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A nine week delay in treatment changed this patient's life forever. She asked me to share her story. This patient has Crohn's disease and was doing well on a medication that controlled her disease. Then, because of an insurance-related delay, she lost access to that medication for nine weeks.... During that time, she developed a rectovaginal fistula, an opening to form between her intestine and her vagina. She underwent multiple surgeries to try to repair it and they all failed. She now lives with a colostomy. This is why I push back when people describe delays in care as administrative issues. They are patient issues. By the time a medication is approved, an appeal is reviewed, or a policy is changed, the damage may already be done and the patient’s life might be impacted forever. You can fix a process but you cannot always undo the harm. Behind every delay is a person whose life may be permanently changed. We cannot keep treating timely access to care as optional when the consequences are this real.show more

Elisabeth Potter MD

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30,273 views • 15 days ago •via X (Twitter)

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Another insurance denial. Another patient put at risk. We did everything right. My PA saw a patient with signs of a Deep Venous Thrombosis (a dangerous blood clot). We ordered an ultrasound, confirmed the diagnosis, and prescribed the medication to help prevent dangerous complications. But her insurance denied the medication. Why? They wanted “more clinicals.” Despite an in-person examination. Despite appropriate documentation. Despite the ultrasound result showing a blood clot. She was sent home from the pharmacy without the treatment she needed. If I failed to prescribe the medication, I would be held accountable for putting this patient at risk. When will we admit that insurance companies are practicing medicine? When will we hold companies and individuals accountable for delays in care? I am going to continue to share these denials with you so you can see what it is like to be a doctor in 2025. We have to fix this—for patients, for providers, for all of us. If you have a story, please share it with me. Let’s change this.

Another insurance denial. Another patient put at risk. We did everything right. My PA saw a patient with signs of a Deep Venous Thrombosis (a dangerous blood clot). We ordered an ultrasound, confirmed the diagnosis, and prescribed the medication to help prevent dangerous complications. But her insurance denied the medication. Why? They wanted “more clinicals.” Despite an in-person examination. Despite appropriate documentation. Despite the ultrasound result showing a blood clot. She was sent home from the pharmacy without the treatment she needed. If I failed to prescribe the medication, I would be held accountable for putting this patient at risk. When will we admit that insurance companies are practicing medicine? When will we hold companies and individuals accountable for delays in care? I am going to continue to share these denials with you so you can see what it is like to be a doctor in 2025. We have to fix this—for patients, for providers, for all of us. If you have a story, please share it with me. Let’s change this.

Elisabeth Potter MD

168,110 views • 1 year ago

American Surgeon shows the actual letter from UnitedHealthcare DENYING a patient in emergency condition from receiving care “This is a woman who was in the emergency room with pulmonary embolisms” “I think we all knew this would happen. I had another patient come in and share with me that UnitedHealthcare denied her inpatient's day. So this is a patient who had shortness of breath and some chest pain, and she just knew that something wasn't right in her body. She had a family history of blood clots and she'd had a deep flap surgery a couple of weeks ago. She went to the hospital and they saw her and they found that she had a life threatening condition known as pulmonary embolisms. So she was admitted to the hospital and taken care of really well by the doctors there. And they ordered all the right things. After a couple of days, she was discharged. She got a letter from UnitedHealthcare explaining that they didn't agree with the level of her care and that they would not cover it. So I'm gonna share some of the language of that letter with you, and I want you to know that my patient that we talked about previously who had her surgery denied had almost exactly the same letter shared. So there's some troubling things in this letter. I think this term is really interesting. United is saying they reviewed the request for inpatient admission. So let's all just pause and consider that. This is a woman who was in the emergency room with pulmonary embolisms, and the doctor wasn't really requesting anything. They were saying this patient needs to be in the hospital. But an insurance company sees this as a request, and that's part of this prior auth environment that we're living in. So I think it's important as patients and as physicians to just acknowledge that this is our reality now. Someone can think that there's a good medical decision for you and can write orders and wanna do the right thing for you, but your insurance company is seeing that as a request and deciding whether or not they wanna do it. One of the criteria that this insurance company used to decide whether or not to accept or deny this request was whether it's medically necessary. And it's so interesting that we're letting insurance companies and the doctors who work for insurance companies determine what's medically necessary and not just the doctor in front of the patient in the emergency room. So this is a really bold statement from UnitedHealthcare for my patient. They say you did not have to be admitted as an inpatient to the hospital for this care. I think we all need to just reflect on that. An insurance company is telling a patient and her doctor that they disagree with the plan of care to keep that patient safe. I know that this is boiling down to whether it's an inpatient admission or an observation admission, and that's really about money. But what I wanna point out to you is they're making medical decisions. This insurance company is actually weighing in and disagreeing with a doctor who made a medical decision to admit this patient for her safety. So this specific sentence, when a doctor or facility treats a patient above the recommended level of care, we cannot cover it. What the heck? That's what we do. We go above and beyond as physicians. It's clear that insurance companies don't, and they're actually saying it here.”

American Surgeon shows the actual letter from UnitedHealthcare DENYING a patient in emergency condition from receiving care “This is a woman who was in the emergency room with pulmonary embolisms” “I think we all knew this would happen. I had another patient come in and share with me that UnitedHealthcare denied her inpatient's day. So this is a patient who had shortness of breath and some chest pain, and she just knew that something wasn't right in her body. She had a family history of blood clots and she'd had a deep flap surgery a couple of weeks ago. She went to the hospital and they saw her and they found that she had a life threatening condition known as pulmonary embolisms. So she was admitted to the hospital and taken care of really well by the doctors there. And they ordered all the right things. After a couple of days, she was discharged. She got a letter from UnitedHealthcare explaining that they didn't agree with the level of her care and that they would not cover it. So I'm gonna share some of the language of that letter with you, and I want you to know that my patient that we talked about previously who had her surgery denied had almost exactly the same letter shared. So there's some troubling things in this letter. I think this term is really interesting. United is saying they reviewed the request for inpatient admission. So let's all just pause and consider that. This is a woman who was in the emergency room with pulmonary embolisms, and the doctor wasn't really requesting anything. They were saying this patient needs to be in the hospital. But an insurance company sees this as a request, and that's part of this prior auth environment that we're living in. So I think it's important as patients and as physicians to just acknowledge that this is our reality now. Someone can think that there's a good medical decision for you and can write orders and wanna do the right thing for you, but your insurance company is seeing that as a request and deciding whether or not they wanna do it. One of the criteria that this insurance company used to decide whether or not to accept or deny this request was whether it's medically necessary. And it's so interesting that we're letting insurance companies and the doctors who work for insurance companies determine what's medically necessary and not just the doctor in front of the patient in the emergency room. So this is a really bold statement from UnitedHealthcare for my patient. They say you did not have to be admitted as an inpatient to the hospital for this care. I think we all need to just reflect on that. An insurance company is telling a patient and her doctor that they disagree with the plan of care to keep that patient safe. I know that this is boiling down to whether it's an inpatient admission or an observation admission, and that's really about money. But what I wanna point out to you is they're making medical decisions. This insurance company is actually weighing in and disagreeing with a doctor who made a medical decision to admit this patient for her safety. So this specific sentence, when a doctor or facility treats a patient above the recommended level of care, we cannot cover it. What the heck? That's what we do. We go above and beyond as physicians. It's clear that insurance companies don't, and they're actually saying it here.”

Wall Street Apes

115,691 views • 1 year ago

Good day everyone, I hope you are all doing well. I am here to appeal to the public concerning Ajara. Many of us often question why we post "RIP" messages more than we celebrate and support one another while we are still alive. For God's sake, I am sincerely begging you all, Ajara is currently in a critical condition. Some people think this is content, but it is not. This is real life. Time is not on Ajara's side right now, and we urgently need your support, both financially and in prayers. You all know that I, Mama_no_network, rarely do things like this, but Ajara is a child I love deeply. She is very accommodating and respectful. One of the main reasons I am speaking out is because no matter the amount of money you give Ajara, she is never ungrateful. All she ever says is that she is going home to give it to her mother, who is a stroke patient. She takes care of her mother with every penny she earns. It is not that Ajara is not working or earning, but you all know her condition. I am also appealing because Ajara is currently pregnant. We did not detect the pregnancy early until her condition worsened. In December, I advised her to go to the hospital for proper treatment instead of self medication. It was during that visit we discovered she was pregnant. Sadly, the doctors have now said it is a liver disease, which we initially thought was pregnancy related. Despite her condition, Ajara has been traveling to different locations. Please, this is not content, and we cannot sit back and fold our arms. Also, we will take any recommended drug to reduce her pain. We sincerely beg you, our people, to come to her aid. Thank you.

Good day everyone, I hope you are all doing well. I am here to appeal to the public concerning Ajara. Many of us often question why we post "RIP" messages more than we celebrate and support one another while we are still alive. For God's sake, I am sincerely begging you all, Ajara is currently in a critical condition. Some people think this is content, but it is not. This is real life. Time is not on Ajara's side right now, and we urgently need your support, both financially and in prayers. You all know that I, Mama_no_network, rarely do things like this, but Ajara is a child I love deeply. She is very accommodating and respectful. One of the main reasons I am speaking out is because no matter the amount of money you give Ajara, she is never ungrateful. All she ever says is that she is going home to give it to her mother, who is a stroke patient. She takes care of her mother with every penny she earns. It is not that Ajara is not working or earning, but you all know her condition. I am also appealing because Ajara is currently pregnant. We did not detect the pregnancy early until her condition worsened. In December, I advised her to go to the hospital for proper treatment instead of self medication. It was during that visit we discovered she was pregnant. Sadly, the doctors have now said it is a liver disease, which we initially thought was pregnancy related. Despite her condition, Ajara has been traveling to different locations. Please, this is not content, and we cannot sit back and fold our arms. Also, we will take any recommended drug to reduce her pain. We sincerely beg you, our people, to come to her aid. Thank you.

OBIANUJUAKU

123,358 views • 5 months ago

A friend of mine is a highly neurotic doctor. When she was in the throes of her residency program she convinced herself she had a rare form of cancer. This particular form of cancer is almost symptomless until it metastasizes. This fear was making her question her continued medical training. Her husband pointed out that this was a misplaced fear of missing out on life, since she was spending 12-16 hours in the hospital a day. The fear of a phantom disease was masking her questioning her desire to continue to be a doctor. Why is she spending all this time on something when the end is near? That’s all I hear when people bring up massive world ending issues as excuses to not hit life milestones.

A friend of mine is a highly neurotic doctor. When she was in the throes of her residency program she convinced herself she had a rare form of cancer. This particular form of cancer is almost symptomless until it metastasizes. This fear was making her question her continued medical training. Her husband pointed out that this was a misplaced fear of missing out on life, since she was spending 12-16 hours in the hospital a day. The fear of a phantom disease was masking her questioning her desire to continue to be a doctor. Why is she spending all this time on something when the end is near? That’s all I hear when people bring up massive world ending issues as excuses to not hit life milestones.

memetic_sisyphus

19,702 views • 10 months ago

Joni Lamb lived her life pointing people to the Light that shines in the darkness. Through every storm, every battle, and every victory, her message remained the same: God is not through with you. Your past does not define your future. It’s never too late for healing, hope, and the Father’s love. She reminded millions that they were created for such a time as this… and that on the other side of this life is eternity. More than anything, she wanted people to know Jesus and be ready to meet Him. Her voice may be missed here on earth, but her legacy lives on in every life changed by the hope she carried so boldly. And just like she always said… “It’s a good story coming up.” 🤍

Joni Lamb lived her life pointing people to the Light that shines in the darkness. Through every storm, every battle, and every victory, her message remained the same: God is not through with you. Your past does not define your future. It’s never too late for healing, hope, and the Father’s love. She reminded millions that they were created for such a time as this… and that on the other side of this life is eternity. More than anything, she wanted people to know Jesus and be ready to meet Him. Her voice may be missed here on earth, but her legacy lives on in every life changed by the hope she carried so boldly. And just like she always said… “It’s a good story coming up.” 🤍

Daystar Television

11,605 views • 1 month ago

Retweet For Reach Taj Bibi, hailing from Zehri, khuzdar, is suffering with cancer. She cannot afford her treatment expenses, therefore, delay in starting the procedure to curtail the cancer has further deteriorated her health. To help her fight this deadly disease, she requires donations and assistance. So, she has made a request to the entire nation & the people to raise funds for her treatment. A penny counts and means a great deal to save a previous life.

Retweet For Reach Taj Bibi, hailing from Zehri, khuzdar, is suffering with cancer. She cannot afford her treatment expenses, therefore, delay in starting the procedure to curtail the cancer has further deteriorated her health. To help her fight this deadly disease, she requires donations and assistance. So, she has made a request to the entire nation & the people to raise funds for her treatment. A penny counts and means a great deal to save a previous life.

Naeema Zehri

11,716 views • 2 years ago

As always Kemi Badenoch has lied in this clip about her experiences at a Nigerian school and confirmed the fact that she is an affliction and a plague. Outside of that, now that she has publicly stated that she no longer 'identifies with Nigeria' she should have her Nigerian passport revoked, she should be declared 'persona non grata' by our Government and she should be banned from ever setting her foot in our shores again. Her obsession with destroying Nigeria and decimating the image of the Nigeeian people borders on the pathological and at this point I am constrained to question her sanity. She has done much damage to our nation and it is time for us to stop treating her with kid gloves, fight back, expose her for the lying, mendacious and vile creature that she is and put her in her place. It is most inappropriate to continue to take her lightly and ignore her constant attacks and misrepresentation of our peoole because, by her actions and words, she has wilfully and systematically held herself out as the enemy of the Nigerian people and will take every opportunity to destroy our aspirations and fortunes. We cannot continue to fold our arms and watch her denigrate and destroy us. It is time to bring out the big guns, challenge her mendacities at every turn and expose her for what she is: a sick young lady who needs psychiatric medication and medical attention. (FFK)

As always Kemi Badenoch has lied in this clip about her experiences at a Nigerian school and confirmed the fact that she is an affliction and a plague. Outside of that, now that she has publicly stated that she no longer 'identifies with Nigeria' she should have her Nigerian passport revoked, she should be declared 'persona non grata' by our Government and she should be banned from ever setting her foot in our shores again. Her obsession with destroying Nigeria and decimating the image of the Nigeeian people borders on the pathological and at this point I am constrained to question her sanity. She has done much damage to our nation and it is time for us to stop treating her with kid gloves, fight back, expose her for the lying, mendacious and vile creature that she is and put her in her place. It is most inappropriate to continue to take her lightly and ignore her constant attacks and misrepresentation of our peoole because, by her actions and words, she has wilfully and systematically held herself out as the enemy of the Nigerian people and will take every opportunity to destroy our aspirations and fortunes. We cannot continue to fold our arms and watch her denigrate and destroy us. It is time to bring out the big guns, challenge her mendacities at every turn and expose her for what she is: a sick young lady who needs psychiatric medication and medical attention. (FFK)

Femi Fani-Kayode

41,707 views • 11 months ago

Dear Nigerians This girl is a community health extension worker, she isn’t a doctor, lab scientist or nurse but she is still administering intravenous medication unsupervised. She is not licensed to set IV line! This is why people loose their lives. Because she has 6k followers, you allowed her do an invasive procedure like IV on you. If Nigeria was a working country that value human lives she will be in jail, you are not a nurse, doctor or lab scientist and yet you are delivering IV treatment to people? And even “consulting” She calls it “nutritional therapy” 😩 Please be careful out there! You only have one life!

Dear Nigerians This girl is a community health extension worker, she isn’t a doctor, lab scientist or nurse but she is still administering intravenous medication unsupervised. She is not licensed to set IV line! This is why people loose their lives. Because she has 6k followers, you allowed her do an invasive procedure like IV on you. If Nigeria was a working country that value human lives she will be in jail, you are not a nurse, doctor or lab scientist and yet you are delivering IV treatment to people? And even “consulting” She calls it “nutritional therapy” 😩 Please be careful out there! You only have one life!

Murse Danie 💉💊

21,035 views • 4 months ago

This is just one story among countless others in Ukraine’s frontline villages , each one no less painful, no less heartbreaking. The evacuation team Допомога нації (Help to the Nation), shared this video with the message: "Grandmother lives in one of the villages in the Zaporizhzhia region. We visited her often, bringing food and water. She has a lot of livestock, including a cow. Now her village is very close to the front line, and she needs to evacuate. At first, she agreed, but then she changed her mind. However, we are not losing hope and believe that she will eventually leave that dangerous village. Evacuate in time! Evacuation saves lives" She is actually ready to face death in her home , all what she earned her whole life, surrounded by what she cherishes, with her animals. These are the silent tragedies: not only the bombs, but impossible choice like that. May she be safe and protected, whatever the decision she will take. May peace return to her doorstep soon, and may no harm ever come to her or her animals. 🙏🏻 Source: @dopomoganacii

This is just one story among countless others in Ukraine’s frontline villages , each one no less painful, no less heartbreaking. The evacuation team Допомога нації (Help to the Nation), shared this video with the message: "Grandmother lives in one of the villages in the Zaporizhzhia region. We visited her often, bringing food and water. She has a lot of livestock, including a cow. Now her village is very close to the front line, and she needs to evacuate. At first, she agreed, but then she changed her mind. However, we are not losing hope and believe that she will eventually leave that dangerous village. Evacuate in time! Evacuation saves lives" She is actually ready to face death in her home , all what she earned her whole life, surrounded by what she cherishes, with her animals. These are the silent tragedies: not only the bombs, but impossible choice like that. May she be safe and protected, whatever the decision she will take. May peace return to her doorstep soon, and may no harm ever come to her or her animals. 🙏🏻 Source: @dopomoganacii

Oriannalyla 🇺🇦

11,057 views • 5 months ago

Family of Zahriya Moreno shared video with us of her honor walk as she was taken off life support and will donate her organs. They want her to always be remembered for the beautiful person she was, and is leaving the earth as a hero. May God bless this family during this difficult time. This is absolutely gut-wrenching to watch.

Family of Zahriya Moreno shared video with us of her honor walk as she was taken off life support and will donate her organs. They want her to always be remembered for the beautiful person she was, and is leaving the earth as a hero. May God bless this family during this difficult time. This is absolutely gut-wrenching to watch.

Mary Coleman

74,564 views • 1 year ago

There are moments in medicine that stay with you. This is one of them. Alma is sharing her experience and her story with you to make a difference. Alma and I are the same age, and we both work in healthcare. In 2021, she knew something wasn’t right. Her abdomen hurt and kept swelling. Her symptoms were addressed, but she was reassured that she would feel better soon. She visited multiple doctors and emergency rooms before finally being diagnosed with metastatic ovarian cancer at age 44. She was also found to carry the BRCA1 mutation. She found a wonderful oncologist and began treatment, but when her cancer progressed on the strongest medicine available to her, her doctor suggested that she go to MDAnderson for an alternate treatment. Alma has medical insurance, but says that when she reached out to MDAnderson, she was told it would cost $16,000 upfront to have her records reviewed and see a doctor for a second opinion. And this is only part of her story. There is so much more she has endured — more than can fit in a single video — and it deserves to be heard. Regardless of where you stand on policy, insurance, or systems, we can all agree that this is not the way insured patients should experience cancer. Her words that keep echoing in my mind: “Listen to your patients. We know when something is wrong.” Something is wrong, America. Let’s agree on that. Thank you for trusting us with your story Alma. Your voice matters.

There are moments in medicine that stay with you. This is one of them. Alma is sharing her experience and her story with you to make a difference. Alma and I are the same age, and we both work in healthcare. In 2021, she knew something wasn’t right. Her abdomen hurt and kept swelling. Her symptoms were addressed, but she was reassured that she would feel better soon. She visited multiple doctors and emergency rooms before finally being diagnosed with metastatic ovarian cancer at age 44. She was also found to carry the BRCA1 mutation. She found a wonderful oncologist and began treatment, but when her cancer progressed on the strongest medicine available to her, her doctor suggested that she go to MDAnderson for an alternate treatment. Alma has medical insurance, but says that when she reached out to MDAnderson, she was told it would cost $16,000 upfront to have her records reviewed and see a doctor for a second opinion. And this is only part of her story. There is so much more she has endured — more than can fit in a single video — and it deserves to be heard. Regardless of where you stand on policy, insurance, or systems, we can all agree that this is not the way insured patients should experience cancer. Her words that keep echoing in my mind: “Listen to your patients. We know when something is wrong.” Something is wrong, America. Let’s agree on that. Thank you for trusting us with your story Alma. Your voice matters.

Elisabeth Potter MD

30,467 views • 4 months ago

Abella Danger revealed that her introduction to the advlt entertainment industry came through a past relationship. She explained that her partner at the time was already involved in the industry, and because they were in an open relationship, she became exposed to that lifestyle. According to her, he encouraged her to give it a try, and after experiencing it herself, she found that she genuinely enjoyed it and decided to pursue it as a career. “I was like, ‘Oh my gosh, I want to do this like forever. This is what I want to do,’ and then I never left.”

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Abella Danger revealed that her introduction to the advlt entertainment industry came through a past relationship. She explained that her partner at the time was already involved in the industry, and because they were in an open relationship, she became exposed to that lifestyle. According to her, he encouraged her to give it a try, and after experiencing it herself, she found that she genuinely enjoyed it and decided to pursue it as a career. “I was like, ‘Oh my gosh, I want to do this like forever. This is what I want to do,’ and then I never left.”

ZAN

87,016 views • 1 month ago

This is Cindy Crawford. She is a street dog that lives between a 7-11 and some restaurants. She is well known and everybody in the area feeds her. When I spotted her this morning she had given up and I had to lift her off her dangerous position with a kind Thai lady. You could quickly see that this was more serious than just an overfed dog. She’s losing all her fur and it’ll be gone in a week or two. She is riddled with parasites and she is 43kg / 90 Lbs when she should be half that at the very most. She seems to only be about 5 years old. Despite lots of locals and tourists feeding her she is clearly a very sick dog who needs special treatment. That has now started. She can hardly walk 10 yards and she had trouble standing up on her little legs. My dream is to see her running after the moped one day in the future with the other dogs full of energy. It might take a while but we’ll get you there Cindy Crawford. You were down but not out.

This is Cindy Crawford. She is a street dog that lives between a 7-11 and some restaurants. She is well known and everybody in the area feeds her. When I spotted her this morning she had given up and I had to lift her off her dangerous position with a kind Thai lady. You could quickly see that this was more serious than just an overfed dog. She’s losing all her fur and it’ll be gone in a week or two. She is riddled with parasites and she is 43kg / 90 Lbs when she should be half that at the very most. She seems to only be about 5 years old. Despite lots of locals and tourists feeding her she is clearly a very sick dog who needs special treatment. That has now started. She can hardly walk 10 yards and she had trouble standing up on her little legs. My dream is to see her running after the moped one day in the future with the other dogs full of energy. It might take a while but we’ll get you there Cindy Crawford. You were down but not out.

Niall Harbison

1,419,395 views • 2 years ago

I love this old interview with Monica Bellucci because it perfectly illustrates why we can never have another Monica Bellucci. It's not because of her beauty. It's because no celebrity knows how to be authentic anymore. Notice how she answers that being Monica Bellucci is basically about not having a strong ego, then immediately proves it by being annoyed that she has to talk about herself. "In this industry you always have to say I, I, I..." Or how she clearly never filmed herself talking to "her followers", since her instinct is to describe being "normal", i.e., authentic, as separate from when cameras are rolling. "I live a normal life, and every now and then, there's a camera." Then, when asked what the French people think of her, instead of going on a rant praising how "awesome" they are, she just goes, "yeah, I think they like me a bit." Everything about her is literally the opposite of an influencer.

I love this old interview with Monica Bellucci because it perfectly illustrates why we can never have another Monica Bellucci. It's not because of her beauty. It's because no celebrity knows how to be authentic anymore. Notice how she answers that being Monica Bellucci is basically about not having a strong ego, then immediately proves it by being annoyed that she has to talk about herself. "In this industry you always have to say I, I, I..." Or how she clearly never filmed herself talking to "her followers", since her instinct is to describe being "normal", i.e., authentic, as separate from when cameras are rolling. "I live a normal life, and every now and then, there's a camera." Then, when asked what the French people think of her, instead of going on a rant praising how "awesome" they are, she just goes, "yeah, I think they like me a bit." Everything about her is literally the opposite of an influencer.

Mark Granza

2,785,396 views • 4 months ago

US Health Insurance keeps getting worse and worse American had to call her husband crying after speaking with her health insurance - She has a current doctor who prescribed a medication she needs - Her health insurance says because of the medication, she needs to go see a “higher doctor” and have the new more expensive doctor prescribe it - She now has to make additional appointments and tests to get this medication that’s already prescribed by her current doctor - Her insurance says she can’t use her current pharmacy that she uses with all her other prescriptions - Insurance says this medication isn’t even partially covered until her full deductible has been met - She now must go through all of this just to get her medication prescribed again, they won’t cover the cost, so she has to pay $1,095 for a 30 day supply every month “I think we all know what a scam the health insurance realm is. It's taking advantage of people, it's greed and the like it's the epitome of greed and evil” “I think the American people are waking up to that it is such a scam. And it's so evil. like my heart, like I started crying because my heart just breaks for the families that like have to go through, you know, like if your child has cancer or something, could you imagine the battles back and forth? — I'm just beyond frustrated. I'm beyond like annoyed with this whole system. And I know I'm not the only one.”

US Health Insurance keeps getting worse and worse American had to call her husband crying after speaking with her health insurance - She has a current doctor who prescribed a medication she needs - Her health insurance says because of the medication, she needs to go see a “higher doctor” and have the new more expensive doctor prescribe it - She now has to make additional appointments and tests to get this medication that’s already prescribed by her current doctor - Her insurance says she can’t use her current pharmacy that she uses with all her other prescriptions - Insurance says this medication isn’t even partially covered until her full deductible has been met - She now must go through all of this just to get her medication prescribed again, they won’t cover the cost, so she has to pay $1,095 for a 30 day supply every month “I think we all know what a scam the health insurance realm is. It's taking advantage of people, it's greed and the like it's the epitome of greed and evil” “I think the American people are waking up to that it is such a scam. And it's so evil. like my heart, like I started crying because my heart just breaks for the families that like have to go through, you know, like if your child has cancer or something, could you imagine the battles back and forth? — I'm just beyond frustrated. I'm beyond like annoyed with this whole system. And I know I'm not the only one.”

Wall Street Apes

45,322 views • 11 months ago

Insurance companies do not want you to fully understand this story. Because if you do, you will understand exactly how American healthcare needs to change. When my patient Rachel needed breast reconstruction, her insurance company required that I operate at a hospital that was not equipped to provide the safest care for her recovery. Rachel has spent over 20 years in healthcare as a nurse and nurse practitioner. She understands hospitals. And despite that, she was deeply traumatized by what she experienced. On Monday morning in Austin, she showed up for surgery and was turned away because the operating rooms were not safe to use. We pleaded with her insurance company to allow her surgery to be performed at @redbudsurgerycenter, a center designed specifically for breast reconstruction. They refused. On Tuesday, we went to a different hospital. The nurses were skilled, compassionate, and doing their best. But they did not have the tools or systems to support this kind of recovery. Rachel spent the night advocating for herself because she could tell things were not right. IV access issues. Monitoring gaps. Basic safety checks missed. Things patients should never have to catch on their own. Rachel asked me to share her story because when doctors and patients are forced into unsafe situations with no ability to choose better care, something is very wrong. After more than a decade of caring for people affected by breast cancer, I built a surgery center specifically for this work. It is CMS certified. It exists for patient safety. And yet, like so many Americans, Rachel’s insurance company decided where she was allowed to receive care. Insurance companies are no longer just making payment decisions. They are making medical decisions. We cannot change what happened to Rachel. But we can listen, learn, and do better for the next patient. Because the next person may not know how to advocate the way she did. And that is how people get hurt.

Insurance companies do not want you to fully understand this story. Because if you do, you will understand exactly how American healthcare needs to change. When my patient Rachel needed breast reconstruction, her insurance company required that I operate at a hospital that was not equipped to provide the safest care for her recovery. Rachel has spent over 20 years in healthcare as a nurse and nurse practitioner. She understands hospitals. And despite that, she was deeply traumatized by what she experienced. On Monday morning in Austin, she showed up for surgery and was turned away because the operating rooms were not safe to use. We pleaded with her insurance company to allow her surgery to be performed at @redbudsurgerycenter, a center designed specifically for breast reconstruction. They refused. On Tuesday, we went to a different hospital. The nurses were skilled, compassionate, and doing their best. But they did not have the tools or systems to support this kind of recovery. Rachel spent the night advocating for herself because she could tell things were not right. IV access issues. Monitoring gaps. Basic safety checks missed. Things patients should never have to catch on their own. Rachel asked me to share her story because when doctors and patients are forced into unsafe situations with no ability to choose better care, something is very wrong. After more than a decade of caring for people affected by breast cancer, I built a surgery center specifically for this work. It is CMS certified. It exists for patient safety. And yet, like so many Americans, Rachel’s insurance company decided where she was allowed to receive care. Insurance companies are no longer just making payment decisions. They are making medical decisions. We cannot change what happened to Rachel. But we can listen, learn, and do better for the next patient. Because the next person may not know how to advocate the way she did. And that is how people get hurt.

Elisabeth Potter MD

44,697 views • 5 months ago

There is no algorithm that can replace the instincts of an experienced physician when faced with a patient in need. When the doctor who saw this patient in the Emergency Room examined her, spoke with her, and decided to admit her, I know that he did so because he knew best how to keep her safe. I am grateful. I am disturbed that her insurance company questioned that judgement and presumes to know better than the doctor in front of her. The following statement in the denial letter says so much about the current state of healthcare: “When a doctor or facility treats a patient above the recommended level of care, we cannot cover it.” This does not pass the sister test. I’ll take the best judgement of the doctor who was physically present at the bedside of a frightened patient over an insurance company’s algorithm every time. And I refuse to accept that this is the best we as a society can do.

There is no algorithm that can replace the instincts of an experienced physician when faced with a patient in need. When the doctor who saw this patient in the Emergency Room examined her, spoke with her, and decided to admit her, I know that he did so because he knew best how to keep her safe. I am grateful. I am disturbed that her insurance company questioned that judgement and presumes to know better than the doctor in front of her. The following statement in the denial letter says so much about the current state of healthcare: “When a doctor or facility treats a patient above the recommended level of care, we cannot cover it.” This does not pass the sister test. I’ll take the best judgement of the doctor who was physically present at the bedside of a frightened patient over an insurance company’s algorithm every time. And I refuse to accept that this is the best we as a society can do.

Elisabeth Potter MD

311,289 views • 1 year ago

Had an interesting conversation this weekend with an older relative who's politics are "just be a good person". She's relatively wealthy and gives to the types of causes you would expect this type of person to give. She gives her time too. She is actually a good person. I asked her if she was ever concerned that the causes she gave to would reduce the proportion of people like her in the world. She said that she thought the opposite. That she was inspired by the generosity and kindness of others, and that by giving she would increase the proportion of people like her. I said I believed she inspires her peers, but her peers aren't the people she's giving money to. Do they become productive and generous people, like her? Or is she just increasing the proportion of people who are takers and don't give anything back? Despite decades of generosity, this was clearly a question she had never thought about. The implications made her uncomfortable, and the conversation basically ended after that.

Had an interesting conversation this weekend with an older relative who's politics are "just be a good person". She's relatively wealthy and gives to the types of causes you would expect this type of person to give. She gives her time too. She is actually a good person. I asked her if she was ever concerned that the causes she gave to would reduce the proportion of people like her in the world. She said that she thought the opposite. That she was inspired by the generosity and kindness of others, and that by giving she would increase the proportion of people like her. I said I believed she inspires her peers, but her peers aren't the people she's giving money to. Do they become productive and generous people, like her? Or is she just increasing the proportion of people who are takers and don't give anything back? Despite decades of generosity, this was clearly a question she had never thought about. The implications made her uncomfortable, and the conversation basically ended after that.

Jeremy Kauffman 🦔🌲🌕

128,710 views • 1 month ago

Joy Reid has completely lost her grip on reality. This is what a broken person looks like and again, it seems like MSNBC is committed to offering people with severe mental illness a platform to spew insanity that they try to pass off as news. I really hope she gets the help that she needs because she is no longer a functioning TDS infected patient, she is now in need of an intervention. We need an Alcoholics Anonymous for people who are addicted to hating Donald Trump.

Joy Reid has completely lost her grip on reality. This is what a broken person looks like and again, it seems like MSNBC is committed to offering people with severe mental illness a platform to spew insanity that they try to pass off as news. I really hope she gets the help that she needs because she is no longer a functioning TDS infected patient, she is now in need of an intervention. We need an Alcoholics Anonymous for people who are addicted to hating Donald Trump.

Insurrection Barbie

99,693 views • 1 year ago