Tag: healthcare
Let Me Tell You Why People Hate Health Insurance Executives

Let Me Tell You Why People Hate Health Insurance Executives

There is no condoning the cold-blooded murder of a UnitedHealth Group executive in predawn Manhattan. Moments after Brian Thompson was shot dead, a torrent of unsympathetic posts flooded social media. I was surprised by both the brazen attack and the unveiled congratulations to a killer. The reasons for the anger, however, I understood very well.

I have my own story. I shared it after the insurer had launched its cruel "Delay Deny Defend" strategy to avoid covering my husband's cancer treatment. Those three words became the title of a 2010 book on the subject, written by Rutgers University law professor Jay Feinman. They may have been the inspiration for the words etched on bullet casings found at the crime scene: "deny," "defend" and "depose."

For years, my husband and I had no serious health issues. We would go to a doctor for annual checkups, and that was it. We were ideal customers for UnitedHealth or any other insurer.

But then my husband was diagnosed with complicated liver cancer. Our plan stipulated that we use doctors in the insurer's network but that if we needed specialized care elsewhere, United Healthcare would cover it. Our network doctor, an expert in liver cancer, told us in no uncertain terms to go to Deaconess Hospital in Boston. Deaconess then offered the cutting-edge treatment my husband needed — and was only a 50-minute drive away.

The doctor obviously anticipated the battle we faced in getting the insurer to cover it. As we walked out of his office, he whispered, "Mortgage the house."

We would have done just that and sued UnitedHealth later had we not fallen victim to the "delay" scheme. The company repeatedly implied that it would seriously consider covering the treatment. To get there, we had to go through an appeal process. That meant speaking to a "handler" who said our case would be reevaluated. About a week later, a one-sentence rejection letter would arrive by snail mail. But it included a number we could call to challenge the verdict. Around we again went.

We could never talk to anyone who made decisions. We couldn't get anyone there to talk to our doctor. At one point, we were told to seek treatment at a now-failing community hospital. The handler told us that the person sending us there was "a nurse" as though that was reassuring.

My husband, an ex-Marine, was a tough customer. He said that dealing with the insurer was worse than dealing with the cancer.

We had fallen into those traps, which Feinman explained, were designed "to wear down claimants" and "flat-out deny" valid claims. Should the policyholder sue, the insurer would unleash a team of lawyers who excelled at swatting away plaintiffs.

Because insurers put the premium payments into investments, delaying payouts also enabled them make more money.

In serious cases, one suspects that delaying tactics are also intended to wait out the life of the patient: The policyholder would die before the insurer had to spend money on medical care. We finally said "the hell with waiting" and went to Deaconess for treatment.

Some months after a grueling round of chemo, my husband died. I'll never know for sure whether the delay hastened that outcome. I do know that the then-CEO of United Healthcare — widely known as William "Dollar Bill" McGuire — later walked off with a $1.1 billion golden parachute after having raked in $500 million.

One last note: Project 2025, the right-wing blueprint for a second Trump term, would, among other things, let Affordable Care Act insurers discriminate against preexisting conditions. It would deregulate Medicare Advantage plans, which are run by private insurers, and herd more Medicare beneficiaries into them.

You've been warned.

Reprinted with permission from Creators.

Luigi Mangione

The Stunning Normality Of Alleged Killer Luigi Mangione

DIY sleuths and amateur gumshoes (including yours truly) spent the five days since the murder of the CEO of what turns out to be one of the most hated companies in America debating whether the killer was a hired hitman, a corporate black bag job pro, or a DIY radical.

My very first thought at news of the shooting was, this is the first shot in the M4A* revolution, the shooter a 21st Century John Brown, ready to kill for single payer socialized medicine.

But as facts dribbled out - the gun with the silencer, knowledge of exactly which door and at what time CEO Brian Thompson would arrive at the Hilton in pre-dawn darkness, the use of cash and burner phone, the clever getaway by bike into camera-free Central Park - I started to waver. The mind wandered into cinematic territory: A billionaire Doctor No behind the United Health Care C-suite’s insider trading scandal, hiring a professional with a non-extraditable national passport. A fellow corporate suit with a personal vendetta, a love triangle, a dirty secret involving massive medical malpractice.

A few nights after the “hit” I cued up a movie that seemed in the spirit of the moment. Michael Clayton is a classic of corporate evil, Tilda Swinton as the pinched corporate lawyer who hires a pair of professional killers to commit a murder and hide the fact that her chemical agribusiness client has been poisoning farmers with a toxic product. George Clooney as the fixer is terrific. Swinton won an Oscar for it.

Corporate intrigue seemed possible. Black bag team. High end hit man already on a flight back to Belarus.

But this morning, it turned out, my initial instinct was kind of on target: The suspect is an all-American boy who, as an NYPD chief of detectives put it drily, “does seem to have some ill-will toward corporate America.” He even had an anti-insurance “manifesto” on his person when arrested.

Luigi Mangione, 26, charged with murder in a so-far sealed New York criminal complaint, is presumed innocent until proven otherwise, obviously. But the reported clues to his involvement are pretty damning. He was arrested with a ghost gun - possibly made with a 3D printer - that matched the one the killer used. He had on his person the fake ID the killer used to check into the New York hostel police had traced him to, and where, flirting with a female clerk, he had pulled down his otherwise ubiquitous face mask to flash a grin. And he looks like that guy.

Early reports are that either an “elderly customer” or the Altoona McDonald’s staff themselves recognized the patron and called cops.

Either way, online fans of the murderer (whose numbers are legion, who have started selling merch commemorating him, and whose existence has provoked reams of concerned analysis) apparently went on an immediate bad-review rampage, posting that the kitchen was rat-infested, etc. The fact that McDonald’s doesn’t offer its employees health insurance also came up.

The truth, as is often the case, turns out to be stranger than fiction.

Mangione reportedly studied computer science at the University of Pennsylvania. He was enough of an intellectual to have on his Goodreads account quotes from Bertrand Russell. (“Luigi’s favorites” include Russell’s: “Of all forms of caution, caution in love is perhaps the most fatal to true happiness.”

He read Michael Pollan’s book on hallucinogens - How to Change Your Mind: The New Science of Psychedelics - earlier this year. His “want to read” list also included a tome called The Great Conversation: Volume I: Pre-Socratics through Descartes.

He gave Unabomber Ted Kaczynski’s manifesto four stars and reporters have cherry-picked his commentary of that book because it seems relevant:

It’s easy to quickly and thoughtless[ly] write this off as the manifesto of a lunatic, in order to avoid facing some of the uncomfortable problems it identifies. But it’s simply impossible to ignore how prescient many of his predictions about modern society turned out.

He was a violent individual - rightfully imprisoned - who maimed innocent people. While these actions tend to be characterized as those of a crazy luddite, however, they are more accurately seen as those of an extreme political revolutionary.

He added: “When all other forms of communication fail, violence is necessary to survive. You may not like his methods, but to see things from his perspective, it’s not terrorism, it’s war and revolution.”

The New York Post, Murdoch rag, was first out of the gate with the predictable assessment that Mangione is a radical leftist. But even a cursory glance at his digital trail indicates it’s not that simple. He was engaged with the online male right, was an Elon Musk fan, seemed antagonistic to DEI, and even had Ayn Rand’s Atlas Shrugged on his “want to read” list.

He was the 2016 class valediction at Baltimore’s top boys’ prep school. My friend investigative journalist and author Dave Troy, happened to have a son who graduated in the same class of the Gilman School, and he first shared a video of the speech on X. In it, a composed younger Mangione - the same man in a hoodie and a mask New York City street surveillance cameras recorded shooting a man in cold blood and calmly walking away - wears a navy blue suit with a white boutonnière, surrounded by a sea of young men in suits.

His speech isn’t fiery at all. No politics even though it was an election year. No whiff of radicalization. He is not yet a murderer, just a thoughtful, poised young man, on the road to success, one of America’s more promising, poised and brainy Gen Z men, about to step out into an amoral world.

On the knife edge of adult understanding and his destiny.

Poignant, tragic and deeply uncanny - the video can be viewed on Youtube here. “The rush is on,” journalist Troy posted. “Was he a 'leftist', or radicalized by the 'online right'? Facts, as always, are more nuanced. Evidence suggests he is a smart, mixed-up kid with questions, who got turned inside out by a nasty world and did something terrible. Other takes are incomplete.”

As I write this “FREE HIM” is trending on social media.

*M4A - Medicare For All, the slogan that supporters of nationalized healthcare have been using since at least 2016, when Bernie Sanders ran on it, lost to Hillary Clinton, who then lost to Donald Trump.

Nina Burleigh is a a journalist, author, documentary producer and adjunct professor at New York University's Arthur L. Carter Journalism Institute. She has written eight books including her recently published novel, Zero Visibility Possible.This post is reprinted with permission from her American FreakshowSubstack. Please consider subscribing.


Reprinted with permission from American Freakshow.

Alleged Assassin Of United Health Care Boss Nabbed At McDonald's

Alleged Assassin Of United Health Care Boss Nabbed At McDonald's

DIY sleuths and amateur gumshoes (including yours truly) spent the five days since the murder of the CEO of what turns out to be one of the most hated companies in America debating whether the killer was a hired hitman, a corporate black bag job pro, or a DIY radical.

My very first thought at news of the shooting was, this is the first shot in the M4A* revolution, the shooter a 21st Century John Brown, ready to kill for single payer socialized medicine.

But as facts dribbled out - the gun with the silencer, knowledge of exactly which door and at what time CEO Brian Thompson would arrive at the Hilton in pre-dawn darkness, the use of cash and burner phone, the clever getaway by bike into camera-free Central Park - I started to waver. The mind wandered into cinematic territory: A billionaire Doctor No behind the United Health Care C-suite’s insider trading scandal, hiring a professional with a non-extraditable national passport. A fellow corporate suit with a personal vendetta, a love triangle, a dirty secret involving massive medical malpractice.

A few nights after the “hit” I cued up a movie that seemed in the spirit of the moment. Michael Clayton is a classic of corporate evil, Tilda Swinton as the pinched corporate lawyer who hires a pair of professional killers to commit a murder and hide the fact that her chemical agribusiness client has been poisoning farmers with a toxic product. George Clooney as the fixer is terrific. Swinton won an Oscar for it.

Corporate intrigue seemed possible. Black bag team. High end hit man already on a flight back to Belarus.DIY sleuths and amateur gumshoes (including yours truly) spent the five days since the murder of the CEO of what turns out to be one of the most hated companies in America debating whether the killer was a hired hitman, a corporate black bag job pro, or a DIY radical.

My very first thought at news of the shooting was, this is the first shot in the M4A* revolution, the shooter a 21st Century John Brown, ready to kill for single payer socialized medicine.

But as facts dribbled out - the gun with the silencer, knowledge of exactly which door and at what time CEO Brian Thompson would arrive at the Hilton in pre-dawn darkness, the use of cash and burner phone, the clever getaway by bike into camera-free Central Park - I started to waver. The mind wandered into cinematic territory: A billionaire Doctor No behind the United Health Care C-suite’s insider trading scandal, hiring a professional with a non-extraditable national passport. A fellow corporate suit with a personal vendetta, a love triangle, a dirty secret involving massive medical malpractice.

A few nights after the “hit” I cued up a movie that seemed in the spirit of the moment. Michael Clayton is a classic of corporate evil, Tilda Swinton as the pinched corporate lawyer who hires a pair of professional killers to commit a murder and hide the fact that her chemical agribusiness client has been poisoning farmers with a toxic product. George Clooney as the fixer is terrific. Swinton won an Oscar for it.

Corporate intrigue seemed possible. Black bag team. High end hit man already on a flight back to Belarus.

But this morning, it turned out, my initial instinct was kind of on target: The suspect is an all-American boy who, as an NYPD chief of detectives put it drily, “does seem to have some ill-will toward corporate America.” He even had an anti-insurance “manifesto” on his person when arrested.

Luigi Mangione, 26, charged with murder in a so-far sealed New York criminal complaint, is presumed innocent until proven otherwise, obviously. But the reported clues to his involvement are pretty damning. He was arrested with a ghost gun - possibly made with a 3D printer - that matched the one the killer used. He had on his person the fake ID the killer used to check into the New York hostel police had traced him to, and where, flirting with a female clerk, he had pulled down his otherwise ubiquitous face mask to flash a grin. And he looks like that guy.

Early reports are that either an “elderly customer” or the Altoona McDonald’s staff themselves recognized the patron and called cops.

Either way, online fans of the murderer (whose numbers are legion, who have started selling merch commemorating him, and whose existence has provoked reams of concerned analysis) apparently went on an immediate bad-review rampage, posting that the kitchen was rat-infested, etc. The fact that McDonald’s doesn’t offer its employees health insurance also came up.

The truth, as is often the case, turns out to be stranger than fiction.

Mangione reportedly studied computer science at the University of Pennsylvania. He was enough of an intellectual to have on his Goodreads account quotes from Bertrand Russell. (“Luigi’s favorites” include Russell’s: “Of all forms of caution, caution in love is perhaps the most fatal to true happiness.”

He read Michael Pollan’s book on hallucinogens - How to Change Your Mind: The New Science of Psychedelics - earlier this year. His “want to read” list also included a tome called The Great Conversation: Volume I: Pre-Socratics through Descartes.

He gave Unabomber Ted Kaczynski’s manifesto four stars and reporters have cherry-picked his commentary of that book because it seems relevant:

It’s easy to quickly and thoughtless[ly] write this off as the manifesto of a lunatic, in order to avoid facing some of the uncomfortable problems it identifies. But it’s simply impossible to ignore how prescient many of his predictions about modern society turned out.
He was a violent individual - rightfully imprisoned - who maimed innocent people. While these actions tend to be characterized as those of a crazy luddite, however, they are more accurately seen as those of an extreme political revolutionary.

He added: “When all other forms of communication fail, violence is necessary to survive. You may not like his methods, but to see things from his perspective, it’s not terrorism, it’s war and revolution.”

The New York Post, Murdoch rag, was first out of the gate with the predictable assessment that Mangione is a radical leftist. But even a cursory glance at his digital trail indicates it’s not that simple. He was engaged with the online male right, was an Elon Musk fan, seemed antagonistic to DEI, and even had Ayn Rand’s Atlas Shrugged on his “want to read” list.

He was the 2016 class valediction at Baltimore’s top boys’ prep school. My friend investigative journalist and author Dave Troy, happened to have a son who graduated in the same class of the Gilman School, and he first shared a video of the speech on X. In it, a composed younger Mangione - the same man in a hoodie and a mask New York City street surveillance cameras recorded shooting a man in cold blood and calmly walking away - wears a navy blue suit with a white boutonnière, surrounded by a sea of young men in suits.

His speech isn’t fiery at all. No politics even though it was an election year. No whiff of radicalization. He is not yet a murderer, just a thoughtful, poised young man, on the road to success, one of America’s more promising, poised and brainy Gen Z men, about to step out into an amoral world.

On the knife edge of adult understanding and his destiny.

Poignant, tragic and deeply uncanny - the video can be viewed on Youtube here. “The rush is on,” journalist Troy posted. “Was he a 'leftist', or radicalized by the 'online right'? Facts, as always, are more nuanced. Evidence suggests he is a smart, mixed-up kid with questions, who got turned inside out by a nasty world and did something terrible. Other takes are incomplete.”

As I write this “FREE HIM” is trending on social media.

*M4A - Medicare For All, the slogan that supporters of nationalized healthcare have been using since at least 2016, when Bernie Sanders ran on it, lost to Hillary Clinton, who then lost to Donald Trump.

Nina Burleigh is a a journalist, author, documentary producer and adjunct professor at New York University's Arthur L. Carter Journalism Institute. She has written eight books including her recently published novel, Zero Visibility Possible. This post is reprinted with permission from her American FreakshowSubstack. Please consider subscribing.

Reprinted with permission from American Freakshow.

'Complete Fraud' RFK Jr. Caught Chomping McDonald's Burger With Trump

'Complete Fraud' RFK Jr. Caught Chomping McDonald's Burger With Trump

Donald Trump and a few of his allies were called out Sunday, in a jab at the president-elect’s health department nominee, Robert F. Kennedy Jr.

Policy expert Eric Feigl-Ding wrote via X: “Not exactly MAHA—Eating high processed McDonalds burgers and large fries + full sugar Coke.”

The post included a photo of Trump, Donald Trump Jr., billionaire Elon Musk, and RFK Jr., eating McDonalds on a private jet.

Reprinted with permission from Alternet.

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