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submitted 1 week ago* (last edited 1 week ago) by florencia@lemmy.blahaj.zone to c/196@lemmy.blahaj.zone

Some Comment Updates:

  • This fatal shooting has been reviewed by a peer and is considered a non-covered experimental procedure.
  • Thank you for choosing United Healthcare for your healthcare needs. After a careful review of the claim submitted for emergency services on December 4, 2024, we regret to inform you that your request for coverage has been denied. Our denial is based on the following findings:
    • Lack of Prior Authorization: Our records indicate that you failed to obtain prior authorization before seeking care for the gunshot wound to your chest. While we acknowledge the emergent nature of the situation, our policy requires that all non-preventative services, including “unexpected chest injuries,” be pre-approved through our 24/7 Prior Authorization Hotline. Unfortunately, our hotline received no such call during your ambulance transport or at any point before your admission to the emergency room.
    • Failure to Prove Medical Necessity: The submitted documentation does not sufficiently demonstrate that treatment for a penetrating chest wound meets the definition of “medically necessary.” Our guidelines specify that life-threatening conditions must be substantiated with a second opinion from a network provider, preferably before care is rendered.
    • Alternative Options Not Explored: Based on our retrospective analysis, alternative, more cost-effective treatment options—such as a virtual telehealth consult or at-home first aid—were not attempted prior to your emergency room visit. We understand that you were actively “bleeding out,” but this does not exempt you from exploring lower-cost care pathways.
    • Out-of-Network Care: The emergency room where you received treatment is not within our network. While City General is geographically closer to the location of your shooting, our network partner, DiscountCare Clinic, is only 25 miles away and equipped with staplers and gauze for such injuries.
    • Next Steps: You may file an appeal within 30 days if you believe this decision is incorrect. Appeals must include: A notarized letter from the attending physician, explaining why you thought you were entitled to not bleed to death while waiting for approval. Evidence that your injuries were, in fact, serious enough to merit immediate attention, such as photos, videos, or live reenactments.
    • We encourage you to familiarize yourself with your plan benefits and utilize in-network providers for future incidents. Please do not hesitate to reach out to our customer support team if you have questions about this decision. Sincerely and in good health, United Healthcare P.S. Remember: Preventative care is the best care! If you’d like, we can help you schedule your annual physical or connect you to a mindfulness seminar to prevent future traumatic injuries.
  • Anyway, does anyone have a good recipe for tuna salad? I pretty much always make it the same way and I’d like to try something different
all 14 comments
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[-] Siethron@lemmy.world 75 points 1 week ago

This is clearly self defense of 3rd party, insurance companies kill 10,000ish Americans a year. Not sure why the news is making such a big deal about it.

[-] ByteJunk@lemmy.world 27 points 1 week ago

Because the guy was probably a billionaire or well on his way to becoming one.

We can't have the plebs fighting back against exploitation now can we? Capture him alive and flog him to death in the town square, so the others learn their place!

/s

[-] Stovetop@lemmy.world 55 points 1 week ago

While I don't have United, after a frustrating summer spent fighting my insurance over med coverage, this brought a bit of joy to my day.

[-] valek879@sh.itjust.works 51 points 1 week ago

I feel the need to copy my comment from another post with a similar message:

An insurance CEO was shot to death this morning, it's a start.

To be less callous, he looked like a cute man, and his family is obviously devastated. Police say they have no suspect and no motive yet... But it was an assassination not random violence, I think we know the motivation. It's pretty sad overall, but surely it's also sad that someone was driven to this point by the company he was an exec of.

[-] florencia@lemmy.blahaj.zone 23 points 1 week ago* (last edited 1 week ago)

his family is obviously devastated

Maybe it might even be a slam dunk life insurance payout.

spoilerGIF of woody harrison crying and drying his tears with US $100 bills.

[-] ILikeBoobies@lemmy.ca 35 points 1 week ago

The world is better when the rich fear the poor

Then they do things to make life better for the poor, but that website is ruled by the rich so all they did was have mods post everywhere telling people not to celebrate this

[-] florencia@lemmy.blahaj.zone 10 points 1 week ago

That's not at all how it works. The rich already fear the poor. They won and yet are perpetually afraid all the time about the poor actually doing something about it. Source: all the journals from royalty to plantation owners.

The elected politicians need to fear the poor. Start actually making life better for them so they can get elected. But the rich pulled out the "he useless priests, lets team up" card to practically nullify that.

[-] TotallynotJessica@lemmy.world 29 points 1 week ago

The rich have made the world less safe, foolishly thinking that their wealth will shield them. They need to realize that this isn't true. They need to suffer. They need to feel the fear they've cast upon us.

[-] shani66@ani.social 25 points 1 week ago

Good to see some consequences

[-] Olgratin_Magmatoe@lemmy.world 18 points 1 week ago
[-] uriel238@lemmy.blahaj.zone 17 points 1 week ago* (last edited 1 week ago)

Am I the only one who sees this as the inciting incident of A Christmas Carol?

It's a running Dickenson theme that no one is sad, yet many rejoiceful when a rich man dies. Heck, Scrooge faces the possibility while touring with the Ghost of Christmas Yet To Come. The meeting Thompson intended to attend got news of his demise, yet proceeded without [him]. It's likely Thompson had associates, but no actual friends.

Brian Thompson now just needs to haunt one of his colleagues to warn them that no one gets to take it with them. Not even Peter Theil.

[-] orca@orcas.enjoying.yachts 11 points 1 week ago

At least the worms get to eat the rich. They’re working class heroes of the soil.

[-] L0rdMathias@sh.itjust.works 5 points 1 week ago* (last edited 1 week ago)
this post was submitted on 04 Dec 2024
503 points (99.0% liked)

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