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Full Version: Who's The Largest Denier Of Health Care Claims?
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Phaze5ive
According to the American Medical Association,



Medicare is.

Private insurance or government healthcare?

Discuss.
terrorist
anyone has a better definition for denial. my brain is a bit fuzzy.

medicare is fail.
colloquy
There are different criteria of what constitutes a denial between Medicare and private insurance companies, not to mention the percentage of denials due to incorrectly filled out forms is not counted.

"Medicare fails"? And what's your stunning argument for that statement?
terrorist
QUOTE (colloquy @ Oct 8 2009, 05:53 PM) *
There are different criteria of what constitutes a denial between Medicare and private insurance companies, not to mention the percentage of denials due to incorrectly filled out forms is not counted.

"Medicare fails"? And what's your stunning argument for that statement?


no argument really. i'm just trying to educate myself on medicare. i just stated medicare is fail because the government is having problems with health care right?
I'm trying to get into the issue because i have medicaid.

allow me to have a non-educated argument.

I do see a ratio between count records and denial records. the percentage on medicare is pretty high compare to the others
Trungy
mofo
im glad i'm canadian lol
*hannah
"private insurance or government healthcare?"

if i had my choice, it would be government health care. (but we all know that won't be happening anytime soon here in the U.S. for obvious reasons).

so what it comes down to is that it doesn't have to be one or the other. it can be both, which i believe is what the obama administration has been trying to achieve. which actually might be a better option. for one, the private companies will now have to compete against the public option, thus better health care all around. (and this way, anyone against the public option would be able to keep their private coverage, while people who didn't have access before will now have the public option to choose from).

i would recommend michael moore's documentary sicko for those of you who haven't watched it yet...
ugh, i'm so disgusted with health care industry in america, and how much money they spend to keep progress from happening. capitalist pigs. once i'm done with school and get a real job, i hope to get away from here.
Phaze5ive
QUOTE (*hannah @ Oct 15 2009, 08:42 AM) *
"private insurance or government healthcare?"

if i had my choice, it would be government health care. (but we all know that won't be happening anytime soon here in the U.S. for obvious reasons).

so what it comes down to is that it doesn't have to be one or the other. it can be both, which i believe is what the obama administration has been trying to achieve. which actually might be a better option. for one, the private companies will now have to compete against the public option, thus better health care all around. (and this way, anyone against the public option would be able to keep their private coverage, while people who didn't have access before will now have the public option to choose from).

i would recommend michael moore's documentary sicko for those of you who haven't watched it yet...
ugh, i'm so disgusted with health care industry in america, and how much money they spend to keep progress from happening. capitalist pigs. once i'm done with school and get a real job, i hope to get away from here.

You've based your opinions of healthcare on a movie from a guy known for fabricating data, trick editing, and faking interviews? Any personal experience with public healthcare?
Trungy
QUOTE (Phaze5ive @ Oct 15 2009, 12:18 PM) *
You've based your opinions of healthcare on a movie from a guy known for fabricating data, trick editing, and faking interviews? Any personal experience with public healthcare?


And you base a discussion from one statistic?

By the way, the picture was of cherry picking.
Phaze5ive
QUOTE (Trungy @ Oct 15 2009, 04:34 PM) *
And you base a discussion from one statistic?

By the way, the picture was of cherry picking.

I just thought I'd share some data. biggrin.gif What can I say? Personal experience with an American government-run healthcare system has left me disappointed and biased. Like everyone else, I'm just looking out for my own interest.

I did not know those were cherries. Not one of my favorite fruit really, but at least now I get what you were getting at. Thanks.
*hannah
QUOTE (Phaze5ive @ Oct 15 2009, 12:18 PM) *
You've based your opinions of healthcare on a movie from a guy known for fabricating data, trick editing, and faking interviews? Any personal experience with public healthcare?


i think you're jumping to conclusions there - just because i recommended a documentary that was well-received by both democrats and republicans doesn't mean my opinion on the issue is solely based on that.

i don't know why you're so keen on personal experience when you haven't shared any of yours. i do have plenty but now i don't feel like sharing tongue.gif i'm sure if you google it though you could find plenty of cases where people died or are dying because their claims are being denied for whatever reasons, for something as ridiculous as preexisting conditions. and then there are those who cannot afford their scripts, so they forgo the medications they need.

i just find it sick that patients are being denied what they need and deserve by these companies (companies that are making money off them). and instead, these companies go and throw millions of dollars at politicians left and right to keep existing laws the way they are. i worked as a pharmacist technician and the cost of these medications are mindblowing, even with insurance copays. and there are people who are uninsured, which is simply unacceptable in my opinion. the whole concept of health care as a private sector boggles my mind. it's like saying certain people deserve to live while others don't, and it's in the hands of major corporations to decide who gets what. shouldn't the access to good and solid health care be a fundamental right?

do you honestly think the current system is fair? i think that you could at least agree with me in saying that the current system is a bit flawed. and i'm not sure what you mean by your own experience with 'american government-run healthcare system'? if you could elaborate...
kitanablade3
Hmm...I would have figured Aetna to be higher honestly. My best friend and a few other people I know have Aetna through their jobs and they suck. I don't think they've paid for a thing for most of them. They told my friend she had to meet her 700$ deductible, okay...Until then she had to pay for all her labs, all her appointments with her specialist (she has a thyroid condition), and something else. She finally met her deductible now and they're going to pay 80/20 right? I've yet to see them pay for her stuff. January 1st though she'll have to meet her 700$ again...Plus, we take the same blood pressure pill and she pays a lot more than I do for it.

I don't know a whole lot about insurance, but seriously, I've never had to pay anything up front except for copay, before surgery and an MRI I had (but they gave me the money back on that one). I've had Blue Cross personally 95% of my life, Tricare for a few years through my dad, luckily my job offers good PPOs. "Healthcare" in America is a joke, run by people who nickle and dime everyone. When we lived in Germany my dad has nothing but great things to say about national healthcare there, and we lived there when it was still tense East & West Germany. With more time and study I think a good bill could be passed...who am I kidding...no one's ever IN congress much less worrying about their healthcare costs while they're golfing or vacationing. hahaha I'd love to see them work an actual work week and not get a vacation until Thanksgiving or Christmas!
K.A.T.
I'm moving to France. That's my solution to MY healthcare reform.
moot11
There are certainly other criteria for "good" heath care besides the rate in which claims are denied. To argue for private insurance or government health care based only one criteria is completely moot.
Trungy
QUOTE (Phaze5ive @ Oct 15 2009, 08:13 PM) *
I just thought I'd share some data. biggrin.gif What can I say? Personal experience with an American government-run healthcare system has left me disappointed and biased. Like everyone else, I'm just looking out for my own interest.

I did not know those were cherries. Not one of my favorite fruit really, but at least now I get what you were getting at. Thanks.


Sharing data is fine, but you cannot base an entire thread (or "discussion") on that sole data. Likewise, you cannot respond to just one point of a person's reply and expect it to be a solid response. Either respond to all of a person's points or not at all. There was much more than to what hannah said than a documentary that she watched.

Thus, I posted a picture of a cherry picker, because instead of responding to difficult counterpoints to someone in your position on the matter, you pick datas that supports your beliefs and ignore others that are is far from flattering to someone who is opposed to the public option; (such as the fact that the US spends more per-capita for health-care than any country in the world, and yet it is ranked somewhere in the 20s or 30s in terms of quality of health care, right nearby Costa Rica!) and instead of responding to Hannah about Obama trying to create a health-insurance marketplace where both the private and public insurance can be offered, you attack one bit of her post about a documentary. (And let me tell you, I hate Michael Moore with a passion, and I do think that he is every bit of a liar as he accuses everyone else to be.)

So now, just play nice.
moot11
QUOTE (Trungy @ Oct 19 2009, 06:24 PM) *
Sharing data is fine, but you cannot base an entire thread (or "discussion") on that sole data. Likewise, you cannot respond to just one point of a person's reply and expect it to be a solid response. Either respond to all of a person's points or not at all. There was much more than to what hannah said than a documentary that she watched.

Thus, I posted a picture of a cherry picker, because instead of responding to difficult counterpoints to someone in your position on the matter, you pick datas that supports your beliefs and ignore others that are is far from flattering to someone who is opposed to the public option; (such as the fact that the US spends more per-capita for health-care than any country in the world, and yet it is ranked somewhere in the 20s or 30s in terms of quality of health care, right nearby Costa Rica!) and instead of responding to Hannah about Obama trying to create a health-insurance marketplace where both the private and public insurance can be offered, you attack one bit of her post about a documentary. (And let me tell you, I hate Michael Moore with a passion, and I do think that he is every bit of a liar as he accuses everyone else to be.)

So now, just play nice.


Nicely said.

I think people can say what they want about the accessibility and efficiency of a government run health care system, but the real question and debate we should be having is not private vs government heath care, but yay or nay to Obama's health care reform.

Private vs government vs public option is but a portion of the proposed changes.
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