A quick announcement of two talks I’m doing in the near future, both on health care. The first is called “Patient, Defend Thyself: Insurance Denials and the Resort to Force,” at the annual meeting of the Peace and Justice Studies Association (PJSA), Saturday, Oct. 11 at Swarthmore College. The second is a brief, untitled contribution to an Ethics Roundtable on access to health care, co-sponsored by the Association of Practical and Professional Ethics (APPE) and Felician University, Wednesday, Nov. 5, 1-2 pm on Zoom. The PJSA talk is on-ground and only open to registered conference attendees; the APPE/Felician talk is fully online and open to the public. Continue reading
Tag Archives: healthcare
The Evil Demon in the OR
EVS Journal 8: More Scenes from Life on Call in the OR
Up to this point, what I have accepted as very true I have derived either from the senses or through the senses. However, sometimes I have discovered that these are mistaken, and it is prudent never to place one’s entire trust in things which have deceived us even once.
Descartes, Meditations on First Philosophy, Meditation 1
I’m on call in the OR for New Year’s Day, 8 am to midnight–an irritation after a long sleep-deprived week of work, including all of New Year’s Eve spent in the OR. I wake up on New Year’s Day, and decide, on a mere hunch or whim, to drive to the hospital mid-morning, pre-empting the phone call that calls me in to the hospital, operating instead (so to speak) on the premonition that if I go to the OR unbidden, there’ll inevitably be a case waiting for me to do, which I’ll then be in a position to “head off at the pass,” whatever that’s supposed to mean in this non-cowboy context. Continue reading
UHC, Denials, and Wrongful Death Revisited
The questions you ask determine the answers you get. If you ask the right questions, you have some hope of reaching the right answers. If you ask the wrong ones, you’ll likely reach the wrong answers. If you give up on asking, you get nothing but what you started with, so that if you begin in ignorance, you end there.
The debate about the killing of Brian Thompson threatens to begin and end either in misdirection or reinforced ignorance or both. Stuck between two competing brands of outrage–one exulting in Thompson’s death, the other outraged at the exultation–we’re in danger of losing the denials/reimbursement plot altogether. I know I’ve posted on this issue already, but think I’ve found a better way of saying what I was trying to say in that post, one that does a better job of asking the right questions than my last post did.* So here is UHC, Denials, and Death, Take 2. Continue reading
UHC, Denials, and Death
This post has been superseded by a new and improved version written a few days later (Dec. 18, 2024).
Let me just get straight to the point: I have a real worry about how people are reacting to the UHC killing. It’s not the usual worry that we’re being mean to Brian Thompson. It’s that a lot of what people are saying shows a misunderstanding of how the health insurance denials process works. I work in health care denials management on the provider side, and have in fact dealt with UHC‘s denials reps. I have no sympathy for them or for the insurance industry generally. UHC is the apex predator in an industry of predators. But on the whole, I don’t think it makes sense to say that insurance denials kill people. I’ll grant that excess mortality and morbidity are possible through an insurance denial, but death-through-denial is not the modal case of premature death or even close to it, and it’s a mistake to suggest otherwise. Continue reading
Policy of Truth 