Friday, December 20, 2024

Will Elon Musk have a desk in the Oval Office?

Elon Musk & Vivek Ramaswamy

It has become dangerously obvious that Elon Musk has assumed a major position in Donald Trump's political decisions. Trump is scheduled to go to the White House in January and it would appear that Musk will be his shadow. Here are some comments from Democrats...

"Rep. Daniel Goldman (D-NY) accused President-elect Donald Trump of being Elon Musk’s “puppet” on Wednesday after Trump followed Musk’s lead in opposing House Speaker Mike Johnson’s (R-LA) continuing resolution to keep the government open."

Musk knows that if a bill isn't passed by Friday, the U.S. government will shut down. Yet,



Musk said...

“This bill should not pass,” Musk posted Wednesday morning, responding to a post by Vivek Ramaswamy, the co-leader of President-elect Donald Trump’s advisory group Department of Government Efficiency.'
Musk and Ramaswamy have plans, "to slash government spending, including at least $2 trillion in federal programs, a figure experts have called unrealistic." Musk, described as the world’s richest person, is also against a pay increase for members of Congress. In my opinion this Congress does not deserve a raise, rather, they should receive a pay cut for the incompetency they have demonstrated. But with the close margin in the House, it is clear the Republicans will need Democrats to pass any bill.

Musk and Ramaswamy, Donald Trump appointed to lead the nongovernmental group called the “Department of Government Efficiency,” DOGE, spent Wednesday posting on social media pushing Republican lawmakers to vote against a bipartisan stopgap funding bill. Folks, we're just days from a government shutdown, which apparently Trump wants since he supports the Bobbsey twins efforts. Here's a similar situation from 1888 that Donald Trump, today, has brought to American politics...
"One Sunday in March 1888, former President Rutherford B. Hayes wrote in his diary, “This is a government of the people, by the people, and for the people no longer. It is a government of corporations, by corporations, and for corporations.”

There's more,,,

"Hayes offered this private admission at the peak of the Gilded Age, when, as the historian Richard White put it, “corruption suffused government and the economy.” Businessmen amassed fortunes never seen before in American history and demanded government officials aid them in expanding those fortunes further."

And nothing has changed in the year 2024...

"For decades, the influence of money in politics has grown alongside the country’s increasing income inequality. Those who warned about this growing influence have been thoroughly vindicated. This year, Trump’s campaign was fueled by roughly $800 million from seven billionaire families. His administration will include more than a dozen billionaires, the wealthiest since President Warren Harding’s corrupt White House.
And as long as a misguided U.S. public chooses to follow this charlatan, nothing will change.


Thursday, December 19, 2024

Blackjack leaves a hard life on the streets

Stray Cats

Estimates  range from 60 to 80 million stray cats on U.S.streets. They aren't all feral, many have been abandoned by their owner/parents, some 3.3 million each year just in this country. On the human side, there are 653,104 people experiencing homelessness on a single night, and in some cases they curl up with their pets under whatever protection they can find. It is a tragedy and in America, of all the countries in the world, it should not be happening. This piece is about Blackjack who had been on the streets for seven years, 45 in human years.

Blackjack was a black cat who had experienced lots of hard knocks, spending most of his life roaming the streets, until a young woman took him into her home. He thought he had hit the pot of gold, but it turned out to be a hoarding situation. With no help, Blackjack's health worsened and he began to regress. Knowing about the hoarding, volunteers came in and rescued the big black guy, and just in time. Here's the scenario...

"When they found Blackjack, he couldn't open his eyes. He was brought to us in Montreal in poor condition, covered in filth with his nose and eyes blocked due to an infection, Chatons Orphelins Montreal shared. He was treated for an upper respiratory infection and spent most of his time resting and healing."

Still, he wolfed down the food he was given. Somewhat withdrawn, when he did begin to recuperate, his foster family noticed a limp. Back to the vet with this scenario...

"Though he'd recovered from his cold, his eyes remained painful and closed due to entropion, which caused his eyelids to roll inward. Additionally, he had multiple infected teeth that needed to be extracted."
With the help of the Montreal community, Blackjack got all the help he needed, but after his years of struggling, he still couldn't trust people. However, the bunch from Chatons Orphelins Montreal wouldn't give up and even with his damaged leg, he began to play with the other cats. Then they discovered Blackjack was deaf, but apparently this didn't affect his lifestyle in the least. The rescue staff says he has come out of his shell and "has blossomed into a stunning house panther with a fluffy coat."

This is just one story of what must be millions when it comes to the stray domestic animals in this country. PLEASE support your local animal rescue, and PLEASE give all you can in donations to your favorite animal causes. You'll be glad you did.

Wednesday, December 18, 2024

The Luigi Mangione shooting will set gun control back 20 years

Guns on the street

Gun control activists have said for years that guns are too accessible; they are easily available on the street. There are over 500 million guns in circulation today, which is roughly 1.5 firearms per person. This makes the US the country with the highest rate of civilian gun ownership in the world. This is why we have already had 16,002 gun deaths and 30,441 injuries according to Gun Violence Archive. There have been 487 mass shootings in the U.S. in 2004. And now new technology has given us the ghost gun.

Everytown reports the ATF estimates that more than 70,700 suspected privately made firearms (i.e., ghost guns) were recovered by law enforcement between 2016 and 2022. They are easy to make with the parts readily available from over 100 companies, but the feds have enacted regulations requiring identification on these weapons and their parts. My point here is that Luigi Mangione used a ghost gun to kill UnitedHealthcare CEO, Brian Thompson, through new technical knowledge, something occurring regularly today.

Mangione also used a silencer, which provided him a cover so that he could easily escape.

Luigi Mangione
The combination of all these factors is clear evidence that current gun laws are inadequate. It is my opinion that we should start over at the federal level and impose the kind of measures that fit today's needs. It is time that hard core gun rights states understand that it is, in fact, the gun that kills...because there are so many of them available. I find it impossible to understand how these people cannot read facts and understand the situation.

Just yesterday there was another school shooting where a student and teacher were killed, six other students wounded. It was the Abundant Life Christian School in Madison, WI, and the shooter, a teenage student, is also dead. CNN reports on school shootings...
"There have been at least 83 school shootings in the United States so far this year, as of December 16. Twenty-seven were on college campuses, and 56 were on K-12 school grounds. The incidents left 38 people dead and at least 115 other victims injured..."

The Brady report says Americans are 25 times more likely to be shot and killed than others in high income countries. Every day 327 people are shot in the U.S.; 117 will die. Every day 23 minors are shot in the U.S. There is much more in this Brady report that I suggest you look at and understand gun violence won't go away until something permanent and emphatic is done about it. From Luigi Mangione to Madison, WI, there is a message to the American public. In reality it is both guns and people who kill. Let's stop it today!




Tuesday, December 17, 2024

UnitedHealth Group CEO Andrew Witty's arrogance is unconscionable

Andrew Witty

Brian Thompson, former CEO of UnitedHealthcare, was shot and killed just over a week ago, supposedly due to the company's miserable response to the needs of their policyholders. And then a pretentious UnitedHealth Group CEO Andrew Witty in a New York Times op-ed last Friday...

"attempted to deflect his insurance network’s responsibility in the growing inequity in America’s health care system, vaguely pointing to a 'patchwork' of failures decades in the making while swearing that his corporate network—which reported $22 billion in profits in 2023 alone, nearly three times the figure reported by CVS, the second-most-profitable health insurance company that year—was consistently fighting to 'deliver high-quality care and lower costs.'"

In reference to Witty's point, "was consistently fighting to 'deliver high-quality care and lower costs," I pointed out in yesterday's blog that UnitedHealthcare has a 32% denial rate compared to an industry average of 16%. And, as an example, UnitedHealthcare's rates in Massachusetts are $251 monthly compared to Blue Cross $212. These facts are hardly in the best interest of Witty's company's policyholders. There were 2500 comments in hours temporarily shutting down the comments section. Here's the scenario...

"Users shared their own horrible experiences [in the comments] with the health insurance industry, deriding Witty’s vapid analysis as a “self-serving essay” that did nothing to address UnitedHealthcare’s role in a system that prioritizes shareholder profits over successful medical outcomes for its clients."

ProPublica, one of the leaders in investigative journalism reports that, " UnitedHealth Is Strategically Limiting Access to Critical Treatment for Kids With Autism." There's more...

"Leaked internal documents show that the insurance giant is culling providers of applied behavior analysis from its network and scrutinizing the medical necessity of therapy. Advocates say the company’s strategy may be illegal."

AOC claims denied healthcare
is an act of violence
This "is the story about Sharelle Menard and her son, Benji, from Louisiana, who was diagnosed with severe autism at age three. Benji, who is now 10, requires 33 hours of weekly therapy to prevent the "screaming, and screaming, and screaming," prevalent before the medication, according to his mother. UnitedHealthcare, has begun denying him the hours he requires to maintain his progress. ProPublica says,,,

Inside the insurance conglomerate, the nation’s largest and most profitable, the slashing of care to children like Benji does have a reason, though it has little to do with their needs. It is part of a secret internal cost-cutting campaign that targets a growing financial burden for the company: the treatment of thousands of children with autism across the country."

The company has acknowledged "that the therapy, called applied behavior analysis, is the 'evidence-based gold standard treatment for those with medically necessary needs.'" The problem, however, is cost and now UnitedHealthcare is “'pursuing market-specific action plans' to limit children’s access to the treatment. "ProPublica reports...

Although the company expects to spend about $290 million for ABA therapy within its Medicaid plans this year, even after earnings of $22 billion in net profits last year, they are investing heavily in a plan to save millions by limiting access to such care.
NPR thinks Americans have had it with their country's healthcare. In a recent article, they say, "The fury over the state of U.S. health care isn't going away." Commenting how the U.S, has the most expensive healthcare in the world, the piece goes on to say, UnitedHealthcare has been widely criticized for making health care more expensive and more difficult to access. All of which is the reason for the negative response against Brian Thompson and his company.

Luigi Mangione has been arrested for Thompson's murder, but so far his supporters have raised over $65,000 for his defense. Me thinks we have a problem here and it needs fixing...NOW!

Leaked internal documents show that the insurance giant is culling providers of applied behavior analysis from its network and scrutinizing the medical necessity of therapy. Advocates say the company’s strategy may be illegal.

Leaked internal documents show that the insurance giant is culling providers of applied behavior analysis from its network and scrutinizing the medical necessity of therapy. Advocates say the company’s strategy may be illegal.

UnitedHealth Is Strategically Limiting Access to Critical Treatment for Kids With Autism

UnitedHealth Is Strategically Limiting Access to Critical Treatment for Kids With Autism

 

Monday, December 16, 2024

AARP labeled an accessory to UnitedHealthcare's 'scamming' of the elderly



I am a member of AARP, have been for over 25 years, and I was shocked with the recent article, "How AARP Shills for UnitedHealthcare." It comes from The American Prospect, whose founders include Robert Reich, Former United States Secretary of Labor, American professor, author, lawyer, and political commentator. With that credibility I can proceed to point out just how AARP, a non-profit organization, forces profit-centered UnitedHealthcare on its 58 million members, knowing full-well it is the industry’s worst insurer.

Robert Kuttner, author of the article, and co-founder and co-editor of The American Prospect, and professor at Brandeis University’s Heller School. who lives in Massachusetts says...
"where I live, a supplemental Medicare policy from UnitedHealth costs $251 a month. An identical policy from Blue Cross, which has the state’s best record in not denying care, costs $212."

Kuttner asks, "Why on earth would consumers buy such a flawed insurance product?" It's obvious, we are forced to do so by AARP, have no choice, and AARP doesn't seem to care that its members are the losers. Data confirms...

"In 2023, UnitedHealth’s denial rate of claims was 32 percent, compared to an industry average of 16 percent. Nonprofits had a far better record than for-profits."

I have trusted AARP for the 25 years I have been a member, as I am sure the 58 million members have. But I am seriously searching for new coverage, but time is limited. This is what HealthCare.gov says...

"You can change your plan during the yearly open enrollment period, which is 
November 1–January 15. You can also change your plan outside of open enrollment if you experience a life event that qualifies you for a Special Enrollment Period."

AARP has been a huckster for UnitedHealthcare for 27 years receiving a kick back of 4.95 percent of premium income from AARP subscribers. Here's the scenario...

"According to AARP’s audited financial report, AARP made $289.3 million from member dues, but $1.134 billion from kickbacks from insurers, of which the lion’s share, $905 million, was from health insurers. AARP delicately refers to these as royalties.

There's more...

"In its role as supposed advocate for the elderly, in 2003 AARP lobbied heavily in favor of George W. Bush’s misbranded and badly flawed “Medicare Part D”—the private insurance company drug insurance policies blessed by the federal government. Part D was mainly a way for UnitedHealth and others to make even more money and AARP to reap more kickbacks."
AARP is a non-profit but has been able to avoid taxes paying only about $3 million in federal income taxes on “royalties” of well over a billion. AARP has been sued by members but you won't believe the court decision...
"Credulous judges have thrown out the suits on the grounds that the premium rates had been duly approved by regulators, that premiums would not necessarily have been lower, and that the purchasers were consenting adults."
Kuttner says AARP won't talk to him but comments that in their "Online Community, the comments are thick with scathing accounts of UnitedHealth claims denials and bewilderment that AARP would sponsor such a product. Now, one can only hope that the bad publicity (but not condoning the murder of Brian Thompson) could cause AARP to change carriers; are they willing to lose the income? Donald Trump and Elon Musk must be stopped in their tracks to radically change Medicare.


Friday, December 13, 2024

UPDATE - 12/15/24: The arguable politics of Texas Attorney General Ken Paxton


LATEST: New York Attorney General Letitia James today released a statement after the Attorney General of Texas filed a lawsuit against a New York doctor for providing telehealth abortion care. See it here.

Ken Paxton


What is the goal of this sue-happy backwoods lawyer from Texas in his non-stop litigation? He has filed 100 lawsuits against Joe Biden, alone. He is so proud of this distorted interpretation of the law that he posts it on his own site. He is suing companies over forever chemicals, also filed a lawsuit to stop Texas counties from sending out voter registration. The list goes on and on with this scenario...
"In 2020, seven members of Paxton’s staff reported concerns to federal authorities that he was abusing the powers of the office of Attorney General. All of those aides were subsequently fired, resigned, or placed on leave. Four of those fired aides then filed a whistleblower lawsuit against Paxton. And while Paxton survived a trial in the Texas Senate over their allegations, the lawsuit remained."
This is Texas politics and Paxton, along with Texas Gov. Greg Abbott, are beginning to make Florida Gov. Ron DeSantis look good. These two tyrants have turned the state of Texas into an oligarchy, and the residents of the state seem either oblivious or uncaring. There is even an influx of people moving into the state. I dare say most of them are conservatives since most liberals would not deign to this kind of rule. Paxton was denied in appeal his motion to allow Texas fair-goers to carry guns in the fairgrounds.

Paxton joined Abbott in erecting barbed wire and floating marine barriers on the Mexican border for the purpose of denying immigrants entry. Two died from the razor wire and, since 1998, at least 8,000 undocumented migrants have died attempting to cross the border from Mexico to the US. Of course these people from Mexico and other countries should be forced to enter legally, and that is a huge shortcoming by both the right and the left, but the way
Greg Abbott
Texas is handling it is barbaric. 

And yet another massively inhumane law, The Texas Heartbeat Act, which has been in effect since September 2021, prohibits abortions once a 'fetal heartbeat' is detected, except in emergency situations. Any doctor who violates this strict law risks up to 99 years in prison. There have been three deaths of Texas women who weren't allowed the care to save their lives. This has prompted many women to travel out of the state for abortions. The law has also motivated several doctors to close practices and move out of Texas.

So, I say, why would anyone want to live where the state government is in perpetual litigation for, in some cases, questionable issues.. Your tax dollars are paying for the millions in attorneys fees from the law firms Paxton has hired. The time spent on all these escapades could certainly go toward more productive things for the people of Texas. The Washington Post wrote in 2022...
"Ken Paxton, the Republican attorney general of Texas, has been under felony indictment for securities fraud since 2015...He is under FBI investigation for assisting a real estate developer who allegedly hired his mistress and remodeled his home."
And Texas politics strikes once again. Prosecutors in March of 2024 agreed to drop the securities fraud charges facing Attorney General Ken Paxton if he performs 100 hours of community service and fulfills other conditions of a pretrial agreement. 

Yes, people are still dying from the killing machine at the border, and women die because of a cruel law that sacrifices their life for political gain. It is all beyond understanding.


Thursday, December 12, 2024

Two sides of death

Heaven and Hell

Thomas Paine was a deist, which is the belief in a God who created the universe but does not intervene in its functioning. He was an opponent of organized religion and Christianity, but he believed in a deity that was evident in nature. I am an agnostic, somewhat similar to Paine, and, in lieu of Christianity, I have a different opinion about the hereafter. Here is more Paine...

Paine believed that those who spent their lives trying to make others happy would be happy in the afterlife. He also believed that the wicked would be punished.

My opinion of the hereafter is a place where there is a huge chain-link fence to affinity, with one side bright, cheerful, upbeat and festive. The inhabitants reside in paradise, a blissful utopia that sees its residents in the prime of existence with no physical problems.

The other side dark, raining, sleeting, snowing with regular bouts of oppressive wind and engulfing surges of water. The occupants are all chained with a length that only allows them the room to get to the fence and wish they had led a better life.

There is a watchdog and it is his job to come up with methods to further torture those on the dark side. Like the denial of food and drink, forcing the bottom dwellers to disrobe in the cold, rain and snow. Making these poor souls walk on hot coals to get to the food and drink they are allowed.

Donald Trump will destroy democracy

These are two very specialized ideologies, but meant to be a simplification of the unyielding difference between right and wrong. We have lost our way in this determination today, particularly on the political scene. We have an incoming Oval Office lunatic that has threatened to jail Jan. 6 committee members and his enemies in general; He wants to deport 11 million immigrants and doesn't care if there are U.S. citizens caught up in the process; He has focused on unqualified and incompetent people to fill his administration.

There is more, much more, and the downside of it all is that Donald Trump wants to destroy our democracy and replace it with an autocracy. And, unfortunately, some of the American public, and it must be a relatively large portion, has turned into apathetics. They want someone to make their decisions, and for the life of me I will never understand how they want to trust Donald Trump with this task. The next four years could prove a reckoning and this includes Trump and all his minions.

Wednesday, December 11, 2024

Donald Trump's new administration of criminals

People who left Trump White
House first admin.
Donald Trump could not have done any better in assembling a gang of criminals for his administration than if he had conducted his recruitment in a prison. To begin with, Trump, himself, has been indicted in four cases, convicted in one and penalized in several civil lawsuits. Political scientists Austin Sarat and Tom Dumm, in a Salon article republished by RawStory, say...

"There is, of course, nothing wrong with giving people second chances after they have paid their debt to society," the pair wrote. "But everyone Trump has nominated or appointed thinks they owe no debt to society. Each of them contends or is portrayed by Trump’s transition team as a victim of a political prosecution or a left-wing smear campaign."
  • First, there is former trade adviser Peter Navarro who will return to the White House after serving a prison sentence for contempt of Congress.
  • And then there is his son-in-law, Jared Kushner's father, Charles Kushner, who will be ambassador to France, despite his own criminal convictions.
  • Although there is no litigation, former Fox News host Pete Hegseth was picked to be defense secretary, in spite of multiple charges of misconduct.
  • Again with no litigation, former Rep. Matt Gaetz had to withdraw as attorney general nominee due to accusations of his sexual trysts with minors.
The authors bring up the competence of the nominees and while Navarro and Gaetz are questionable, and Kushner is most certainly borderline, Pete Hegseth's nomination as
Pete Hegseth

Defense Secretary is beyond ludicrous. There are lots more who are somewhat dubious but don't necessarily carry the baggage of legal problems. Are you ready for this?
  • Marco Rubio does not have the strength to be Secretary of State.
  • Pam Bondi would trash the Attorney General's office with her spoken vendetta of Donald Trump's enemies.
  • There are screams all over the medical community from doctors and scientists that Robert F. Kennedy Jr. will destroy medicine as we know it today.
  • And Kristi Noem as the Secretary of homeland security is another one that keeps you rolling in the aisles with laughter.
  • Tulsi Gabbard, as Director of national intelligence, is highly questionable since she doesn't really know if she's on our side or the side of the Russians.
  • Dr. Mehmet Oz has a fascination with Medicare advantage, in lieu of its rival so his nomination as Centers for Medicare and Medicaid Services administrator could jeopardize regular Medicare.
  • Elon Musk and Vivek Ramaswamy heading Department of Government Efficiency is a total joke. Two morons for the job and Ronald Reagan couldn't make it work. Donald Trump sure as hell won't be able to.
  • Stephen Miller as Deputy chief of staff for policy and homeland security adviser worries me a lot. This man and his ideologies are just plain scary.
  • Kash Patel as FBI director is in the Pam Bondi mode; would rein the department with his rage against Trump enemies.
  • here is one who appears qualified for the job, Susie Wiles, as White House chief of staff. And if she can hold Donald Trump down, she will deserve our applause.
It will be interesting if all, or at least some of these nominees are approved by the Senate, just how long it will take for the axe to fall on the first one.

Tuesday, December 10, 2024

Who is to blame for Brian Thompson's murder?

Police closing in on Brian Thompson shooter


First up would be the shooter, whom authorities believe they have found. You might think that is sufficient to explain the taking of a person's life but you would be wrong. Remember, this person had positioned him or herself in wait for Brian Thompson, the CEO of UnitedHealthcare, for the purpose of killing him. It would appear that the shooter didn't know Thompson, thus, there was some other objective in what he did. The people have spoken in social media with an opinion that Thompson deserved what he got.

Vox says it all in its headline, "The deep roots of Americans’ hatred of their health care system." The article by Dylan Scott reports there is significant evidence of the fact that the way the country provides medical services is costly in both money and human life. Not only the lives of patients but now a life of the CEO of the largest health insurer in the U.S., UnitedHealthcare. The public is more than justified in its anger when a company who could save your life uses AI for a reason to let you die. Vox goes on...
"On the same day as the shooting, news that a different insurer would restrict coverage for anesthesia during surgeries went viral, serving as a kind of cosmic confirmation of this line of thinking."

This was withdrawn almost immediately with the murder of Brian Thompson. It was a stupid decision to arbitrarily restrict anesthesia time in surgeries, to save money, of course, with no consideration whatsoever for the needs of the anesthesiologist, who, in fact, has the responsibility for the patient. Here's another blunt comment from Vox...

"Put every aspect of this tragic episode together and you have the rotten core of American health care. The cruelties of the US medical system and the ongoing blame game between the private industries that profit from it have left patients angry and confused — and looking for someone, anyone, to blame, fairly or not."
Luigi Mangione, suspected
Brian Thompson murderer

Scott thinks the only way to solve the problem is to confront all the industry offenders who are responsible for this aggregate of failures. The author also harks back to the days when medicine was much simpler. The participants were allies, not fighting each other constantly for profits. He also explains, "prices have continued to spiral upward, accelerated by the aging of the baby boomers and by important but costly advancements in medical science." Conversely, guess we couldn't do without any of this.

Obamacare was a strike against the private insurance industry, but since its enactment, Republicans have tried non-stop to kill the program. With only a mention now, but worth considerable coverage in the future, big pharma was caught off-guard by Biden's recent Inflation Reduction Act. We'll see the full effect in 2025....
"a provision allowing for Medicare to negotiate prices with drugmakers, which would lower costs and allow the program to cap seniors’ out-of-pocket costs."

And I have never seen a blame game carried out with the intensity of that in the medical insurance industry. Here are the sordid facts...

  • Hospitals blame drug companies (for charging high prices that they must pass on to payers) and insurers (for restricting benefits and leaving patients exposed to uncovered bills)
  • Drug companies blame insurers (for charging patients high out-of-pocket costs for medications) and hospitals (for exploiting technical programs like 340B to artificially boost their profits); they also blame the pharmacy benefit managers (PBMs) who coordinate among drug manufacturers, plans, and pharmacies
  • Insurers blame hospitals and drug companies (for charging too much money for their services and products, which patients bear through higher premiums and out-of-pocket costs)
  • Patients blame everybody (for the high costs they face and the hassles of navigating this complicated system).
I can only hope that this murder will not take the same course as does those in gun violence...here today, gone tomorrow.


 




Monday, December 9, 2024

Will Brian Thompson's murder end a corrupt insurance industry practice?



Doctors without authority



Brian Thompson, CEO of UnitedHealthcare was murdered and drew headlines like this on WGTC...
"‘He was a serial killer’: Americans have no tears to shed for murdered CEO who denied patients life-saving care."
This may seem callous to some but it is a pent-up feeling for years of those deprived of their rightful medical care. WGTC continues...
"UnitedHealthcare is the kind of insurance company that scams people, but we hardly ever hold it accountable. Well, some people on the internet haven’t forgotten about the company’s past."
Social media is screaming how UnitedHealth has the most denied claims in the industry and they do it by using AI. The U.S. Senate Permanent Subcommittee on Investigations reported, "the nation’s insurers have been using AI-powered tools to deny some claims from Medicare Advantage plan subscribers," according to YahooNews.

There's more...
"The report found that UnitedHealthcare’s denial rate for post-acute care — health care needed to transition people out of hospitals and back into their homes — for people with Medicare Advantage plans rose to 22.7% in 2022, from 10.9% in 2020."

There is also a lawsuit accusing Brian Thompson and other executives of UnitedHealth of insider trading related to an ongoing Justice Department investigation, according to YahooNews. Here's the scenario...

"Thompson, 50, was one of three UnitedHealth Group executives named in a class action lawsuit filed in May that accused them of dumping millions of dollars worth of stock while the company was the subject of a federal antitrust investigation, which investors say wasn’t immediately disclosed to shareholders."
Taking advantage of this privileged access to inside information is considered a breach of the individual's fiduciary duty. And if you're willing to break one rule, why not another, which, of course, was Thompson's initiation of the use of AI for the purpose of denying claims. A move that ranks UnitedHealth the frontrunner in that process. 

Neiscope says the public's reaction is incredibly dark, with one person cracking the following remark, "Our apologies, but bullet wounds are only covered under our Platinum+ package." Police Commissioner Jessica Tisch commented...
"Let's be clear: any act of violence or loss of life is a tragedy. But the internet's indifference to Thompson's passing — and gallows humor about the notorious deficiencies of the private insurance industry — are simultaneously ghoulish and illustrative of America's profoundly dysfunctional medical system."
The cost of medical care has gone up while the quality of care has gone down. But the epitome of it all this is there is now a company "whose business model depends on turning down payments for care recommended by doctors for their patients," according to ProPublica.org. (They sell this software to insurance companies). The name of the company is EviCore by Evernorth and they are owned by the insurance giant Cigna. Here's the scenario...
"A ProPublica and Capitol Forum investigation found that EviCore uses an algorithm backed by artificial intelligence, which some insiders call “the dial,” that it can adjust to lead to higher denials. Some contracts ensure the [insurance] company makes more money the more it cuts health spending. And it issues medical guidelines that doctors have said delay and deny care for patients."
There is no wonder the American people are furious over being conned out of the healthcare that is rightfully theirs. But when will the masses revolt against this wrong and others perpetrated by Donald Trump?                                         

Friday, December 6, 2024

Why hasn't Joe Biden issued blanket precautionary pardons?


President Biden has a list but this time it is a good one. It includes those who have actively opposed Donald Trump, and he is considering giving them blanket precautionary pardons. Daily Beast describes them "Trump’s biggest political foes," with a mix of Republicans, Democrats and former administration staff...
The main three are former Wyoming Rep. Liz Cheney, Anthony Fauci, former head of the National Institute of Allergy and Infectious Diseases, and Adam Schiff, newly elected California Senator. There are more.
Here's a headline for you from Reuters: "Trump taps team geared toward retribution and remaking of government." A clearcut designation of loyalists who share Donald Trump's thirst for revenge. And, a promise to take away your democracy and turn it into a dictatorship. I don't believe the average person in this country wants to give up thinking for themselves and turn over their lives to an oligarchy. Only the double-digit Trump followers. 
And here's a kicker from Reuters: "Trump's team reflects preference for outsiders with disruptive mentality."
Kash Patel, Trum's current choice to head the FBI has bluntly "vowed to go after Trump's perceived enemies," according to Reuters. Listen to this from Politico..
"For years, Trump has peppered his speeches and social media posts with vengeful calls for his political opponents, his critics and members of the media to be prosecuted, locked up, deported and even executed. In the waning weeks of the 2024 campaign, he escalated those promises of retaliation to a fever pitch."

Thursday, December 5, 2024

Trump taking healthcare from most needy

 

Do you live in the states of Arizona, Arkansas, Illinois, Indiana, Montana, New Hampshire, North Carolina, Utah, or Virginia? There are three million of you who could immediately lose your health coverage if the Republicans cut extra federal Medicaid funding that's helped states to increase what you receive.. Here's the scenario from AlterNet...
"If Congress cuts federal funding, Medicaid expansion would be at risk in all states that have opted into it — even those without trigger laws — because state legislatures would be forced to make up the difference, said Renuka Tipirneni, an associate professor at the University of Michigan’s School of Public Health."

There are forty other states and the District of Columbia extending this health insurance to 21 million people, a move that has brought U.S. uninsured rates to an all time low. In exchange, the federal government pays 90% of the cost to cover the expanded population. A lot of this does depend on politics at the state level. Here's another if..

"If Congress cuts federal funding, Medicaid expansion would be at risk in all states that have opted into it — even those without trigger laws — because state legislatures would be forced to make up the difference.

Republican states would no doubt oppose the above and let the program expire. The article points out that "Six of the nine states with trigger laws — Arizona, Arkansas, Indiana, Montana, North Carolina, and Utah — went for Trump in the 2024 election.

"Conservatives oppose the ACA, saying "the program costs too much and covers too many people." Liberals say "the Medicaid expansion has saved lives and helped communities by widening coverage to people who could not afford private insurance." And here's an interesting fact...

"Nearly a quarter of the 81 million people enrolled in Medicaid nationally are in the program due to expansions." 

In other words there is a specific, established need here, but Donald Trump doesn't think it is necessary. I have come to the conclusion that the new Donald Trump administration is not necessary. 

 

Laura Loomer has Donald Trump by the balls...again

  Donald Trump - Laura Loomer The Donald Trump mass firing across the U.S. government are unconscionable on their own, but letting a fellow ...