this post was submitted on 10 Sep 2024
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[–] EatATaco@lemm.ee -2 points 1 week ago (24 children)

I know I'll be hated for this, but my wife works for an insurance company, as a doctor, doing chart review. She was always very responsible as a doctor, but the shit she talks about that doctors prescribe is ridiculous.

One case that sticks with me (not even the most egregious, but because of the berating she got from the doctor and the patient), the patient needed a special car seat, which they approved. The doctor also prescribed a 200 dollar car seat cover. Now the seat already comes with a removable and washable cover, this additional one would just make it easier to remove and wash. It was denied as not medically necessary, which it clearly is not. The doctor demanded a consult and then yelled at her the whole time. The patient also called her and yelled at her.

Im a firm supporter of universal healthcare, but the idea that doctors never do ridiculously unnecessary shit, regardless of the reason, requires one to be completely ignorant of how any of this actually works. And so, even with universal health care, some bureaucrat stepping in to determine if a doctor made the right decision would absolutely still be necessary.

[–] expr@programming.dev 23 points 1 week ago (12 children)

Yeah, no, fuck off with that. The doctor is the care provider, not the insurance company, and an insurance company has no fucking business deciding what is or isn't medically necessary.

[–] EatATaco@lemm.ee -2 points 1 week ago (10 children)

I notice how you didn't actually address my point all, just reiterated the claim.

I don't believe this happens that often, but what happens in the case that a doctor prescribes completely unnecessary procedures and visits, which makes them rich. Still the insurance company shouldn't do anything?

[–] expr@programming.dev 3 points 1 week ago (1 children)

Insurance companies shouldn't exist. Healthcare should not be a for-profit institution.

[–] EatATaco@lemm.ee 2 points 1 week ago

Agreed. But as I pointed out, even without insurance companies, there would still be standards of care and there would still be people reviewing charts to make sure doctors aren't overdoing things and wasting resources.

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