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We already live in this world for health insurance. The ai can make plausible sounding denials which a doctor can rubber stamp. You have no ability to sue the d

by lumost 1y ago

We already live in this world for health insurance. The ai can make plausible sounding denials which a doctor can rubber stamp. You have no ability to sue the doctor for malpractice, you cannot appeal the decision. Medical insurance is quickly becoming a simple scam where you are forced to pay a private entity that refuses to ever perform its function.

olddustytrail 1y ago
Most first world countries don't have this. It's not a given.
- azemetre 1y ago
  The US is usually a hot bed of experimentation in corporate malfeasance.
  - abustamam 1y ago
    As an American, it's funny how ahead and "first world" the US can be in some things, but how backwards and "developing country" the US can be in other things. Medicine itself is very first-world. But medical insurance is one of those "worse than developing country" things. The fact that Americans need medical insurance at all is appalling to many countries, first world and otherwise. And of course, by funny I mean "I can only laugh otherwise I'd cry"
    - gregoryl 1y ago
      Which things are the US ahead in?
      - abustamam 1y ago
        Good question. Technology, for one. Is it the first in technology? Probably not. But when comparing first world countries with developing countries, technology is where the US's economic output is. And also military, though I'm not sure if that's something to be proud of.
      - philipallstar 1y ago
        Immigration
immibis 1y ago
Worth noting this isn't hypothetical. There was a story a while back where a health insurance company would hire real doctors to sit at computers all day clicking "accept AI resolution" over and over (they were fired if they rejected AI resolutions) because the law required that.
- lumost 1y ago
  Yup! Just fought three denials with Cigna over the last 6 months for rejections of basic appointments for a physical, an ambulance ride for a family member, and one bigger ticket health expense. They haven’t approved a single insurance claim submitted without calling and fighting it out with them. Each rejection letter looks plausible, although often nonsensical given the situation.
  - A4ET8a8uTh0_v2 1y ago
    It almost makes me wonder if the solution is the same as for arbitration clause. Giving users the ability to fight it in a semi-automatic way as well ( so AI generated response plan, calls and so on ). I am not entirely certain where it would go, but.. where we are at is already annoying. I have a good medical insurance and they still keep trying to chisel any way they can ( wife just got a letter asking to confirm she does not, in fact, have a health plan in her job ).
deleted 1y ago
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by lumost 1y ago

olddustytrail 1y ago

Most first world countries don't have this. It's not a given.

azemetre 1y ago
The US is usually a hot bed of experimentation in corporate malfeasance.
- abustamam 1y ago
  As an American, it's funny how ahead and "first world" the US can be in some things, but how backwards and "developing country" the US can be in other things. Medicine itself is very first-world. But medical insurance is one of those "worse than developing country" things. The fact that Americans need medical insurance at all is appalling to many countries, first world and otherwise. And of course, by funny I mean "I can only laugh otherwise I'd cry"
  - gregoryl 1y ago
    Which things are the US ahead in?
    - abustamam 1y ago
      Good question. Technology, for one. Is it the first in technology? Probably not. But when comparing first world countries with developing countries, technology is where the US's economic output is. And also military, though I'm not sure if that's something to be proud of.
    - philipallstar 1y ago
      Immigration

immibis 1y ago

Worth noting this isn't hypothetical. There was a story a while back where a health insurance company would hire real doctors to sit at computers all day clicking "accept AI resolution" over and over (they were fired if they rejected AI resolutions) because the law required that.

lumost 1y ago
Yup! Just fought three denials with Cigna over the last 6 months for rejections of basic appointments for a physical, an ambulance ride for a family member, and one bigger ticket health expense. They haven’t approved a single insurance claim submitted without calling and fighting it out with them. Each rejection letter looks plausible, although often nonsensical given the situation.
- A4ET8a8uTh0_v2 1y ago
  It almost makes me wonder if the solution is the same as for arbitration clause. Giving users the ability to fight it in a semi-automatic way as well ( so AI generated response plan, calls and so on ). I am not entirely certain where it would go, but.. where we are at is already annoying. I have a good medical insurance and they still keep trying to chisel any way they can ( wife just got a letter asking to confirm she does not, in fact, have a health plan in her job ).

deleted 1y ago

[deleted]