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(Watch) Doctor FED UP With Insurance Companies - YouTube
Channel: Rebel HQ
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hey jimothy yeah boss what's up why are
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we spending so much money on cataract
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surgery uh
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it's a really common surgery well
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can we not do that
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can we not cover cataract surgery yeah
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no
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people need to be able to see
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well
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can we do that thing where we get to
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practice medicine without a medical
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license
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prior authorizations yeah yeah what if
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we require prior authorizations for
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every cataract surgery if you think what
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he's describing in that video is a bad
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idea
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you're right it is what he's describing
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is prior authorizations and that's when
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health insurance companies require you
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the patient to seek their approval
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before receiving medical care that you
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need then the health insurance not your
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doctor will decide whether or not you
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can get that treatment and if they'll
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cover it this is a really bad idea and
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it's another example of why our
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healthcare system in this country is so
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broken
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do you have any idea how many cataract
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surgeries there are every year
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i don't know like a hundred four million
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this would be a huge burden on patients
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and doctors oh come on doctors won't
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care you're forcing eye doctors to ask a
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room full of business majors for
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permission to do eye surgery
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i think they'll care when you inject
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capitalist interests into the medical
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industry you're going to get outcomes
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like this because then they have a
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financial incentive to reject your claim
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the less money they spend covering
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treatment for you the more money they
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can make so it seems like a really bad
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idea and that's why the united states is
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the only developed country in the world
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without a universal health care system
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but let's talk about prior
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authorizations a bit more to make things
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even more complicated there isn't a
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uniform standard across health insurance
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companies or plans for what procedures
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or treatments or medicines require prior
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authorization so that leaves some people
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in the dark or flying blind when making
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difficult medical decisions sometimes
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the doctors themselves the ones that
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take these insurance plans don't even
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know what is and is not required to have
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prior authorization and that's led to
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people getting care and then later
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getting hit with a giant bill from their
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health insurance company which decided
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to reject the authorization and there's
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a wide range of treatments and medicines
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that fall under this domain it could
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range from surgeries like this video
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talks about to
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x-rays to medicines to
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cancer treatment we have to do this
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why
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look i don't want to alarm you
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but i went through our finances
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we only made eight billion in profit
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last year
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okay for instance take the case of
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gilbert agary he's a firefighter in
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arizona who was diagnosed with chronic
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myeloid leukemia seven
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years ago his doctor said he got it on
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the job as a firefighter and the entire
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time he's been dealing with leukemia his
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insurance company copperpoint which he
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gets through the city of goodyear
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arizona
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has been denying his claims they've been
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denying him treatment for his leukemia
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he's tried to appeal he's tried to fight
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back he's tried to explain
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and every single time they keep
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rejecting his claim his most recent
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denial was a couple weeks ago and he's
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at the point now where he could retire
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but he can't
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because he needs to keep working so he
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can pay for the medicine that prevents
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the leukemia from coming back
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and that medicine is fifteen thousand
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dollars a month so in his words he has
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to keep working until his body gives out
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so i was thinking if we can just delay
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all the cataract surgeries for a few
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months we can hold on to all the patient
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premiums and make more money and he's
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far from a unique circumstance in early
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2020 a michigan cancer patient forrest
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van patten
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was told by his doctors to get cell tea
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treatment and gilbert's case is hardly
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unique in early 2020 a michigan cancer
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patient forest van patten was told by
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his doctors that he needed car t
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treatment to deal with his cancer they
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said this would kill the cancerous cells
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in his bloodstream and save his life but
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when van patten sought authorization
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from his health insurance company
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priority health they rejected the claim
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they said it wasn't a covered benefit so
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his family did what hundreds of
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thousands of americans do every single
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year
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and they started a gofundme to try to
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pay for his medical care they reached
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out to their local news they wanted to
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get attention on the story and they
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hoped this would help bring about change
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a story ran on february 13th 2020
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talking about his fight against his
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insurance company forest van patent died
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four days later and what makes this even
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more enraging is other health insurance
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companies in michigan cover that
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treatment and because health insurance
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companies can pick and choose what they
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want to cover and what they don't
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that leaves people like him in this
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situation often people have to try to
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fundraise on the internet to cover their
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medical expenses or they die
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can we just
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for one day
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not be evil jimothy you knew what you
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signed up for when you started working
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here not evil it's literally our mission
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statement see
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these are just two examples and there
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are many many more this is not how our
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system should operate but it does
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because health insurance is a greedy
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parasitic middleman it tries to siphon
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as much money as it can away from you
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and into the pockets of their executives
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and their shareholders and meanwhile
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health insurance ceos are getting
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massive salaries and the companies are
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seeing record profits
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and that comes at your expense until we
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change our system
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and implement medicare for all we're
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only going to see more unnecessary
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preventable deaths
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