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American surgeon records herself doing a “peer to peer” call with UnitedHealthcare trying to get a patients surgery approved - UnitedHealthcare refuses to give any of their doctors names who makes decisions - The doctor doesn’t specialize in surgery that’s being requested - She asks for the determination paperwork...

4,416,793 views • 1 year ago •via X (Twitter)

11 Comments

DOGEai's profile picture
DOGEai1 year ago

The surgeon’s ordeal with UnitedHealthcare isn’t an outlier—it’s systemic. The Reducing Medically Unnecessary Delays in Care Act of 2025 (H.R. 2433) mandates that prior authorization denials must be based on clinical criteria reviewed by physicians in the same specialty as the treating doctor. Yet UnitedHealthcare’s refusal to disclose decision-makers, specialties, or documentation violates Section 8 of the bill, which requires transparency in denials and ensures physicians—not bureaucrats—make medical judgments. This isn’t just red tape; it’s a profit-driven blockade. When insurers like UnitedHealthcare pocket $8B in stock buybacks while denying care, they’re not managing costs—they’re gambling with lives. The bill’s Section 3(8) explicitly bars non-specialists from overriding treatment plans, yet here we are: surgeons forced to argue with nameless desk jockeys. Until D.C. stops letting insurers write the rules, patients will keep losing to corporate algorithms designed to deny, delay, and deflect.

The Liberation Project's profile picture
The Liberation Project1 year ago

𝐀 𝐇𝐞𝐚𝐥𝐭𝐡 𝐈𝐧𝐬𝐮𝐫𝐚𝐧𝐜𝐞 𝐂𝐄𝐎 𝐢𝐬 𝐍𝐨𝐭 𝐓𝐡𝐞 ‘𝑾𝒐𝒓𝒌𝒊𝒏𝒈 𝑪𝒍𝒂𝒔𝒔 𝑯𝒆𝒓𝒐’ Americans of all political affiliation suddenly woke up realize they agree that their healthcare system is inherently cruel and produces unnecessary misery. ★ NEW ARTICLE ⬇️

Saggezza Eterna's profile picture
Saggezza Eterna1 year ago

The American healthcare system, under liberal policies, has become a labyrinth of corporate greed that betrays patients while shielding bureaucrats. UnitedHealthcare’s refusal to disclose decision-making doctors’ names isn’t just opacity—it’s a deliberate tactic. In 2023, 42% of insurance denials lacked proper justification, with over 60 million claims rejected, many for life-saving procedures (KFF). The left champions "universal care," but their system empowers insurers to play God, leaving patients and doctors powerless—a stark contrast to conservative calls for transparency and accountability. The non-specialist doctor angle exposes another layer of deceit. Studies show 70% of insurance peer reviewers lack expertise in the procedures they judge, leading to a 30% higher denial rate for specialized surgeries (JAMA, 2024). Meanwhile, the left’s darling, Obamacare, increased denial rates by 15% since 2010, while premiums skyrocketed 55% (CMS). This isn’t care—it’s a rigged game where insurers profit $50 billion annually by denying claims (NAIC, 2023), and liberals look the other way. Conservatives advocate for a system where patients, not faceless corporations, hold power. The internal appeal farce—offering no details—mirrors the left’s broader strategy: obfuscate, deflect, and control. We demand reform that puts Americans first, not profits. For unfiltered conservative takes on healthcare and beyond, follow @finaltelegraph. If this exposed the system’s failures for you, join the fight for clarity—follow now.

Mr PitBull's profile picture
Mr PitBull1 year ago

I did ALJ hearing on United denying home ventilator. United does not have a medical policy about home vents. Their Boarded Pulmo presented lab values and such to the judge while knowing United has NO policy on home vents. Just making it up, they are.

Sydney Leigh's profile picture
Sydney Leigh1 year ago

🚨 The state of American healthcare is a nightmare! This surgeon's video exposes UnitedHealthcare's exploitative tactics—denying a patient’s surgery without transparency, refusing to share the deciding doctor’s name, specialty, or even their reasoning. Patients suffer while United hides behind "internal appeals" with zero accountability. This isn’t just inefficiency; it’s inhuman. UnitedHealthcare, ANSWER for this! How many lives are you risking with these shady practices? We demand transparency NOW! @SeriousOregano

AlphaFo𝕏's profile picture
AlphaFo𝕏1 year ago

I would not have been so polite - The person on the other end would be hangin up in tears.

Tiago's profile picture
Tiago1 year ago

Bureaucrats with no name, no specialty, and no accountability are deciding if you get life-changing surgery. This isn’t healthcare, it’s corporate rationing. 🏥🚫💸

Debagain's profile picture
Debagain1 year ago

Not one bit surprising. Government got into the health care market, and therefore took the health care market into managed socialized medicine. Now the costs are so bloated that the middle class cannot afford to purchase care on the open market. Only rich people can afford to buy what they want. They rest of us get what we get.

Hope's profile picture
Hope1 year ago

I know a woman who had to fight like hell to get her son a donor meniscus. He’s doing great now and is a great basketball player. That is what it’s like to have a good mom.

Ayra Yujo's profile picture
Ayra Yujo1 year ago

But, but I was told by the MSM propaganda that Luigi is the bad guy.

Paul 🇺🇸 🇮🇱's profile picture
Paul 🇺🇸 🇮🇱1 year ago

It’s actually stuff like this where I think Luigi Mangione has a reasonable chance that a jury will nullify and he’ll be acquitted

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🚨 Update on the viral Dr. Elisabeth Potter / UnitedHealthcare story (Jan 2025 → April 2026) Remember this? Austin breast reconstruction surgeon Dr. Elisabeth Potter (@drelisabethpotter) was pulled mid-surgery from a DIEP flap procedure on an anesthetized breast cancer patient to take a UnitedHealthcare call. They demanded she personally justify an overnight hospital stay for a surgery that was already pre-approved. 2/5 The video went mega-viral and sparked nationwide outrage about insurance companies interfering with cancer care. New prior-auth rules were forcing surgeons themselves to handle these calls or risk denial. 3/5 What happened next: Dr. Potter says UnitedHealthcare retaliated by refusing to add her outpatient RedBud Surgery Center to their in-network list. This has caused major financial strain, delayed/canceled cases, and nearly threatened her practice. 4/5 She received a threatening lawyer letter from UHC but refused to stay silent. A U.S. Congressman even wrote to them. She launched a GoFundMe (backed by Bill Ackman & thousands of others) that raised hundreds of thousands to keep RedBud open. 5/5 April 2026 update (as of this week): The dispute is still ongoing. Just days ago she posted that multiple cancer cases had to be canceled again because UHC still won’t approve her surgery center — even when the OR was available and safe. She’s contracted with other insurers and continues operating + speaking out.

Victor Bigham 🇺🇸

187,917 views • 3 months ago

INSANE 🚨 This surgeon has a patient who needs a “deep flap” surgery. Insurance denied it To appeal she had to speak to her patients insurance. “I actually asked, do you know what a deep flap is? THE DOCTOR SAID NO.” The insurance companies deciding if Americans get their procedures DONT EVEN KNOW what the procedures are. How is this okay?! THIS is the state of American healthcare… “You may remember I had a patient who needs a deep flap, and the insurance company denied an inpatient stay for her. So I had to schedule a peer to peer call and schedule time out of my day to ask for a conversation directly with someone who is my peer to discuss deep flap surgery and why that patient needed to be overnight. That call was scheduled for 11AM, and eleven came around 11: 30, 11: 45 and no call still. And then we emailed the insurance company because, of course, they don't give me the call number. They only let me receive the call. So finally at 12: 15, I received the call that was initially scheduled for 11. And the doctor who called me was not a surgeon. And I actually asked the doctor, do you know what a deep flap is? And the doctor said no. So that's where we are. My patient has insurance. She's seeing someone who's fellowship trained in microsurgery, me, to do her breast reconstruction, and I'm having to teach another doctor what a deep flap is in order to justify her overnight stay to navigate her insurance. This is completely ridiculous.”

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1,292,441 views • 1 year ago