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Re:Top internet sleuths say they won't help find the UnitedH... by rafterydj on Saturday December 07, 2024 @08:13AM (#42349601)
Question: is it depressing, or is it a wake up call for just how much the average American hates health insurance executives?

There seem to be a few people online who mirror your sentiments about being shocked, what defenders of the crime would call pearl clutching. I'm fascinated.

From my perspective, the idea of a vigilante being so burned by health insurance companies he tracks down and kills the CEO is not a shocking premise _at all_. Yet some (particularly health insurance industry workers / professionals on LinkedIn) are so shocked by this that it makes me wonder if there's an insulated echo chamber effect going on here.

Re:Top internet sleuths say they won't help find the UnitedH... by Muromec on Saturday December 07, 2024 @08:16AM (#42349624)
It's a classic Robin Hood kind of hero, an established trope that everyone likes. I don't get how anybody can be surprised by this happening in a country which is obsessed with comic books and made hero movies it's main cultural export.
Re:Top internet sleuths say they won't help find the UnitedH... by krapp on Saturday December 07, 2024 @08:30AM (#42349713)
And guns.

I mean - this is the country that literally has a whole Amendment in their Constitution dedicated to the right of the people to shoot other people, and which defines that capacity for popular violence as a necessity for a free state. The archetype of the hero patriot "watering the tree of liberty with the blood of tyrants" goes all the way back to the guy who made that quote.

And I would bet money (if I had it) that a significant number of people expressing outrage over this were defending Kyle Rittenhouse and that guy who shot climate protestors in Panama, or making excuses for the killings of Jordan Neely and George Floyd, or gleefully hoping Trump would send troops in to shoot BLM protestors in the streets.

Because the "problem" here isn't the normalization of gun violence or the lionization of such violence as heroism - that's been normal for centuries, it's an intentional design feature of the American system. The "problem" here is that gun violence was being used on the wrong kind of people, and creating the wrong kind of hero.

Re:Top internet sleuths say they won't help find the UnitedH... by pixxel on Saturday December 07, 2024 @10:11AM (#42350264)
You need your head looked at.
Re:Top internet sleuths say they won't help find the UnitedH... by throwaway48476 on Saturday December 07, 2024 @03:59PM (#42352822)
In the full quote Jefferson argues that arms are necessary to preserve a spirit of rebellion. I wouldn't ascribe it as inherently linked to any particular cause.
Re:Top internet sleuths say they won't help find the UnitedH... by karmakurtisaani on Saturday December 07, 2024 @05:28PM (#42353352)
People with authoritarian beliefs clashing with people with anarchistic beliefs, just like in the examples you mentioned.
Re:Top internet sleuths say they won't help find the UnitedH... by rvnx on Saturday December 07, 2024 @08:19AM (#42349641)
(not American here, but curious about the situation because healthcare is broken in so many countries).

Money is a weapon of vote too, if you don't subscribe to UnitedHealthcare, in the long run the corporate should eventually disappear as a whole no ?

If you dislike Uber, then don't buy Uber.

In Switzerland they have such capitalistic system where you can pick your private insurance provider. So the most expensive / worse ones, gets less revenue.

In France, they have a socialo-communist monopoly, no choice, only one choice, and you have to be happy with it, no matter what.

I guess that's the main promise of capitalism; voting with your money (money that is supposed to come proportional to your efforts, though it is warped by crime, cryptos, inheritance, etc).

For example, if you stop buying meat, and convince others to stop buying meat, then there will less people investing into meat.

EDIT: Users explained (thanks!) that it was not really a free choice.

Re:Top internet sleuths say they won't help find the UnitedH... by rafterydj on Saturday December 07, 2024 @08:42AM (#42349781)
Voting with your money works in a fair market for competitive goods and services, but health insurance is neither competitive nor a direct service, and it's also not a fair market (in the USA at least).

In the USA, most health insurance plans are through private companies that have group plans with employers.

This is a terrible system, because many employers just want to check the box of offering plans, so do not negotiate good plans for their employees (the best / most profitable companies might have good health insurance, but most not so much).

It also very famously ties your health insurance status to your employment status, which gives a whole tone to the American discourse of labor laws. People are desperate to keep their jobs to keep their medical coverage.

The US gov is trying to make it more competitive with healthcare.gov, which really only highlights how bad the situation is (you're hard pressed finding a healthcare marketplace plan for less than 200$/month without income tax credits).

So the average American is stuck with plans they didn't negotiate for, with limited options for choosing better plans, and insurance very often deny coverage / include hidden fees / are generally inept at providing any type of service beyond taking your money.

There's no way to vote with your wallet, when everyone in the business seems to be a crook at worst and an uncaring suit at best.

Re:Top internet sleuths say they won't help find the UnitedH... by vouaobrasil on Saturday December 07, 2024 @08:27AM (#42349692)
> Money is a weapon of vote too, if you don't subscribe to UnitedHealthcare, in the long run the corporate should eventually disappear as a whole no ?

The problem is often that there is no really good option. And in places like Switzerland, there is often much more regulation to prevent all options from becoming bad. For example, the E.U. has many consumer rights laws that the U.S. does not have.

The problem is unregulated capitalism. At a large scale, over time, people will find ways to take advantage of the system and exploit the people due to their greedy nature. And insurance is an industry that naturally tends to that end without regulation.

In no place does unregulated capitalism give good results at scale.

Re:Top internet sleuths say they won't help find the UnitedH... by rvnx on Saturday December 07, 2024 @08:28AM (#42349701)
I start to get it, reminds me of airline (delayed/late flight) regulations. E.U. is so much in advance in that (maybe sometimes too much, like the water bottles).
Re:Top internet sleuths say they won't help find the UnitedH... by morkalork on Saturday December 07, 2024 @08:28AM (#42349700)
I asked this one and it's not a choice many people get to make, it's an insurer provided through your employer. If you want to choose an alternative you wont be getting group rates and the emplyer contribution so you'll be paying much more (such that it is not a viable option for most people). They exist not because they are good, but because they're a cheaper option that satisfies some legal checkboxes.
Re:Top internet sleuths say they won't help find the UnitedH... by Muromec on Saturday December 07, 2024 @08:23AM (#42349663)
>In France, they have a socialo-communist monopoly, no choice, only one choice, and you have to be happy with it, no matter what.

It sounds very offending to my anarcho capitalistic world view, where poor people should suffer more than I do, but does it actually produce more suffering than US or less?

Re:Top internet sleuths say they won't help find the UnitedH... by sam_lowry_ on Saturday December 07, 2024 @08:30AM (#42349714)
Popular wisdom says that medical care in France is the best in the world.

Neighbouring countries are trying to match )

Re:Top internet sleuths say they won't help find the UnitedH... by rvnx on Saturday December 07, 2024 @08:33AM (#42349732)
If you don't pay taxes it's an incredibly great value and offering.

This is why if you are poor France and can get state help is an excellent choice.

Once you start to pay taxes, or you fit in-between the criterias for eligibility to state help, the costs are much higher than in the neighboring Switzerland for example.

Re:Top internet sleuths say they won't help find the UnitedH... by tzs on Saturday December 07, 2024 @10:35AM (#42350419)
> Question: is it depressing, or is it a wake up call for just how much the average American hates health insurance executives?

Americans dislike the American health care system as a whole, but actually tend to like their particular insurance company and doctors.

I checked United on the ACA marketplace in my state and United is rated 4 out of 5 stars, which is the same as pretty much every other offering except Kaiser (5 out of 5) and new plans that have not yet gotten ratings.

This is not actually surprising because most people only actually use their insurance for routine things like physicals, vaccinations, lab tests, common illnesses like flu, physical injuries like sprains and broken bones and household cuts and burns, and fairly common prescription drugs.

Even the most extreme cost cutting insurance company is usually going to pay for those without question.

Re:Top internet sleuths say they won't help find the UnitedH... by salawat on Saturday December 07, 2024 @11:14AM (#42350678)
I can give you an ex-insiders perspective. There tends to be a bit of a divide in the people who drift into staffing these companies. Most are highly intelligent, and at least have an appreciation for the logistics behind the business process. There's going to be a functional piece somewhere sitting in the midst of the datasets, and making the best decisions possible. The dividing line I personally witnessed though was the finance first vs. patient outcome first people. The patient outcome first people tend to congregate in areas like CS, clinical, QA, compliance, etc... They realize it's a complex space, a lot of data to sift through and learn from, but are constantly working to make sure people ultimately get what they need.

The finance first group are sort of the opposite. They're doing everything they can to target Fraud/Waste/Abuse, not necessarily to the exclusion of patient outcome, but the priorities are 100% different. The problem is the output of their analysis tends to turn into inputs for the Prior Auth, formulary management, and claim denial logic, which, lets call that what it is: population scale social engineering to the end of nudging people to save money for the company.

The "surprised pikachus" are probably the finance first/raw number crunchers who have never had a number bite back in their life. The people who are actually concerned with patient outcome already know exactly what's going on, and are completely unsurprised.

It's really Upton Sinclair's wisdom at work: It is hard to get a man to understand that which his salary depends on him not understanding.