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RE: McCain supports Palin for president ... sort of - 4/1/2009 4:00:47 PM   
Aynne88


Posts: 3873
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And why oh why is that so hard to comprehend?


quote:

ORIGINAL: slvemike4u

Sorry Treasure,but what is truly useless is available treatments ....beyond the financial reach of one in need of them.


_____________________________

As long as people will shed the blood of innocent creatures there can be no peace, no liberty, no harmony between people. Slaughter and justice cannot dwell together.
—Isaac Bashevis Singer, writer and Nobel laureate (1902–1991)



(in reply to slvemike4u)
Profile   Post #: 241
RE: McCain supports Palin for president ... sort of - 4/1/2009 4:10:13 PM   
Marc2b


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quote:

And you are seriously going to argue this doesn't happen with insurance companies?

How many stories had you heard of companies denying coverage on the claim it was "experimental" or "unproven" despite the doctor's recommendation for that treatment?


No, I am not going to deny that it happens but consider this:

When an insurance company denies coverage there is recourse, you can go to the courts and in this information age it is easy to get a shaming message out there. If, however, the people denying you are the government itself, who do you go to recourse for? I don’t doubt that many of the nationalized health care systems have an appeal system but it’s still the same government. The courts, at least have some independence (in fact, I think they too often go beyond their purview but that’s a whole other argument).

_____________________________

Do you know what the most awesome thing about being an Atheist is? You're not required to hate anybody!

(in reply to rulemylife)
Profile   Post #: 242
RE: McCain supports Palin for president ... sort of - 4/1/2009 4:11:47 PM   
Owner59


Posts: 17033
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you can go to the courts

oh great....

Guys got cancer and a dozen other things going wrong and you tell him to go to court.

Is this another nifty "options" that we all enjoy? Like sinking is an option in 'sink or swim'?

< Message edited by Owner59 -- 4/1/2009 4:14:47 PM >


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"As for our common defense, we reject as false the choice between our safety and our ideals"

President Obama

(in reply to Marc2b)
Profile   Post #: 243
RE: McCain supports Palin for president ... sort of - 4/1/2009 4:12:00 PM   
slvemike4u


Posts: 17896
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Have you ever fought an insurance co....

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If we want things to stay as they are,things will have to change...Tancredi from "the Leopard"

Forget Guns-----Ban the pools

Funny stuff....https://www.youtube.com/watch?v=eNwFf991d-4


(in reply to Marc2b)
Profile   Post #: 244
RE: McCain supports Palin for president ... sort of - 4/1/2009 4:12:46 PM   
CruelNUnsual


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quote:

ORIGINAL: rulemylife

quote:

ORIGINAL: CruelNUnsual

Yeah, someone with more money than they can spend transferred her to a hospital with inferior care because they happen to live there.  That passes the smell test...if your testing for swamp gas.


Really?

So if you had a loved one in serious condition you would not want them to be treated in a familiar place where you had friends and family for support?



Without a second thought I would go where they had the best chance of recovery.  To do anything else would be the height of selfishness.

(in reply to rulemylife)
Profile   Post #: 245
RE: McCain supports Palin for president ... sort of - 4/1/2009 4:14:31 PM   
Politesub53


Posts: 14862
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quote:

ORIGINAL: Marc2b

No, I am not going to deny that it happens but consider this:

When an insurance company denies coverage there is recourse, you can go to the courts and in this information age it is easy to get a shaming message out there. If, however, the people denying you are the government itself, who do you go to recourse for? I don’t doubt that many of the nationalized health care systems have an appeal system but it’s still the same government. The courts, at least have some independence (in fact, I think they too often go beyond their purview but that’s a whole other argument).


In the UK the NHS have an independent ombudsman for complaints. Add to that that the media are quick to take up any cases.

(in reply to Marc2b)
Profile   Post #: 246
RE: McCain supports Palin for president ... sort of - 4/1/2009 4:14:50 PM   
rulemylife


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quote:

ORIGINAL: CruelNUnsual

quote:

ORIGINAL: slvemike4u

Are those internal or independent audits?


external...the 3 largest benefits consulting firms audit consultants find that in more than 90% of their audits. And the results are logically supportable. An insurance company makes money selling its product and spreading the risk over as many people as possible. A company with a consistent record of "mistreating" the employees of its policyholders isnt going to get new business or renewals, or the broker/consultant who place the business is subject to lawsuits.  Similarly with individual insurance. Do you think Anthem, with all of the problems and negative press theyve gotten, is going to thrive if they don't change?   The often seen claim that "insurance companies make their money by denying claims" is so opposite what the insurance company business model is its silly.


While I know you are adverse to doing any type of research regarding your arguments, I thought I would lend a hand.


Reasons Your Health Insurance Company May Deny Your Claim ...Apr 11, 2008 ... Insurance companies routinely enhance their profitability by utilizing tactics designed to minimize or deny the payout on your claim. ...
www.associatedcontent.com/article/685487/reasons_your_health_insurance_company.



By the way, if you Google this you'll find 25,000+ similar articles.

(in reply to CruelNUnsual)
Profile   Post #: 247
RE: McCain supports Palin for president ... sort of - 4/1/2009 4:15:16 PM   
CruelNUnsual


Posts: 624
Joined: 9/28/2008
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quote:

ORIGINAL: Owner59

you can go to the courts

oh great....


Guess what. When finances are the motivation the availability of the courts to adjudicate is huge motivator for being on your best behavior as a company. Tell me when a government was similarly motivated.

(in reply to Owner59)
Profile   Post #: 248
RE: McCain supports Palin for president ... sort of - 4/1/2009 4:16:31 PM   
Marc2b


Posts: 6660
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quote:

Have you ever fought an insurance co....


Yes.  It wasn't over a medical issue but I (we, actually) won.



_____________________________

Do you know what the most awesome thing about being an Atheist is? You're not required to hate anybody!

(in reply to slvemike4u)
Profile   Post #: 249
RE: McCain supports Palin for president ... sort of - 4/1/2009 4:17:58 PM   
Aynne88


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Joined: 8/29/2008
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Really? Go to court? Doesn't that kind of defeat the purpose of paying for the best coverage available? So I have an expensive private pay plan, not one claim other than the usual annual visits for 14 years, I take no prescriptions at all, none, and two years ago I had an issue with my circulation, called deep vein thrombosis. Went to my GP, he diagnosed it as that, sent me to a specialist, she also concurred, sent in all the paperwork for a 3k procedure to inject the viens and deflate them or whatever they do, I am not a doctor, obviously. They denied the claim, claiming it was cosmetic. Wtf? Another doctor same opinion, by then the left leg had a bunch in a major vein that made walking painful and very unsettling. So I go to court? Wow. Stupid me. I paid out of pocket for the procedure because the alternative sounded pretty f'in scary. Not so much on clots traveling to my lungs. No way is it right that I would have had to go to court. How ridiculous.  

_____________________________

As long as people will shed the blood of innocent creatures there can be no peace, no liberty, no harmony between people. Slaughter and justice cannot dwell together.
—Isaac Bashevis Singer, writer and Nobel laureate (1902–1991)



(in reply to Marc2b)
Profile   Post #: 250
RE: McCain supports Palin for president ... sort of - 4/1/2009 4:19:47 PM   
Politesub53


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quote:

ORIGINAL: CruelNUnsual

Without a second thought I would go where they had the best chance of recovery.  To do anything else would be the height of selfishness.


There was no hope of recovery, according to the link I posted

(in reply to CruelNUnsual)
Profile   Post #: 251
RE: McCain supports Palin for president ... sort of - 4/1/2009 4:21:31 PM   
CruelNUnsual


Posts: 624
Joined: 9/28/2008
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quote:

ORIGINAL: Politesub53

quote:

ORIGINAL: CruelNUnsual

Without a second thought I would go where they had the best chance of recovery.  To do anything else would be the height of selfishness.


There was no hope of recovery, according to the link I posted


If LN believed there was no hope of recovery than the whole example is pointless, because it is no longer a health care issue.

(in reply to Politesub53)
Profile   Post #: 252
RE: McCain supports Palin for president ... sort of - 4/1/2009 4:22:45 PM   
Politesub53


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Many people seem to moan about spending money on healthcare, yet never say a word about the money spent on star wars schemes and the like.

(in reply to Politesub53)
Profile   Post #: 253
RE: McCain supports Palin for president ... sort of - 4/1/2009 4:23:30 PM   
Vendaval


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And just for shits and giggles try dealing with an insurance company for any "pre-existing" conditions.  Feh

_____________________________

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So in this gray haze we'll be meating again, and on that
great day, I will tease you all the same."
"WOLF MOON", OCTOBER RUST, TYPE O NEGATIVE


http://KinkMeet.co.uk

(in reply to Aynne88)
Profile   Post #: 254
RE: McCain supports Palin for president ... sort of - 4/1/2009 4:23:46 PM   
slvemike4u


Posts: 17896
Joined: 1/15/2008
From: United States
Status: offline
quote:

ORIGINAL: Marc2b

quote:

Have you ever fought an insurance co....


Yes.  It wasn't over a medical issue but I (we, actually) won.


Well Marc medical cases sometimes have an urgency to them.Meaning rich Insurence co's with in-house legal can procrastinate and delay treatment to the detriment of the claiment's health.....And that's a real bitch ,winning your case long after the battle has been lost.

< Message edited by slvemike4u -- 4/1/2009 4:30:34 PM >


_____________________________

If we want things to stay as they are,things will have to change...Tancredi from "the Leopard"

Forget Guns-----Ban the pools

Funny stuff....https://www.youtube.com/watch?v=eNwFf991d-4


(in reply to Marc2b)
Profile   Post #: 255
RE: McCain supports Palin for president ... sort of - 4/1/2009 4:25:21 PM   
Politesub53


Posts: 14862
Joined: 5/7/2007
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quote:

ORIGINAL: CruelNUnsual

quote:

ORIGINAL: Politesub53

quote:

ORIGINAL: CruelNUnsual

Without a second thought I would go where they had the best chance of recovery.  To do anything else would be the height of selfishness.


There was no hope of recovery, according to the link I posted


If LN believed there was no hope of recovery than the whole example is pointless, because it is no longer a health care issue.


You obviously cant be bothered to read the link, or even my earlier post. It stated quite clearly the family moved her to NY so they could say their goodbyes.

(in reply to CruelNUnsual)
Profile   Post #: 256
RE: McCain supports Palin for president ... sort of - 4/1/2009 4:26:10 PM   
Owner59


Posts: 17033
Joined: 3/14/2006
From: Dirty Jersey
Status: offline
quote:

ORIGINAL: CruelNUnsual

quote:

ORIGINAL: Owner59

you can go to the courts

oh great....


Guess what. When finances are the motivation the availability of the courts to adjudicate is huge motivator for being on your best behavior as a company. Tell me when a government was similarly motivated.


Oh the TSA,CDC,the VA and Medicare,(until bush)guarding the money supply and financial systems,guarding the food supply.I can go on....

I tired on privateers being let off the hook.

Ever heard of Enron? Halliburton? KBR? Blackwater?Lehman Brothers?AGI?I could go on.

With neo-cons trying to limit law suits and shielding certain companies from even being sued,it`s time for the little guy to catch a break.




< Message edited by Owner59 -- 4/1/2009 4:29:47 PM >


_____________________________

"As for our common defense, we reject as false the choice between our safety and our ideals"

President Obama

(in reply to CruelNUnsual)
Profile   Post #: 257
RE: McCain supports Palin for president ... sort of - 4/1/2009 4:34:30 PM   
CruelNUnsual


Posts: 624
Joined: 9/28/2008
Status: offline
quote:

ORIGINAL: Politesub53

quote:

ORIGINAL: CruelNUnsual

quote:

ORIGINAL: Politesub53

quote:

ORIGINAL: CruelNUnsual

Without a second thought I would go where they had the best chance of recovery.  To do anything else would be the height of selfishness.


There was no hope of recovery, according to the link I posted


If LN believed there was no hope of recovery than the whole example is pointless, because it is no longer a health care issue.


You obviously cant be bothered to read the link, or even my earlier post. It stated quite clearly the family moved her to NY so they could say their goodbyes.

I didnt see that post. I was responding in the context of the originial LN post.

If I had seen yours my response would have been same as the above...if that was the case its irrelevant to this discussion because it wasnt a medical care issue.

(in reply to Politesub53)
Profile   Post #: 258
RE: McCain supports Palin for president ... sort of - 4/1/2009 4:35:33 PM   
rulemylife


Posts: 14614
Joined: 8/23/2004
Status: offline
quote:

ORIGINAL: Marc2b

quote:

And you are seriously going to argue this doesn't happen with insurance companies?

How many stories had you heard of companies denying coverage on the claim it was "experimental" or "unproven" despite the doctor's recommendation for that treatment?


No, I am not going to deny that it happens but consider this:

When an insurance company denies coverage there is recourse, you can go to the courts and in this information age it is easy to get a shaming message out there. If, however, the people denying you are the government itself, who do you go to recourse for? I don’t doubt that many of the nationalized health care systems have an appeal system but it’s still the same government. The courts, at least have some independence (in fact, I think they too often go beyond their purview but that’s a whole other argument).


Well, consider this, I had an accident a few years ago I was hospitalized briefly for.

Anthem denied my claim on the basis that I should have received only out-patient care.

I took the denial to the emergency room doctor(s) who had admitted me to the hospital and was told the denial of claims was routine.

They wrote letters and I made calls and my claim was magically covered.

What if I was someone who had been too ill to handle fighting on their own behalf?

(in reply to Marc2b)
Profile   Post #: 259
RE: McCain supports Palin for president ... sort of - 4/1/2009 4:42:35 PM   
rulemylife


Posts: 14614
Joined: 8/23/2004
Status: offline
quote:

ORIGINAL: CruelNUnsual

If LN believed there was no hope of recovery than the whole example is pointless, because it is no longer a health care issue.


But that's exactly what you claimed it was.

(in reply to CruelNUnsual)
Profile   Post #: 260
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