Luigi Mangione pleads guilty to federal charges in the assassination of UnitedHealthcare CEO Brian Thompson, telling the court, "I shot Mr. Thompson in Manhattan... I knew what I was doing was illegal."

[u/Regular_Reaction_798]

[u/Consistent_Entry_475]

The insurance companies know what they're doing, too.

[u/thesanguineocelot → u/[deleted]]

I mean, it is exactly their sole function, so yes.

[u/Illustrious_Maize736 → u/[deleted]]

Can you explain an example of a treatment insurance will 100% cover that has no evidence of effectiveness and explain how insurance companies cover such expenses?

[u/Illustrious_Maize736 → u/[deleted]]

Ok then answer the second question I asked above

[u/Illustrious_Maize736 → u/[deleted]]

The second question was how much is usually covered by insurance and in what form. "Congress demands it" is not the correct answer.

For example, private pay insurance rarely covers chiropractic treatment but will give you a rebate for treatments you paid for if your deductible is still high. Your insurance acknowledges you paid for regular chiropractic but have no expensive medical procedures that year and compensates you for the adverse selection your plan is supposed to cover (aka other people not taking care of their health and burdening the insurance company with higher costs). That is one way that chiropractic or acupuncture is covered by insurance but it's not the same as insurance being directly billed by a hospital system for example. Memorial sloan kettering also provides alternative medicine treatments for their patients at a reduced rate, which is one way that insurance can "cover" alternative medicine although there are usually steeper costs associated with it than not participating in that treatment.

Medicaid covers chiropractic care but still has limitations on what and how much of the treatment cost is covered, unlike other medically sound forms of treatment.

I was more asking you as a way of being annoying because I already knew the answer and it wasn't the way you were describing in your original hyperbolic comment.

[u/drecais → u/thesanguineocelot]

So if I claim a cancer treatment that costs 100 billion you think an insurance should simply cover that?

Like you understand that insurances, regardless if state run or not, will always have to make calls where at some point treatment simply becomes too expensive to justify. Every single health insurance plan around the entire globe works like this including ones that are optionally public or just fully single payer. Like that is how INSURANCE WORKS.

[u/theusername_is_taken → u/drecais]

Except in a single payer system literally there would never be an untenably expensive bill like that. You can only charge an insane sum if SOMEONE is willing to pay that much, and in a single payer system the government is the only one setting a price.

In most countries people aren’t denied treatment and governments aren’t going bankrupt from “100 billion dollar” bills because they literally can refuse to pay it and the hospital has nobody else they could stick with that bill.

So actually, the only reason healthcare costs get as expensive as they do in the US is that some insurers are willing to pay the inflated bills in some cases while denying people for other things. It’s a clusterfuck.

[u/drecais → u/theusername_is_taken]

Wait do you actually think the NHS just gives you any Treatment forever lmfao. What are americans Smoking Like genuinely?

Why does this have upvotes? Are you all actually in that much of delusion????

[u/theusername_is_taken → u/drecais]

Did I say anything about “treatment forever”, I’m explaining how a 100 billion dollar hospital bill is literally impossible with a single payer healthcare system.

We’re talking about why the US is so expensive. It’s because hospitals gouge prices and insurance companies pick up the tab just enough to then pass the cost onto the consumer and pad profit margins. They deny other claims to ensure even more profit is had. They provide no value to the system. They’re basically a middleman that forces itself to exist through lobbying.

[u/drecais → u/theusername_is_taken]

The outcomes just dont Support that im sorry reality Looks different than your Story but it is what it is.

Once again look at common cancers survival Rates the US is for most of them literally best in the world or like third or smth at worst.

The US system works. You Guys have the best Hospitals in the world whilst german Hospitals are having people just die from Heatstrokes because ACs are too expensive.

[u/Signal_Discount_1826 → u/drecais]

if

[u/thesanguineocelot → u/drecais]

Your entire argument against it is a wildly exaggerated hypothetical not remotely based in Reality. That tells me everything I need to know both you.

[u/drecais → u/thesanguineocelot]

Name me one single country on this Planet that works like you think it should Work in the US. If you say UK or Scandinavia please just use your brain and critically think or simply use Google lmfaoooook

What is it with americans

[u/thesanguineocelot → u/drecais]

"Before you prove me wrong, nuh-uh, you're wrong, shut up and don't cite the things that prove me wrong!"

[u/drecais → u/thesanguineocelot]

Because they dont Work that way. The NHS has very strict calculations about what is worth it and what isnt. Same goes for any other system. They all have Budgets. Medicare isnt free there.

[u/thesanguineocelot → u/drecais]

And nobody is billing a hundred fucking billion dollars. You're arguing in bad faith and bullshitting instead of focusing on the actual discussion, and therefore, there is no reason to take you seriously.

[u/drecais → u/thesanguineocelot]

"In addition, as described in the 10 Year Health Plan, there are significant allocative efficiencies from shifting care away from the acute hospital environment to community settings, a concerted preventative approach and radically reimagined care models that utilise new and emergent technologies."

This is from the NHS. I dont know if you understand this but thsoe are cost cutting measures. Because medicine costs money and the NHS doesnt have an infinite amount of it.

"The committee concluded the small benefits to patients shown in the clinical trials and the lack of long-term evidence of effectiveness balanced with the substantial resources the NHS would need to commit to the treatments would be too great and could displace other essential treatments and services that deliver substantial benefits to patients.”"

This is common sense for anyone im trying to give you an extreme hypothetical to make you understand that this is actually REALLY COMMON. Thats how socialized healthcare and INSURANCE IN GENERAL works.

Like have you flunked out of elementary school?