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Originally Posted by seretogis
I am not interested in discussing Sicko in particular. I asked "why?" and was not answered, so I countered with an assumption of my own that the lack of reason was due to the "terrible" statement in the OP being made as emotional hyperbole.
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It's not emotional hyperbole if it's reasonably supported by factual evidence.
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Originally Posted by seretogis
Who decided it was not cost-effective? A doctor you saw, your insurance company, the company you work for?
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It was a combination of things. There was a board that was called together, and they made the ultimate decision, and my cardiologist probably broke protocol explaining this to me. They are asked to weigh the cost benefit of procedures such as the one I needed. Who asks them I'm not 100% certain, but I have my suspicions. While it was important for me to get the surgery at the time,
it was not enough of an emergency to pay for the $100,000 procedure. This type of decision would be understandable if Kaiser were some rickety, poor organization that had no extra money, but Kaiser is a non-profit that's the most successful HMO in the US, by my understanding.
I pay for my own insurance, not my company. Kaiser is both doctors and insurance.