01/27/2025
This almost makes you wish we just had a single payer system, like Medicare for All.
Insurance Denials Blamed for Fatal Delays in Medical Care
Doctors are accusing major U.S. health insurance companies of prioritizing profits over patient health by causing deadly delays in vital medical procedures, according to interviews conducted by The Guardian. Physicians, including former Express Scripts Chief Medical Officer Dr. Ed Weisbart, allege that companies like UnitedHealthcare deny basic scans and take months to reconsider, leading to potentially fatal consequences. Dr. Cheryl Kunis, a nephrologist, recounted a case where a patient died after a six-month delay in receiving a PET scan due to insurance denial. Doctors also criticized “peer-to-peer” reviews, arguing that insurance representatives often lack the necessary medical expertise. Dr. Philip Verhoef, an intensive care unit physician, described these reviews as a "farce." Physicians cited instances of patients requiring intensive care due to preventable illnesses resulting from insurance denials of necessary medications. They contend the insurance business model relies on delaying and denying care to maximize profits. The industry lobby group, AHIP, responded in a statement saying that health plans, providers, and drugmakers share responsibility for affordable and accessible care.
Michael Sainato, The Guardian 1/26/2025This