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Who is Brian Thompson, UnitedHealthcare CEO killed in New York? : NPR

  
Via:  sandy-2021492  •  2 weeks ago  •  125 comments

By:   Rachel Treisman (NPR)

Who is Brian Thompson, UnitedHealthcare CEO killed in New York? : NPR
Thompson, a 50-year-old father of two, spent two decades at UnitedHealth Group before his shocking death. Tributes are pouring in from coworkers and public officials in his home state of Minnesota.

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S E E D E D   C O N T E N T


December 4, 20241:39 PM ET

By

Rachel Treisman

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Members of the New York police crime scene unit photograph bullets lying on the sidewalk as they investigate the scene outside the Hilton Hotel in midtown Manhattan where Brian Thompson was fatally shot on Wednesday. Stefan Jeremiah/AP hide caption

UnitedHealthcare CEO Brian Thompson was gunned down outside a Manhattan hotel on Wednesday morning, sparking a search for his killer and an outpouring of condolences.

New York police say the suspect shot Thompson in the chest in a "brazen, targeted attack" at 6:46 a.m. ET outside of the New York Hilton Midtown Hotel — moments before the annual investor conference for UnitedHealthcare's parent company was set to begin.

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Thompson, 50, lived in Minnesota but was visiting New York City for the conference, which has since been canceled. He was taken to a local hospital and pronounced dead.

Within hours, a manhunt was underway for the gunman, and tributes to Thompson were circulating online.

"Brian was a highly respected colleague and friend to all who worked with him," UnitedHealth Group said in a statement , adding that it is working closely with the NYPD. "Our hearts go out to Brian's family and all who were close to him."

He was CEO since 2021


UnitedHealthcare is the health benefits business within UnitedHealth Group, the country's largest private health insurer.

The Minnesota-based company is ranked 4th on the Fortune 500 and employs some 440,000 people worldwide. UnitedHealth Group is so dominant, in fact, that the U.S. Justice Department filed a civil antitrust suit just last month to try to block its proposed $3.3 billion acquisition of rival home health care and hospice agencies.

Thompson was named the CEO of UnitedHealthcare in April 2021.


"Brian's experience, relationships and values make him especially well-suited to help UnitedHealthcare improve how health care works for consumers, physicians, employers, governments and our other partners, leading to continued and sustained long-term growth," Andrew Witty, CEO of UnitedHealth Group, said in a release at the time.

Thompson previously held a variety of executive positions — most recently as the CEO of UnitedHealthcare's government programs businesses, including Medicare — since joining UnitedHealth Group in 2004, according to his LinkedIn profile .

Before that, he had spent more than half a decade working as a CPA at the accounting firm PricewaterhouseCoopers LLC.

Thompson graduated from the University of Iowa in 1997 with a degree in business administration and accounting, according to LinkedIn.

He is a father of two


Thompson is survived by his wife and two children, according to media reports.

Thompson's sister-in-law, Elena Reveiz, told the New York Times that he was a good father.

"He was a good person, and I am so sad," she said.

Thompson's wife, Paulette Thompson, told NBC News that he had been receiving threats.


"Basically, I don't know, a lack of coverage? I don't know details, I just know that he said there were some people that had been threatening him," she said, adding that she couldn't give a more thoughtful response because she was trying to console her kids.

NYPD Police Commissioner Jessica Tisch said at a midday news conference that while the motive for the shooting remains unclear, the preliminary investigation suggests it was a "premeditated, pre-planned targeted attack."

She said the suspect, wearing dark clothes and a mask, was "lying in wait for several minutes" before approaching Thompson from behind and firing several rounds.

Colleagues and public officials pay tribute


Several of Thompson's former colleagues shared recollections of him with the Minnesota Star Tribune on Wednesday, remembering him as a hard worker and a good person.

John Penshorn, a former UnitedHealth Group executive who worked with Thompson for more than a decade before his 2019 retirement, described him as "humble, a servant-leader and family man."

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"He was just an incredible guy — nice, resourceful," said Steve Parente, a former Trump administration healthcare official who said he had worked with Thompson to implement the system for distributing federal financial aid to health care providers early in the COVID-19 pandemic. "This is just a total tragedy."

Elected officials from Thompson's home state of Minnesota — where UnitedHealthcare is a major employer — also paid their respects on Wednesday, including Sen. Amy Klobuchar, Minneapolis Mayor Jacob Frey and Minnesota Gov. Tim Walz.

"This is horrifying news and a terrible loss for the business and health care community in Minnesota," Walz wrote.


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sandy-2021492
Professor Expert
1  seeder  sandy-2021492    2 weeks ago
New York police say the suspect shot Thompson in the chest in a "brazen, targeted attack" at 6:46 a.m. ET outside of the New York Hilton Midtown Hotel — moments before the annual investor conference for UnitedHealthcare's parent company was set to begin.
 
 
 
devangelical
Professor Principal
1.1  devangelical  replied to  sandy-2021492 @1    2 weeks ago

sounds like a planned execution that had some inside info to me ...

 
 
 
sandy-2021492
Professor Expert
1.1.1  seeder  sandy-2021492  replied to  devangelical @1.1    2 weeks ago

Yes.  Somebody knew what hotel he was in, and when he'd be arriving.

 
 
 
devangelical
Professor Principal
1.1.2  devangelical  replied to  sandy-2021492 @1.1.1    2 weeks ago

the shooter wasn't a professional. a professional would have been closer to the victim for a head shot, wouldn't have stopped to aim, would have worn gloves because of the gunpowder discharge, and wouldn't have left any brass or or bullets behind.

 
 
 
Just Jim NC TttH
Professor Principal
1.1.3  Just Jim NC TttH  replied to  devangelical @1.1.2    2 weeks ago

It looks to me like he had white gloves on.

 
 
 
devangelical
Professor Principal
1.1.4  devangelical  replied to  devangelical @1.1.2    2 weeks ago

... another day, more clues. the authorities now have pictures of his face, a cellphone, possibly fingerprints, and allegedly an e-bike battery. it's only a matter of time now ...

 
 
 
devangelical
Professor Principal
1.1.5  devangelical  replied to  Just Jim NC TttH @1.1.3    2 weeks ago

... could be, but if so, he put them on just before pulling the trigger. first reports yesterday identified the shooter as a black male, and that was incorrect. since he inscribed the brass casing on one of the bullets, he probably wiped his fingerprints off all the brass. the cellphone they found could be the bigger issue, if it isn't a burner phone ...

 
 
 
Just Jim NC TttH
Professor Principal
1.1.6  Just Jim NC TttH  replied to  devangelical @1.1.5    2 weeks ago

In your video and this captured still from CNN, his hands are pure white.

AA1vkTmy.img?w=768&h=432&m=6

 
 
 
devangelical
Professor Principal
1.1.7  devangelical  replied to  Just Jim NC TttH @1.1.6    2 weeks ago

... like I said, I don't know, and, I don't care. two things are certain though, as the CEO of UHC victim was probably anti-ACA and now he's an ex-millionaire chilling at the morgue. bummer ...

 
 
 
goose is back
Junior Guide
1.1.8  goose is back  replied to  devangelical @1.1.2    2 weeks ago
wouldn't have left any brass or or bullets behind.

Probable reloaded his own rounds (and didn't do a very good job) or bought the worst handgun ever made.

 
 
 
devangelical
Professor Principal
1.1.9  devangelical  replied to  goose is back @1.1.8    2 weeks ago

I doubt it, he had to travel with that gun and probably bought the ammo locally. ever since the start of covid there's been certain brands of ammo that don't work as well in my hand guns, along with more misfires. the QA has suffered under the stress to keep up with demand. my S&W .22 LR target pistol used to jam frequently with federal hollow points if I didn't dremel some of the slug castings.

 
 
 
JohnRussell
Professor Principal
2  JohnRussell    2 weeks ago

i would look at either some sort of financial scandal , or someone who had a loved one die because United Heath Care denied treatment. 

 
 
 
Igknorantzruls
Sophomore Quiet
2.1  Igknorantzruls  replied to  JohnRussell @2    2 weeks ago

my thoughts as well.

 
 
 
sandy-2021492
Professor Expert
2.2  seeder  sandy-2021492  replied to  JohnRussell @2    2 weeks ago

I also wouldn't put it past one of the healthcare providers who were bankrupted or nearly bankrupted by the UHC hack last February (IIRC).  They provide the infrastructure for many insurance companies, not just their own, to receive and process claims and email prescriptions.  Their answer was to loan those providers money so they could stay afloat.  IOW, they were able to quickly put together a loan application process and find money to loan out, but slow to provide either a repair or workaround.  Small healthcare offices were hit hard.

 
 
 
Trout Giggles
Professor Principal
2.3  Trout Giggles  replied to  JohnRussell @2    2 weeks ago
or someone who had a loved one die because United Heath Care denied treatment. 

bingo

 
 
 
JohnRussell
Professor Principal
2.3.1  JohnRussell  replied to  Trout Giggles @2.3    2 weeks ago

This sounds like a plot for Law And Order. 

 
 
 
Trout Giggles
Professor Principal
2.3.2  Trout Giggles  replied to  JohnRussell @2.3.1    2 weeks ago

It does!

 
 
 
devangelical
Professor Principal
2.3.3  devangelical  replied to  Trout Giggles @2.3.2    2 weeks ago

what struck me is how soon the media was able to get to the mrs, and she didn't exactly sound inconsolable ...

 
 
 
Trout Giggles
Professor Principal
2.3.4  Trout Giggles  replied to  devangelical @2.3.3    2 weeks ago

hmmmm....law enforcement almost always start with the spouse

 
 
 
devangelical
Professor Principal
2.3.5  devangelical  replied to  Trout Giggles @2.3.4    2 weeks ago

she has the most to gain by his death, so naturally they have to eliminate her as a suspect ...

 
 
 
shona1
Professor Quiet
2.4  shona1  replied to  JohnRussell @2    2 weeks ago

Morning..that was my first thought too...

Going by news here the words, deny, defend, depose was written on the bullet..

Sounds like someone was denied help and passed away...the decision was then defended by the health insurance company and then the aggrieved decided to depose of who they deemed responsible for the death of their loved one..permanently...

 
 
 
Hal A. Lujah
Professor Guide
2.5  Hal A. Lujah  replied to  JohnRussell @2    2 weeks ago

People are crazy.  The ID channel, Dateline, 20/20, etc. are replete with stories of spousal murders.  I imagine this guy was worth a lot, his wife probably knew exactly when and where he was, and we know nothing about their relationship or infidelities.  The fact that immediate conclusions will focus on his occupation only makes it more tempting for certain suspects to choose to do it in the first place.  The fact that she gave a public statement about it at all was weird to me.  I don’t think I could compose myself enough to speak if my spouse just got murdered.  I’m not accusing anyone of anything, just pointing out that it happens often enough to make tv channels devoted to it.

 
 
 
Trout Giggles
Professor Principal
2.5.1  Trout Giggles  replied to  Hal A. Lujah @2.5    2 weeks ago

If this was a murder for hire, the killer was sloppy. They got his face on a camera without the mask. He threw out a coffee cup that probably has his fingerprints and his DNA.

 
 
 
Igknorantzruls
Sophomore Quiet
2.5.2  Igknorantzruls  replied to  Trout Giggles @2.5.1    2 weeks ago

All I know, is if my killer isn't neat and orderly, it would kill me

 
 
 
Hal A. Lujah
Professor Guide
2.5.3  Hal A. Lujah  replied to  Trout Giggles @2.5.1    2 weeks ago

I’m sure that dude is shitting his pants right now at breath and depth of the state of surveillance in NYC.

 
 
 
devangelical
Professor Principal
2.5.4  devangelical  replied to  Hal A. Lujah @2.5.3    2 weeks ago

NYC is second only to chicago in camera coverage ...

 
 
 
Trout Giggles
Professor Principal
2.5.5  Trout Giggles  replied to  Hal A. Lujah @2.5.3    2 weeks ago

Worse than London

 
 
 
JohnRussell
Professor Principal
3  JohnRussell    2 weeks ago
"humble, a servant-leader and family man."

He probably was a good family man but I wouldnt describe the CEO of the country's largest health insurance company as either humble or a servant.   Thats not the way it works. 

 
 
 
Greg Jones
Professor Participates
3.1  Greg Jones  replied to  JohnRussell @3    2 weeks ago

How does it work John?  Can you give us some examples of humble CEO's?

 
 
 
Kavika
Professor Principal
4  Kavika     2 weeks ago

It was reported today that his wife said that he had received ‘’threats’’.

 
 
 
Split Personality
Professor Guide
4.1  Split Personality  replied to  Kavika @4    2 weeks ago

Plan holders denied coverage by a guy whose net worth was estimated to be $43 million?

Who "exercised" $20 million of company stock in 2023.

I can just imagine how many people are denied small procedures that may improve their lives or decrease their pain

who might just be upset with the profit structure that results in an uber rich CEO.

 
 
 
Greg Jones
Professor Participates
5  Greg Jones    2 weeks ago

"I can just imagine how many people are denied small procedures that may improve their lives or decrease their pain"

I doubt that he had any personal involvement in those decisions. Since we don't know all the facts isn't it a bit presumptuous to blame this professional hit on a denied claim

Does this justify murdering the CEO?

 
 
 
Kavika
Professor Principal
5.1  Kavika   replied to  Greg Jones @5    2 weeks ago

A number of executives were under investigation at UHC by the DoJ for insider trading, it was not clear if he was one of them..

 
 
 
JohnRussell
Professor Principal
5.1.1  JohnRussell  replied to  Kavika @5.1    2 weeks ago

You have to wonder why a regular person, as opposed to a hired hit man, would kill a CEO. I think that it would generally be related to a personal grievance about something the company has done. My guess is that will be true here too. 

 
 
 
devangelical
Professor Principal
5.1.2  devangelical  replied to  Kavika @5.1    2 weeks ago

the motive will come down to the usual choices ...

  • lone wolf amateur wacko making a political statement
  • love triangle
  • personal or business vendetta
  • inside job among peers
 
 
 
Tacos!
Professor Guide
5.1.3  Tacos!  replied to  JohnRussell @5.1.1    2 weeks ago
You have to wonder why a regular person, as opposed to a hired hit man, would kill a CEO.

The way each of my parents died, I don’t wonder at all. For each one of them, I was looking to the doctors and hospitals and asking “how the hell could you let this happen?”

 
 
 
devangelical
Professor Principal
5.1.4  devangelical  replied to  Tacos! @5.1.3    2 weeks ago

it's not about healthcare to medical insurance corporations, it's a P&L decision ...

 
 
 
Tacos!
Professor Guide
5.2  Tacos!  replied to  Greg Jones @5    2 weeks ago
I doubt that he had any personal involvement in those decisions.

He had a very personal involvement in the perpetuation of a system that turns a blind eye to human suffering while making him exceedingly wealthy. And so many other healthcare CEOs and executives are similarly responsible. Fuck him.

 
 
 
GregTx
Professor Guide
5.2.1  GregTx  replied to  Tacos! @5.2    2 weeks ago

[]

 
 
 
Sean Treacy
Professor Principal
5.2.2  Sean Treacy  replied to  GregTx @5.2.1    2 weeks ago
doubt he deserved to be gunned down from behind while walking down the street....

I'm going to take a pass at joining the "let's gun down fathers because I don't like their job party."

  

 
 
 
bugsy
Professor Participates
5.2.3  bugsy  replied to  GregTx @5.2.1    2 weeks ago
No doubt he deserved to be gunned down from behind while walking down the street.

All because he was a CEO of a health insurance company.

That's some fucked up logic right there.

 
 
 
Sean Treacy
Professor Principal
5.2.4  Sean Treacy  replied to  bugsy @5.2.3    2 weeks ago

[T][]

 
 
 
Sean Treacy
Professor Principal
5.2.5  Sean Treacy  replied to  bugsy @5.2.3    2 weeks ago

[]

 
 
 
Tacos!
Professor Guide
5.2.6  Tacos!  replied to  GregTx @5.2.1    2 weeks ago

I’m curious what you think he did deserve. Your worship because he’s rich? 

I bet he didn’t have to worry about obtaining the life saving/improving medicine he needs.

I bet he was never denied medicine that was more likely to keep him out of the hospital.

I bet he would never have been denied a procedure he needed.

I bet he never had to argue and plead with a bureaucracy to convince them that there was something seriously wrong with him.

I bet he resisted efforts to make those things more available to others.

What does a person like that deserve?

 
 
 
GregTx
Professor Guide
5.2.7  GregTx  replied to  Tacos! @5.2.6    2 weeks ago
I’m curious what you think he did deserve.

I think he didn't deserve to be gunned down from behind while walking down the street...

Your worship because he’s rich? 

What? Is that why you think he had it coming to him, because he's rich? SAD...

I bet he didn’t have to worry about obtaining the life saving/improving medicine he needs.

I bet he was never denied medicine that was more likely to keep him out of the hospital.

I bet he would never have been denied a procedure he needed.

I bet he never had to argue and plead with a bureaucracy to convince them that there was something seriously wrong with him.

I bet he resisted efforts to make those things more available to others.

What does a person like that deserve?

Are you moralizing this man's murder? Based on assumption?

 
 
 
Tacos!
Professor Guide
5.2.8  Tacos!  replied to  GregTx @5.2.7    2 weeks ago
I think he didn't deserve to be gunned down from behind while walking down the street...

Try reading closer. I asked you what you think he deserved - not what he didn’t deserve.

What? Is that why you think he had it coming to him, because he's rich? SAD...

Again, not what I said. Read it again and this time, respond to what I wrote. I didn’t say he had it coming to him. I asked you if he deserved your worship because of his wealth.

 
 
 
Tacos!
Professor Guide
5.2.9  Tacos!  replied to  GregTx @5.2.7    2 weeks ago
Are you moralizing this man's murder? Based on assumption?

I responded to your comment about his involvement. Pretty straightforward.

 
 
 
GregTx
Professor Guide
5.2.10  GregTx  replied to  Tacos! @5.2.8    2 weeks ago
Try reading closer. I asked you what you think he deserved - not what he didn’t deserve.

I see, so obtuseness then. I think he deserved to be able to walk down the street without being ambushed from behind just like anyone else.

Again, not what I said. Read it again and this time, respond to what I wrote. I didn’t say he had it coming to him. I asked you if he deserved your worship because of his wealth.

I worship no man. Do you?

 
 
 
GregTx
Professor Guide
5.2.11  GregTx  replied to  Tacos! @5.2.9    2 weeks ago

His involvement in what?

 
 
 
Tacos!
Professor Guide
5.2.12  Tacos!  replied to  GregTx @5.2.11    2 weeks ago
His involvement in what?

Oh man. You deny your own words.

You: I doubt that he had any personal involvement in those decisions.

To which I responded: He had a very personal involvement in the perpetuation of a system that turns a blind eye to human suffering while making him exceedingly wealthy.

Also you: I see, so obtuseness then.

Pot, meet Kettle.

 
 
 
Tacos!
Professor Guide
5.2.13  Tacos!  replied to  GregTx @5.2.10    2 weeks ago
I think he deserved to be able to walk down the street without being ambushed from behind just like anyone else.

I, and others have talked at some length about the state of our health care system and the responsibility for it that this man - and others like him - have. It would be nice if you would acknowledge that, and consider what he deserved based on that.

I think he - and again, others like him - deserve to be held accountable. I personally wouldn’t murder him or even condone it, but I can certainly understand why someone would want to. And considering how many people have suffered and died under the system he controlled, I have a hard time being outraged over it.

I worship no man.

I might believe that if you if didn’t keep defending him and/or ignoring why someone might be angry enough with him to kill.

 
 
 
GregTx
Professor Guide
5.2.14  GregTx  replied to  Tacos! @5.2.12    2 weeks ago
Pot, meet Kettle.

Sure if you say so, I can at least recognize the posts I'm replying to. I didn't say any of that....

 
 
 
GregTx
Professor Guide
5.2.15  GregTx  replied to  Tacos! @5.2.13    2 weeks ago
why someone might be angry enough with him to kill.

Does that make it justifiable?

 
 
 
George
Junior Expert
5.2.16  George  replied to  GregTx @5.2.15    2 weeks ago

[]

 
 
 
Tacos!
Professor Guide
5.2.17  Tacos!  replied to  GregTx @5.2.15    2 weeks ago

Ahh. I confused Gregs. I’ll try to do better. Maybe you could try reading the thread you’re responding to.

 
 
 
Tacos!
Professor Guide
5.2.18  Tacos!  replied to  GregTx @5.2.15    2 weeks ago
Does that make it justifiable?

Maybe. Morally, I think it’s a conversation, anyway. If you feel that a man in his position is responsible for the suffering, you might see his death as justifiable. Legally, I’d say no.

 
 
 
GregTx
Professor Guide
5.2.19  GregTx  replied to  Tacos! @5.2.17    2 weeks ago

I do.

 
 
 
GregTx
Professor Guide
5.2.20  GregTx  replied to  Tacos! @5.2.18    2 weeks ago
Morally, I think it’s a conversation, anyway.

WTF does that mean?

 
 
 
JBB
Professor Principal
5.2.21  JBB  replied to  GregTx @5.2.20    2 weeks ago

original

 
 
 
Tacos!
Professor Guide
5.2.22  Tacos!  replied to  GregTx @5.2.20    2 weeks ago

Either read the comments and respond to them with some substance or go bother someone else. I don’t know why you’re here, but it’s clearly not to discuss the issue. Since you find my posts to be so perplexing, why don’t you just stop responding to them?

 
 
 
Tacos!
Professor Guide
5.2.23  Tacos!  replied to  JBB @5.2.21    2 weeks ago

I keep trying to point to that kind of thing, too, but apparently this whole aspect of the issue is incomprehensible for some people.

 
 
 
Jack_TX
Professor Quiet
5.2.24  Jack_TX  replied to  Tacos! @5.2.6    2 weeks ago
I’m curious what you think he did deserve. Your worship because he’s rich? 

Bit of weird suggestion. 

I was going with "live out his life without being gunned down by a psychopath".

I kinda consider that a baic human right, but maybe I'm wrong about that.

 
 
 
Tacos!
Professor Guide
5.2.25  Tacos!  replied to  Jack_TX @5.2.24    2 weeks ago

A lot of people consider healthcare a basic human right. Maybe they’re wrong. 

How do you feel about a little accountability while he’s alive?

 
 
 
Jack_TX
Professor Quiet
5.2.26  Jack_TX  replied to  Tacos! @5.2.25    2 weeks ago
A lot of people consider healthcare a basic human right. Maybe they’re wrong. 

They are, on a number of levels. 

How do you feel about a little accountability while he’s alive?

Depends.  Accountability for what, exactly? 

 
 
 
Tacos!
Professor Guide
5.2.27  Tacos!  replied to  Jack_TX @5.2.26    2 weeks ago

So, it seems you care a great deal about this guy's life, but little for the lives lost because he wouldn't work to make surgery more available or cheaper. No concern for the people dying of preventable disease because corporate healthcare wont provide for or cover medicines and procedures that prolong life or make it more livable. What is so special about his life versus all the others?

 
 
 
Bob Nelson
Professor Guide
5.2.28  Bob Nelson  replied to  Tacos! @5.2.27    2 weeks ago
What is so special about his life versus all the others?

Rich people‘s lives are obviously more important than... well... your life.

 
 
 
Tacos!
Professor Guide
5.2.29  Tacos!  replied to  Jack_TX @5.2.26    2 weeks ago
Accountability for what, exactly?

It’s all over this discussion. Some random examples are below. All but one happened when this poor man was CEO. Another when he was an executive with the company, the suit coming when he was CEO.

UnitedHealthcare looks to retroactively deny emergency room claims

thousands of UnitedHealthcare Medicare members in 10 states whose doctors will be cut from their plan network. .

.

UnitedHealthcare has begun telling members about the network changes. But there is now less than two weeks before the Dec. 7 deadline for choosing new coverage next year.

UnitedHealth uses faulty AI to deny elderly patients medically necessary coverage, lawsuit claims

The use of the allegedly defective AI model, developed by NaviHealth and called "nH Predict," enabled the insurance company to "prematurely and in bad faith discontinue payment" to its elderly beneficiaries, causing them medical or financial hardships

UnitedHealth sued by US Labor Department over 'thousands' of claims denials

The U.S. Department of Labor is alleging UnitedHealth Group denied thousands of patients' payments for emergency room services and urinary drug screenings. The lawsuit states that UMR, a third-party administrator and UnitedHealth subsidiary, denied claims based on diagnosis codes and failed to abide by requirements of the Affordable Care Act (ACA) and Labor Department’s claims procedures regulation.

.

‘Stunning’ change to United’s colonoscopy coverage roils physicians and patients

UnitedHealthcare plans to barricade many colonoscopies behind a controversial and complicated process known as prior authorization
 
 
 
Jack_TX
Professor Quiet
5.2.30  Jack_TX  replied to  Tacos! @5.2.27    2 weeks ago
So, it seems you care a great deal about this guy's life,

I don't think murder is OK, no.

but little for the lives lost because he wouldn't work to make surgery more available or cheaper.

Do cite me saying so.

And I assure you he was working to make surgery cheaper.  That's part of his job.

No concern for the people dying of preventable disease because corporate healthcare wont provide for or cover medicines and procedures that prolong life or make it more livable.

Again, cite me.  

What is so special about his life versus all the others?

His life is unusual in no small part due to the fact that people seem ready to justify his horrific murder simply because of his perfectly legal occupation.

 
 
 
Jack_TX
Professor Quiet
5.2.31  Jack_TX  replied to  Tacos! @5.2.29    2 weeks ago

So a few doctors are not renewing their contracts, and you think the CEO of United Healthcare should be "held accountable".  What do you suggest is the appropriate measure?

You've listed two lawsuits. Aren't those a means of accountability?   

You've also linked to an article where some doctors are "shocked" by a "stunning" process that has been industry standard with all insurance companies for decades.  

Hardly seems like cause for public execution of the CEO.

More probably, people get frustrated with an incredibly complex system that they don't begin to understand and they only encounter in their most emotional moments.  The CEO of an insurance company makes a simplistic target for their emotional frustration.

 
 
 
Tacos!
Professor Guide
5.2.32  Tacos!  replied to  Jack_TX @5.2.30    2 weeks ago

It’s problematic the way you seem to feel free to interpret what others write, but you insist on pedantic accuracy in defending yourself. I’ll demonstrate:

Me: So, it seems you care a great deal about this guy's life, You: I don't think murder is OK, no.

You managed to turn my comment that you seem to care a great deal about this guy’s life into the suggestion that you think murder is ok. Here’s another, caused by you breaking my comment in half and twisting the context:

Me: but little for the lives lost because he wouldn't work to make surgery more available or cheaper. You: Do cite me saying so.

I never claimed you said it. I said it seems like you feel that way. My impression is based on the totality of your comments on the topic. If I got it wrong, just correct the misunderstanding.

And then you did it again.

Me: No concern for the people dying of preventable disease because corporate healthcare wont provide for or cover medicines and procedures that prolong life or make it more livable. You: Again, cite me. 

Just for one day, can you stop trying to “win” the internet? Is it really so hard to just discuss the topic? Maybe answer some questions put to you? Tell us what you actually think instead of just attacking?

 
 
 
Bob Nelson
Professor Guide
5.2.33  Bob Nelson  replied to  Tacos! @5.2.32    2 weeks ago
Just for one day, can you stop trying to “win” the internet? Is it really so hard to just discuss the topic? Maybe answer some questions put to you? Tell us what you actually think instead of just attacking?

         jrSmiley_79_smiley_image.gif

 
 
 
Tacos!
Professor Guide
5.2.34  Tacos!  replied to  Jack_TX @5.2.31    2 weeks ago
you think the CEO of United Healthcare should be "held accountable"

Yes, don’t you? I’m not suggesting he should be murdered, but isn’t it pretty normal to think that the people in charge are responsible for the way their business is run?

You've listed two lawsuits. Aren't those a means of accountability?

It’s a means of accountability, but I don’t see healthcare in this country on a general trend for improvement, so it’s an insufficient means of accountability. Suing an entity like UHC is an enormous undertaking, and not realistically an option for most people.

You've also linked to an article where some doctors are "shocked" by a "stunning" process that has been industry standard with all insurance companies for decades. 

Just because something has been a standard for decades, that doesn’t make it a good thing. And if it’s a bad thing, then all the more reason why people would be frustrated and angry.

Frankly I’m surprised that you seem so resistant to the idea that our medical system might suck in some pretty significant ways, or that corporate CEOs might be responsible for perpetuating that system.

Hardly seems like cause for public execution of the CEO.

Of course. We have laws, after all, and the killer will be prosecuted. But I can totally why understand why someone might be driven to it.

More probably, people get frustrated with an incredibly complex system that they don't begin to understand

I need to break that down a little.

Why is it more probable? That seems very dismissive. I think people very much understand suffering because the insurance they pay into every month won’t cover medicines or screening procedures. I think people very much understand losing a parent, spouse, or child because nothing was done while they waited for the insurance company to decide if they would cover something urgent.

As to the system being large and complex, these companies and their executives benefit mightily from that system, so they aren’t interested in fixing it. If anyone complains, all they have to do is say, “it’s complex; you just don’t understand,” and that will shut a lot of people down. The point is, this system shouldn’t be so complex that regular people can’t understand it. It should be simple.

 
 
 
Jack_TX
Professor Quiet
5.2.35  Jack_TX  replied to  Tacos! @5.2.32    2 weeks ago

[]

 
 
 
Jack_TX
Professor Quiet
5.2.36  Jack_TX  replied to  Tacos! @5.2.34    2 weeks ago
Yes, don’t you? 

If they're violating the law or something, sure.  But we don't have any evidence that he organized anything like that.  If they're following the rules and we don't like what's happening, then let's change the rules. 

It’s a means of accountability, but I don’t see healthcare in this country on a general trend for improvement, so it’s an insufficient means of accountability. Suing an entity like UHC is an enormous undertaking, and not realistically an option for most people.

I agree I don't think healthcare is improving.  That said, it may be the most heavily regulated business in America, and there are regulators everywhere whose sole job it is to investigate complaints, so people do have a lot of other avenues of recourse.

Just because something has been a standard for decades, that doesn’t make it a good thing. And if it’s a bad thing, then all the more reason why people would be frustrated and angry.

Good or bad, it's sure as hell not "shocking" and no medical provider can honestly claim to be "stunned".  At this point, preauthorization is ubiquitous.  If that many people were frustrated or angry, the regulations would have been changed.  If it's that terrible, we can change it now.

Frankly I’m surprised that you seem so resistant to the idea that our medical system might suck in some pretty significant ways, or that corporate CEOs might be responsible for perpetuating that system.

I think it sucks in some ways, but generally not the ways most people assume.  The system is far, far, too big for insurance CEOs to have nearly the influence many people claim. 

Why is it more probable? That seems very dismissive.

Because people don't understand it.  Ask a random person the difference between and HMO, PPO, EPO or point of service plan.  Ask them what a formulary is.  Or coinsurance.  Or what an SBC is.  How many days do they have to add a newborn to the plan?  What are the rules on COBRA? People just don't generally know.  

You can even see it in the comments posted on this forum (for example).  We have a guy who thinks that because healthcare in France is government funded that none of the providers are for-profit.  I had another guy tell me that we need single payer healthcare because "look how much less expensive USAA is on car insurance".  Another lady was adamant that we needed single payer because the average employer policy cost $600/mo (at the time) and Medicare covered people for $150... not realized that was just her Part B premium and that the total cost was well over $1k/mo.

I have a good friend who owns two PT clinics and who was unaware that Medicare not Medicaid covers disabled people.  

Health insurance is complicated, so you can certainly understand why people don't take the time to learn it.  They have lives that are far to interesting to spend time learning any of that.   Then when they really need it most, they are generally in their most emotional state, so you can also understand how any problem is exponentially amplified.

People get upset because a drug their doctor prescribed isn't covered.  It doesn't occur to them that the doctor chose that drug because the pharma rep convinced him to, and that another drug will probably work just as well for 1/10th the price.  They get upset with an insurer who won't cover something, not realizing that the plan design was written by their employer and the insurer doesn't actually have a choice in the matter.  But none of that matters at the time.  They just know it isn't working.

As to the system being large and complex, these companies and their executives benefit mightily from that system, so they aren’t interested in fixing it.

That presumes that they wouldn't also benefit from a simpler system, but I'm not sure that actually works out.  The Medicare supplement market may be the simplest form of health insurance, and there are far more insurance companies in that business than standard health insurance.

 
 
 
Tacos!
Professor Guide
6  Tacos!    2 weeks ago

I have a hard time feeling bad about this. Healthcare CEOs created and preside over a system that makes them absurdly wealthy via the suffering and death of millions of people less fortunate than they.

 
 
 
Jack_TX
Professor Quiet
6.1  Jack_TX  replied to  Tacos! @6    2 weeks ago

As easy as it is to vilify the small group of very wealthy men, we didn't get here because of them.  Health insurance is one of the most heavily regulated businesses in America, we just suck at that regulation.

Healthcare expenditure is not a new problem.  Rising medical costs have been a national concern for over 100 years. 

The current health insurance system began in the 1920s with a group of teachers in Texas. Employer-based plans started shortly thereafter when GM insured its workers.  Healthcare CEOs didn't create this any more than the CEO of Lockheed created the Air Force. 

We have the power to regulate this properly, we just don't. We have no one but ourselves to blame.

 
 
 
Tacos!
Professor Guide
6.1.1  Tacos!  replied to  Jack_TX @6.1    2 weeks ago
As easy as it is to vilify the small group of very wealthy men

I couldn’t care less that they’re wealthy. I care what they’re doing to get wealthy and stay that way.

we didn't get here because of them

So what? That’s like we shouldn’t judge slave owners because they didn’t invent the practice of owning people. The option to free the slaves is always available. It’s like saying Catholic priests shouldn’t be judged for abusing children  because it’s been going on for so long.

If anyone has the power to really change the system, it’s the CEOs of healthcare, pharmaceutical, and insurance corporations - people who have no problem getting whatever healthcare they want.

Health insurance is one of the most heavily regulated businesses in America, we just suck at that regulation.

And this furthers the point. We hear all the time about the power of capitalism and the private sector, but here you are saying it’s all up to the government. I think government could do a lot, but every time we try to use the power of government to improve access and lower costs, guess what healthcare CEOs do? They do everything in their power to resist that regulation.

Just imagine if they all got together with a plan to genuinely improve healthcare for the average person and took the idea to the government. There wouldn’t be months and years of debate on Capitol Hill. It would happen immediately with bipartisan support. Only the lobbyists would be pissed.

 
 
 
Sean Treacy
Professor Principal
6.1.2  Sean Treacy  replied to  Tacos! @6.1.1    2 weeks ago

[]

 
 
 
Tacos!
Professor Guide
6.1.3  Tacos!  replied to  Sean Treacy @6.1.2    2 weeks ago

Thanks for stopping by. We are all thankful for your enlightened and substantive contribution.

 
 
 
Sean Treacy
Professor Principal
6.1.4  Sean Treacy  replied to  Tacos! @6.1.3    2 weeks ago

You are welcome.[]

 
 
 
George
Junior Expert
6.1.5  George  replied to  Sean Treacy @6.1.4    2 weeks ago

[]

 
 
 
Sean Treacy
Professor Principal
6.1.6  Sean Treacy  replied to  George @6.1.5    2 weeks ago

[]

 
 
 
Sean Treacy
Professor Principal
6.1.7  Sean Treacy  replied to  George @6.1.5    2 weeks ago

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Bob Nelson
Professor Guide
6.1.8  Bob Nelson  replied to  Sean Treacy @6.1.6    2 weeks ago

That's a thought...

 
 
 
George
Junior Expert
6.1.9  George  replied to  Sean Treacy @6.1.7    2 weeks ago

[]

 
 
 
Jack_TX
Professor Quiet
6.1.10  Jack_TX  replied to  Tacos! @6.1.1    2 weeks ago
I couldn’t care less that they’re wealthy. I care what they’re doing to get wealthy and stay that way.

What about him doing his job is objectionable to you?  Be specific.

That’s like we shouldn’t judge slave owners 

I'm going to give you the benefit of the doubt and assume you're not trying to liken people who work at health insurers with slavers.

Still, you obviously have a moral objection to this man's occupation.  What is that, specifically?

 We hear all the time about the power of capitalism and the private sector, but here you are saying it’s all up to the government.

I'm saying we live in a democracy.  If we want different rules, we can make them.  Is UHC in violation of insurance regulations?  

I think government could do a lot, but every time we try to use the power of government to improve access and lower costs, guess what healthcare CEOs do? They do everything in their power to resist that regulation.

Do you have specific examples?  The ones that come to my mind are just further examples of government trying to insert ideology above reality.

Just imagine if they all got together with a plan to genuinely improve healthcare for the average person and took the idea to the government. There wouldn’t be months and years of debate on Capitol Hill. It would happen immediately with bipartisan support. Only the lobbyists would be pissed.

I don't think you would like that plan.  It would undoubtedly involve accountability measures on patients to which I suspect you would object.

 
 
 
Sean Treacy
Professor Principal
7  Sean Treacy    2 weeks ago

[]

 
 
 
Sean Treacy
Professor Principal
7.1  Sean Treacy  replied to  Sean Treacy @7    2 weeks ago

[]

 
 
 
Tacos!
Professor Guide
7.1.1  Tacos!  replied to  Sean Treacy @7.1    2 weeks ago
Rationalizing murder.

Who did that? Where?

 
 
 
Bob Nelson
Professor Guide
8  Bob Nelson    2 weeks ago

Another article, from a man whom I respect greatly:


If I Had A Rocket Launcher by Fred Clark

Here comes UnitedHealthcare
Second time today …

News item: "Police hunt for UnitedHealthcare CEO's masked killer after 'brazen, targeted' attack on NYC street."

A gunman killed UnitedHealthcare's CEO on Wednesday in a "brazen, targeted attack" outside a Manhattan hotel where the health insurer was holding its investor conference, police said, setting off a massive search for the fleeing assailant hours before the annual Rockefeller Center Christmas tree lighting nearby.

Brian Thompson, 50, was shot around 6:45 a.m. as he walked alone to the New York Hilton Midtown from a nearby hotel, police said. The shooter appeared to be "lying in wait for several minutes" before approaching Thompson from behind and opening fire, New York City Police Commissioner Jessica Tisch said. Police had not yet established a motive.

"Many people passed the suspect, but he appeared to wait for his intended target," Tisch said, adding that the shooting "does not appear to be a random act of violence."

No one — not police, not reporters, not the general public — heard about this crime and wondered "Why would anyone want to hurt this man?"

UnitedHealthcare is one of the largest providers of private health insurance in America. It is also notorious for denying coverage — and thereby denying healthcare, denying health, denying care. So much that it stands out among its peers in the uniquely American terrible idea of a for-profit health insurance industry.

Denial.jpg

Literally millions of Americans know or love someone whose health, wellbeing and livelihood has been harmed by UnitedHealthcare. And nearly everyone in this country has some firsthand experience with their own physical and financial health being threatened or damaged or delayed by this system in general. UnitedHealthcare represents that system. If it had a face, it would be the face of the CEO of that company.

So if the suspect list for this crime is to include everyone with a motive, then there are, roughly, 335 million suspects.

Everyone assumed that was what this must be about. Almost instantly and automatically. Sure, it was possible this "brazen, targeted attack" was prompted by something else — by any of the reasons that anybody ever shoots anybody else here in gun-loving America. Maybe it involved romantic betrayal or high-finance rivalries or some inheritance dispute? That was possible, but we all understood, right away, that it was unlikely in this case. When a for-profit health insurance executive gets shot on the street, it's not hard to imagine why.

That universal suspicion seems to have been confirmed by evidence left behind by the shooter — shell casings bearing the words "deny," "defend," and "depose." That echoes the title of Jay M. Feinman's book Delay, Deny, Defend: Why Insurance Companies Don't Pay Claims and What You Can Do About It . (I have not read this book but, as I understand it, Feinman's advice on "what you can do about it" does not recommend lethal violence.)

But we didn't need that hint from the perpetrator to understand what just happened: One of the millions of people harmed by this guy — or by this guy's company, or by the industry this guy represents — got pushed past the breaking point. Given the impotence or corrupt complicity of every "proper channel" for seeking redress or justice or restoration here, it's hardly surprising to see someone resort to other means.

Hence the strange spectacle of the Associated Press's "Live Updates" breaking-news page on this story. The top headline is "Police search for suspect continues," but the reporting here ranges far afield from the usual "manhunt for killer" coverage. It includes headlines like "UnitedHealthcare's history of claim denials" and "What is the criticism of insurers?" and "Anger and vitriol against health insurers filled social media in the wake of Thompson's killing."

You don't need to approve of vigilante violence to understand all of that, or even to feel more sympathy for the criminal here than for the massively harmful, perfectly legal predatory billionaire he targeted.

Marisa Kabas has some thoughtful reflections on the public reaction to Thompson's death, comparing that reaction to the gleeful celebration of the death of Henry Kissinger. The usual norms or mannered propriety that shapes how we respond to the death of others, she notes, don't apply to those deemed to have "violated the human contract." The anger and vitriol and schadenfreude are, in other words, reciprocal , which is to say, fair.

All of this discussion — and the discussion of this discussion — has me thinking back to Bruce Cockburn's classic song "If I Had a Rocket Launcher."

That song prompted a great deal of fretful, hand-wringing, thumb-sucking, navel-gazing, bodypart-gerund discourse about the propriety of advocating violence. Most of that came from people who never listened to the song or, perhaps, just couldn't get past the title.

The song was not a call to supply rocket launchers to the victims of government death squads. It was a call to stop those death squads from killing everybody unable to defend themselves with heavy firepower. Cockburn isn't advocating or even endorsing violent justice in opposition to violent injustice, he's just saying he understands it.

That's true for most people. The more deeply and intimately you understand violent injustice, the more deeply and intimately — and viscerally — you can appreciate the desire for violent justice. It's apocalyptic, in the original, biblical sense. It's "the horse and rider are hurled into the sea."

You can't live like Pharaoh — enriching yourself by oppressing everyone else — and expect people to respond to your death as though you weren't Pharaoh. When Pharaohs die, the people sing.

 
 
 
Bob Nelson
Professor Guide
8.1  Bob Nelson  replied to  Bob Nelson @8    2 weeks ago

I for one had an immediate alternative: someone one the Board who didn't like this guys policies. 

People who deal in death for a living probably think about killing their adversaries all the time.

 
 
 
Greg Jones
Professor Participates
9  Greg Jones    2 weeks ago

Not everyone can be covered for everything, that's not how insurance works in the real world. There has to be limits as to who is covered and to what extent. Some people seem to have a serious problem with the level of compensation that some CEOs receive 

Let's compare the leader of a country to the leader of a corporation. He would essentially be a national CEO....right?

His actions or the lack of them have caused many deaths, much misery, pain, and suffering in that country. Should he meet the same fate as Mr. Thompson?

FWIW, I have Medicare Advantage as administered by UHC and have been very satisfied with the treatment and benefits I have received. Is the government involved in formulating the qualifications? Would we be better off if the government administered our healthcare instead of a private, for profit, company? 

 
 
 
devangelical
Professor Principal
9.1  devangelical  replied to  Greg Jones @9    2 weeks ago

[]

 
 
 
TᵢG
Professor Principal
9.2  TᵢG  replied to  Greg Jones @9    2 weeks ago
Not everyone can be covered for everything, that's not how insurance works in the real world.

Do you recognize that insurance companies routinely exploit their advantages over customers?   That they are driven to deny claims on technicalities and charge excessive prices with the approval of the federal government thanks to long-term, continuous lobbying?   That they are incredibly profitable in result?

While killing a CEO is NOT what should be done, it is rather easy to see what might motivate a less-than-stable individual who just got fucked by an insurance company (e.g. denial of cancer treatment claims) to turn to such violence.   Do you see that?

 
 
 
evilone
Professor Guide
9.2.1  evilone  replied to  TᵢG @9.2    2 weeks ago
Do you recognize that insurance companies routinely exploit their advantages over customers?  

UHC has been in trouble more than once for denying all claims the first time they were processed. Claims processors were told to hold off until they came through a second and 3rd time.

Insurance companies are NOT in the business of covering medical/property claims. Their primary business is to collect monthly premiums and invest that money for stockholders.

 
 
 
1stwarrior
Professor Participates
9.2.2  1stwarrior  replied to  TᵢG @9.2    2 weeks ago

Charge excessive prices???  Retired in 2015 from civil service - cardiac arrest - insurance premiums, while working, $612.00.  For 2025, my premiums are "supposed" to go up to $936.00 per month - for just my wife and I.

Yeah - tad bit excessive.

 
 
 
TᵢG
Professor Principal
9.2.3  TᵢG  replied to  1stwarrior @9.2.2    2 weeks ago

Hard to tell from your comment.   Are you trying to say you agree that insurance companies try to charge excessive prices or are you disagreeing?

 
 
 
Greg Jones
Professor Participates
9.2.4  Greg Jones  replied to  TᵢG @9.2    2 weeks ago
"Do you recognize that insurance companies routinely exploit their advantages over customers?   That they are driven to deny claims on technicalities and charge excessive prices with the approval of the federal government thanks to long-term, continuous lobbying?   That they are incredibly profitable in result?"

Your opinions only and not supported by facts. The hypotheticals just keep coming

 
 
 
Greg Jones
Professor Participates
9.2.5  Greg Jones  replied to  TᵢG @9.2.3    2 weeks ago

Are you saying that health insurance companies' charges are excessive? Based on what?

Perhaps if you could give some credible references instead of rants about who is denied coverage and why it would easier to agree with you. 

My Medicare premium went a few bucks for next year, it now will be about $50 a month, ER visit went from $90 to $135. Office visits are $0, specialists went to $35 from $25. My hospital bill for being in the hospital 8 days with Covid four years ago came close to $100,000. I paid only the $90 copay. I've been very pleased with my Medicare Advantage plan

 
 
 
Jack_TX
Professor Quiet
9.2.6  Jack_TX  replied to  1stwarrior @9.2.2    2 weeks ago
Charge excessive prices???  Retired in 2015 from civil service - cardiac arrest - insurance premiums, while working, $612.00.  For 2025, my premiums are "supposed" to go up to $936.00 per month - for just my wife and I. Yeah - tad bit excessive.

What did your cardiac arrest cost?

The average healthcare expenditure in the US is just under $14k/per person per year.  At $936, you're paying far less than half of that.

Insurance is excessive because the cost of care is excessive.

 
 
 
Jack_TX
Professor Quiet
9.2.7  Jack_TX  replied to  evilone @9.2.1    2 weeks ago
UHC has been in trouble more than once for denying all claims the first time they were processed. Claims processors were told to hold off until they came through a second and 3rd time.

Source?

Seems incredibly odd now that the Affordable Care Act ties profits to claims paid.

 
 
 
1stwarrior
Professor Participates
9.2.8  1stwarrior  replied to  Jack_TX @9.2.6    2 weeks ago

384 Total cost for cardiac treatment with two stents - 31 days ICU - 14 days in-patient rehab - $287K - I only had to pay, to the hospital, $2,188 - to all the other "specialists" who like to visit your room when no one sees them and for the $61 per Tylenol - $6,444 - after those payments, I was at max for my catastrophic care.

One time occurrence and after paying into and having not used my coverage for 30 years, not bothered.

But, my concern is now, for just my wife and I, our monthly premium is scheduled to be $936.00 beginning 01/01/25.  I live on an OPM retirement plan (FERS) of 1/3 my high three salary, so this premium adjustment will take 36% of my retirement income.

That is bothersome.

(Hands had to be wrapped 'cause I kept pulling tubes out while in 26 day medically induced coma.)

 
 
 
evilone
Professor Guide
9.2.9  evilone  replied to  Jack_TX @9.2.7    2 weeks ago
Source?

There are multiple sources online right now...

UnitedHealthcare was also accused of using AI to deny claims for post-acute care services in Medicare Advantage...

There have been multiple lawsuits over the years for this particular company using mass denial strategies. And it's no secret they have the highest denial rate in the industry.

 
 
 
Thrawn 31
Professor Participates
9.2.10  Thrawn 31  replied to  1stwarrior @9.2.8    2 weeks ago

Well, as Mr. Thompson would say, FUCK YOU.

 
 
 
Thrawn 31
Professor Participates
9.2.11  Thrawn 31  replied to  Greg Jones @9.2.5    2 weeks ago

Thank United!

 
 
 
Thrawn 31
Professor Participates
10  Thrawn 31    2 weeks ago

I wonder if these people who had all these nice things to say about him ever talkied to any of the tens of thousands of people or family members that he gladly fucked over and left homeless or dead. 

How many tears did he shed over the cancer patients that could have lived but didnt because he ordered his employees to deny them coverage? 

Fuck him, he got off easy given the misery he intentionally put others through. 

 
 
 
devangelical
Professor Principal
10.1  devangelical  replied to  Thrawn 31 @10    2 weeks ago

karma ...

 
 
 
Greg Jones
Professor Participates
11  Greg Jones    2 weeks ago

It appears that many would prefer that the government take over healthcare, or single payer. The very first step would be to cut costs and benefits....to essentially ration care.

 
 
 
Bob Nelson
Professor Guide
11.1  Bob Nelson  replied to  Greg Jones @11    2 weeks ago
The very first step would be to cut costs and benefits....to essentially ration care.

Why? If there are no shareholders or zillionaire CEOs skimming money from the insurance fund, there would be more money for the insured - you know, the sick people who need help. 

Theoretically, you know... a healthcare system exists to ensure the people‘s health, not to further enrich the already rich.

 
 
 
Tacos!
Professor Guide
11.1.1  Tacos!  replied to  Bob Nelson @11.1    2 weeks ago
If there are no shareholders or zillionaire CEOs skimming money from the insurance fund

Right? Just imagine if the people who administered healthcare in this country only got paid what a regular civil servant gets paid.

 
 
 
Bob Nelson
Professor Guide
11.1.2  Bob Nelson  replied to  Tacos! @11.1.1    2 weeks ago

The French pay a little over half what Americans pay, for healthcare that's superior. That system is administered by people paid like civil servants. (It's a separate administration, but pay is similar.)

Maybe the absence of CEO pay and shareholder dividends has something to do with better performance for lower cost?

 
 
 
Jack_TX
Professor Quiet
11.1.3  Jack_TX  replied to  Bob Nelson @11.1.2    2 weeks ago
Maybe the absence of CEO pay and shareholder dividends has something to do with better performance for lower cost?

Maybe.  It's not that simple. 

Our government run programs lose anywhere from 10-25% of total expenditure in claims that shouldn't have been paid (their own data) which is more in actual dollars than the profits of the top 10 health insurers combined.  Our government programs are not administered by civil servants, BTW.  It's mostly outsourced. 

There are a number of other variables that affect the comparison.  

The French negotiate drug prices.  We don't.

French docs make about 1/3 of what US docs make.

French people eat fresh food, walk more than drive, and have relatively low stress.  

Americans have terrible diets, are famously obese, sedentary, and unhealthy in a dozen other ways.  The US spends nearly as much on obesity related illnesses as France does on their total system.

So if the conversation is about "are French people healthier", the answer is "in most cases, absolutely so".  If the question is about "is the French healthcare system better", it's more difficult to assess because they don't deal with 3/4 of what the American system has to deal with.

 
 
 
Bob Nelson
Professor Guide
11.1.4  Bob Nelson  replied to  Jack_TX @11.1.3    2 weeks ago
because they don't deal with 3/4 of what the American system has to deal with.

???

About the only big difference would be firearm injuries and deaths.

Diseases are the same. 

Obesity is probably worse in the States, but it's bad in France, too.

Diet is probably better in France... largely because ultra-processed foods don't have much place. Americans don't really know what they eat, and with mounting pressure to eliminate regulations, this will probably get worse.

 
 
 
Jack_TX
Professor Quiet
11.1.5  Jack_TX  replied to  Bob Nelson @11.1.4    2 weeks ago
About the only big difference would be firearm injuries and deaths.

That too, yeah.

Diseases are the same.  Obesity is probably worse in the States, but it's bad in France, too.

Obesity rates in France are in the mid teens.  We're over 40%.

Diet is probably better in France... largely because ultra-processed foods don't have much place. Americans don't really know what they eat, and with mounting pressure to eliminate regulations, this will probably get worse.

Exactly. 

But it's not just that.  French people walk.  Or cycle.  Americans will drive a quarter mile. 

Here's the best example I can think of....  about 92% of golf rounds in Europe are people who walk the course.  In America, almost 60% of golf rounds are in a riding cart.

We have other issues that I don't think most people know, and I'm not sure if you've seen them in France or not.  About 40% of prescriptions written in America never get filled.  In most European countries where I've traveled, the pharmacist can prescribe medication.  Is that still the case if France?  We don't allow that here, as I'm sure you know.  It's a massive cost and time savings.  

I was in Strasbourg about 8 years ago.  My hayfever kicked off, and I was miserable.  I walked into the pharmacie, got 5 days worth of Actifed, and went on with my trip.  I paid about 10 euro, which is about what it would cost here, but I didn't have to take 2 hours out of my day and spend $50 for a doctor visit.  It was brilliant.

 
 
 
Bob Nelson
Professor Guide
11.1.6  Bob Nelson  replied to  Jack_TX @11.1.5    2 weeks ago
Americans will drive a quarter mile.

They often have no choice. American (and Canadian) zoning laws don't allow mixed usage, so where there's housing there's no commerce. It's crazy.

If you're interested in the implications and consequences of zoning, there‘s an excellent YouTube channel called "Not Just Bikes" run by a Canadian who now lives in the Netherlands.

French pharmacies can't write prescriptions. I'm not sure but it seems to me that "over the counter" is more open in the US.

We live about twenty minutes from a Mexican town serving Americans' medical needs - dental, ophthalmological, pharmaceutical. Prescriptions are not required for anything.

 
 
 
Jack_TX
Professor Quiet
11.1.7  Jack_TX  replied to  Bob Nelson @11.1.6    2 weeks ago
They often have no choice.

They often do, though.

American (and Canadian) zoning laws don't allow mixed usage, so where there's housing there's no commerce. It's crazy.

That's a fair point.  I will say that's changed substantially in the last 10-15 years or so.

 
 
 
Kavika
Professor Principal
11.1.8  Kavika   replied to  Jack_TX @11.1.5    2 weeks ago

Drug overdose death in the US were a bit over 107,000 in 2023 I would suspect that they have a direct effect on our life expectancy stats.

 
 
 
Bob Nelson
Professor Guide
11.1.9  Bob Nelson  replied to  Jack_TX @11.1.7    2 weeks ago
I will say that's changed substantially in the last 10-15 years or so.

In some places. Another good YouTube channel is CityNerd. Ray Delahanty talks mainly about transit systems, and also visits cities and neighborhoods in cities. He confirms what you say... sometimes. Our son lives in Houston, so we stop over coming and going to Yuma. My only knowledge of Houston was the zillion-lane highways between the airport and our son's house. Delahanty visited a number of diverse neighborhoods,. giving a completely different image of the city.

Delahanty‘s criticism of cities like Houston is that while there are indeed some nice neighborhoods, there's rarely any  good connective tissue linking them.

Here in Yuma, housing is going up like weeds. Cookie-cutter, single-family, tiny lots, no commerce. Grass everywhere, with water scarcer and scarcer. Development like this is a short-term advantage for the county, with new taxes, and a long-term disaster with constantly rising infrastructure maintenance costs.

 
 
 
Jack_TX
Professor Quiet
11.1.10  Jack_TX  replied to  Bob Nelson @11.1.9    2 weeks ago
Delahanty‘s criticism of cities like Houston is that while there are indeed some nice neighborhoods, there's rarely any  good connective tissue linking them.

Houston is an almost unique example of how to grow a gargantuan city with virtually no planning whatsoever.  It is urban sprawl at it's worst.  

Dallas has that, too, but has been cultivating trendy, walkable neighborhoods for 10 years or so.  The big complaint is gentrification, but I'm not sure there is a lot they can do about that.

 
 
 
Jack_TX
Professor Quiet
11.1.11  Jack_TX  replied to  Kavika @11.1.8    2 weeks ago
Drug overdose death in the US were a bit over 107,000 in 2023 I would suspect that they have a direct effect on our life expectancy stats.

sounds reasonable. 

I'd be curious how that math actually works out.  Does it reduce average life expectancy by days?  Weeks?  It would be interesting to know.

 
 
 
Kavika
Professor Principal
11.1.12  Kavika   replied to  Jack_TX @11.1.11    2 weeks ago

According to John Hopkins study it cuts off 8 months from birth.

 
 
 
Tacos!
Professor Guide
11.2  Tacos!  replied to  Greg Jones @11    2 weeks ago
The very first step would be to cut costs and benefits....to essentially ration care.

That literally happens now with private insurance.

 
 
 
Thrawn 31
Professor Participates
11.3  Thrawn 31  replied to  Greg Jones @11    2 weeks ago

Are you high? You are describing our current  system.

 
 
 
Thrawn 31
Professor Participates
11.5  Thrawn 31  replied to  Greg Jones @11    2 weeks ago

Couldn't ber worse than wehat we have.

 
 
 
devangelical
Professor Principal
11.6  devangelical  replied to  Greg Jones @11    2 weeks ago

if it wasn't for democrat inspired healthcare programs benefiting veterans and the elderly in the last 60+ years, chances are good that you'd already be in a box ...

 
 

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