3 ms·

as a med student, those guys are an embarrassment to us all. I had to deal with those guys to get my insurance to cover recombinant antibodies for the treatment

as a med student, those guys are an embarrassment to us all. I had to deal with those guys to get my insurance to cover recombinant antibodies for the treatment of several autoimmune diseases. They haven’t practiced clinically for a decade, haven’t kept up with research ever since they left residency, but still don’t see any problem with denying anything but the cheapest immunosuppressant, no matter how bad the side effects may be. Screw them all, i wish them nothing but the worst

earthwalker99 3y ago
[flagged]
- NPC82 3y ago
  The physician who gives legitimacy to denying coverage at an insurance company is at the very heart of what you're complaining about. As the other poster has pointed out, and many physicians online, they are so out of practice and out of touch they basically say whatever the insurance company wants them to for money.
  - earthwalker99 3y ago
    They are just functionaries of the system who don't want to lose their job. Capital is in charge. This is capitalism after all.
drc500free 3y ago
Medical ethics really should preclude what these insurance company physicians are doing, which is sometimes rubber-stamping 5000 denials a day. Maybe an organized campaign of board complaints is in order. Propublica has done an excellent slate of investigatory articles recently about how insurance denials actually work.
ProllyInfamous 3y ago
As a med student DROP OUT, I want to encourage you to keep this soul as you slowly enter practice. Oftentimes, the "embarrassment to us all" is just trying to pay his own bills/obligations [not saying this is "correct" — it's not].
- RCitronsBroker 3y ago
  maybe there are some differences from medical system to medical system, but that’s decidedly not what those characters are over here in Germany. This isn’t a case of student loans going overboard, we have it pretty good in this regard, the physicians working as insurance consultants/experts are almost exclusively retired physicians with decades of clinical practice long behind them. At least over here, if you don’t screw up BAD, you’ll live a pretty cushy life as long as you stick to your means. There’s a difference between doing an unsavory job to the best of one’s abilities and calling women’s mental health issues "hysterics" and invoking psychosomatics to avoid paying out after someone was badly injured horseback riding and are bedridden due to debilitating neurological disorders following her injuries. There’s a decidedly difference between being strict, maybe even excessively so, whilst doing a controversial job and systematically being misleading, manipulative and untruthful when confronted with established standards of care. I fully get having to yield to the way the world works, and i sincerely feel for your view. My parents have basically disowned me and trying to sustain myself through medical school is taking a fat toll on me. But I’m sorry, but "savying" away any sort of criticism of the conduct of our profession on the basis of "that’s not of the real world works" has it’s limits. Maybe you haven’t been at the receiving end of this sort of ordeal, but i can attest you first hand that this group of physicians, at least here, has issues way beyond having to sustain themselves. Maybe our generation will be different, but the ease of your dismissal is kind of troubling to me. A few months ago i came across an interview with a physician who worked for one of the online pill mills that sprung up after the US loosened the rules for RXing scheduled substance via telemedicine. He pretty much approved Benzos and Adderall all day. He invoked pretty much the very same argument you have, and I’m sure his situation was everything but easy. The pressures of becoming a US physician are very alien to me, so maybe i just don’t get it. But "well, that’s how the world keeps spinning, grow up kiddo" isn’t a carte blanche for being oblivious to the damage you’re doing. You have sworn or will swear an oath. Being a mercenary liar, misrepresenting medicine for monetary gain is not quite what was implied there. If you don’t see a glaring issue with behaving this way, maybe you should look into an alternative career path.

earthwalker99 3y ago

[flagged]

NPC82 3y ago
The physician who gives legitimacy to denying coverage at an insurance company is at the very heart of what you're complaining about. As the other poster has pointed out, and many physicians online, they are so out of practice and out of touch they basically say whatever the insurance company wants them to for money.
- earthwalker99 3y ago
  They are just functionaries of the system who don't want to lose their job. Capital is in charge. This is capitalism after all.

drc500free 3y ago

Medical ethics really should preclude what these insurance company physicians are doing, which is sometimes rubber-stamping 5000 denials a day. Maybe an organized campaign of board complaints is in order. Propublica has done an excellent slate of investigatory articles recently about how insurance denials actually work.

ProllyInfamous 3y ago

As a med student DROP OUT, I want to encourage you to keep this soul as you slowly enter practice. Oftentimes, the "embarrassment to us all" is just trying to pay his own bills/obligations [not saying this is "correct" — it's not].

RCitronsBroker 3y ago
maybe there are some differences from medical system to medical system, but that’s decidedly not what those characters are over here in Germany. This isn’t a case of student loans going overboard, we have it pretty good in this regard, the physicians working as insurance consultants/experts are almost exclusively retired physicians with decades of clinical practice long behind them. At least over here, if you don’t screw up BAD, you’ll live a pretty cushy life as long as you stick to your means. There’s a difference between doing an unsavory job to the best of one’s abilities and calling women’s mental health issues "hysterics" and invoking psychosomatics to avoid paying out after someone was badly injured horseback riding and are bedridden due to debilitating neurological disorders following her injuries. There’s a decidedly difference between being strict, maybe even excessively so, whilst doing a controversial job and systematically being misleading, manipulative and untruthful when confronted with established standards of care. I fully get having to yield to the way the world works, and i sincerely feel for your view. My parents have basically disowned me and trying to sustain myself through medical school is taking a fat toll on me. But I’m sorry, but "savying" away any sort of criticism of the conduct of our profession on the basis of "that’s not of the real world works" has it’s limits. Maybe you haven’t been at the receiving end of this sort of ordeal, but i can attest you first hand that this group of physicians, at least here, has issues way beyond having to sustain themselves. Maybe our generation will be different, but the ease of your dismissal is kind of troubling to me. A few months ago i came across an interview with a physician who worked for one of the online pill mills that sprung up after the US loosened the rules for RXing scheduled substance via telemedicine. He pretty much approved Benzos and Adderall all day. He invoked pretty much the very same argument you have, and I’m sure his situation was everything but easy. The pressures of becoming a US physician are very alien to me, so maybe i just don’t get it. But "well, that’s how the world keeps spinning, grow up kiddo" isn’t a carte blanche for being oblivious to the damage you’re doing. You have sworn or will swear an oath. Being a mercenary liar, misrepresenting medicine for monetary gain is not quite what was implied there. If you don’t see a glaring issue with behaving this way, maybe you should look into an alternative career path.