Dr P longer response is pending
My reply to this paragraph is hard to follow so I’ll reword it
“We also agree that (as unfortunate as it may be) CEOs (and companies) need to either be aggressive in denying claims (lawfully or unlawfully) to keep premiums down or they’ll either go bankrupt or put out of business by the competition. (It’s wrong, I know, but that’s the only way it can function.) ”
Depends what we mean by agree. Put another way it depends on starting point . Yes for Insurance companies to make a profit They have to deny claims. I a gree with that. We both agree that this is an “unfortunate” situation.
You say too bad “that’s the only way it can function”
I say denying healthcare is a non starter if thats the only way it can function, then we need a different way. Period If that means Insurance will no longer be the lucrative field it is (one that MADE money during a pandemic!!!) and instead we a need a non-for profit system or Government run Ok so be it. But denying healthcare a patient and or doctor* deems neccesary is a non-starter for me
* who should “win” when the patient and doctor disagree is a good question and one that potentially needs to be worked out. I’m not certain myself. but I am sure it shouldnt be a bureaucrat or nurse who glanced a t the chart