Originally posted by macman

Originally posted by Thepump


Tell me, can you get an ear infection resolved without seeing your insurance broker?

Tell me what they do for you?

That makes no sense.
Private insurance does not force you to first see a broker before you visit a doctor.

The following week, Health Care for America Now, a group supporting the Democrats’ health care reform bill, ran a television ad claiming that private health insurance companies: “Deny 1 out of 5 treatments prescribed by doctors.”

When fact-checked by PolitiFact.com, it turned out the statistic had been derived by the California Nurses Association, which broadened its definition of “denial” to include such administrative non-events as a claim having been sent to the wrong insurer. Such snafus occur behind the scenes, and the patient never knows about them because his/her claim is, in fact, subsequently paid by the correct insurer.

And the drumbeat goes on—

Every day in cities and towns across the United States, Americans with insurance are denied medically necessary care by a for-profit insurer. A treatment, test, medication or even a surgical procedure ordered by their physician is denied, all in the name of increasing the bottom line.

—surely leading inexorably to the conclusion that we must take action NOW to pass health care “reform”!

But, when you take the “profit” out of health care, what do you find?

According to the American Medical Association’s National Health Insurer Report Card for 2008, the government’s health plan, Medicare, denied medical claims at nearly double the average for private insurers: Medicare denied 6.85% of claims. The highest private insurance denier was Aetna @ 6.8%, followed by Anthem Blue Cross @ 3.44, with an average denial rate of medical claims by private insurers of 3.88%