A breast cancer surgeon had to "scrub out mid-surgery" to call a UnitedHealthcare representative because the insurance giant questioned whether the procedure she was in the middle of performing was really necessary.Dr. Elisabeth Potter posted her story to Instagram this week, and the post has gotten...
A breast cancer surgeon had to "scrub out mid-surgery" to call a UnitedHealthcare representative because the insurance giant questioned whether the procedure she was in the middle of performing was really necessary.
Dr. Elisabeth Potter posted her story to Instagram this week, and the post has gotten more than 221,000 likes.
Still wearing her scrub cap, Dr. Potter began her video saying, "It’s 2025, and navigating insurance has somehow just gotten worse."
I sure wish someone would do something about this.
We need a hero. Someone who will do whatever it takes even sacrifice themselves if necessary to proclaim, "this is not okay. You will not get away with this."
My partner had this same thing happen. She needed a neurosurgery to install a nerve stimulator in her neck. Her insurance approved a surgery to implant a test device, but then when it was determined it did solve her issues, denied the surgery for the permanent stimulator, forcing her neurosurgeon to write to them to get it approved. Then, during the surgery, they sent another denial. Fortunately, U of M is fantastic, and their hospital just covered the cost of the surgery due to the level of bullshit the insurance company pulled. Otherwise she would have ended up with multiple scars on her head and neck, and nothing to show for it, other than continuing nerve pain.
I hope the surgeon said, at least, "Even if you conclude against my advice that it wasn't necessary based on your data before this call, it is most definitely necessary now, as the patient is open on my operating table at this moment." <slam>.
Cigna has this cool new thing they do where, after they deny a medication for our son, they have a nurse call us and tell us why our doctor was wrong to prescribe it in the first place. You know, because a nurse who has never been in the same room as my son knows more than the fucking doctor who examined him.
Police recovered bullets at the scene that read, "delay, deny, defend
Depose. Say it, DEPOSE.
I can understand this one instance being an editorial slip-up, but I’ve seen way too many news articles that reference the bullets while omitting that one particular word - depose.
It’s the word that scares the oligarchs the most. Which is all the more reason for us to repeat it, even if journalists won’t. DELAY, DENY, DEPOSE.
We need to make it a crime to deny claims on necessary healthcare. 10x penalty (paid to the victim directly) for denial. 30x if they were denied using AI or an automated system.
At this point if I ever switched jobs and the new employer had United Health Care I would politely thank them for their time and get up and walk out of the interview.
At the very least there should be a law, forcing any health insurance to at least cover all costs needed to insure survival and long term health. And what is needed for survival and long term health is defined by the Doctor and not by the insurance company!!!
Honestly, no idea why this is not law in any rich country in 2025!
I don't know any surgeons personally, not any more, but my ex-wife was an RN that worked exclusively in surgery. I can't see any of those people stepping out of a surgery for a call from the insurance company. Hell, I called her mid-surgery, thinking I was having a heart attack and she hesitated to leave. And she was just the nurse!
Most of those guys were seriously crusty. Just can't see a surgeon saying, "Gosh! I have to bail mid-procedure and take this insurance call!" For that matter, I can't see anyone who would dare interrupt a working surgeon for anything short of a drastic family matter, maybe not even then. Something smells about this story.