295
you are viewing a single comment's thread
view the rest of the comments
view the rest of the comments
this post was submitted on 17 Jan 2024
295 points (97.4% liked)
News
23310 readers
3570 users here now
Welcome to the News community!
Rules:
1. Be civil
Attack the argument, not the person. No racism/sexism/bigotry. Good faith argumentation only. This includes accusing another user of being a bot or paid actor. Trolling is uncivil and is grounds for removal and/or a community ban. Do not respond to rule-breaking content; report it and move on.
2. All posts should contain a source (url) that is as reliable and unbiased as possible and must only contain one link.
Obvious right or left wing sources will be removed at the mods discretion. We have an actively updated blocklist, which you can see here: https://lemmy.world/post/2246130 if you feel like any website is missing, contact the mods. Supporting links can be added in comments or posted seperately but not to the post body.
3. No bots, spam or self-promotion.
Only approved bots, which follow the guidelines for bots set by the instance, are allowed.
4. Post titles should be the same as the article used as source.
Posts which titles don’t match the source won’t be removed, but the autoMod will notify you, and if your title misrepresents the original article, the post will be deleted. If the site changed their headline, the bot might still contact you, just ignore it, we won’t delete your post.
5. Only recent news is allowed.
Posts must be news from the most recent 30 days.
6. All posts must be news articles.
No opinion pieces, Listicles, editorials or celebrity gossip is allowed. All posts will be judged on a case-by-case basis.
7. No duplicate posts.
If a source you used was already posted by someone else, the autoMod will leave a message. Please remove your post if the autoMod is correct. If the post that matches your post is very old, we refer you to rule 5.
8. Misinformation is prohibited.
Misinformation / propaganda is strictly prohibited. Any comment or post containing or linking to misinformation will be removed. If you feel that your post has been removed in error, credible sources must be provided.
9. No link shorteners.
The auto mod will contact you if a link shortener is detected, please delete your post if they are right.
10. Don't copy entire article in your post body
For copyright reasons, you are not allowed to copy an entire article into your post body. This is an instance wide rule, that is strictly enforced in this community.
founded 1 year ago
MODERATORS
Why are we letting the insurance companies make decisions like doctors in the first place again again?
Because doctors have a financial incentive to order and perform/give expensive procedures and drugs that may not necessarily be medically necessary.
This is obviously a somewhat different situation, but I'd remind you that lots of doctors made a lot of money by unnecessarily prescribing Oxycontin that the spiraled into the opioid crisis.
It's not unreasonable for there to be some kind of check, though to be clear, I'm not saying the current system is good. But, insurance just automatically paying for anything a doctor orders is open for abuse, and that needs to be addressed one way or another.
Some doctors made a lot of money. Most believed what they were told and prescribed medication they thought would help their patients.
Well said. I have a nerve disorder which is controlled by medication, but it took a long time to get there and, for a while, he tried me on different opioids. I could easily have gotten seriously addicted (I did go through withdrawal symptoms after I stopped, but I had no problem stopping), but he was doing whatever he could to try and help me with my pain. He wasn't trying to make money, he was trying to make me feel better. And it took about three years, but he finally did.
Marketing by opiate manufactureres cooked up a small study that said certain opiates had slow release versions that were less addictive and doctors bought in for a while.
I would step back a little though and say the reason people actually need so many opiates in america ties into larger problems that cause the US to have far more injuries than other countries:
Over reliance on car infrastructure and commuting because improper zoning and lack of public transit
Poor labor protections and safety in workplaces
Gun fucking
Wait, so where were these insurance companies then and why weren't they acting as "checks" on these doctors? It couldn't have just been a minor oversight by the insurance companies either, considering it did spiral into a nationwide crisis.
There is nothing stopping it from being a retroactive investigation. Doctor prescribes it and then has to send evidence to the Insurance Company who can review it. If there's a pattern of Bad behavior with one doctor they can press charges or something like that. But until then you're holding up treatment on the suspicion of the possibility.
Thats what Medicare does. People around the hospital are afraid to fuck anything up because they will go back and take all of their money back.
That’s a bullshit excuse (to be blunt). What you’re suggesting is that it’s the insurance companies job to police doctors who are doing harm to their patients. There is already a body that does this (or is supposed to): the medical board. If the insurance company feels that a doctor is abusing their privileges, then it needs to be taken up with the appropriate authorities. It does not mean causing further harm to the patient by denying possibly critical services.
We don't have anyone to make better medical decisions than doctors. I certainly don't want insurance company bureaucrats substituting their medical judgment for my doctor's, even if my doctor sucks.