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  #1  
Old 02-25-2010, 05:15 PM
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hoovesupsideyourhead hoovesupsideyourhead is offline
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Quote:
Originally Posted by letswastemoney
This is the major problem with our system. People who cannot get insurance because insurance companies reject pre-existing conditions are left to either suffer or die basically.

Do you have a solution?
and this will not change under the new plan..it will be called exclusion.
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  #2  
Old 02-25-2010, 08:58 PM
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Or, you can be like me: pay expensive individual insurance for years, declare all the pre-existing conditions in your lifetime health record when you move to another state and change policies, then, six months AFTER the insurance company approved paying for a $25K knee operation to both the surgeon and University of KY, and the operation was done - have your insurance suddenly rescinded, and be told that, "Whoops - when we wrote the policy, we should have excluded you for any possible arthritic stuff, but we made a mistake and didn't do that - but we are doing it now. We are not paying for the operation we told the surgeon and you and the hospital we would, and we are not following the contract we signed that said you are covered for it - read your fine print".

The answer of the Kentucky Insurance Commission is: "nothing we can do, there are no laws preventing that".

My lawyer versus their many lawyers. Guess who will outlast?

The insurance industry made, what, like double profits in 2009? And dropped 2.7 million Americans from coverage. I am one of those 2.7 million

So yes - I strongly support health exchanges, but even better, a public option.
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  #3  
Old 02-25-2010, 09:55 PM
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Quote:
Originally Posted by Riot
Or, you can be like me: pay expensive individual insurance for years, declare all the pre-existing conditions in your lifetime health record when you move to another state and change policies, then, six months AFTER the insurance company approved paying for a $25K knee operation to both the surgeon and University of KY, and the operation was done - have your insurance suddenly rescinded, and be told that, "Whoops - when we wrote the policy, we should have excluded you for any possible arthritic stuff, but we made a mistake and didn't do that - but we are doing it now. We are not paying for the operation we told the surgeon and you and the hospital we would, and we are not following the contract we signed that said you are covered for it - read your fine print".

The answer of the Kentucky Insurance Commission is: "nothing we can do, there are no laws preventing that".

My lawyer versus their many lawyers. Guess who will outlast?

The insurance industry made, what, like double profits in 2009? And dropped 2.7 million Americans from coverage. I am one of those 2.7 million

So yes - I strongly support health exchanges, but even better, a public option.
or simply read the fine print

let me guess you buy your truck based on color?
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  #4  
Old 02-25-2010, 10:06 PM
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Quote:
Originally Posted by dellinger63
or simply read the fine print

let me guess you buy your truck based on color?
What a load of crap, Dell. You think that is fair? Really? That you sign a contact with a company, uphold your part, but the contract is written so that the other party may rescind any portion of the contract at any time, at their whim, with no substantive appeal or recourse on your part?

And there is little to no law governing these transactions, transactions that make up an industry that is 1/6 of our economy?

If you have insurance, you signed such a contract, too.

Let me guess - you buy your truck based on color?

If you think this is funny, and the source of a joke for you, Dell, I can't imagine how hard you laugh at the unfortunate people whose children have cancer, when the insurance company decides to cut off insurance forever on those kids.

You're a real American, Dell.
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Old 02-25-2010, 10:32 PM
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Originally Posted by Riot
What a load of crap, Dell.

If you think this is funny, and the source of a joke for you, Dell, I can't imagine how hard you laugh at the unfortunate people whose children have cancer, when the insurance company decides to cut off insurance forever on those kids.

You're a real American, Dell.
what does your bum knee have to do with a child w/cancer. You do realize there are charities and foundations set up specifically to aid such circumstances. And thanks for the 'real american' compliment. I also stand and hold my piss during God Bless America!

Bless the troops and kill those bastards!
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Old 02-25-2010, 10:52 PM
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what does your bum knee have to do with a child w/cancer.
Arbitrary recission to make a profit. A company who exists to profit on the lack of people getting ill isn't the one to depend upon for taking care of ill peole. Ill people are expensive. Thank goodness my condition isn't life-threatening.

Do you realize how, as I was rescinded, insurance companies rescind children with cancer? Chronic liver and kidney diseases? Withhold approval for treatments? Refuse to insure a child for the rest of it's life - unless the parents would like to pay several thousand a month and have alot of stuff excluded for life?

There are women who can't get a second c-section paid for, because their first child was born C-section, and it's now a "pre-existing condition" the insurance company will not cover a second time, even if the second baby is in distress, breech, etc?

Do you realize that teenage acne treatment by a family GP is a pre-existing condition that can, decades later, preclude any treatment at all for skin cancers when one is old?

That life-threatening asthma attacks in children, who have to go to the ER, may not be covered because the family doc diagnosed the kid with allergies to house dust several years back, and recommended a Zyrtec when the nose got a little runny?

Quote:
You do realize there are charities and foundations set up specifically to aid such circumstances.
You can't be serious that charity should take over the primary care of severely ill children in our country? Rather than their parents purchasing insurance?

Isn't that a bit communistic? !! Depending upon other citizens to pay one's way?

This is America. We take care of our own, yes. But most want to take care of themselves as much as they can. Not hope charity will help your leukemic child, as your insurance company, the insurance you bought because you were a responsible, planning-ahead, self-reliant American - dumped you.

People who purchase and pay for insurance for their children, before the children get sick, shouldn't have the children suffer poor medical care or death because the insurance company decides to cut their losses in the middle of the childs' treatment.

Ditto, Bless Our Troops!
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  #7  
Old 02-26-2010, 06:55 AM
Antitrust32 Antitrust32 is offline
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Quote:
Originally Posted by Riot
Arbitrary recission to make a profit. A company who exists to profit on the lack of people getting ill isn't the one to depend upon for taking care of ill peole. Ill people are expensive. Thank goodness my condition isn't life-threatening.

Do you realize how, as I was rescinded, insurance companies rescind children with cancer? Chronic liver and kidney diseases? Withhold approval for treatments? Refuse to insure a child for the rest of it's life - unless the parents would like to pay several thousand a month and have alot of stuff excluded for life?

There are women who can't get a second c-section paid for, because their first child was born C-section, and it's now a "pre-existing condition" the insurance company will not cover a second time, even if the second baby is in distress, breech, etc?

Do you realize that teenage acne treatment by a family GP is a pre-existing condition that can, decades later, preclude any treatment at all for skin cancers when one is old?

That life-threatening asthma attacks in children, who have to go to the ER, may not be covered because the family doc diagnosed the kid with allergies to house dust several years back, and recommended a Zyrtec when the nose got a little runny?



You can't be serious that charity should take over the primary care of severely ill children in our country? Rather than their parents purchasing insurance?

Isn't that a bit communistic? !! Depending upon other citizens to pay one's way?

This is America. We take care of our own, yes. But most want to take care of themselves as much as they can. Not hope charity will help your leukemic child, as your insurance company, the insurance you bought because you were a responsible, planning-ahead, self-reliant American - dumped you.

People who purchase and pay for insurance for their children, before the children get sick, shouldn't have the children suffer poor medical care or death because the insurance company decides to cut their losses in the middle of the childs' treatment.

Ditto, Bless Our Troops!

every woman I know who have had multiple C-sections have never had the problem of losing coverage for it.. always covered.
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Can I start just making stuff up out of thin air, too?
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  #8  
Old 02-25-2010, 10:17 PM
Danzig Danzig is offline
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Quote:
Originally Posted by dellinger63
or simply read the fine print

let me guess you buy your truck based on color?

don't worry dell. it'll all work out okay. our govt will take care of everything, so no need to fear. seriously.
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  #9  
Old 02-26-2010, 07:30 AM
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jms62 jms62 is offline
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Quote:
Originally Posted by Riot
Or, you can be like me: pay expensive individual insurance for years, declare all the pre-existing conditions in your lifetime health record when you move to another state and change policies, then, six months AFTER the insurance company approved paying for a $25K knee operation to both the surgeon and University of KY, and the operation was done - have your insurance suddenly rescinded, and be told that, "Whoops - when we wrote the policy, we should have excluded you for any possible arthritic stuff, but we made a mistake and didn't do that - but we are doing it now. We are not paying for the operation we told the surgeon and you and the hospital we would, and we are not following the contract we signed that said you are covered for it - read your fine print".

The answer of the Kentucky Insurance Commission is: "nothing we can do, there are no laws preventing that".

My lawyer versus their many lawyers. Guess who will outlast?

The insurance industry made, what, like double profits in 2009? And dropped 2.7 million Americans from coverage. I am one of those 2.7 million

So yes - I strongly support health exchanges, but even better, a public option.
That is pretty effed up and anyone who says otherwise is a Grade 1 *******
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  #10  
Old 02-26-2010, 09:15 PM
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Quote:
Originally Posted by jms62
That is pretty effed up and anyone who says otherwise is a Grade 1 *******
It's gonna get worse in the next 1-3 years. Rates are skyrocketing, millions more people will be dropped.

If a private company makes it's profit on well people - not sick people - you sure don't give that company carte blanche to "do what's right" by, and take care of, sick people!

You can't blame insurance companies - they are a private business. They do not exist to help sick people. They exist to make money. That means that sick people are their financial enemy. Insurance companies enjoy a huge monopoly over one-sixth of our national economy, completely favorable laws and anti-trust environments, a captive audience who literally needs them to live, and zero accountability to anyone.
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Old 03-01-2010, 07:24 AM
Antitrust32 Antitrust32 is offline
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Quote:
Originally Posted by Riot
It's gonna get worse in the next 1-3 years. Rates are skyrocketing, millions more people will be dropped.

If a private company makes it's profit on well people - not sick people - you sure don't give that company carte blanche to "do what's right" by, and take care of, sick people!

You can't blame insurance companies - they are a private business. They do not exist to help sick people. They exist to make money. That means that sick people are their financial enemy. Insurance companies enjoy a huge monopoly over one-sixth of our national economy, completely favorable laws and anti-trust environments, a captive audience who literally needs them to live, and zero accountability to anyone.
I read the other day that congress overwhelmingly voted to eliminate the insurance companies antitrust exemption.

Is this true and if it is couldnt it help?
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Can I start just making stuff up out of thin air, too?
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  #12  
Old 03-01-2010, 10:08 PM
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Originally Posted by Antitrust32
I read the other day that congress overwhelmingly voted to eliminate the insurance companies antitrust exemption.

Is this true and if it is couldnt it help?
important technicality, it was the House who voted for it overwhelmingly.

That bill now sits, with many other bills, waiting for the Senate to vote on it, before it could become law.

The GOP not been allowing many House bills to come to a Senate vote, because they have been obstructing everything. There is a huge backlog. When this bill comes, the GOP has already said they will not allow it to come to a vote. They will filibuster it.
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  #13  
Old 03-01-2010, 10:13 PM
Danzig Danzig is offline
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http://www.washingtonpost.com/wp-dyn...022404324.html


that's an article from the washington post on the house vote.
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  #14  
Old 02-26-2010, 07:55 AM
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timmgirvan timmgirvan is offline
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Quote:
Originally Posted by Riot
Or, you can be like me: pay expensive individual insurance for years, declare all the pre-existing conditions in your lifetime health record when you move to another state and change policies, then, six months AFTER the insurance company approved paying for a $25K knee operation to both the surgeon and University of KY, and the operation was done - have your insurance suddenly rescinded, and be told that, "Whoops - when we wrote the policy, we should have excluded you for any possible arthritic stuff, but we made a mistake and didn't do that - but we are doing it now. We are not paying for the operation we told the surgeon and you and the hospital we would, and we are not following the contract we signed that said you are covered for it - read your fine print".

The answer of the Kentucky Insurance Commission is: "nothing we can do, there are no laws preventing that".

My lawyer versus their many lawyers. Guess who will outlast?

The insurance industry made, what, like double profits in 2009? And dropped 2.7 million Americans from coverage. I am one of those 2.7 million

So yes - I strongly support health exchanges, but even better, a public option.
You can't win it if you don't fight them!
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  #15  
Old 02-26-2010, 08:37 AM
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Quote:
Originally Posted by timmgirvan
You can't win it if you don't fight them!
Unfortunately they have a team of lawyers on staff and will bleed you to death.
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Old 02-26-2010, 09:18 PM
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Originally Posted by timmgirvan
You can't win it if you don't fight them!
LOL - Timm, they do this because they can continue this for years, and outlawyer anyone. There isn't much law regarding insurance company behaviour. Do you know why they are mostly based in a few states?

They have departments whose sole purpose is to peruse contracts with a fine-toothed comb, looking for any possible excuse to not pay a claim. The flimsiness of the excuse doesn't matter, as you can't do anything about it.
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Old 02-26-2010, 09:25 PM
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dellinger63 dellinger63 is offline
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Originally Posted by Riot
LOL - Timm, they do this because they can continue this for years, and outlawyer anyone. There isn't much law regarding insurance company behaviour. Do you know why they are mostly based in a few states?

They have departments whose sole purpose is to peruse contracts with a fine-toothed comb, looking for any possible excuse to not pay a claim. The flimsiness of the excuse doesn't matter, as you can't do anything about it.
Call John Edwards. He's out of politics and makes a living suing health care providers including insurance companies AND that is a big contributor to the cost. but we don't want to take food out of his 'love child's' mouth do we?
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