US physicians are accusing major health insurance companies of prioritizing profits over patient health, leading to deadly delays in crucial medical procedures. These delays, exemplified by a six-month delay in a patient’s PET scan resulting in their death, are described as a calculated business strategy to maximize profits. Doctors cite frustrating interactions with under-qualified insurance representatives during “peer-to-peer” reviews and the overall demoralizing effect of a system that forces them to act as insurance experts. Ultimately, a fundamental system overhaul, potentially moving toward a single-payer healthcare system, is proposed as the only viable solution to address these systemic issues.
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Senator Bernie Sanders proposes a nine-point plan, “Make America Healthy Again,” to overhaul the nation’s healthcare system. His plan prioritizes Medicare for All, arguing healthcare is a human right, and includes measures to lower prescription drug costs, improve working conditions, and address environmental concerns. This comprehensive approach aims to improve public health by tackling issues like paid leave, food industry reform, and mental health, contrasting sharply with the incoming administration’s priorities. Sanders directly challenges corporate greed, asserting that systemic change is necessary to achieve a healthier nation for all.
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Recent polls indicating high satisfaction with private health insurance fail to account for the reality of patients facing unaffordable care, as evidenced by Dr. Ed Weisbart’s experiences with patients unable to afford essential medications or treatments. The current for-profit system prioritizes profit over patient well-being, leading to claim denials and delays, particularly for expensive procedures. This system is further complicated by fragmented care, an inability to negotiate prices, and high administrative overhead, contributing to significantly higher costs compared to other developed nations. Ultimately, a move toward a single-payer system, while challenging politically, is seen as the most effective solution to address these systemic flaws and ensure access to quality healthcare for all Americans.
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Following the assassination of UnitedHealthcare CEO Brian Thompson, Senators Warren and Sanders condemned the violence while criticizing the insurance industry’s practices. Both senators, long proponents of single-payer healthcare, linked the public anger to the industry’s profit-driven denial of necessary care, highlighting the system’s failures. While celebrating Thompson’s death was widely denounced by Democrats, including Governor Shapiro and Senator Fetterman, the incident underscored the widespread frustration with the U.S. healthcare system. Shell casings found at the crime scene, inscribed with words related to claim denials, hinted at a possible connection to industry practices.
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John Q. Hosedrinker