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Billygoat @catata.fish

I Was a Health Insurance Executive. What I Saw Made Me Quit.

One story that we couldn’t keep out of the press and that contributed most to my decision to walk away from my career in 2008 involved Nataline Sarkisyan, a 17-year-old leukemia patient in California whose scheduled liver transplant was postponed at the last minute when Cigna told her surgeons it wouldn’t pay. Cigna’s medical director, 2,500 miles away from Ms. Sarkisyan, said she was too sick for the procedure. Her family stirred up so much media attention that Cigna relented, but it was too late. She died a few hours after Cigna’s change of heart.

Ms. Sarkisyan’s death affected me personally and deeply. As a father, I couldn’t imagine the depth of despair her parents were facing. I turned in my notice a few weeks later. I could not in good conscience continue being a spokesman for an industry that was making it increasingly difficult for Americans to get often lifesaving care.

One of my last acts before resigning was helping to plan a meeting for investors and Wall Street financial analysts — similar to the one that UnitedHealthcare canceled after Mr. Thompson’s horrific killing. These annual investor days, like the consumerism idea I helped spread, reveal an uncomfortable truth about our health insurance system: that shareholders, not patient outcomes, tend to drive decisions at for-profit health insurance companies.

107 comments

  • it took an impromptu visit to a free medical clinic, held near where I grew up in the mountains of East Tennessee, to come face to face with the true consequences of our consumerism strategy.

    At a county fairground in Wise, Va., I witnessed people standing in lines that stretched out of view, waiting to see physicians who were stationed in animal stalls. The event’s organizers, from a nonprofit called Remote Area Medical, told me that of the thousands of people who came to this three-day clinic every year, some had health insurance but did not have enough money in the bank to cover their out-of-pocket obligations.

    That shook me to my core. I was forced to come to terms with the fact that I was playing a leading role in a system that made desperate people wait months or longer to get care in animal stalls or go deep into medical debt.

  • This is exactly why healthcare cannot be a private service. Companies will optimize the patients out of the equation in search of more profit.

    The only way it could not be devastating if there was a competing service that had no profit incentive like a public healthcare system.

  • reveal an uncomfortable truth about our health insurance system: that shareholders, not patient outcomes, tend to drive decisions at for-profit health

    For any diabetics on Lemmy this is the exact same sentiment I hate about dexcom. My son has autism and cannot manage his own diabetes, this his G7 is a lifesaver literally for my ex and I to manage his diabetes for him.

    Numerous interactions with the company, and his Endo, have made is very clear that diabetics are second to making money in all their decision making at dexcom. It's disgusting. For the record I'm a Canadian as well, and because of the autism we get the G7 via a government subscription at no cost. That doesn't mean we don't still have to deal with dexcom on all bullshit issues like sensor failures.

107 comments