A man battling stage 4 lung cancer was preparing to fly across the country for a life-changing double-lung transplant when his insurance company denied him coverage
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Insurance for health "care" is in actuality just death panels. You give them thousands and thousands and in return you get what? This is all pretend. A ruse, and we just accept it.
"Our coverage guidelines are grounded in national clinical standards to help ensure the best possible outcomes for patients," Cigna Healthcare said in a statement.
Sure... It's as true as me saying I run the 100-meter race in 5 seconds.
Health insurance companies only exist to rake money.
If you had to choose between dying for lack of otherwise approved medical care or dying bcuz you capped a millionaire's bonus arrangement over lack of said care, which would you choose?
I feel like these insurance companies would stop doing this if they faced some sort of financial ramification. What if someone like @mcuban.bsky.social footed the bill and then the lawyers’ fees to sue for indemnity?
They are a part of the problem. They’re not going to save us. But using resources to alleviate the pressure companies can put on individuals in situations like this is preferable to a gofundme or advocating for radical change that isn’t coming anytime soon.
Fine. Use him for now, but then we French Revolution all of them later for destroying this country and killing thousands of people a year with their greed.
No one is advocating for violence. They just made sure the order of things changed during the French Revolution. I'm sure the families of the 60,000+ people who die every year because of health insurance companies would also like the order of things to change. The French Revolution was a good thing.
There are two options: Either the adjuster is a fuckwit, or the senior adjuster is an asswipe. Either way, it makes no sense for a contract employee to deny coverage once approved and supplemented.
Yes, mistakes happen (I deal with the property side, and mistakes are plentiful), but no one should be denied care because an adjuster fucked up. It's not like they don't have the funds for a vaguely worded supplement
Listen … one thing about me … Imma send shit back to an adjuster ! They be processing shit wrong incorrectly and sometimes people don’t do enough to get them corrected
They really don't. I pride myself on building really good relationships with the people I work with, but there are times where I've had to call adjusters every 72 hrs for weeks, because I need the estimate to be approved and they're not letting certain line items pass b/c they're confused
That used to be even more prevalent before the “affordable care act” passed that forced some hospitals and private practices to stop doing medical billing on fuckkng paper.
The opportunity to not cover someone is insurance companies biggest dream.
So here’s the thing , at times things aren’t covered due to the lack of pre-service foot work that’s required . Providers don’t do their job but they be wanting to get paid. ALOT could be prevented in that phase too
Oh yes for sure. Then when you factor in the “health care manager” shit gets even worse. My mommy worked in the industry for decades as the head of coding and billing in multiple departments around New York City. I’ve heard stories.
Ok. But I would think this man’s family has checked into that. We’ve all been screwed over by the old coding error at one point or another whether we know it or not. Pretty sure they wouldn’t leave that stone unturned for a lung transplant.
This is what happens when when don’t have universal health care & instead have for profit insurance companies who don’t want to pay for any expensive treatments, even if it would be lifesaving. THEY ARE FOR PROFIT, and we are supporting the insurance companies! WHAT A RACKET!
"'Our coverage guidelines are grounded in national clinical standards to help ensure the best possible outcomes for patients,' Cigna Healthcare said in a statement."
By denying coverage, they seem to be implying his best possible outcome is...death.
I'm not sure why the people running the clinical trial, or the insurance company didn't address this issue well ahead of time. Costs- & who is responsible for them- should be discussed well ahead of time. Typically, an organ is flown to a recipient, not the other way around. More to the story?
If what's his face can pardon all those criminals that stormed the capital then I need the jury to play the game and say Luigi is innocent on all charges.
Ok I'm all for piling on insurance fat cats but this isn't like he is being denied proven therapy. He's being denied a chance to be in a research study which sounds completely bonkers & risky to me. as a lung doc. who cares for people post lung transplants. and separately those with lung cancer...
Yeah. I’m a transplant biller. It’s really weird for a transplant case to be denied with after they’re on the list. It’s not unusual for them to pay for an experimental case. I’m wondering if something about his health status changed?
they're likely just contracted plan managers, as most are for lerger companies. they self-insure (directly bear costs of all claims) plus processing fees. the employer may or may not have taken part in the decision.
And they accuse Luigi of murder! Without access to clinical trials and experimental treatments medicine cannot make progress. Insurance companies are withdrawing life extending care purely to extend their profit margins although they claim it’s the best use of limited economic resources.
It's terrible how they jerked this guy around, but double lung transplant isn't standard of care for metastatic lung cancer, for good reason. In the battle between insurance companies wanting to cut corners & providers wanting to get paid more for expensive procedures, patients can lose either way.
Health insurance is a scam made necessary by this country's refusal to institute universal healthcare like every other civilized country in the world. An insurance company's bottom line should never be the reason for a denial of life-saving service.
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Sure... It's as true as me saying I run the 100-meter race in 5 seconds.
Health insurance companies only exist to rake money.
Health insurance is oppression.
Better chance of being avenged
The opportunity to not cover someone is insurance companies biggest dream.
I feel like they cum when claims are denied.
David Cordani - https://www.thecignagroup.com/our-leaders/leadership-team/david-cordani
They did replace the guy in less than a week.
Guess that's a good example of your job being posted before your obituary... It's weird to see that it also applies to CEOs.
Kind of means that no one is safe from the bloodletting investors demand.
We need to end that.
By denying coverage, they seem to be implying his best possible outcome is...death.
Experience for
Americans
Trying to get
Healthcare
Wonder who the next Luigi will be?
https://www.cnbc.com/2025/05/08/unitedhealthcare-sued-by-shareholders-over-reaction-to-ceos-killing.html
https://www.linkedin.com/in/david-m-cordani/
but not as many as blue cross
Insure the man!
“I’ve never wished a man dead, but I have read some obituaries with great pleasure.”
Billionaire's greed runs our lives.