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Posts Tagged ‘medicare’

Health Insurance Hostility

In Crime, National News, Opinion on December 13, 2024 at 2:31 pm

Deer In Headlines II

By Gery Deer

The shocking murder of the UnitedHealthcare CEO, 50-year-old Brian Thompson, has had a ripple effect on public opinion towards health insurance companies. As information continues to unfold about the alleged killer, Luigi Mangione, it’s becoming clear that the man’s motivation was likely related to coverage disputes.

But what does this mean going forward? Has this man’s terrible action awakened scrutiny toward all health insurance companies, or was it the act of one disturbed individual who felt his only recourse was to take matters into his own murderous hands? We may never know the answer to the latter, which begs even more questions.

Is it likely there will be copycat crimes? Is the public’s temperature so high towards these companies that the shooter was merely the first to act on what countless others may have imagined? Many insurers seem to think so and have begun removing senior staff members’ names, bios, and photos from company websites to prevent another such incident.

Since the moment the tragic event was reported, social media buzzed with emotional speculation. Anger, frustration, and, strangely enough, sympathy towards the alleged killer have emerged from many who have felt the sting of corporate healthcare.

Some of the reactions to this man’s horrific death were downright grim. One example of such dark commentary went something like this, “Did he die quickly, or was he waiting to see if his insurance would cover treatment?” Most were worse. Many were unrepeatable.

I would caution anyone who sees this terrible act as some sort of statement against the status quo of health insurance in our country. Nor should you fit the assailant with a white hat or call him Robin Hood. Nothing could be further from the truth. Social banditry aimed at an unimaginable public slaying isn’t going to resolve the health insurance crisis any more than political pundits can.

It’s unlikely that this event will alter the operational procedures of health insurance companies in any way. There’s little argument against the idea that the American healthcare system is beyond disastrous. Sadly, there is simply too much money on the line at the top of these corporations for any real action that might benefit the consumer. If anything, premiums continue to rise while more and more claims are rejected.

Since 2019, average family healthcare policy premiums have increased as much as 24%, with individual coverage not far behind. Even if you can afford coverage, there’s a good chance your claim – regardless of the necessity of treatment – will be denied. A Keiser Family Foundation study reported that health insurance companies denied an average of 17% of claims, with some reaching as high as 49%, even for in-network care. In short, it’s not getting any better, and there are no signs that this incident will move that needle in a positive direction.

There’s also the problem of sympathetic influencers and media whipping up a potentially dangerous movement akin to what we saw at the U.S. Capitol on January 6. This time, instead of political ideology to light the fire of unrest, it’s something more people can relate to. We’ve all had claims denied or medical bills shockingly higher than expected due to “out of network” notices or other corporate nonsense. Human suffering can be a highly motivating reason to take to arms, and now we’ve seen the alleged result of one disturbed individual’s response to it.

Our system is in bad shape, no question, yet this isn’t how to resolve it. In my opinion, we’re aiming at the wrong target (no pun intended). The biggest problem isn’t the insurance companies but the colossal and unregulated healthcare costs they’re meant to mitigate.

Billions of dollars pass through hospital doors daily, and the government allows it. They’ll break up Google or Microsoft over trivial anti-trust issues. But even suggesting that some behemoth healthcare system should have its revenue capped sends Congress into a frenzy.

Why? Money. Millions in donations, lobbying cash, and back-door deals on both sides of the aisle will forever prevent any reduction of the staggeringly high costs we pay for healthcare. Unless that changes, we’re perpetually at the mercy and living the network of the stockholders of these massive insurance conglomerates.

More family advocacy needed for elder care

In Children and Family, Health, Opinion, psychology, Religion, Senior Lifestyle, sociology, Uncategorized on April 16, 2014 at 1:31 pm

DIH LOGOCaring for an aging parent is, in my opinion, one of the most difficult and often painful experiences life throws our way. Providing a safe, healthy environment for an elderly family member is just as taxing as doing the same for a child.

What makes this process even harder is when the parent is resistant to help or simply won’t accept that they are no longer in a position to take care of themselves. Poor decisions, an inability to recognize when driving has become hazardous and, worst of all, when they will listen to anyone’s advice but that of their children, complicates the care process and causes serious damage to the parent/child relationship.

It’s hard to watch parents age and knowing you’re headed the same direction only solidifies the reality of it all. It’s harder still when they resist every attempt to maintain their health and sometimes doctors undermine your efforts by telling them they don’t have to do anything they don’t want to.

I understand that people need to make their own choices, but some shrink in a hospital cannot possibly know an individual’s mental status by talking to them once for three minutes and asking a half dozen pointless questions. “Do you know where you are? Do you know what day it is? Can you draw this box? Write your name.” “Draw this box,” are they kidding?

How about we ask them what their checking account number is, or the name of their insurance company? How about asking when they last paid their phone bill? These are vital questions to someone who is supposedly “competent” and yet this is not what is included in a psychiatric evaluation for a senior’s ability to make his or her own decisions.

Then there are those who are intent on taking advantage of the elderly person’s desire to feel “needed” and useful. These individuals worm their way into the lives of the elderly, showering them with compliments and creating a rift between the senior and his or her family. These unscrupulous people are trying to get money and property away from the senior and alienate children and others who are trying to protect their interests.

Deer In Headlines author Gery Deer is helping his brother Gary Jr and sister Cathy to take care of their father, Gary Sr. and it's rarely easy work.

Deer In Headlines author Gery Deer is helping his brother Gary Jr and sister Cathy to take care of their father, Gary Sr. and it’s rarely easy work.

Laws addressing the rights of seniors, as well as those regarding patient rights, seem to take no account to dementia and speak only to protecting them from family members bent on securing money or locking them away in a nursing home. What about those of us who are trying to protect our parents and provide a safe, secure life for them in their own home as long as possible? Where is our protection and support? There is none.

Preserving a person’s dignity is difficult enough without being able to handle even the most basic decisions absent a mile of legal documents in place only to provide more money for lawyers. Power of attorney documents are meaningless unless the person is thoroughly incapacitated and no one will help without signing over deeds and financial statements.

Believe it or not, sometimes money has nothing to do with it! There are actually situations when families are trying to preserve an aging parent’s lifestyle, dignity and financial security. Someone should be out there advocating for us, not making it harder. Unless you’re loaded with money, there is just no support for people dealing with this kind of problem.

So what is to be done? Good question. I am all for protecting the rights of the elderly and maintaining their ability to make decisions, but there are many degrees of incompetence between fully cognizant and Alzheimer’s dementia and that should be taken into account.

My mother lost all of her reasoning ability as Alzheimer’s set in and it nearly bankrupted my family to get her under a guardianship so we could keep her safe and well-cared for. But when a senior has some competence but not all, that needs to be addressed and the family should be able to have some advocacy for protecting the interest of that individual without so many roadblocks.

Legislation should be put into place for the varying degrees of dementia and stop relying on the ‘one size fits all’ psychiatric evaluations that prove nothing more than the person can read a calendar.

 

Gery L. Deer is the editor and publisher of The Jamestown Comet.com an independent columnist and business writer based in Jamestown, Ohio. More at http://www.gerydeer.com.

 

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