• Fedizen@lemmy.world
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    1 day ago

    It should be illegal for anyone but a doctor to deny a claim. This isn’t even going to be AI, its just going to be a program that denies everything.

  • FlyingCircus@lemmy.world
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    1 day ago

    I’m so tired of living under capitalism. Can you all please get some fucking class consciousness so we can get out of this hellscape?

      • nomy@lemmy.zip
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        2 days ago

        Death panels always existed they just wanted them to be employees at a for-profit.

        It’s the lack of profit that scares them I guess.

  • kent_eh@lemmy.ca
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    2 days ago

    Is there a name for the next step beyond perverse incentives?

    Because that’s where we are now.

    • theneverfox@pawb.social
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      2 days ago

      Kleptocracy. They just aren’t bothering to hide the fact that they’re selling off the government for parts anymore

        • theneverfox@pawb.social
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          1 day ago

          They’re trying… But it’s almost performative. I calmed down a lot when they complied with the orders to shut down alligator Auschwitz, now we’ve got ICE whining about how no one likes them, people aren’t coming to their hearings to get picked up, and all that bullshit about denaturalization seems to have been dropped

          Don’t get me wrong, it’s still horrible, we need to fight it, and we need to disband ICE and have trials when this is all over… But it’s not the defining aspect of this administration

          Those tents and cages in the Everglades cost hundreds of millions to set up, and probably a comparable amount to tear down. Money that was set aside for disaster recovery. The majority of that money went in someone’s pocket

          And that’s the real defining aspect of the administration. They’re fascist enough to do fascism, but they’re too busy looting the government for profit to commit to it

  • doctortofu@piefed.social
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    3 days ago

    Literally and with no exaggeration, death panels. You know, the ones Republicans were yelling about a few years ago. Those exact fucking ones.

    • Maeve@kbin.earth
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      3 days ago

      Those same ones who screamed about fema prisons… At some point, we’ll catch on that these conspiracy theories are actual plans…

      • dohpaz42@lemmy.world
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        3 days ago

        The question is: which came first? The conspiracy theory, or the plan? It could go either way with the party of family values.

        • wolframhydroxide@sh.itjust.works
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          3 days ago

          Ah, see, there’s your problem: you’re using a slight mistranslation. A common mistake. They were never the party of “Family Values”. They’re the party of “Family Valuations”. They exist to find a way to put a number on every family, either “amount of money we can squeeze out of them” or “amount of money we can make by destroying them”, and they get bonuses from their corpocratic upstream if they can manage both at the same time.

    • jjjalljs@ttrpg.network
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      3 days ago

      Every accusation is a confession, right? That’s how conservatives work. They’re unimaginative people with poor empathy. They think about what they would do and assume that’s what everyone else would do, too. They are trash. Failures. Disappointments.

      • ArmchairAce1944@discuss.online
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        3 days ago

        Failures in every way except for gaining power and wealth. A few of them anyway. The sad reality is that throughout history being ruthless always paid off to a large extent.

        • jjjalljs@ttrpg.network
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          3 days ago

          Some of the leadership is getting a lot of wealth, true. The majority seem to be losing more. Loss of government programs (eg: Medicare). Return of preventable diseases (eg: measles). Pollution and climate change.

          • ArmchairAce1944@discuss.online
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            2 days ago

            I was referring to those at the top. Most of them will be giant failures in life. But the ones that ‘succeed’ sadly will have more money than God.

    • ameancow@lemmy.world
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      3 days ago

      These don’t count because they’re just software and the designers can feign complete innocence because of the black-box nature of AI decision-making.

      There are reasons they want AI in charge of so many things. It’s not because they think AI can do a better job.

      And also, AI makes pictures of Trump riding tanks and fist-bumping Jesus so it has to be perfect and awesome, right?

    • lucretius@slrpnk.net
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      2 days ago

      Evangelical Christianity. They have always claimed that “absolute evil” exists. They have won the philosophical debate, by demonstrating the Platonic form of evil.

    • NatakuNox@lemmy.world
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      3 days ago

      The fact that there’s shares to be had for denying care is crazy. They know denying care is their business! Meaning that the money they didn’t spend on your care doesn’t go back into the pot for everyone in your group, they are pocketing some of the money whenever they deny someone. That’s it. They don’t help anyone but themselves. There should be a requirement that insurance companies publicly announce how much money they made from denying care

  • TuffNutzes@lemmy.world
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    2 days ago

    So bribe the private sector to deny all claims routed through them first for government healthcare and then claim ‘gUbmEnT dEAtH pANEls!’ are the problem.

    • humanspiral@lemmy.ca
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      1 day ago

      So bribe the private sector to deny all claims routed through them first

      The AI models getting paid most the most they deny is private sector grift built in here.

  • billwashere@lemmy.world
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    2 days ago

    You don’t need AI for that….

    
    #!/usr/bin/env python3
    
    def main():
        try:
            _ = input("Enter reasoning for claim: ")  # read but ignore the input
            print("denied")                # always respond "denied"
        except (EOFError, KeyboardInterrupt):
            # Even if input is interrupted, still respond "denied"
            print("denied")
    
    if __name__ == "__main__":
        main()
    
    
  • buddascrayon@lemmy.world
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    3 days ago

    Officials assert that the AI tools will only be used to judge claims for about a dozen different types of procedures it deems to be wasteful and providing little benefit, including steroid shots to relieve pain, per the NYT.

    Yeah cause people on medicare aren’t likely to need steroid shots for things like joint pain or anything. Anyone 65 and older should start saving their money now to pay for their steroid shots that are going to start costing them a couple hundred bucks a pop.

    • cheers_queers@lemmy.zip
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      2 days ago

      As someone who lives with constant pain, calling pain relief of any kind “wasteful” enrages me. See if pain relief has “little benefit” when im done with you, mufucka

    • hector@lemmy.today
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      2 days ago

      If payments out of pocket were reasonable maybe we are charged like a hundred times what everybody elsein the world pays.

      Investors like private equity have taken over Health Care and are extracting the life savings of baby boomers for medical care that used to cost a reasonable amount of money.

  • favoredponcho@lemmy.zip
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    3 days ago

    As I get older and need the healthcare system more, I have had this realization that except for cosmetic surgery no one uses healthcare that they don’t need. Like, no one is out there trying to scam their insurance company out of a free colonoscopy. They get that procedure because they don’t want to die. Rejecting claims should be illegal. The goal of the healthcare system should be to treat people. Insurance is the wrong paradigm to manage healthcare because implicitly it’s built around rationing resources.

    We don’t do this with food, and yet healthcare is a basic need. What do we do as a society to meet our food needs? We scale up. We plant megatons of crops. We build new technologies to be able to produce more. Why with healthcare do we not do the same? Med schools should accept more than 2% of applicants. The number of doctors in the US is kept artificially low. Also, let people interested in medicine attend abbreviated university programs. Skip the 4 year bachelors and get your med school degree directly in 5-6 years like they do in the UK. Redirect all the overhead and money spent on insurance to building hospitals and hiring doctors.

    • Pieisawesome@lemmy.dbzer0.com
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      1 day ago

      Rejecting claims does have some legitimate purposes.

      Invalid ID numbers, people aren’t actually a customer of the insurance company, unreadable data, and actual medical fraud to name a few.

      Denials should trigger a government review that the insurance company must justify to a neutral 3rd party that has a medical degree

    • pivot_root@lemmy.world
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      3 days ago

      The goal of the healthcare system should be to treat people.

      The goal of a good healthcare system is to treat people. The goal of ours is to treat the rich to another yacht. Healthcare providers bill far above cost for profit, knowing that either the insurance or the patient will have no choice but to eat the cost. Insurance providers use high healthcare costs to justify high policy prices and then do unethical shit to avoid paying out.

      The hospitals make money. The insurance company makes money. The shareholders and corporate owners make money. The people needing healthcare get screwed.

      The system is, unfortunately, working as intended for those who benefit from it being the way it is.

    • andros_rex@lemmy.world
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      3 days ago

      Med schools should accept more than 2% of applicants.

      The problem is a lack of residencies, and there’s been lobbying to keep the number of residencies low, to keep doctor wages high.

    • jumping_redditor@sh.itjust.works
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      3 days ago

      Cystic acne treatment is frequently covered by insurance and the same treatment is desirable to those that suffer from normal acne. Emotional support animals required doctors notes and were desirable for free admittance on planes. Ozempic as a weight loss drug. Topical steroid treatments for treating inflammation. Glasses to see better than 20/20.

      There are all kinds of medical treatments (relatively) healthy people would want if they were affordable and knew they existed.

      • localhost001@lemmy.world
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        2 days ago

        Perhaps so, but it should be up to a medical professional (doctor) whether or not those treatments are appropriate for the patient. Not for-profit companies run by sociopathic executives. (Although in this case we are talking about state-run Medicare using private companies’ AI to make the determination.)

    • buddascrayon@lemmy.world
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      3 days ago

      This is the point. They want to erase any legacy either of them left. Trump is a petty little asshole who is still mad that Obama made fun of him once.

  • ☂️-@lemmy.ml
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    3 days ago

    so no healthcare for anyone anymore? just insurance companies paying themselves now.