SicKo- Seen it? - Page 3

TheMercenary · 07-25-2007, 10:02 AM

I won't be putting any money in MM pockets. The guy is an idiot even if the subject is an important one.

Cicero · 07-26-2007, 12:19 PM

I like MM- because he's asking real questions regardless of his weight.

And I've come to a decision about healthcare. Insurance is not set up in it's essence for reocurring charges. We can set our watches by yearly exams we need, prescriptions that have to be filled, and the time we need off to do it. And these are just the reocurring charges for things we already know about.
We need programs rather than insurance.
My taxes need to start going towards something that I think is an inalienable right to all citizens.
Our lives hang on a thin thread when we have corporate controlling the very fibers of our existence; our bodies.
How terrible that ill health only counts against you. Talk about adding insult to injury......
I hope people wake up soon. It's like no one can tell they are having the same nightmare. Sorry to wax metaphysical poetics here....
No insurance has become such a dirty word......like poor people don't have the right to live.
I call bullshit. I'm with Dana on the profiteer thing. It's like asking a salesman for a life saving operation. WTF? Hey they're never in that business especially when they start throwing around buzz terms like consumer-centric models of development.
Life, liberty, and the pursuit of happiness is becoming such a joke.
I can buy all the health policies I want, but who in the hell is going to make sure that I stay alive to pay for it?
Not them....this is why by their own designs they don't even make sense anymore.

wolf · 07-26-2007, 12:54 PM

For the record ...

I am a hospital employee.

One of my primary duties is the initial negotiation with the HMO to determine authorization of services.

I have never turned away a patient because their insurance company refused us payment at the front end. Refusal to authorize services rarely happens. There is a simple appeals process, and we typically win the appeals.

Up to 50% of the patients I see have no insurance coverage when they come in the door.

I don't care. If they need inpatient psychiatric treatment, they get inpatient psychiatric treatment. And, if they are medical assistance eligible, they can establish benefits if they bother to follow up with the medicaid office after they leave.

We eat about $1 million per year in unfunded care (this excludes treatment that can be charged off to what's called "Charity Care," which is a tax break.)

Cicero · 07-26-2007, 01:08 PM

Quote:

Originally Posted by wolf

For the record ...

I am a hospital employee.

One of my primary duties is the initial negotiation with the HMO to determine authorization of services.

I think it should be the other way around. You as the health professional should have the authority to determine services. Period. What a waste of time. Is that what our professionals are doing? Wasting their training and time on haggling with insurance companies?

yesman065 · 07-26-2007, 01:33 PM

Pretty much, the insured/patient too - I spent over an hour on the phone twice and sent insurance information 3 times for an ER visit for my son. BTW, a possible broken hand/finger - 2 X-rays and a 2 hour wait followed by a "nope nothings broken - take some ibuprophen & have a nice day" - - - $2340
Are you freakin kidding me????

Flint · 07-26-2007, 02:28 PM

You must have thought it could have been broken, or you wouldn't have visited the hospital. If you could have taken care of it yourself, you had the option of not going to the hospital. But, wait, you don't have an X-Ray machine at home, do you? Oh, that's why you went to the hospital. So, you utilized their service, voluntarily, and now you don't want to pay for it?

X-Ray equipment isn't cheap. X-Ray techs don't work for free. Radiologists don't look at the films as a favor to you.

Cicero · 07-26-2007, 03:00 PM

No one wants to pay exorbitant rates just because something is an emergency.
My chiropractor charged me 75 bucks to look at my back. (x-rays included)
Oh, and he fixed it too.
I was very glad to pay it.

Flint · 07-26-2007, 03:08 PM

Can you show up 24/7 at your chiropractor's office with a broken finger? . . . Guess you'll be needing those hospitals to stay in business.

Cicero · 07-26-2007, 03:18 PM

Who is talking about putting hospitals out of business? Why jump to outlandish conclusions to try and make a point?

Don't try to Alpha cellarite my a**.

The rates are too costly by even completely immodest standards- so get off me.

DanaC · 07-26-2007, 03:24 PM

'hospital' and 'business' are two concepts that shouldn't be sharing a sentence if you ask me.

glatt · 07-26-2007, 03:38 PM

Flint works in IT in a health facility. He is part of the overhead. So when you pay $2000 plus for a simple visit, you are paying for Flint.

wolf · 07-26-2007, 03:40 PM

Quote:

Originally Posted by Cicero

I think it should be the other way around. You as the health professional should have the authority to determine services. Period. What a waste of time. Is that what our professionals are doing? Wasting their training and time on haggling with insurance companies?

My hospital does give me that authority, as I explained in my original post. Our inpatient physicians also have that authority.

Any medical doctor also has that authority in a medical setting ... and also a requirement of the federal government.

Cicero · 07-26-2007, 04:24 PM

Hmmm....I'm sorry, I read- negotiation to determine authorization.
What are you negotiating?
What are you appealing?
You are right....I am totally lost...
I also have another question....
Is it that costly to provide an emergency service? Or are, we that pay our bills, helping to eat the cost for the 50 percent that don't?

07-26-2007, 04:58 PM

MM's weight is not an issue and bringing it up says a LOT about those who do it.

DanaC · 07-26-2007, 05:02 PM

I like Moore. I used to watch him years ago when he had that little weekly show that went out in US and UK in the 90s ( I think). I know he comes in for a lot of stick, but I really think he fights the battles he believes in with these films. The issues he tackles are issues which need to be talked about.

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07-25-2007, 10:02 AM	#31
TheMercenary “Hypocrisy: prejudice with a halo” Join Date: Mar 2007 Location: Savannah, Georgia Posts: 21,393	I won't be putting any money in MM pockets. The guy is an idiot even if the subject is an important one. __________________ Anyone but the this most fuked up President in History in 2012!

07-26-2007, 12:54 PM	#33
wolf lobber of scimitars Join Date: Jul 2001 Location: Phila Burbs Posts: 20,774	For the record ... I am a hospital employee. One of my primary duties is the initial negotiation with the HMO to determine authorization of services. I have never turned away a patient because their insurance company refused us payment at the front end. Refusal to authorize services rarely happens. There is a simple appeals process, and we typically win the appeals. Up to 50% of the patients I see have no insurance coverage when they come in the door. I don't care. If they need inpatient psychiatric treatment, they get inpatient psychiatric treatment. And, if they are medical assistance eligible, they can establish benefits if they bother to follow up with the medicaid office after they leave. We eat about $1 million per year in unfunded care (this excludes treatment that can be charged off to what's called "Charity Care," which is a tax break.) __________________ wolf eht htiw og "Conspiracies are the norm, not the exception." --G. Edward Griffin The Creature from Jekyll Island High Priestess of the Church of the Whale Penis

07-26-2007, 02:28 PM	#36
Flint Snowflake Join Date: Mar 2006 Location: Dystopia Posts: 13,136	You must have thought it could have been broken, or you wouldn't have visited the hospital. If you could have taken care of it yourself, you had the option of not going to the hospital. But, wait, you don't have an X-Ray machine at home, do you? Oh, that's why you went to the hospital. So, you utilized their service, voluntarily, and now you don't want to pay for it? X-Ray equipment isn't cheap. X-Ray techs don't work for free. Radiologists don't look at the films as a favor to you. __________________ **************** There's a level of facility that everyone needs to accomplish, and from there it's a matter of deciding for yourself how important ultra-facility is to your expression. ... I found, like Joseph Campbell said, if you just follow whatever gives you a little joy or excitement or awe, then you're on the right track. . . . . . . . . . . . . . . . . . . . . . . . . . . Terry Bozzio**

07-26-2007, 03:08 PM	#38
Flint Snowflake Join Date: Mar 2006 Location: Dystopia Posts: 13,136	Can you show up 24/7 at your chiropractor's office with a broken finger? . . . Guess you'll be needing those hospitals to stay in business. __________________ **************** There's a level of facility that everyone needs to accomplish, and from there it's a matter of deciding for yourself how important ultra-facility is to your expression. ... I found, like Joseph Campbell said, if you just follow whatever gives you a little joy or excitement or awe, then you're on the right track. . . . . . . . . . . . . . . . . . . . . . . . . . . Terry Bozzio**

07-26-2007, 12:19 PM	#32
Cicero Looking forward to open mic night. Join Date: Oct 2006 Location: New Mexico Posts: 5,148	I like MM- because he's asking real questions regardless of his weight. And I've come to a decision about healthcare. Insurance is not set up in it's essence for reocurring charges. We can set our watches by yearly exams we need, prescriptions that have to be filled, and the time we need off to do it. And these are just the reocurring charges for things we already know about. We need programs rather than insurance. My taxes need to start going towards something that I think is an inalienable right to all citizens. Our lives hang on a thin thread when we have corporate controlling the very fibers of our existence; our bodies. How terrible that ill health only counts against you. Talk about adding insult to injury...... I hope people wake up soon. It's like no one can tell they are having the same nightmare. Sorry to wax metaphysical poetics here.... No insurance has become such a dirty word......like poor people don't have the right to live. I call bullshit. I'm with Dana on the profiteer thing. It's like asking a salesman for a life saving operation. WTF? Hey they're never in that business especially when they start throwing around buzz terms like consumer-centric models of development. Life, liberty, and the pursuit of happiness is becoming such a joke. I can buy all the health policies I want, but who in the hell is going to make sure that I stay alive to pay for it? Not them....this is why by their own designs they don't even make sense anymore.

07-26-2007, 01:33 PM	#35
yesman065 Banned - Self Imposed Join Date: Dec 2005 Posts: 1,847	Pretty much, the insured/patient too - I spent over an hour on the phone twice and sent insurance information 3 times for an ER visit for my son. BTW, a possible broken hand/finger - 2 X-rays and a 2 hour wait followed by a "nope nothings broken - take some ibuprophen & have a nice day" - - - $2340 Are you freakin kidding me????

07-26-2007, 03:00 PM	#37
Cicero Looking forward to open mic night. Join Date: Oct 2006 Location: New Mexico Posts: 5,148	No one wants to pay exorbitant rates just because something is an emergency. My chiropractor charged me 75 bucks to look at my back. (x-rays included) Oh, and he fixed it too. I was very glad to pay it.

07-26-2007, 03:18 PM	#39
Cicero Looking forward to open mic night. Join Date: Oct 2006 Location: New Mexico Posts: 5,148	Who is talking about putting hospitals out of business? Why jump to outlandish conclusions to try and make a point? Don't try to Alpha cellarite my a**. The rates are too costly by even completely immodest standards- so get off me.

07-26-2007, 03:24 PM	#40
DanaC We have to go back, Kate! Join Date: Apr 2004 Location: Yorkshire Posts: 25,964	'hospital' and 'business' are two concepts that shouldn't be sharing a sentence if you ask me.

07-26-2007, 03:38 PM	#41
glatt ™ Join Date: Jul 2003 Location: Arlington, VA Posts: 27,717	Flint works in IT in a health facility. He is part of the overhead. So when you pay $2000 plus for a simple visit, you are paying for Flint.

07-26-2007, 04:24 PM	#43
Cicero Looking forward to open mic night. Join Date: Oct 2006 Location: New Mexico Posts: 5,148	Hmmm....I'm sorry, I read- negotiation to determine authorization. What are you negotiating? What are you appealing? You are right....I am totally lost... I also have another question.... Is it that costly to provide an emergency service? Or are, we that pay our bills, helping to eat the cost for the 50 percent that don't?

07-26-2007, 04:58 PM	#44
rkzenrage Guest Posts: n/a	MM's weight is not an issue and bringing it up says a *LOT* about those who do it.

07-26-2007, 05:02 PM	#45
DanaC We have to go back, Kate! Join Date: Apr 2004 Location: Yorkshire Posts: 25,964	I like Moore. I used to watch him years ago when he had that little weekly show that went out in US and UK in the 90s ( I think). I know he comes in for a lot of stick, but I really think he fights the battles he believes in with these films. The issues he tackles are issues which need to be talked about.

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