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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]In case you are one of those who are morally confused: Good guy: Daniel Penny Bad Guy: Luigi Mangione[/quote] +1 There are lots of seriously twisted and perverted people out there. So much justification over an assassination. There are people comparing this to what the founding fathers did for political change and text pretzel logic to reach those conclusions. [/quote] I think there's a LOT of righteous anger in this country towards the insurance industry. Righteous. Sure, some people try to game the system. Those individuals pale in comparison to how the insurance industry is gaming the system. If you can't understand these simple facts, neither I nor anyone else can help you. So far as the vast majority of people are concerned, the murder of a corrupt, crooked member of this perverted insurance scam industry was a *shrug* event. You must work in the insurance industry if you can't appreciate the frustration and anger the average America feels.[/quote] I don’t work for the insurance industry and I have had claims denied by insurance companies. I understand there is a lot of frustration, but frustration does not make murder acceptable. I bet you yourself feel frustration about many things. I bet you feel frustrations over things like politics, but you’re not going to go out and assassinate a politician, a president or a CEO. Just because you’re frustrated does not mean murder is acceptable. If you’re advocating for people assassinating people they’re frustrated with well then I can’t help you understand how wrong it is. What Luigi did wasn’t heroic. In fact, he was a coward. He shot the man in the back. He didn’t even have the righteous indignation or guts to say something to his face.[/quote] I am telling you that people are frustrated and angry. Where did I state I am advocating for murder? :shock: Please read what I stated again. The industry needs to get overhauled with closer regulation. Sure, they shouldn't be required to cover weight loss medication for cosmetic reasons. Sure, they shouldn't be required to cover every politicized and popular medical procedure that is not medically necessary. But denying and delaying medically critical covered procedures is immoral, unethical, and inexcusable. BC/BS trying to limit anesthesia in the middle of a complicated surgery is BEYOND reasonable denial. They were going for it. BC/BS was really going for it.[/quote] Discussions of the proposed BCBS policy have been insane. Anesthesiologists' lobbying firm deserves a huge bonus. Obviously they weren't going to wake people up in the middle of the surgery. The idea was clearly to limit billing and reimbursement based on how long the procedure should have taken. Kind of like a mechanic billing you for labor hours based on the book times. If they opened you up and found another problem, then that could and would be added to the claim. Yes, sometimes one case will take a little bit longer than another case, and you'll get paid the same for both, but that's pretty normal. This is basically how it works for other doctors. This is a weird thing to complain about when people generally want to know how much a procedure will cost before going in.[/quote] +1 [b]A big insurer backed off its plan to pay less for anesthesia. That’s bad.[/b] https://www.vox.com/policy/390031/anthem-blue-cross-blue-shield-anesthesia-limits-insurance [/quote] Many pages ago, a poster asked why health care costs are so much higher than other countries. Anesthesiologists are just one of many reasons, but it's a big one. As an example, the most expensive part of a colonoscopy is the anesthesia, not the gastroenterologist. And that's for a procedure where the gastroenterologist themselves could administer and monitor the anesthesia, but they don't want to piss off the anesthesiologists that they need for the more complicated cases. So the anesthesiologists typically come in for every case, resulting in much higher costs. Colonoscopies are great deals for anesthesiologists.[/quote] I just had a colonoscopy. I had a nurse anesthetist administer the anesthesia. She was overseen by the gastroenterologist. No anesthesiologist was present.[/quote] Same[/quote] YOU will still get billed the same for general anaesthesia, whether a CRNA does it or a MD does it. Only difference is the hospital gets to pay the CRNA less. Other countries don’t use general anaesthesia at all for colonoscopies or EGDs. They either use nothing or light conscious sedation.[/quote]
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