Toot of the Day (Mastodon)

[AnrothElf]

Last edited Tue Jun 6, 2023, 12:26 AM - Edit history (1)

https://dice.camp/@VestigialLung/110447961193022540

----

[e-mail]
70% Coffee by Volume
@[e-mail]

The most important medical relationship in America is between a patient and the politicians deciding whether or not medically appropriate care conflicts with a conservative interpretation of Christianity. The second most important medical relationship is between the patient and their insurance provider who decides whether its shareholders would be better served by the patient not receiving medically appropriate care. Patient/doctor is at best of tertiary importance.

[sarcasmo]

1. I had Bush's baked beans, Toot of the day, indeed.

[3Hotdogs]

2. I thought this was gonna be about how we know that Julius Caesar snorted coke.

Last edited Tue Jun 6, 2023, 07:58 AM - Edit history (1)

His last words, "A toot, Brute?"

[Karadeniz]

3. Wow! I never thought of it like that !!!

[MomInTheCrowd]

4. Death Panels, anyone?

From Google: What is a death panel in healthcare?
The definition was given as "A supposed committee of doctors and/or bureaucrats who would decide which patients were allowed to receive treatment, ostensibly leaving the rest to die".

[AnrothElf]

5. Every accusation is a confession... yup.

[grantcart]

6. Another example of the fallacy that denial of claims by ins companies increase shareholder profits

With the passage of the ACA all of the plans within the market place have an established gross profit cap also known as the medical loss ratio MLR which caps the gross profit at a fixed percentage. This means that the gross profit (and by extension the net profit) has no relationship with what is paid on claims to medical providers. The MLR is a percentage of total sales. If the percentage of claims falls under the proscribed percentage then the surplus funds are refunded back to the policy holder and not to the shareholder so for ACA plans there is zero benefit to shareholders in any denial of claim.

https://www.kff.org/private-insurance/issue-brief/medical-loss-ratio-rebates/#:~:text=In%20the%20small%20and%20large,MLR%20threshold%20does%20not%20apply.

In the small and large group markets, 2022 average simple loss ratios were 83% and 88%, respectively. Only fully-insured group plans are subject to the ACA MLR rule; about two thirds of covered workers are in self-funded plans, to which the MLR threshold does not apply

What is the point of passing great legislation if what was once true, but no longer is, continues to be propagated as an unaddressed problem? It simply adds to public cynicism to state that which was once true but no longer is continues.

[ShazzieB]

7. Ain't it the truth! 🤬