The high school dropout sitting in a cubicle of a UHC call center is going to call the surgeon in the middle of surgery, and debate the merits of the diagnosis which would necessitate the ongoing surgery. If you thought 2024 was bad buckle up, Betsy, 2025 is going to be a wild ride.
Hello TYT I have been watching your videos for years and this is the first comment that I have shared. My husband was diagnosed with a rare lung disease in 2011 and we had to declare medical bankruptcy due to the steep medical bills that he accumulated. We used our tax return money to file. After about 8 to 9 years, my husband‘s condition had worsened and he was still trying to work. We had been denied disability benefits twice, and in that moment, I saw that this is all a game. We had filed medical bankruptcy and had survived. And I would file again and play the game if needed because my husband could no longer work. My husband then left his job and three years later with the help of a lawyer we were able to attain disability benefits. overall, I am not scared. I will play the game and I will not let the system place fear over me or shame.
Two true anecdotes: 1. I had a friend in college whose sister worked for an insurance company. Thirty years ago he told me all she is paid to do is find reasons to deny claims. 2. There was a wonderful man (in his fifties) who lived near me. His wife told me he was dying and they were hoping that their medical insurance company would OK an $80,000 treatment for his Hepatitis. (He never did any drugs). The insurance company denied the claim and he died within two years. Their profits KILL people. Capitalism is fine if it's peoples' lives that aren't part of the profit calculus! That's why more humane nations only allow medical insurance for concierge level services... not life and death decisions!
@ applying for disability shouldn’t have to be something that you have to get a lawyer for, that is further illustration that the system is broken. My husband‘s diagnosis is a fatal one we just don’t know the timeline. Your comment provided no insight but thanks for the boost.
This is insane. As an Englishman with the government-run socialised healthcare of the NHS (the most beloved institution we have), I don't know how you put up with the obscene mess that your healthcare system is. If you told most people in the UK this story they would struggle to believe it...
I give the NHS ten or twenty more years. From the introduction of the internal marketplace under blair to the forming of CCG's and now ICB's its clear what direction they're taking the system in steps. When it collapses our best hope is we end up with a decent state backed insurance system like canada. I remember Jeremy Hunt repeatedly saying we should emulate the american system. The biggest danger to the NHS is the British publics ignorance of how bad privatised healthcare can be for patients. Most Brits genuinely can't comprehend not being able to access healthcare without a risk of going bankrupt. They're softening us up well by farming NHS contracts for elective surgery out to private hospitals so theres plenty of people whos had the experience of private service and will go to bat saying how great it was (forgetting that it didn't cost them a penny beyond taxes) EDIT: Wes Streeting is at least making the right mouth noises about what needs to be improved as far as patient care goes, but the current government can still (rightly) blame the current state of it on the Tories. Its easy to openly talk about how crap it all is when you can blame the other guys.
"I don't, that's a different department." These companies have no incentive to be functional, and every incentive not to be. The shareholders want profit. The management wants happy shareholders. But in government run healthcare, voters want service. Politicians want happy voters.
I am going through a battle with Cigna that increased my out of pocket and my copay mid year without me changing jobs or plans. They simply say that "The plan changed for the economy" Took 4000 more out of me while I fight to get it backso I don't lose my meds
Thank God for our NHS. Here in Britain, we pay for healthcare through taxes. I heard an American say, but we pay less tax than you so I told him to add the cost of his health insurance to his tax bill Now who pays less Plus we don’t pay deductibles. Medication We pay £9.90 for our prescriptions That will give you up to a 2 Month supply if you take a lot of medication, you can buy a pre-paid prescription card which last for one year that cost £114.50. Certain conditions will get you free prescriptions like diabetes epilepsy and other chronic conditions. Life expectancy here in Britain is higher child mortality is higher. Who’s better off ?
Amen Brother, Amen. I've been telling these yanks this stuff for years but they've been brainwashed to despise what Reagan called 'socialized healthcare'.
It's not about having a better standard of living. It's about groups of people you don't like having a worse standard of living than you. 😞 Edited to clarify that means we (the US) initially rejected and continue to reject universal healthcare since it means people of color and poor women might have better health outcomes.
My daughter was born with congenital limb deficiency, (no elbow or anything below) as a child insurance would not cover a prosthetic, at that point it was only cosmetic. I understood this because she needed one every 18 months. Shriners hospital designed one for her that would grow with her for the first years then they would create a new one after that that would grow with her for the next five or so years. We were grateful to have them accommodate her needs at the time. She is now a college sophomore and doesn’t use a prosthetic, too cumbersome, since she needs an articulating elbow. She has adapted and does 99.9 of all daily activities by herself with her one hand and partial arm. However, I believe that amputees with an elbow benefit greatly using a prosthetic and those should be provided by insurers.
@@michaell8722 I’m above the elbow from birth and use a prosthetic everyday I go nowhere or do anything without it. It has been a struggle throughout my life to get insurance companies to justify covering repair and replacement. They don’t like covering medical devices and I’ve never understood why. It is extremely sad that individuals need to turn to charities we are Modern humans not basket cases.
Bro as someone who works in healthcare our system is so frustrating for everyone and it’s so complex I work for a huge colon cancer screening company and OMG on every level from docs the Corp to insurance it’s a dumpster fire and I love my job but it’s a every other day panic attack
Shit, it isn't just insurance companies. A relative of mine was denied a prosthetic leg from the VA hospital that amputated it. Apparently missing a leg above the knee does not qualify someone for needing a prosthetic. It's bullshit. (And their bureaucratic red tape dragging their feet on treatment as well as gross negligence ended up costing him his life from a septic infection in his other leg which could have been treated if addressed early enough, but that's a rant for another day.)
@@righteousisthelord180 Yes, Vietnam vet, chopper gunner shot down 3 times in combat, and lost the leg due to long term complications from the toxic chemicals at Camp Lejune.
If you're an honorably discharged veteran who isn't receiving the care you deserve, you're doing it wrong. If you need help navigating the system hit me up.
@@00Skyfox If you were affected by the water at Lejeune(Actual Marines know how to spell it) there are thousands of lawyers chomping to work on your case.
This is exactly why people are on their super mario shit rn. Companies purposely separate employees and dont tell them the facts so they can call without guilt to either stop something or collect money for something. Thank god she was already in surgery
Wow you might think United would have toned it down a bit. This is disgusting. There has to be a system that trusts physician decisions and judgement. As I approach Medicare age I will avoid any additional medicap coverage with United. I actually have them for vision but that’s it.
I'm not a U.S. citizen, but someone should create a RUclips channel where testimonials come in from patients and caregivers across the country drawing attention to all these failures. If enough of them spring up, maybe something will eventually get done.
Insurance companies really stink at times. I was on a chemo drug that they believe is the reason why my lungs were failing & possibly caused a heart attack due to the stress of getting O2 in my blood. Went to the ER thinking I had anemia, because I felt lightheaded when standing, walking, just like when I was 12, and that was severe anemia. Was admiited to the hospital on a Sunday night with a blood oxygen level of 64. Tue at 4am a pulmonary person came in to do a breathing treatment and now my O2 was 57! I was on the cardiac floor and have zero idea why they didn’t have me on an O2 finger sensor on me at all times and I was too sick to not realize it wasn't being monitored. The pulmonary guy rang some code and I was whisked away to the ICU. Was in the ICU for a week, overall 2 weeks in the hospital and then was transferred to a PT Rehab place for 2+weeks cuz of muscle atrophy, due to low O2 levels. After I got home I got a denial letter for the lung Dr in the ICU cuz he was out of network!! WHAT?!?! I went to an in network hospital, and back then the Dr's weren't guaranteed to be in network. That's a whole other scam the insurance companies do!! Letter basically said that in the future I should see an in network provider to have coverage. WTH! When a separate Dr bill came for the pulmonologist (zero coverage) I almost just paid the bill but I was too pissed off. I called the insurance company and asked them how I was supppsed to find an in network pulmonologist, at 4am, while I'm in an in network hospital with a blood oxygen level at 57?? The insurance company recoded it or something and it was fylly covered. I wonder though, how many peeps just pay it and the insurance company saves the money. Total BS Also, a little over 4yrs ago I ended up needing a hip replacement after an accident. Afterwards I had a baseball size solid mass along the scar line. It was the weirdest looking thing & painful when knocked in to, like getting in the car. Surgeon didn’t know what it was, nor the physician assistant, physical therapist, GP or rheumatologist. Over the course of about 6 months it grew to the size of a grapefruit. The top kinda feels like scar tissue, something more solid and the botttom side soft. Had a couple scans done, with and without contrast. Turns out it's a lipoma. None of the Dr's had ever seen that after hip replacement. Once the replacement had healed enough that I could attempt to sleep on that side, the lipoma made it way too painful. Every time I sat down it felt like I was sitting on a ball or something. It gets caught every time I pull pants up, even loose pants like sweat pants. It hangs out below my swimsuit. The biggest issue for me though is the pain. Still hurts to sleep on my side more than about 2hrs, and have to be careful getting in the drivers side. If I hit the seat it hurts and I sit on it every time, so have to adjust as soon as I get in. Saw a general surgeon and they said it would be "elective" surgery to remove it!! WTF!! So, they would rather me be on drugs for the pain than remove it. It was an unwelcome side effect from the surgery and insurance won't cover it. After 4 yrs I've learned to deal with it but wish I could go back to sleeping on that hip every night, like I used to. And would love to not have pain when getting in the car. I gave up on the pain meds cuz it's not worth getting addicted to & I never know when I might bump it, so taking meds after the fact is useless. Anyway, quality of life would definitely be better without it but I can't afford a hospital bill. Just total BS!!! What Luigi did was sssooo wrong, but I totally understand why he did. Would be nice if these higher ups dealt with denials etc like we do BUT you know, they could get anything approved for them and their families and make enough money that they could pay out of pocket.
If you ever get a prior authorization letter, hang on to it and don't throw it out. The insurance company will conveniently "lose" the documentation and issue a denial since a prior authorization for the procedure was "never" granted. They tried to do it for my son but I kept documentation so they failed. They have done it to other families who didn't know you have to keep the documents even after the procedure is complete and they either had to appeal or pay thousands OOP.
I have a client who has list a whole hand at the wrist. His insurance rejected a prescribed prosthesis that can hold objects, saying it is too expensiveand he should get a more basic one. They then denied the basic one, saying there is no evidence it would meaningful improve his ability to do things in his daily life. This was Medicaid and Medicare. With private insurance, it is so much worse.
I’m disabled and on Medicare. Not an amputee but I am missing all, not some, all of my upper teeth. I’m fighting them to get a small implant that clips my denture in place. The reason? My mouth is oddly shaped. I don’t have a groove at the roof of my mouth. This makes my current denture useless as it won’t stay in place with just the glue. This affects how I eat and communicate. I’m fighting to make them understand this is MEDICALLY NECESSARY, not cosmetic. Like, how is getting the ability to chew solid food cosmetic!?! It’s a nightmare.
Background: I have type II diabetes and this can cause gum disease. I’m one of the lucky ones who got said diagnosis. So my teeth started rotting from the inside out. I used prescription mouthwash and toothpaste trying to stop it but no luck. What’s worse is the bottom ones ALSO have to go due to this condition.
@mwambak1438 Sssooo F'n rude!! You are obviously MENTALLY disabled!! The other person doesn't need to list their disability cuz the comment is regards to their mouth and teeth! They could be missing s leg and that wld have zero impact on their story.
To answer Jacksons question, We can transition them to the single payer coder positions that would be created and others could go for retraining and use some of the savings in the bill to pay for the retraining.
I can’t even stand Ben’s voice. He supports the gen0zide but hides his little necklace now. I don’t even care if he does a story on the most wholesome topic, doesn’t change the fact that he is a Zio.
Pay attention. Luigi's temper tantrum accomplished absolutely nothing, except for the rest of his life he gets to be passed around for cigarettes and ramen.
@@georgeglass3680 it did accomplish something actually lol it got a lot accomplished. It started a conversation which is important and got a lot of people to actually talk about this. Even my boomer dad is starting to say he has a point to what he did. He also got some health insurance companies to change their policies so yeah he did accomplish SOMETHING lol.
@@mike47734 1. The conversation is not new. It's been talked about for at least a hundred years. (To no avail) 2. He got "some" companies to change policy. Not very convincing without names and policies. 3. I'm a boomer Dad. I'm very sure he just wanted to shut you up. 4. Murder is never the answer.
Jackson, all hospital staff would be kept on, only their employer would change. Most of the bureaucracy in the private sector would likely be folded into Health. There would be some job losses among the lower level employess, but I imagine the boards and top executives would be able to survive.
I'm so glad I don't have to live in the US. Sure, every country has its pros and cons, but as long as you're not unscrupulous, greedy for money, pseudo-Christian, crazy or a fraud like Donald Trump, you're guaranteed to have a better life in any other industrialized country. Among other things, you don't have to worry about having to pay astronomically high amounts in the event of a medical emergency or for necessary medical treatment or medication🤷♂ For anyone living in another industrialized country, US conditions are just sick, a bad joke or insane. Nobody looks at the US system and seriously thinks "we should be like that".
At 0:27 the doctor just did a HIPPA violation. You can't share the patients information over the phone. The insurance person doesn't need to know or should have the patient medical information.
Out of all she said, THATS what you took from it? 1. She didn't use anyone's name, so who is she talking about? 2. Doing this DURING surgery is payback for the CEO that got justifiably justiced.
Well the doctor also assumed that the caller knew the patient's medical condition, which is understandable, why should the doctor know that another department had that information???
First, it's HIPAA, not HIPPA. And second, patients with health insurance consent to have their health information shared with their insurance company. If they didn't, no insurance company would be able to cover ANY medical service. HIPAA doesn't mean that info can never be shared, it means that it can only be shared under specific conditions (insurance claims being one).
Can America afford universal healthcare? The US spends around 17% of its GDP on healthcare due to higher medicine fees, administration fees and healthcare worker salaries. Canada spends around 3% of GDP on healthcare. Considering the US is already at a debt to GDP ratio of over 120%, would the American credit rating crash if GDP was reduced by 10%?
Part of the reason HC is sooo expensive (compared to the rest of the developed world) is because it's for profit. If it was national, then the gov would be incentivised to pass laws and negotiate better prices. Shareholder returns isn't healthcare
@@Nopropaganda888@Nopropaganda888 wealthy countries give forgiven aid to assist in global stability. If other places are unstable it encourages it's citizens to come to more stabke wealthy countries. Push and pull immigration factors. Maybe if they spent more money on your education you wouldn't be thick in public. Maybe.
I think it's the beginning of the end for these healthcare companies. We know they screw us. We know now without a doubt that we pay money for services we probably won't get. It's only a matter of time. We need universal healthcare.
You'd think, right? Wouldn't surprise me if they weild such power that the hospital allows (or even have rules to force some dr./nurse to take that hotline call or they're fired...
This is terrible PR for UHC. Admission status decision is not a so time-critical that a peer-to-peer medical necessity discussion between the UHC medical director and surgeon needs to be had during surgery. For what sounds like an elective surgery (one for which the procedure is planned in advanced as opposed to someone who, say, shows up in the ED with a hip fracture or gunshot wound and needs surgery), insurance companies expect authorization for the surgery as either outpatient (going home same day or before 24 hours) or inpatient (staying longer, usually past 48 hours) be obtained before the surgery takes place. This approval can be unreasonable delayed even if approved. If the surgeon does the surgery before approval is obtained, they are at risk for denial of payment for not following the contract between the hospital and the insurance company.
Ok, you parroted all these rules. Who set the rules? And who benefits by them? This is the mentality of the good German soldier who was "just following orders."
In Canada, the government has the Patented Medicine Prices Review Board where the regulate the prices of all drugs that hit the market. That's why insulin is only about $35 a month. I got my asthma inhaler through my provincial government healthcare plan for only $2.
Started coming back to watching the news after the CEO shooting. Everyone is talking about their insurance troubles in every video I see and reading several comments makes me hopeful that the conversation doesn’t die down.
We need to boycott these insurance companies completely! STOP PAYING THEM! Just get medical care, go to the hospital and refuse to pay your bill. It’ll completely screw your credit but who cares? If it changes this disgusting system then it is worth it.
i (🇨🇦) think if most of the country truly believed America is “the best”, they wouldn’t continue putting up with some of politicians I see in the news. They would demand doing something about citizens united maybe?
No matter if 100% or 0% of Americans support a policy, there's about a 30% likelihood of Congress actually passing a bill. Our representatives do not represent us, just the shareholders involved with their personal investment portfolios.
Humans have reached a point now that will require you as a species to hold these offenders to account or else your real suffering has just begun. These entities genuinely believe they have authority to do as they will, and they do not. They behave this way because you allow it.
So im supposed to get mad because they called? How did they know the surgery was going on? Why would someone pass that call to the surgery? Why is the cost of the procedure so high? When do start questioning the medical field ad a whole? The cost to make the supplies anf medicines are a fraction of what is charged.
All those people working for Health insurers? They keep their jobs. How? Every Health Insurance Company is mandated to become non-profit. Each for-profit company becomes the point of contact for a region (West, South, East, North). A small 'governing body) Orchestrates these arms of what is now, essentially, a single-payer system. All monies are pooled into one bucket. It would probably take a year or two to transition from paying through your employer to a tax system, but it would be pretty easy to do it. During that transition phase, the new NIHA (National Institute for Healthy Americans) would bank a huge surplus since the billions in profit would no longer be going to shareholders or stocks. Even the CEO's could keep their 'low paying' salary jobs since stock won't be a thing anymore. After a few years, re-evaluate and adjust wages of doctors, nurses, etc. upwards. Seems pretty simple, just takes the willpower to do it. There's about 99% upside for 99% of the people in this country, but 50% or so are so terrified of "SOSHULISUMMM!" because some News personality said so that it isn't likely to happen. :(
It doesn't matter. People have been crying about Ben for months now and TYT has made it clear that they don't care. So your virtue signaling is wasted.
of coruse it wont change anything. people who have the power to change do not want to change anything because again they cant understand the concept people not affording things. because to them if people cant afford things the only group of people who cant afford things are people who living in tents and eating grabage in the streets.
@teddycheong Sometimes that's your only choice. I had them for years when I lived in Ohio. When my job closed our office, I transferred to TX to keep my job. In OH the insurer was UHC, they would fight my chiropractor bill sometimes. Back then the CEO was making 25 million!! In TX our Insurance company provider is BCBS. You can choose to pay for company provided insurance, but you generally don't have a choice with the carrier. I looked in to Obamacare in 2020, when I was laid off after 33 yrs & 2 office closings. I now pay 2,762 a MONTH for retiree insurance. None of my Dr's accepted Obamacare, nor the 2 main hospitals those Dr's had privileges at. Half my meds weren't covered either. So it was cheaper to keep my "retiree" medical. For over 33 yrs I "prefunded" and paid for retiree medical, so when I retired, I didn't have to pay for insurance. We filed bankruptcy & merged with a really crappy company. The bankruptcy judge allowed dropping the retiree medical UGH!! So we were refunded what we put in all those years, plus interest. That "refund" covered about 1.5 months. Have 5 more years till Medicare!! If I drop it, I can't pick it up again. Really sucks.
@@helloworld2645ultimately you are in charge of keeping yourself healthy, no insurance providers or government bureaucrats or politicians will give a crap about your health. That's just the truth.
Hmmm this sounds like what sunny h. Husband is accused of. The whole rico thing. You know drs.doing unnecessary surgery, and then suing the ins. Comp Hmm
Weas close as we want to be. Primary your representatives who take bribes, put forward a working class candidate in 2028 and get money out of politics and let's actually get to work fixing things in our country!!! Andrea Bill for President 2028!
America needs to stop lobbying. It's bribery plain and simple. Stop that and all the problems will be solved. Politicians taking bribes and company's side need to be flogged
United Healthcare did not learn anything at all.
The high school dropout sitting in a cubicle of a UHC call center is going to call the surgeon in the middle of surgery, and debate the merits of the diagnosis which would necessitate the ongoing surgery. If you thought 2024 was bad buckle up, Betsy, 2025 is going to be a wild ride.
Hey I went back and got my degree 📜
Only in Murica!
You'd think Untied Healthcare would fall back given what has transpired, but.......
As a cardiologist I go through similar experiences daily
That is WILD😮
When someone starts a sentence
with "as a" the rest can be ignored.
Hello TYT I have been watching your videos for years and this is the first comment that I have shared. My husband was diagnosed with a rare lung disease in 2011 and we had to declare medical bankruptcy due to the steep medical bills that he accumulated. We used our tax return money to file. After about 8 to 9 years, my husband‘s condition had worsened and he was still trying to work. We had been denied disability benefits twice, and in that moment, I saw that this is all a game. We had filed medical bankruptcy and had survived. And I would file again and play the game if needed because my husband could no longer work. My husband then left his job and three years later with the help of a lawyer we were able to attain disability benefits. overall, I am not scared. I will play the game and I will not let the system place fear over me or shame.
Two true anecdotes:
1. I had a friend in college whose sister worked for an insurance company. Thirty years ago he told me all she is paid to do is find reasons to deny claims.
2. There was a wonderful man (in his fifties) who lived near me. His wife told me he was dying and they were hoping that their medical insurance company would OK an $80,000 treatment for his Hepatitis. (He never did any drugs).
The insurance company denied the claim and he died within two years.
Their profits KILL people.
Capitalism is fine if it's peoples' lives that aren't part of the profit calculus! That's why more humane nations only allow medical insurance for concierge level services... not life and death decisions!
Why would you come here to admit you did everything wrong. (Until you got a disability lawyer)
@ applying for disability shouldn’t have to be something that you have to get a lawyer for, that is further illustration that the system is broken. My husband‘s diagnosis is a fatal one we just don’t know the timeline. Your comment provided no insight but thanks for the boost.
@@juliearias5000
Don't blame the system. Blame the fraudsters who ruined it for everyone.
America is a corporation not a country we created a machine that eats humans unapologetically
It appears doctors get these calls all the time…disgusting. All medical doctors should post videos like this one.
And this why the CEO got shot. If you have sympathy for the CEO then you are insane.
what's that CEOs name?
This is insane. As an Englishman with the government-run socialised healthcare of the NHS (the most beloved institution we have), I don't know how you put up with the obscene mess that your healthcare system is. If you told most people in the UK this story they would struggle to believe it...
I give the NHS ten or twenty more years. From the introduction of the internal marketplace under blair to the forming of CCG's and now ICB's its clear what direction they're taking the system in steps. When it collapses our best hope is we end up with a decent state backed insurance system like canada. I remember Jeremy Hunt repeatedly saying we should emulate the american system.
The biggest danger to the NHS is the British publics ignorance of how bad privatised healthcare can be for patients. Most Brits genuinely can't comprehend not being able to access healthcare without a risk of going bankrupt. They're softening us up well by farming NHS contracts for elective surgery out to private hospitals so theres plenty of people whos had the experience of private service and will go to bat saying how great it was (forgetting that it didn't cost them a penny beyond taxes)
EDIT: Wes Streeting is at least making the right mouth noises about what needs to be improved as far as patient care goes, but the current government can still (rightly) blame the current state of it on the Tories. Its easy to openly talk about how crap it all is when you can blame the other guys.
Give it time for the greed to take over.
"I don't, that's a different department."
These companies have no incentive to be functional, and every incentive not to be. The shareholders want profit. The management wants happy shareholders.
But in government run healthcare, voters want service. Politicians want happy voters.
I am going through a battle with Cigna that increased my out of pocket and my copay mid year without me changing jobs or plans. They simply say that "The plan changed for the economy" Took 4000 more out of me while I fight to get it backso I don't lose my meds
Thank God for our NHS. Here in Britain, we pay for healthcare through taxes. I heard an American say, but we pay less tax than you so I told him to add the cost of his health insurance to his tax bill
Now who pays less Plus we don’t pay deductibles. Medication We pay £9.90 for our prescriptions
That will give you up to a 2 Month supply if you take a lot of medication, you can buy a pre-paid prescription card which last for one year that cost £114.50. Certain conditions will get you free prescriptions like diabetes epilepsy and other chronic conditions. Life expectancy here in Britain is higher child mortality is higher. Who’s better off ?
Amen Brother, Amen. I've been telling these yanks this stuff for years but they've been brainwashed to despise what Reagan called 'socialized healthcare'.
It's not about having a better standard of living. It's about groups of people you don't like having a worse standard of living than you. 😞 Edited to clarify that means we (the US) initially rejected and continue to reject universal healthcare since it means people of color and poor women might have better health outcomes.
My daughter was born with congenital limb deficiency, (no elbow or anything below) as a child insurance would not cover a prosthetic, at that point it was only cosmetic. I understood this because she needed one every 18 months. Shriners hospital designed one for her that would grow with her for the first years then they would create a new one after that that would grow with her for the next five or so years. We were grateful to have them accommodate her needs at the time. She is now a college sophomore and doesn’t use a prosthetic, too cumbersome, since she needs an articulating elbow. She has adapted and does 99.9 of all daily activities by herself with her one hand and partial arm.
However, I believe that amputees with an elbow benefit greatly using a prosthetic and those should be provided by insurers.
@@michaell8722 I’m above the elbow from birth and use a prosthetic everyday I go nowhere or do anything without it. It has been a struggle throughout my life to get insurance companies to justify covering repair and replacement. They don’t like covering medical devices and I’ve never understood why. It is extremely sad that individuals need to turn to charities we are Modern humans not basket cases.
thats the kind of violence that the media left unreported until Luigi
Why can't insurance company's employees, CEOs, and Executives be arrested for practicing medicine without a license?
Who's the current CEO 🤔
Just asking for a friend…😉😂
Bro as someone who works in healthcare our system is so frustrating for everyone and it’s so complex I work for a huge colon cancer screening company and OMG on every level from docs the Corp to insurance it’s a dumpster fire and I love my job but it’s a every other day panic attack
United healthcare really has some balls to pull this kind of shit at a time like this.
That's corporate greed for ya.
I am not surprised at all.
Shit, it isn't just insurance companies. A relative of mine was denied a prosthetic leg from the VA hospital that amputated it. Apparently missing a leg above the knee does not qualify someone for needing a prosthetic. It's bullshit. (And their bureaucratic red tape dragging their feet on treatment as well as gross negligence ended up costing him his life from a septic infection in his other leg which could have been treated if addressed early enough, but that's a rant for another day.)
My man I feel for your relative. WTF? And he SERVED and this is how he was treated?
@@righteousisthelord180 Yes, Vietnam vet, chopper gunner shot down 3 times in combat, and lost the leg due to long term complications from the toxic chemicals at Camp Lejune.
If you're an honorably discharged veteran who isn't receiving the care you deserve, you're doing it wrong. If you need help navigating the system hit me up.
@@00Skyfox
If you were affected by the water at Lejeune(Actual Marines know how to spell it) there are thousands of lawyers chomping to work on your case.
“Oh you want money from us? Right through that door.”
This is exactly why people are on their super mario shit rn. Companies purposely separate employees and dont tell them the facts so they can call without guilt to either stop something or collect money for something. Thank god she was already in surgery
Wow you might think United would have toned it down a bit. This is disgusting. There has to be a system that trusts physician decisions and judgement. As I approach Medicare age I will avoid any additional medicap coverage with United. I actually have them for vision but that’s it.
Main level workers can be transitioned to process claims in a Medicaid for All system - the same work without the incentive to deny service.
You are not s patient or a customer to insurers. You are a cash cow to be milked, and a cost center to be excised if you actually need service.
I'm not a U.S. citizen, but someone should create a RUclips channel where testimonials come in from patients and caregivers across the country drawing attention to all these failures. If enough of them spring up, maybe something will eventually get done.
Insurance companies really stink at times. I was on a chemo drug that they believe is the reason why my lungs were failing & possibly caused a heart attack due to the stress of getting O2 in my blood. Went to the ER thinking I had anemia, because I felt lightheaded when standing, walking, just like when I was 12, and that was severe anemia. Was admiited to the hospital on a Sunday night with a blood oxygen level of 64. Tue at 4am a pulmonary person came in to do a breathing treatment and now my O2 was 57! I was on the cardiac floor and have zero idea why they didn’t have me on an O2 finger sensor on me at all times and I was too sick to not realize it wasn't being monitored. The pulmonary guy rang some code and I was whisked away to the ICU. Was in the ICU for a week, overall 2 weeks in the hospital and then was transferred to a PT Rehab place for 2+weeks cuz of muscle atrophy, due to low O2 levels. After I got home I got a denial letter for the lung Dr in the ICU cuz he was out of network!! WHAT?!?! I went to an in network hospital, and back then the Dr's weren't guaranteed to be in network. That's a whole other scam the insurance companies do!! Letter basically said that in the future I should see an in network provider to have coverage. WTH! When a separate Dr bill came for the pulmonologist (zero coverage) I almost just paid the bill but I was too pissed off. I called the insurance company and asked them how I was supppsed to find an in network pulmonologist, at 4am, while I'm in an in network hospital with a blood oxygen level at 57?? The insurance company recoded it or something and it was fylly covered. I wonder though, how many peeps just pay it and the insurance company saves the money. Total BS
Also, a little over 4yrs ago I ended up needing a hip replacement after an accident. Afterwards I had a baseball size solid mass along the scar line. It was the weirdest looking thing & painful when knocked in to, like getting in the car. Surgeon didn’t know what it was, nor the physician assistant, physical therapist, GP or rheumatologist. Over the course of about 6 months it grew to the size of a grapefruit. The top kinda feels like scar tissue, something more solid and the botttom side soft. Had a couple scans done, with and without contrast. Turns out it's a lipoma. None of the Dr's had ever seen that after hip replacement. Once the replacement had healed enough that I could attempt to sleep on that side, the lipoma made it way too painful. Every time I sat down it felt like I was sitting on a ball or something. It gets caught every time I pull pants up, even loose pants like sweat pants. It hangs out below my swimsuit. The biggest issue for me though is the pain. Still hurts to sleep on my side more than about 2hrs, and have to be careful getting in the drivers side. If I hit the seat it hurts and I sit on it every time, so have to adjust as soon as I get in. Saw a general surgeon and they said it would be "elective" surgery to remove it!! WTF!! So, they would rather me be on drugs for the pain than remove it. It was an unwelcome side effect from the surgery and insurance won't cover it. After 4 yrs I've learned to deal with it but wish I could go back to sleeping on that hip every night, like I used to. And would love to not have pain when getting in the car. I gave up on the pain meds cuz it's not worth getting addicted to & I never know when I might bump it, so taking meds after the fact is useless. Anyway, quality of life would definitely be better without it but I can't afford a hospital bill. Just total BS!!!
What Luigi did was sssooo wrong, but I totally understand why he did. Would be nice if these higher ups dealt with denials etc like we do BUT you know, they could get anything approved for them and their families and make enough money that they could pay out of pocket.
Sorry you went through all that. These corporations are a horror show except for their shareholders. Single payer for all!
At times ?
All the time
Stink?
More like are evil sometimes.
Deny, depose, defend.
If an insurer is offering a service then figures out ways to just deny service, how is that not fraud?
It’s billionaires, helping out billionaires.
Billionaires have more solidarity than poor people do. 🤣
We need more Luigis out there
The only thing Luigi accomplished is for the rest of his life he gets to be passed around for cigarettes and ramen.
TYT, you have the ability to organize a protest more than anyone. Get it going!
Pfft.
They've been protesting Trump for years....and look how that turned out.
Their job isn't to render solutions.
Their job is to keep your addictive anger fed.
Wow. Insurance companies really are evil.
Free luigi and let him get back to work
There should be a law that says if the doctor has already started the surgery then the insurance company can't deny it or not pay for it.
If you ever get a prior authorization letter, hang on to it and don't throw it out. The insurance company will conveniently "lose" the documentation and issue a denial since a prior authorization for the procedure was "never" granted. They tried to do it for my son but I kept documentation so they failed. They have done it to other families who didn't know you have to keep the documents even after the procedure is complete and they either had to appeal or pay thousands OOP.
*so what is the issue here? I don’t understand* -Ben Shapiro
I have a client who has list a whole hand at the wrist. His insurance rejected a prescribed prosthesis that can hold objects, saying it is too expensiveand he should get a more basic one. They then denied the basic one, saying there is no evidence it would meaningful improve his ability to do things in his daily life. This was Medicaid and Medicare. With private insurance, it is so much worse.
I'm sick of hearing about American greed everyday.
I’m disabled and on Medicare. Not an amputee but I am missing all, not some, all of my upper teeth. I’m fighting them to get a small implant that clips my denture in place. The reason? My mouth is oddly shaped. I don’t have a groove at the roof of my mouth. This makes my current denture useless as it won’t stay in place with just the glue. This affects how I eat and communicate. I’m fighting to make them understand this is MEDICALLY NECESSARY, not cosmetic. Like, how is getting the ability to chew solid food cosmetic!?! It’s a nightmare.
Background: I have type II diabetes and this can cause gum disease. I’m one of the lucky ones who got said diagnosis. So my teeth started rotting from the inside out. I used prescription mouthwash and toothpaste trying to stop it but no luck. What’s worse is the bottom ones ALSO have to go due to this condition.
So you are not disabled.
@ that is just ONE of my multiple conditions. How rude of you to assume that.
@mwambak1438 Sssooo F'n rude!! You are obviously MENTALLY disabled!! The other person doesn't need to list their disability cuz the comment is regards to their mouth and teeth! They could be missing s leg and that wld have zero impact on their story.
To answer Jacksons question, We can transition them to the single payer coder positions that would be created and others could go for retraining and use some of the savings in the bill to pay for the retraining.
Yes, I agree with Jordan, we need a collective bi-partisan movement from working class for universal healthcare
The other part of bipartisan thinks that universal healthcare is communist.
@ Yeah, but they aren’t the ones complaining…and are most likely the wealthier part of the movement
“LUIGI!!”
Okay…maybe Truth in Advertising demands that United Health should be renamed Death-Disordered!
And trump think greenlanders and canadians wants to join the US so they can die without healthcare😂
I can’t even stand Ben’s voice. He supports the gen0zide but hides his little necklace now. I don’t even care if he does a story on the most wholesome topic, doesn’t change the fact that he is a Zio.
Fascist unregulated insurance company.
This is exactly why I 10000% support Luigi.
Pay attention. Luigi's temper tantrum accomplished absolutely nothing, except for the rest of his life he gets to be passed around for cigarettes and ramen.
Pew pew, we will see
@@georgeglass3680 it did accomplish something actually lol it got a lot accomplished. It started a conversation which is important and got a lot of people to actually talk about this. Even my boomer dad is starting to say he has a point to what he did. He also got some health insurance companies to change their policies so yeah he did accomplish SOMETHING lol.
@@mike47734
1. The conversation is not new. It's been
talked about for at least a hundred years.
(To no avail)
2. He got "some" companies to change policy. Not very convincing without names and policies.
3. I'm a boomer Dad. I'm very sure he just wanted to shut you up.
4. Murder is never the answer.
UHC needs to be shut down...now. UHC needs to be prosecuted...right now.
American greed - only in America, the unlucky country.
I work for a Swiss company and I promise they’re just as profit driven as any American company!
@@eugeniageneva true or not, only here do they have such sway over our policy. Only here do they have such agency.
Jackson, all hospital staff would be kept on, only their employer would change. Most of the bureaucracy in the private sector would likely be folded into Health. There would be some job losses among the lower level employess, but I imagine the boards and top executives would be able to survive.
This isn't surprising of the cad insurers, however it's no excuse for any surgeon to not have their calls screened during surgeries. Wtf? 😮
And then they are shocked that an insurance CEO gets drilled
And that changed NOTHING
@@chrisglover9700 well it did enrich the private security industry
These insurance companies just pathetic
disgusting amd evil
I don't know what kind of Rosa Park for health care will be.
So glad I’m in Canada
Free Luigi!!!✊✊✊✊
He will not be free. He is going to cost a lot of commissary.
@jackkanoff6265 hopefully you get denied lifesaving care.
@@jackkanoff6265 fingers crossed you get denied lifesaving care.
Luigi ❤
Free Luigi.
They haven’t learned anything
We need an army of Luigi's
On the bright side? They called the doctor to get an assesment of need, instead of asking Chat GPT or some shit. Our society is so broken by greed.
OMG! 🙀
How long before we’ll have AI-powered doctors 👨🏽⚕️?
I guess it would be fun if Chat GPT could prescribe 💊!
@@redfoxsecurity3334seriously? That's the dumbest suggestion ever. ChatGPT is a lemon. Don't trust it for important things
We say gentleman far too much
I'm so glad I don't have to live in the US.
Sure, every country has its pros and cons, but as long as you're not unscrupulous, greedy for money, pseudo-Christian, crazy or a fraud like Donald Trump, you're guaranteed to have a better life in any other industrialized country.
Among other things, you don't have to worry about having to pay astronomically high amounts in the event of a medical emergency or for necessary medical treatment or medication🤷♂
For anyone living in another industrialized country, US conditions are just sick, a bad joke or insane. Nobody looks at the US system and seriously thinks "we should be like that".
The guy needed info to punch into his AI decision maker!...😡
Thumbs down for every video with Ben 👎🏻
children undergoing amputations without anesthetic in Gaza is worse.
Ben smiled when he heard about that.
@@JamieWoods00746 unfortunately living with a black heart is far more painful than undergoing amputations without anesthetic.
How is this video related to Gaza whatsoever?
Why is Ben still employed there?
AIPAC leaned TYT 😂
Because the guy that owns the channel wants him there. Any other dumb questions?
Because he's a great reminder for everyone to pray for Israel.
@georgeglass3680 to change its ways? Sure
At 0:27 the doctor just did a HIPPA violation. You can't share the patients information over the phone. The insurance person doesn't need to know or should have the patient medical information.
Out of all she said, THATS what you took from it?
1. She didn't use anyone's name, so who is she talking about?
2. Doing this DURING surgery is payback for the CEO that got justifiably justiced.
Well the doctor also assumed that the caller knew the patient's medical condition, which is understandable, why should the doctor know that another department had that information???
She didn’t identify the patient, so no.
That’s the point you took away from her video???
First, it's HIPAA, not HIPPA. And second, patients with health insurance consent to have their health information shared with their insurance company. If they didn't, no insurance company would be able to cover ANY medical service. HIPAA doesn't mean that info can never be shared, it means that it can only be shared under specific conditions (insurance claims being one).
What's more sickening? That one guy's hair or the poor healthcare in the us?
The latter. Former does nothing to another person.
In what way does someone else's hair effect you?
Call Mario.
Health Insurance businesses are not health care providers. they are health care gatekeepers.
See why the rest of the world as public healthcare instead of privatized insurance for it yet?
Can America afford universal healthcare? The US spends around 17% of its GDP on healthcare due to higher medicine fees, administration fees and healthcare worker salaries. Canada spends around 3% of GDP on healthcare.
Considering the US is already at a debt to GDP ratio of over 120%, would the American credit rating crash if GDP was reduced by 10%?
Part of the reason HC is sooo expensive (compared to the rest of the developed world) is because it's for profit. If it was national, then the gov would be incentivised to pass laws and negotiate better prices. Shareholder returns isn't healthcare
Stop giving free money to other countries. Keep it in your own home
@@Nopropaganda888@Nopropaganda888 wealthy countries give forgiven aid to assist in global stability. If other places are unstable it encourages it's citizens to come to more stabke wealthy countries. Push and pull immigration factors. Maybe if they spent more money on your education you wouldn't be thick in public. Maybe.
I think it's the beginning of the end for these healthcare companies. We know they screw us. We know now without a doubt that we pay money for services we probably won't get. It's only a matter of time. We need universal healthcare.
With stories like this make it obvious why there is a song called “Monopoly Money” coming out on Friday, 17 January.
Could I call into an operating room? Don't accept the freakin call!!!??!!
You'd think, right? Wouldn't surprise me if they weild such power that the hospital allows (or even have rules to force some dr./nurse to take that hotline call or they're fired...
Docs want to get paid
This is terrible PR for UHC. Admission status decision is not a so time-critical that a peer-to-peer medical necessity discussion between the UHC medical director and surgeon needs to be had during surgery. For what sounds like an elective surgery (one for which the procedure is planned in advanced as opposed to someone who, say, shows up in the ED with a hip fracture or gunshot wound and needs surgery), insurance companies expect authorization for the surgery as either outpatient (going home same day or before 24 hours) or inpatient (staying longer, usually past 48 hours) be obtained before the surgery takes place. This approval can be unreasonable delayed even if approved. If the surgeon does the surgery before approval is obtained, they are at risk for denial of payment for not following the contract between the hospital and the insurance company.
Ok, you parroted all these rules. Who set the rules? And who benefits by them? This is the mentality of the good German soldier who was "just following orders."
Luigi
In Canada, the government has the Patented Medicine Prices Review Board where the regulate the prices of all drugs that hit the market. That's why insulin is only about $35 a month. I got my asthma inhaler through my provincial government healthcare plan for only $2.
DO NOT CONVICT……….SEND A Message !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
And Fox’s news Wonders why ………….SMFH🤔🤔🤔🤔🤔
Started coming back to watching the news after the CEO shooting. Everyone is talking about their insurance troubles in every video I see and reading several comments makes me hopeful that the conversation doesn’t die down.
We should all raise our voices.
Fire ben
Why? When he's on it reminds everyone to pray for Israel.
You guys have been crying about Ben for months now, its not happening. Get over it.
We need to boycott these insurance companies completely! STOP PAYING THEM! Just get medical care, go to the hospital and refuse to pay your bill. It’ll completely screw your credit but who cares? If it changes this disgusting system then it is worth it.
www.consumerfinance.gov/about-us/newsroom/cfpb-finalizes-rule-to-remove-medical-bills-from-credit-reports/
@@YoMammaDragon More positive change after the pew pews in New York. Free my man Luigi
i (🇨🇦) think if most of the country truly believed America is “the best”, they wouldn’t continue putting up with some of politicians I see in the news. They would demand doing something about citizens united maybe?
No matter if 100% or 0% of Americans support a policy, there's about a 30% likelihood of Congress actually passing a bill. Our representatives do not represent us, just the shareholders involved with their personal investment portfolios.
Humans have reached a point now that will require you as a species to hold these offenders to account or else your real suffering has just begun. These entities genuinely believe they have authority to do as they will, and they do not. They behave this way because you allow it.
So im supposed to get mad because they called? How did they know the surgery was going on? Why would someone pass that call to the surgery? Why is the cost of the procedure so high? When do start questioning the medical field ad a whole? The cost to make the supplies anf medicines are a fraction of what is charged.
All those people working for Health insurers? They keep their jobs. How? Every Health Insurance Company is mandated to become non-profit. Each for-profit company becomes the point of contact for a region (West, South, East, North). A small 'governing body) Orchestrates these arms of what is now, essentially, a single-payer system. All monies are pooled into one bucket. It would probably take a year or two to transition from paying through your employer to a tax system, but it would be pretty easy to do it. During that transition phase, the new NIHA (National Institute for Healthy Americans) would bank a huge surplus since the billions in profit would no longer be going to shareholders or stocks. Even the CEO's could keep their 'low paying' salary jobs since stock won't be a thing anymore. After a few years, re-evaluate and adjust wages of doctors, nurses, etc. upwards.
Seems pretty simple, just takes the willpower to do it. There's about 99% upside for 99% of the people in this country, but 50% or so are so terrified of "SOSHULISUMMM!" because some News personality said so that it isn't likely to happen. :(
WTF
UHO plan: "Don't get sick".
I was interested in this video until I saw Ben on it. Unfortunate.
Literally
It doesn't matter.
People have been crying about Ben for months now and TYT has made it clear that they don't care. So your virtue signaling is wasted.
Use it as a reminder to pray for Israel
@@jackkanoff6265
Why would anyone pray for criminals?
@@tompriceusmc
You've been aiding and abetting Israel's crimes from day one
Why does the procedure cost so much?
Can you really put a price on life?
She is my doctor, who worked on me 8 years ago.
of coruse it wont change anything. people who have the power to change do not want to change anything because again they cant understand the concept people not affording things. because to them if people cant afford things the only group of people who cant afford things are people who living in tents and eating grabage in the streets.
Well if UHC is bad then don't buy insurance from them. Problems solved.
...until the next Co. does the same damned thing...
@@sheridan140yup. Or do what the Amish do, reject health insurance altogether and save your own medical funds.
@teddycheong Sometimes that's your only choice. I had them for years when I lived in Ohio. When my job closed our office, I transferred to TX to keep my job. In OH the insurer was UHC, they would fight my chiropractor bill sometimes. Back then the CEO was making 25 million!! In TX our Insurance company provider is BCBS. You can choose to pay for company provided insurance, but you generally don't have a choice with the carrier. I looked in to Obamacare in 2020, when I was laid off after 33 yrs & 2 office closings. I now pay 2,762 a MONTH for retiree insurance. None of my Dr's accepted Obamacare, nor the 2 main hospitals those Dr's had privileges at. Half my meds weren't covered either. So it was cheaper to keep my "retiree" medical. For over 33 yrs I "prefunded" and paid for retiree medical, so when I retired, I didn't have to pay for insurance. We filed bankruptcy & merged with a really crappy company. The bankruptcy judge allowed dropping the retiree medical UGH!! So we were refunded what we put in all those years, plus interest. That "refund" covered about 1.5 months. Have 5 more years till Medicare!! If I drop it, I can't pick it up again. Really sucks.
@@helloworld2645ultimately you are in charge of keeping yourself healthy, no insurance providers or government bureaucrats or politicians will give a crap about your health. That's just the truth.
These aren't the bench warmers at TYT, this is the practice squad
Hmmm this sounds like what sunny h. Husband is accused of. The whole rico thing. You know drs.doing unnecessary surgery, and then suing the ins. Comp
Hmm
Every time Ben is on. U will get a down vote.
Here's yours.
I don't get how he still works there.
How is that "strategy" working out for you?😂😂😂😂
I just gave you one :)
It's disgraceful he's still there.
your health care it crazy in the USA
EVERYTHING is crazy here!!
Weas close as we want to be. Primary your representatives who take bribes, put forward a working class candidate in 2028 and get money out of politics and let's actually get to work fixing things in our country!!! Andrea Bill for President 2028!
America needs to stop lobbying. It's bribery plain and simple. Stop that and all the problems will be solved. Politicians taking bribes and company's side need to be flogged