Doctors say cancer patient needs treatment.
Insurance called it unnecessary
WGCL [Atlanta],
by
Ciara Cummings
Original Article
Posted By: snakeoil,
5/4/2022 12:52:38 PM
ATLANTA, Ga. - Cancer patients say their lives are locked in limbo after Aetna, a major healthcare insurance company, is accused of wrongfully denying coverage claims for “life changing” treatment. “You can’t even imagine how you’re going to handle something like that,” Claire Thevenot shook her head. “It’s just devastating.”Thevenot considers herself a fighter. As a nurse and patient care advocate, most days feel as if she’s going to war for others. But today, she’s fighting for herself. “My first thought was I’m dying,” she recalled. Stage IV breast cancer, already a medical battle, became a financial one too.
Reply 1 - Posted by:
mizzmac 5/4/2022 1:18:09 PM (No. 1146446)
The quality of healthcare has declined significantly since Obamacare and Covid (the disease brought to you by politicians). Doctors are no longer in charge of patient care. They are simply contract providers for the government with the insurance companies laundering money. Their actions are no longer independent. And this is what happens when you create a money and power-grabbing bureaucracy and insert it between a patient and their doctor.
45 people like this.
Reply 2 - Posted by:
Rich323 5/4/2022 1:26:17 PM (No. 1146452)
The failures are intentional to cause the system to collapse. Once that happens the government will say they need to take over heath care and implement single payer, a goal of progressives for decades. Death panels ( as predicted by Gov Sarah Palin years ago) will determine whether you live or die. Guess what? If you are old or not elite it’s time for CAROUSEL! Report to the theater!
32 people like this.
Reply 3 - Posted by:
DVC 5/4/2022 1:30:31 PM (No. 1146462)
Sarah Palin warned us about death panels.
52 people like this.
Reply 4 - Posted by:
jimincalif 5/4/2022 1:44:16 PM (No. 1146475)
COVID completed the government takeover of healthcare. Nothing is done unless CDC says it’s ok, insurance companies are captive to their Obamacare subsidies, Joe Schmoe is left with horse paste.
15 people like this.
Reply 5 - Posted by:
Pinkpanther 5/4/2022 1:59:45 PM (No. 1146490)
Mr Pinkpanther works for GM and after Obamacare went into effect they used that opportunity to gut our health insurance and raise premiums. We have four Type I diabetic kids and CIGNA first started forcing them to switch blood testing strips then they had to get generic novolog insulin. Now they can’t even use generic novolog and is forced to use humalog. We received notice that their CGM they use and is integrated with their insulin pump has to have prior authorization and they reserve the right to deny the coverage!
12 people like this.
Reply 6 - Posted by:
qr4j 5/4/2022 2:08:05 PM (No. 1146494)
So-called "evidence-based" healthcare is far too often an excuse for the government and insurance companies not to approve a particular treatment they don't want to pay for. Evidence is all well and good. However, as we have seen through COVID-19, it's all about who is making up the "evidence." I don't trust the SOBs in government at all.
25 people like this.
Reply 7 - Posted by:
udanja99 5/4/2022 2:19:39 PM (No. 1146504)
I’ve never liked or trusted insurance companies but, after covid, I no longer trust doctors either.
I had a relative who was 79 and had end stage COPD. She fell and broke a hip and a surgeon operated on her hip despite the fact that everyone knew she was dying. She only survived a few days after the surgery because she wasn’t able to clear the post surgery fluid from her lungs. She basically drowned in her own lungs. When I asked a friend who is a respiratory nurse therapist why the surgeon would do that, she replied, “Surgeons like to cut.”
21 people like this.
Reply 8 - Posted by:
snakeoil 5/4/2022 2:25:17 PM (No. 1146508)
Had insurance deny a few my doc's requests. Ultrasound. Don't think I needed it. The doc just want to pay for their investment in ultrasound equipment. Didn't bother me that much. What burned me up is insurance paid in full for two of my colleagues who decided to transgender themselves. To me a trans operation is nonessential cosmetic surgery. But, insurance companies don't want to fight wokeness. What other people decide to do with their lives is their business but why do I have to pay for it?
30 people like this.
Reply 9 - Posted by:
AltaD 5/4/2022 2:34:42 PM (No. 1146511)
My oncologist recommended a genetic test so I had the test, afterwards Blue Cross declared the test unnecessary. I did not have the mental energy to battle with the insurance company so I paid dearly out of pocket. That was just one of the financial hits I took during my treatment due to BCBS second guessing my doctors.
14 people like this.
Reply 10 - Posted by:
Vaquero45 5/4/2022 2:47:57 PM (No. 1146523)
I’m in my 70’s. I’ve already told my wife and children that if I’m ever stricken with cancer and it can’t be taken care of quickly- if it’s going to involve extensive surgery and months of chemo/radiation/meds - then I’ll take the time I have left and make the best of it. That stuff ALWAYS comes back and gets you in the end. I won’t go through all that just to gain another year or two, mired in misery.
I sympathize with the subject of the article, but if I had to bet, I’d say she’ll be gone within three years, no matter what.
13 people like this.
Reply 11 - Posted by:
JHHolliday 5/4/2022 3:29:12 PM (No. 1146550)
I am with #10 especially at my age (79). We just had a dear friend die of liver cancer. She put up a heck of a battle for three years but went through hell doing it, and it got her anyway. She may have thought the extra couple of years were worth it, and she may be right. This is an individual decision that we have to make for ourselves.
14 people like this.
Reply 12 - Posted by:
smokincol 5/4/2022 3:29:48 PM (No. 1146551)
the cost of healthcare, like education, is warped into a kind of configuration, kinda like the number 8:
-it costs too much because it costs too much so, therefore it will continue to cost too much and nobody doing anything to find a solution to reduce the cost because someone is making boat loads of $$$ in the process but sure as hell, not me, I'm the one paying - I'm disgusted
5 people like this.
Reply 13 - Posted by:
Ladyknowsalot 5/4/2022 5:00:15 PM (No. 1146620)
She should say she is trying to get well so that she can have her sex change operation. Then everything will be approved!
6 people like this.
Reply 14 - Posted by:
BarryNo 5/4/2022 5:34:48 PM (No. 1146650)
Look up the chain. Want to be an investor who is a Washington insider made the decision? Government wants to kill off excess population. Covid, the vaccines, denial of service...They have their golden parachutes, we have anvils to slow our fall.
5 people like this.
Reply 15 - Posted by:
Mushroom 5/4/2022 6:31:44 PM (No. 1146679)
Since the 70's Insurance has had to stand in the way between the overpriced provider and the out of pocket folks.
Simple example is the $32k charge for Two iv cancer meds. Meds that were developed n the 60's in East Germany. The 3rd drug is Benadryl..$300 worth.
The kickback to the doc, and there is no other way to describe, it is about $6k.
Insurance cuts it all way down to around $5k total.
We need insurance as a group defense. Thank you United Healthcare
3 people like this.
Reply 16 - Posted by:
ThreeBadCats3 5/4/2022 7:34:02 PM (No. 1146730)
Working in the medical “industry”, I’m aware daily of the insurance Racket. Nearly every screening or diagnostic study has to be approved before arranged or accomplished. Reimbursement for service, inpatient or outpatient, when or if and how much, is decided by the Insurer. After hours begging for permission on the phone or computer. There is no avenue to argue their decision, as a rule. Premiums are unbelievable, but people have been indoctrinated that the “need” coverage. On the rare occasion that I see an exotic location, like a beautiful lake surrounded by huge rarely used mansions, I imagine that they are owned by insurance executives.
4 people like this.
Reply 17 - Posted by:
Proud Texan 10/16/2022 2:24:00 AM (No. 1305859)
If hospitals and doctor would let patients as individuals pay the same amount that insurance pays, a lot of people would be better off without insurance. Unfortunately, the individual gets to pay an enormous amount for the same treatment that insurances pays a piddling amount for in order to subsidize the other patients.
0 people like this.
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Hate it when a doc tells me I need something and they are waiting to see if insurance will pay. If I need it, I need it. Let worry about paying.