I guess that I am also a "devil's advocate".. so here we go..
I addressed this in my comments. The fact that there may be additional companies willing to give the family better rates does not negate the point that what THIS company did is absurd and just another example of why health care reform is needed.
You also apparently missed the quote from the insurer that said they "do it because everyone else does it", not because there is an actual good reason for doing it. What she said is not quite but is close to price fixing. Think about it.
You'll note I said "medical director" and not Pediatrician. I'm pretty sure they are two different people, but you'd probably know that if you read the article.
The story said, "His pediatrician had never mentioned any weight concerns about the baby they call their "happy little chunky monkey."
There were no concerns from his pediatrician. And, if you think there was some kind of doctor that reviewed the case to determine eligibility then think again, a person behind a desk at the insurance company made that decision using charts full of probabilities or a computer that just calculates all the charts up automatically to determine eligibility and rates.
You're right.. once again I didn't read in the article that a person behind a desk at the insurance company made that decision using charts full of probabilities or a computer that just calculates all the charts up automatically to determine eligibility and rates. Maybe because.. wait for it.. it's not in the article. And I agree that his case probably wasn't reviewed by a doctor, because doctors typically don't work for the underwriting department in an insurance company. Actuaries do.
That being said, insurance isn't a right.. it's a business. Insurers can choose to insure whoever they want.
Personally, I agree that in a country as prosperous as the United States, healthcare should be plentiful for anyone that needs it. And I feel that it's shameful that the system has become what it is.. But in the case of this article, the writer seems to want to crucify the insurance company for using statistical data to determine if the baby is a risk they want to insure. To me, it's the same as someone with a house right on the Gulf of Mexico, who is complaining because nobody will insure their house. Statistically, the house has a greater risk of being destroyed in a hurricane.
Statistically, the obese baby has a greater risk of health problems, according to the insurance company's calculation.
I addressed this in my comments. The fact that there may be additional companies willing to give the family better rates does not negate the point that what THIS company did is absurd and just another example of why health care reform is needed.
You also apparently missed the quote from the insurer that said they "do it because everyone else does it", not because there is an actual good reason for doing it. What she said is not quite but is close to price fixing. Think about it.
You'll note I said "medical director" and not Pediatrician. I'm pretty sure they are two different people, but you'd probably know that if you read the article.
The story said, "His pediatrician had never mentioned any weight concerns about the baby they call their "happy little chunky monkey."
There were no concerns from his pediatrician. And, if you think there was some kind of doctor that reviewed the case to determine eligibility then think again, a person behind a desk at the insurance company made that decision using charts full of probabilities or a computer that just calculates all the charts up automatically to determine eligibility and rates.
You're right.. once again I didn't read in the article that a person behind a desk at the insurance company made that decision using charts full of probabilities or a computer that just calculates all the charts up automatically to determine eligibility and rates. Maybe because.. wait for it.. it's not in the article. And I agree that his case probably wasn't reviewed by a doctor, because doctors typically don't work for the underwriting department in an insurance company. Actuaries do.
That being said, insurance isn't a right.. it's a business. Insurers can choose to insure whoever they want.
Personally, I agree that in a country as prosperous as the United States, healthcare should be plentiful for anyone that needs it. And I feel that it's shameful that the system has become what it is.. But in the case of this article, the writer seems to want to crucify the insurance company for using statistical data to determine if the baby is a risk they want to insure. To me, it's the same as someone with a house right on the Gulf of Mexico, who is complaining because nobody will insure their house. Statistically, the house has a greater risk of being destroyed in a hurricane.
Statistically, the obese baby has a greater risk of health problems, according to the insurance company's calculation.
You really think comparing a healthy, few-month old baby to someone building a house purposefully right next to the Gulf of Mexico is a valid comparison? Really?
But wine was the great assassin of both tradition and propriety...
-Brandon Sanderson, The Way of Kings
-Brandon Sanderson, The Way of Kings
As health insurers escalate fight against reform, more bad PR... baby denied coverage, is too fat...
12/10/2009 08:14:31 AM
- 645 Views
that's ridiculous.
12/10/2009 01:02:52 PM
- 329 Views
This will probably be a mistake, as it usually is, but I'm going to play Devil's Advocate.
12/10/2009 05:35:09 PM
- 391 Views
the child has been declared otherwise healthy
12/10/2009 05:46:19 PM
- 315 Views
Er, but how is it for their own good?
12/10/2009 06:01:01 PM
- 312 Views
Choices..
12/10/2009 05:39:08 PM
- 307 Views
Apparently you didn't read my comments or the article.
13/10/2009 02:50:34 AM
- 315 Views
Apparently I didn't care to read your comments or the article.. at least get it right.
13/10/2009 03:17:50 AM
- 320 Views
Now.. my real answer.
13/10/2009 03:56:40 AM
- 376 Views
Re: Now.. my real answer.
13/10/2009 05:32:41 AM
- 316 Views
On the plus side, rates for the mother dropped substantially after she lost 18 pounds *NM*
12/10/2009 06:15:38 PM
- 126 Views