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Evil Yoda

California to investigate Aetna following stunning admission

35 posts in this topic

California has launched an investigation into Aetna's coverage decision-making process. Dr. Jay Ken Iinuma, who was a medical director for the company for about three years ending in 2015, has testified under oath that he never looked at patient medical records when deciding whether to approve or deny coverage. Aetna defends Iinuma and "looks forward" to hearing from the California insurance investigator's office so it can explain its procedure. Dr. Arthur Caplan founder of New York University's division of medical ethics, calls Iinuma's testimony a "huge admission of fundamental immorality".

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Terrible. He made life or death decisions without even reading the case history. 

We’ve had Aetna for many years and I’ve always thought they were great. This is very alarming. 

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This is not really surprising.  This is why single player is a must.  

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7 hours ago, kandace said:

This is not really surprising.  This is why single player is a must.  

Because life and death decisions in the hands of politicians will be better.

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2 hours ago, EgyptKang said:

Probably just looked at race.

Of course! Glad you thought of that. :rolleyes:

Edited by mlatoman

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3 hours ago, EgyptKang said:

Probably just looked at race.

Oh for the love of God.... would you knock it off already.  Do you realize that making everything under the sun about race does a disservice to those people who have REAL race-based grievances?

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1 hour ago, Lombardi6 said:

Because life and death decisions in the hands of politicians will be better.

Single payer doesn't mean that at all..... AND, at least politicians are accountable to the people

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4 hours ago, EgyptKang said:

Probably just looked at race.

Probably didn't open the patient records.

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1 hour ago, banner1124 said:

Oh for the love of God.... would you knock it off already.  Do you realize that making everything under the sun about race does a disservice to those people who have REAL race-based grievances?

 

1 hour ago, banner1124 said:

Single payer doesn't mean that at all..... AND, at least politicians are accountable to the people

OK.  Clearly, the end times are upon us.  We agree on two posts.

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10 hours ago, kandace said:

This is not really surprising.  This is why single player is a must.  

I know. Wouldn't be surprised to hear all of them are this slipshod.

Their job is to screw you over.

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2 minutes ago, Calamari said:

I know. Wouldn't be surprised to hear all of them are this slipshod.

Their job is to screw you over.

This isn't "slipshod"; it's willful negligence and misconduct hopefully, is addressed with all the vigor the law provides.

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The scale of corruption in corporate America is staggering.

Edited by kandace

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He refused to provide blood tests as directed by Aetna.  I wouldn't give him a dime.  He has no case.

"Aetna initially paid for his treatments after each infusion, which can cost up to $20,000. But when Washington's clinic asked Aetna to pre-authorize a November 2014 infusion, Aetna says it was obligated to review his medical record. That's when it saw his last blood work had been done three years earlier for Kaiser.


Despite being told by his own doctor's office that he needed to come in for new blood work, Washington failed to do so for several months until he got so sick he ended up in the hospital with a collapsed lung.
Once his blood was tested, Aetna resumed covering his infusions and pre-certified him for a year. Despite that, according to Aetna, Washington continued to miss infusions."

 

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2 hours ago, banner1124 said:

Single payer doesn't mean that at all..... AND, at least politicians are accountable to the people

Possibly, maybe, sometimes, now and then, but only when its in their interest, you know like for donations or to get some votes.

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17 hours ago, kandace said:

This is not really surprising.  This is why single player is a must.  

So we'll all get VA style medical care.

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17 hours ago, kandace said:

This is not really surprising.  This is why single player is a must.  

And the do's and don'ts that go along with it?

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8 hours ago, banner1124 said:

Oh for the love of God.... would you knock it off already.  Do you realize that making everything under the sun about race does a disservice to those people who have REAL race-based grievances?

No I won't knock it off. You don't understand that those are real race based grievances or concerns.

Edited by EgyptKang

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6 hours ago, kandace said:

The scale of corruption in corporate America is staggering.

Anytime humans are involved!

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I've had Aetna for about 6 years and been very happy until recently. I've been trying to get an approval for an MRI and it's taking a very long time. I guess they haven't opened my file. :( 

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9 hours ago, Lombardi6 said:

Because life and death decisions in the hands of politicians will be better.

Who said we would put politicians to n charge of approving medical decisions? 

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12 minutes ago, EgyptKang said:

No I won't knock it off. You don't understand that those are real race based grievances.

The corporation is about profit.  Not race. 

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