improve it. As I said, it’s interesting that when you complain you claim you are just stating plain facts, but when others complain (legitimately, about corrupt and terrible business practices) it’s just whining.
And under a true UHC (such as that in Canada or Britain) there is no such thing as claims, bills, etc. They don’t exist to be messed up.
As wonderful as Canadians are, they cannot just produce kidneys on demand. People die waiting on transplant lists all the time, all over the world, because demand far outstrips supply for organs.
Although some believe that you should be able to buy your way to the top of the transplant list. Because if you have money, you should be able to buy life. And if you don’t have money, you are worthless and deserve to die.
Where and when did Polycarp ask you or anyone else for anything? Post the quote. Right here. Otherwise, apologize, because that was a repugnant slap at someone who is going through a difficult time just to go back to your nonsense talking points about anyone who admits to having less money than you.
Oh, and to answer your stupid question? A pension fund is, in fact, specifically invested for future payout to named beneficiaries. Social Security taxes are not and never have been.
No, you tactless, classless bint, the proper thing to do is to keep your uncouth thoughts to your damn self. It’s called being polite. It’s called having a moment’s thought about someone else’s feelings. When someone is going through a temporary financial hard time, the only person who would suggest that they should have aborted or given away their beloved children? Is a fucking sociopath. She didn’t ask you how to improve her lot in life or for your opinions on what she did or didn’t do right. You took it upon yourself to pipe up with some loathsome and horrifyingly inappropriate bullshit and you’ve been called on it – repeatedly because you keep trying to defend it when it is indefensible – and it’s still not sinking through your thick skull. Sometimes you can have an unexpressed thought especially when it is a useless and nasty one. But then most of your thoughts are useless and nasty, so no doubt your internal editor, such that one exists, is clearly overworked.
You cite an article on illegal organ trafficking? Besides, that said it is a 1 - 6 year wait to get to the top of the list, and my friend in Canada has been on the top of the list for over two years.
Did I say no doctors? No, I said that if an all inclusive UHC was passed, some doctors might quit - it’s even right there in the part of my post you quoted!
You aren’t allowed to sue an insurance company for breach of contract?
If I was quoting you, I’d have put more than the one word in quotes.
You can’t read? No, I don’t believe that - I was responding to the person (whoever it was way back when) who claimed that insurance companies have as a routine practice to deny claims that are covered under their contracts, that their adjusters are trained to deny. I have yet to see any proof of that, particularly any that shows that it is being done above board as was claimed. Providing links of one case where an insurance company didn’t cover something is not proof of an ongoing standard practice of routine breach of contract.
Well, look, there might actually be some proof out there, but gonzomax cannot be bothered to provide a cite other than “the house hearings”. As if the average person sits about watching house hearings all the time. :dubious:
You’re a lying sack of shit. You say you have a “friend” in Canada who has been at the top of a list for a kidney transplant for 2 years. Bullshit.
If they are at the top, of the list, and have not gotten a transplant, there must not have been any kidney transplants in Canada for 2 years then, hmmmm?
What Province is your “friend” from, you lying pustule? I’ll then tell you what the waiting list is for kidney transplants.
You know what’s unreal? The way that you cannot or will not understand the simple things that I post. Nowhere did I say anything like “Just sitting back and saying it’s fine for insurance companies to screw people”. This is why I say that you deflect and don’t speak to the subject, when you come back with things that are nothing close to what I have said. It is obvious that I don’t think it’s fine for insurance companies, or any company, to screw people when I have posted things like contacting the insurance commissioner several times.
For one thing, you don’t know that is what we would end up with. For another, unless all the drs are merely employees of the government and are only drawing a salary, there will be claims to be paid, the only difference is that the patient isn’t responsible for them.
Not a lot of that made sense, but if you and Polycarp still want a taxpayer funded UHC here, then you are expecting people like me to pay for it. Not that I recall being asked for it…
Excuse me? Social Security is specifically removed from our paychecks for future payout to named beneficiaries. If you look here you will see, among other things “The term [Social Security], in everyday speech, is used to refer only to the benefits for retirement, disability, survivorship, and death, which are the four main benefits provided by traditional private-sector pension plans.”
Honey, if you want to be concerned with the feelings of someone who has no problem living off the the taxpayer thru her own choices, that is your problem not mine. I assume you also worry about hurting the feelings of those who make racist remarks or who troll the internet looking for underage girls? Others are more concerned with the larger picture and the damage to society if no one speaks up about things like this.
And your definition of temporary is what?
Which, again, isn’t what I said but I no longer expect that people like you are capable of honest debate.
No, she doesn’t ask, she expects. She expects that she can chose to do whatever she wants and society will pick up the tab for her. The fact that it had to do with children is the only reason why you are all heated up.
Not that I care whether you believe me or not, but you are showing that you don’t understand how these things work. A person cannot take just any old kidney, it has to fit his blood type. My friend happens to have a rare type, and the one kidney that he could have used in those 2+ years, he couldn’t get (I forget which) a surgeon or an OR in time, so someone in the States got that kidney (the kidney was in the States).
However, if you wish to continue to look like a twit, he lives in Ontario, near Toronto. Let me know what you find out.
(MY BOLDING)
I’m curious. Does Canada have a reciprocal organ-donation program happening with the US? Who pays for the organ harvest? Who pays for the transportation? Is it covered by a US based private health insurance company? I can see that a Canadian UHS will pay for costs of implantation once the kidney has arrived in Canada, but who foots the bill beforehand?
Yes, yes, I KNOW that I promised not to post to this thread evah again, but little gems like this keep me intrigued.