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Jacqui Hakim's avatar

Just remember that all these companies are in business to make money and that will be their first order of business, no matter what they say

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Betsy Clemens's avatar

My thought exactly. The 11.5% increase that we just got in our premium is going to be even higher next year. At some point (fairly soon), the entire system is going to come crashing down. And more government involvement is only going to make it worse.

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NeverForget1776's avatar

There not just in business to make money but to do it regardless of ethics. Profit should be the motivation of any private business but when your business involves some extent of emergency services to the public there also has to be some level of accountability and so long as these executives know they will never face true accountability for what they do regardless it is just unethical or even illegal they will always choose that path for they have no fear of being held accountable. At the worst they face some fine that is never of enough substance to discourage future bad behavior and or they may have to toss some middle man under the bus. If we start putting 1 or 2 of these guys in prisons for actively placing profit over the law and safety of human beings, then and only then will there be change.

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Coalburned's avatar

Bingo. That's why I'm disappointed a specific deadline wasn't stated. Perhaps I missed it, but if these companies only committed to moving toward a new model, their self-interest will bog this down into future administrations and be forgotten.

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LW's avatar
Jun 23Edited

That is a long article. But this presumes someone (say on Medicare) wants to even use the insurers and the providers that they currently cover. Those are the same old tired Rockefeller drug or scalpel solutions. How about having Medicare cover all the other great and proven disciplines such as Chiropractic, naturopathy, homeopathy, Acupuncture, and more??

THIS IS THE ELEPHANT IN THE ROOM QUESTION. We don’t want their healthcare solutions.

If it were as simple as refusing Medicare, at least those consumer out-of-pocket costs could be saved and used elsewhere. But alas, we are forced to pay for Medicare, and if refused, that person’s Social Security benefits are denied. …AND Social Security payments are simply returning the individual’s money in the first place (hijacked for 50 years or so by the govt).

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Ray Fouts's avatar

You are so ill informed. RFK JR is referring to HMO plans. Those corporations get paid a lump sum annually for every person signed up. Their job is to separate what the government pays them for each enrollee from what services they pay for. Medicare has a set amount of $ paid for a treatment, procedure. No negotiation other than what a provider will accept. Do your research please

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Leo's avatar

So, PPO plans are not included?

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Yvonne Renee's avatar

How about getting rid of the Flexner report unhealth care industrial complex all together? Bring back true healing modalities. Include acupuncture, sound healing, etc. I don't want any Rockaf-EL-er hot garbage.

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Annie's avatar

Agree 💯

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TeamOfRivals's avatar

I have rheumatoid arthritis and have had it since 1984 (currently enjoying total remission from monoclonal antibody infusions). In the late 80s I went to a chiropractor for 3 yrs for him to treat my RA. What a scam! He gave me supplements and adjustments with no results. He said my swollen right knee was due to hip misalignment due to one shorter leg (gave me shoe lifts). When I had a severe flare-up, my PPO sent me to a rheumatologist (also put me on 3200mg daily of ibuprofen which I stayed on for roughly 15 years. The rheumatologist looked at my knee and asked how long has it been like this? I said 3 years. He said RA will destroy a joint in 5 years, and he proceeded to drain the knee with a big old syringe, filling it twice and again at another appointment. Got a cortisone shot in the bargain. Greatly helped my knee but not a cure. BTW the reason I went to the chiropractor was from fear when friends said regular Drs will prescribe cortisone which will harm your body. Not sure who they were listening to (maybe chiropractors) but that was nonsense. I was put on various other drugs (methotrexate, hydroxichloroquine) over the years, all but one worked reasonably well, one (gold) that worked then stopped working. But those drugs didn't totally stop the disease, just slowed it down some, but at least I was not in agonizing constant pain. My advice has always been to see a rheumatologist and get on Enbrel, like yesterday. You need to stop the joint damage. The improvement in drugs over the years is phenomenal. Love my rheumatologist! Been seeing him for 20 years!

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Dave Slough's avatar

Should try DMSO for rheumatoid arthritis

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Yvonne Renee's avatar

I actually go to a Chiropractor for similar issues and have some chronic pain issues, but it doesn't work for me so he does acupuncture, herbs, etc. I'm not saying all Dr's who have been thru the Beast System (as we all have) aren't trying to help. But as you pointed out, the petro based meds mask the pain and never heal the root cause. As I've been stopping the big harma meds, I've noticed most of the pain is going away. I'm trying tuning forks, nutrition, Qi Gong and I still have bad days full of pain, so I get it. I have titanium screws and cadaver parts in me that have helped me, but I'm learning that my body could have healed on it's own with natural remedies. They have poisoned our food, water, air,minds, the terrain and cause the majority of health issues. I hope you heal completely and wish you well. ♥️

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Judy Wilson's avatar

Whole Mega Fish Oil by New Chapter twice a day and do not eat anything with canola or seed oils! And ask your doctor first to make sure that this will not interact with anything else you take! Wish you healing!

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TeamOfRivals's avatar

No thanks to the recommendations. I take Simponi Aria every ten weeks in an IV drip. It's a monoclonal antibody which does something to my immune system so that it doesn't attach me. As long as I take it, I am cured, no pain, no inflammation, no redness, no destruction of joints. Cured! I've been taking Embrel or Simponi Aria for 20 years. Works so well (perfectly) that I stopped taking the methotrexate and hydroxychloroquine, and I take no ibuprofen. Do what you want but there are some great, caring medical doctors and great medications. It took me some years to find this one but I'm glad I did. And there was absolutely no natural cure for my rheumatoid arthritis. Amazingly, I will give credit to glucosamine chondroitin. That does help my joints feel better. If you have "days of pain", you really ought to try something else. Meloxicam is a good one, non-addictive, low dose, take it when you need it, very cheap.

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Jun 24
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Yvonne Renee's avatar

Wow, how hateful. You must be a boot licker for the New World Order.

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joyce wright's avatar

Dr., You made me laugh more than I have all week ! Brilliant !! Thank YOU !

Best,

jw

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Yvonne Renee's avatar

That's the usual first reaction to cognitive dissonance. You're very welcome. Laughter is the best medicine.

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Andrew Devlin's avatar

They need to add the VA system to this. My daughter has no end of problems getting approval for knee injections she’s needed periodically. They give her an appointment, send the details to the VA, then the VA doesn’t respond for weeks, if at all! The provider then has no choice but to cancel her appointment.

Actually, I believe they should just provide insurance rather than require our veterans to wait in line at the VA. The VA system should be downsized to handle issues specific to veterans, not their everyday medical needs.

They actually once wanted her to drive over 100 miles with a severe gallbladder issue rather than have the hospital where it was diagnosed handle the surgery.

Our veterans deserve the best healthcare, not the mediocre treatment they receive!

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Elaine's avatar

Our veterans are treated worse than animals and they are the ones that should receive free care and be able to receive it anywhere it is available.

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Edward Chastka's avatar

A far more simple way to handle this would be to force the insurance companies to contract with and pay doctors for the service of prior authorization since this is part of managing care which they purport to provide. Doctors should have forced this from the beginning, but didn't. They allowed insurances to foist the enormous cost of reviewing care onto doctors. This leads to a great deal of resentment between doctors who do the work for free and patients who believe they are entitled to it. The enortmous cost of paying for prior authorization would force insurance copanies to streamline their procedures. The insurance companies will now just find a way to game the new regulations.

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John Roberts's avatar

“85% of Americans have been affected by prior authorization delays, making it the top complaint from both patients and doctors, according to Dr. Oz.”

That is not my top complaint.

My top complaints are.

No arrest for medical murder.

No prosecutions and convictions for medical murder.

No public executions for convicted medical murder criminals.

How about we start there first ???

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Dee Dee's avatar

How about giving the American people the same insurance Congress gets?

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SH's avatar

How about Congress critters are put into the same system we have to use. Bet it gets fixed right away!

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Yvonne Renee's avatar

They have the hidden technology, don't take jabs and don't have their jobs threatened. But of course they are "essential" and the "useless feeder non essentials" as they like to call us are the cattle. That's why it's called the stock market. Remember our Cest Cueve Trust we all have?

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Elaine's avatar

I'll bet a lot of them have a relationship with a private doctor with special privileges at hospitals and simply make deals with him/her on what to be charged rather than using health insurance companies to dictate to them what they can and cannot have.

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Dave Slough's avatar

Brilliant

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Thomas A Braun RPh's avatar

Looks like a positive, but what about jacking up drug prices with phony drug pricing? Also, studies have shown that over treating and promoting unnecessary surgery is a detriment to our health system by unscrupulous physicians. How do we fix that issue?

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SaHiB's avatar

Simple; repeal the Durham-Humphrey amendment and abolish all "intellectual property" except trademark, as well as restrictive licensing.

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Thomas A Braun RPh's avatar

Does that mean copyright disappears who benefited from the DH amendment?

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SaHiB's avatar

No; just another aspect of corporatism I'd prefer disappear.

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Yvonne Renee's avatar

I haven't had unhealth insurance since the 2020 psyop. I'm not supporting the BS-Beast System who incentives butchers in white coats to poison kids with hand, murdering unborn babies, etc. No way.

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Annie's avatar

We fully funded our HSA health savings accounts for years. That's what we use if needed. I have found since we don't get roped into the "preventative care" bs, we don't need any of what they are selling. 😉 Avoid the Healthcare establishment and you remain healthy. At least in our case.

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Mooon's avatar

I agree, Yvonne. I dropped my coverage in 2021 after their frankenshots killed my entire family. I choose to take my chances and die of my own devices instead of being a lab rat while they rob my savings. There really are things that are worse than dying. Their fear porn no longer affects me.

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Yvonne Renee's avatar

Oh, I'm sorry to hear that and I also have watched the democide. I'm a hairstylist so I'm still getting stories every week from clients who's 27 year old son just "died suddenly" or "was perfectly healthy and all of a sudden got cancer and died 4 weeks later." As their hair falls out in clumps and they've gotten their round of shots, I'm crying inside and mostly keep my mouth shut at this point. Sometimes we can plant seeds, but I agree with you as well. I'll take my chances without their poison and insidious evil. As spirits who live forever, they cannot kill us and their day will come.

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Kelly Sexton's avatar

This is why you don't get a medicate advantage plan. They deny so much. Traditional Medicare is much better..

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Dave Slough's avatar

Medicare and Part G is the best plan

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Jun 24
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Dave Slough's avatar

Part G is the AARP/United Healthcare option

It’s not a Medicare Advantage plan!!!

My sister was two months in to this plan and came down kidney cancer

She paid zero for all her care including all her Keytruda meds

The monthly cost is very reasonable and you can’t be denied care as this program is avail at any doctor or hospital that takes Medicare

My wife an I are now in this program

Also unlike Medicare Advantage there are no wait times for getting major health care and no pre approvals needed

With my HSA funds that I retired with I use that for all our dental and eye care

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Jun 24
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Dave Slough's avatar

Yes

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Petrina's avatar

An Incredible Man continues to do Brilliant work.

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Bob Distefalo's avatar

Prior authorization also destroys private practices (too much administrative nonsense) and forces physicians to join large hospital systems where they are easily

controlled. This is a HUGE POINT.

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Elaine's avatar

The reality is that it is impossible for a population of over 300 million to have health care that is affordable and fair. And as it is a fact that Americans are sicker than ever due to the policies of our government that benefit pharmaceutical companies and health insurance companies and aren't at all designed to make and keep us healthy, there are only bandaid solutions unless and until the government ends all of their humanity killing policies.

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Mooon's avatar

It has quickly become the healthSCARE system.

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Elaine's avatar

It has long been the healthSCARE system. It's worse than that. It is a system designed to make us sick and keep us sick while continually raising the costs to do so. Basically, we fund our own damage to our health as it is impossible to escape the system.

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Jun 24
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Elaine's avatar

The big insurance companies have contracts with the federal government so they have millions of people paying big bucks into their system. And more and more monopolies by big corporations of hospitals, drug dispensers (CVS, Walgreens, etc.), medical practices, medical devices, etc. who all need to make a profit insure costs are always going to be high. Statics say that over 15 million Americans get colonoscopies every year. That's just one procedure. And Obamacare mandated that all insurance companies cover mammograms with no cost to the individual. For some reason I can't find the number of mammograms individuals have each year but they have to be in the millions. I'm sure the federal taxpayer foots the bill for these tests.

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Gracie Gawler's avatar

Best news I’ve heard in a very long time! News of a much needed change that was so obvious yet nothing has been done up until now! Thank you so very much to any and all that may have had anything to do with this desperately needed change! God Bless you all!

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Julie Cantrell's avatar

Healthcare payers rely on PA denials for cost savings, so if they remove some ICD 10 codes from prior auth they will likely reduce coverage for some services. They aren't taking a bath on those, there will be some strategy to make up the difference. PA removals at the MCO where I work have to go through utilization management committee review.

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Elaine's avatar

And a lot of the tests or procedures that insurance companies require pre-authorization for are very expensive. So if they are forced to delete some of them from pre-authorization, they will simply raise the costs of other medical procedures or increase their premium amounts to make up the difference.

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Mooon's avatar

Be very careful what you ask for folks as you might get it! With medical being the number three cause of death now, I think I’ll pass on their frankenshit. I am sure if the truth was told, it may possibly be that the #1 and #2 causes of death are indirectly related to the same big medical/big food monsters as #3.

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