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Businesses United States

Insurers Are Using Cancer Patients as Leverage (wsj.com) 221

Major health insurers are threatening to drop renowned cancer centers from their networks during contract negotiations, Memorial Sloan Kettering Cancer Center's president and CEO Selwyn M. Vickers and chairman Scott M. Stuart wrote in a story published by WSJ. Memorial Sloan Kettering Cancer Center reported that both Anthem Blue Cross Blue Shield and UnitedHealthcare prepared to terminate network agreements while patients underwent active cancer treatment. FTI Consulting found that 45% of 133 provider-payer disputes in 2024 failed to reach timely agreements. The disruptions have affected tens of thousands of patients.

Research published in the Journal of the National Cancer Institute found that care disruptions lead to more advanced-stage diagnoses and worse outcomes. Similar contract disputes involved Mayo Clinic, Johns Hopkins University and University of North Carolina Health. New York lawmakers introduced legislation this year requiring insurers to maintain coverage for cancer patients during negotiations and until treatment concludes. Memorial Sloan Kettering's leadership described the practice as using patients as bargaining chips despite record insurer profits.
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Insurers Are Using Cancer Patients as Leverage

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  • What... (Score:5, Insightful)

    by skam240 ( 789197 ) on Thursday October 02, 2025 @09:04AM (#65697960)

    What a bullshit healthcare system we have here in the US. Heaven forbid we use someone else's good ideas that we can see working in real life to fix it though.

    • Re: (Score:3, Insightful)

      by Anonymous Coward
      capitalist health care. cuba looks like 2000+ years more advanced
    • Re:What... (Score:5, Funny)

      by thegarbz ( 1787294 ) on Thursday October 02, 2025 @09:17AM (#65698006)

      someone else's good ideas

      You can say damn, shit, and fuck all you want, but whatever you do don't say "socialism" or Americans will come for you.

      • Re:What... (Score:4, Interesting)

        by skam240 ( 789197 ) on Thursday October 02, 2025 @09:30AM (#65698058)

        You're correct which is ridiculous because it's not like we don't have very popular socialist institutions and programs in this country https://en.wikipedia.org/wiki/... [wikipedia.org]

      • but whatever you do don't say "socialism" or Americans will come for you.

        Practically speaking, it's not a useful word because it has so many meanings, that if you want to be clear you have to explain which of the meanings you intended.

        • It's very useful word for killing a discussion quickly without having to do pesky things like "debate on merits".

    • Here in the UK healthcare is free at the point of use (obviously we pay in taxes and national insurance) but its far from being the best system in europe never mind the world and it costs us something like 10-15% of GDP to run each year depending on which year you look at.

      • by skam240 ( 789197 ) on Thursday October 02, 2025 @10:12AM (#65698194)

        Our healthcare system is over twice as expensive as yours per capital https://en.wikipedia.org/wiki/... [wikipedia.org] . You're getting one hell of a deal relative to us.

        Also, from what I understand a lot of your current healthcare problems have more to do with a decade of the Tories radically underfunding you NHS relative to every other country with similar systems.

        • by Kernel Kurtz ( 182424 ) on Thursday October 02, 2025 @10:50AM (#65698300)

          Our healthcare system is over twice as expensive as yours per capital https://en.wikipedia.org/wiki/... [wikipedia.org] . You're getting one hell of a deal relative to us.

          Your healthcare is twice as expensive because sick people are seen as a potential source of profit for shareholders first and foremost, and people who are no longer profitable should basically die.

    • People tell me it's the best healthcare system in the world!
    • Re:What... (Score:5, Insightful)

      by mspohr ( 589790 ) on Thursday October 02, 2025 @10:53AM (#65698310)

      The US medical system is designed to ensure profit insurance companies, hospital corporations, pharma.
      Any benefit to health is merely a secondary side effect.

    • Fortunately I got stuck in Europe during the Covid19 hullabaloo and settled down. I then got cancer and was treated quickly and it cost me practically nothing - insurance of about 40 Euro per month and a few boxes of chocolates for the staff. That was all.
    • And the list of comments will likely break down into only binary options. Either full on free market healthcare is the only way to go, or full on Swedish/socialist government healthcare is the way to go. If we can move past the "isms" there are plenty of ways to develop a system which is better than the existing options.

      I will also add that being in this space, there are very few honest brokers. Health insurers (Anthem, BCBS, UHC) are easily identifiable as terrible. But these hospital chains, includi

    • What a bullshit healthcare system we have here in the US. Heaven forbid we use someone else's good ideas that we can see working in real life to fix it though.

      Indeed it is messed up. The US system is sometimes called health insurance. That implies that rare, expensive treatments are being subsidized by the masses. That's a good thing, as I'm not so much concerned about mundane health expenses but rather about the rare, expensive treatments that would bankrupt my family and completely change our lives regardless of the medical outcome.

      Now the so-called insurance companies are getting greedy and want to eliminate the entire basis for the existence of health insu

  • by Holi ( 250190 ) on Thursday October 02, 2025 @09:06AM (#65697968)

    If they are going to threaten all of us with violence, how is it wrong for us to respond in kind?

    • Murder is almost always the wrong answer. Not only because it is wrong, but because it is usually ineffective in changing things. If you do not like their policies vote with your feet. There are other insurers out there. United Health Care should be particularly vulnerable, since they owe much of their preeminence to being a partner with AARP. An organization of retired (older) people seems unlikely to be happy with an insurer who is trying to cut cancer care.
      • by skam240 ( 789197 ) on Thursday October 02, 2025 @09:17AM (#65698002)

        I definitely agree that murder is always wrong most most folks get their health insurance through work. "Vote with your feet" isn't really an option most of the time.

      • Murder is almost always the wrong answer.

        Who said murder? This sounds like it is self defense. Kill or be killed in a literal sense.

      • More accurately it's about "how much". A single one? Yeah that's usually ineffective. A whole bunch? That's called a "revolution"
      • Murder is almost always the wrong answer. Not only because it is wrong, but because it is usually ineffective in changing things.

        Except that in this case, immediately after the murder, Anthem Blue Cross Blue Shield dropped a controversial proposal to limit coverage of anesthesia. So it was effective in changing that at least.

        United Health Care should be particularly vulnerable, since they owe much of their preeminence to being a partner with AARP. An organization of retired (older) people seems unlikely to be happy with an insurer who is trying to cut cancer care.

        You think there is an organization of older people in the USA who are happy about any insurer? I doubt even UHC employees are happy with their health insurance.

        The UHC-AARP deal was a deal between executives. It's not like they put it up to a vote with the members.

    • by ArchieBunker ( 132337 ) on Thursday October 02, 2025 @09:12AM (#65697990)

      Things won't change until congress has the same healthcare quality as a minimum wage employee.

      • Things won't change until congress has the same healthcare quality as a minimum wage employee.

        How do you convince those folks to vote themselves out of Cadillac plans just for being elected? I agree that it's the only way things will change, but it's not like the people have any say whatsoever in that decision. We elect these assholes to represent us, and they use the position to further their own interests, while being paid handsomely to tell us that it's impossible to further our interests because that would impact profits for those who literally provide zero god damned service. It's sickening, an

        • by jacks smirking reven ( 909048 ) on Thursday October 02, 2025 @09:39AM (#65698102)

          If healthcare is an important issue for voters people have to consider to stop voting for Republicans and yes that means voting for Democrats as much as it hurts some people to consider.

          One party gave us the ACA (which would have had a public option if not for Joe Lieberman who after killing that caucused with the Republicans) the other fought it tooth and nail and things a Health-Savings-Account is all the plan anyone needs.

          One party is open to a public option for the ACA, the other still wants to dismantle it and replace it for nothing.

          One party wants to at least keep the skeleton of our system afloat for people and the other is fine with premiums skyrocketing and have no plan to handle that.

          One party has 15 co-sponsors for Medicare-For-All and whichever you feel about that plan you do have 30% of their Senate electorate open to the idea compared to 0%

          There are times to simplify things to "everybody sucks" but on healthcare it's pretty cut and dry the gap between them.

          • by fluffernutter ( 1411889 ) on Thursday October 02, 2025 @10:07AM (#65698174)
            it amazes me that there are Americans that are so angry, they would rather destroy their lives and their country than vote for the party they perceive to be inferior for some reason. Seems a lot like what happened in Rome.
          • If healthcare is an important issue for voters people have to consider to stop voting for Republicans

            Don't even have to do that. Vote correctly in the primaries and the R team will quickly change their tone. Remember Obama basically copied Romney-care.

          • If healthcare is an important issue for voters people have to consider to stop voting for Republicans and yes that means voting for Democrats as much as it hurts some people to consider.

            One party gave us the ACA (which would have had a public option if not for Joe Lieberman who after killing that caucused with the Republicans) the other fought it tooth and nail and things a Health-Savings-Account is all the plan anyone needs.

            One party is open to a public option for the ACA, the other still wants to dismantle it and replace it for nothing.

            One party wants to at least keep the skeleton of our system afloat for people and the other is fine with premiums skyrocketing and have no plan to handle that.

            One party has 15 co-sponsors for Medicare-For-All and whichever you feel about that plan you do have 30% of their Senate electorate open to the idea compared to 0%

            There are times to simplify things to "everybody sucks" but on healthcare it's pretty cut and dry the gap between them.

            This is just one of the reasons I've voted Democrat in every election without a viable third party candidate available for every vote since I've come of age. I do think Democrats are a lesser of two evils, BUT THEY ARE THE LESSER of the evils. And when your choices are "Lesser evil," vs, "Wants to destroy your very existence," I would think the choice should be obvious, but I live in one of the reddest states in the nation. I don't really get it.

            • For third parties there is also a gap in opinions between the parties, Democrats are far more open to the idea of electoral reform both in terms of voting systems like switching to a ranked choice or approval system which would open up third parties as well as just accepting the concept of proportional representation.

              I doubt almost any Republicans today would consider the idea of expanding the House to catch up with population growth and shifting demographics since 1929

      • by Phact ( 4649149 ) on Thursday October 02, 2025 @09:20AM (#65698018)

        Remember: Socialized Medicine is so horrible we only reserve it for Congress and our Veterans.

        • I'm a vet and I can confidently say you don't want anything to do with VA healthcare.
          • I guess outcomes must vary because my step-father is a vet and the VA has done wonderful for him. Numerous cancer treatments, entire heart transplant, cover all the meds he needs. Maybe because he was determined to have suffered agent orange during Vietnam in which he was drafted to participate. Honestly, given what I've seen, I would be quite happy with his medical plan.

            • Same anecdote here. My grandfather insisted on going to his VA doctors, he made sure they did his hip replacement (which he got at like 81 and was walking until he was 94)

              My father who is a Vietnam vet didn't go to the VA for most of his life since he had a union insurance plan but after retirement he started going and they helped him out quite a bit. They actually sat him in front of a counselor and said "oh yeah you totally have some PTSD still" and he's gotten help there.

          • by skam240 ( 789197 )

            I don't know what your experience was but the local VA by me was absolutely fantastic during the last year of my dad's life a few years ago now. Literally the only negative was that one or two things they ordered for him took forever to show up, otherwise I have zero complaints and a lot of praise for them.

            I have heard some VA operations around the country don't do as well though.

          • Re: (Score:3, Informative)

            What you VA experience is like is dependent of what insurance carrier gets the contract to administer your care. There's a bidding process for what company gets to administer the west and the east. Humana Military administers the east and Triwest Healtcare Alliance (which is a mixture of Blue Cross Blue Shield flavors). Insurance carriers get a lot of federal money. There's a reason so many carriers offer Medicare supplement plans. All that sweet sweet federal money.
      • So wealthy people can just buy their own healthcare when they are in Congress. All taking away Congressional Health Care does is prevent working class people from running for congress.

        You can't punish The wealthy by taking away their salary because they already have so much money. You have to actually take the money away which nobody wants to do because as soon as you suggest that everyone becomes convinced that the next step is to take their houses away.
    • I could make an ethical case that Luigi acted in a morally acceptable manner. I don't really believe it, but one arguably could.

      As a practical manner, assassination usually does not lead to the outcomes the killer seeks. People in general don't like targeted violence, most individuals are not essential, etc.

      As a secondary matter, Luigi is smart, sexy, and clearly dedicated to his beliefs; if his impulse control worked a little better, he probably could have learned to be extremely persuasive. That's how y

      • by Temkin ( 112574 )

        he probably could have learned to be extremely persuasive. That's how you change things - by making other people want to change them, too.

        How'd that work out for Charlie Kirk?

        T

      • by PPH ( 736903 )

        People in general don't like targeted violence,

        As opposed to the untargeted kind?

        I don't condone violence in general, but sometimes I understand its motivations. But I'm still trying to figure out what ANTIFA had against Starbucks storefront windows during the George Floyd protests. The association completely escapes me.

        • by abulafia ( 7826 )
          I don't know a lot about those folks. From what I've read, there seem to be several related motivations around opposing capitalist exploitation, combined with some of the same incoherent anger you see in the Gropyer crowd.

          Anyway, I think Starbucks is just a highly salient symbol of globalized capitalism, and angry people like to break things. Not sure it is much more complicated than that.

          In my view, flashy and messy disorder, but cheaper than cop riots and you end up with a lot fewer people hurt.

    • Violence is a useful too for the right wing but not so much the left wing.

      Violence requires a command structure to be effective and the left wing sucks at command structures for pretty obvious reasons.

      Violence looks cool in the movies but it's basically useless. So unfortunately we need to use boring ass electoral politics to solve problems instead of 80s action movie coolness...
    • by kick6 ( 1081615 )

      If they are going to threaten all of us with violence, how is it wrong for us to respond in kind?

      Redefining everything as violence is how we get dead Charlie Kirks, and soon civil war. Keep playing that game.

  • by nightflameauto ( 6607976 ) on Thursday October 02, 2025 @09:12AM (#65697992)

    We're a mentally sick nation. We allow the insurance industry, absolute parasites of the highest possible order, to dictate care for patients suffering the most traumatizing moments of their existence, all to make sure that profits aren't affected. I've tried having rational conversations with people about it, wondering why anyone thinks profit should come before health and providing decent care for people that need it, and every time I'm met with an obstinate regurgitation of Republican talking points about how important it is for people to take responsibility for themselves, and how *EVERYTHING* needs to boil down to profits and always must feed greed first. I'm tired, man. I'm tired of greed being our primary driver, and the number one sticking point of every conversation involving the possibility of change.

    "BUT PROFITS" is not a rational response to every question. At some point, we have to start treating people as if they matter as well, or the continual indifference is only going to lead to further violence. This shit is unacceptable.

    Recommended reading: Small is Beautiful, by E.F.Schumacher. The subtitle is "Economics as if People Mattered." Maybe we can start passing out copies to elected officials?

    • This is going to get me downmodded immediately, and I don't have a ton of love for the US medical industry. But, given the state of modern medicine, they kind of have a point. First off, the US medical insurance industry makes about 1% profit. That's hardly rich-man stuff.

      chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://content.naic.org/sites/default/files/2024-annual-health-industry-commentary.pdf

      The core issue is that modern medicine has progressed to the point where most sick people can
      • This is going to get me downmodded immediately, and I don't have a ton of love for the US medical industry. But, given the state of modern medicine, they kind of have a point. First off, the US medical insurance industry makes about 1% profit. That's hardly rich-man stuff.

        I've known people that work in the insurance industry. That 1% profit is *AFTER* company sponsored trips to exotic locations three to five times a year for not just executives, but also top sales people, which is a hell of a lot of people. One of the guys, the one who married my mom for her second round, took her to Rome, Machu Pichu, and the Far East in the same year, all paid for by the company, staying in the most luxurious hotels you could imagine. I was happy for mom, but it sort of exemplified exactly

      • Sure but these issues are systemic to the nature of our system.

        The US has very low rates in terms of preventative care as well as we have a huge shortage of Primary Care Physicians and there are no real mechanisms currently to affect that.

        Universal systems have a method to deal with the fact that 80% of peoples health costs happen in the last 20% of their life and yes while it is something of a cold calculation at some point a determination has to be made the practice of Wellbeing Adjusted Life Years is pre

  • The headline and the thought of using cancer patients as leverage, reminds me of this South Park clip...

    https://www.youtube.com/watch?... [youtube.com]

    --JoshK.

    • It kinda sucks that I ended up laughing at something that's both so sad, and so true to the spirit of for-profit healthcare.

  • by FictionPimp ( 712802 ) on Thursday October 02, 2025 @09:50AM (#65698134) Homepage

    The market of health insurance is to pay as little as possible and collect as much money as possible. It is not to provide health care. This is working as intended and should be celebrated as captialism in action. As a share holder I'd expect the company to improve profit margins by strong arming healthcare providers and patients. Anything less would reduce shareholder value.

  • The US does not have a health care system at all. It has a health insurance system that refuses or cancels rather than pay out.

    Medicare for all.

  • by FeelGood314 ( 2516288 ) on Thursday October 02, 2025 @11:04AM (#65698352)
    Think of where the money is going
    The USA is 4% of the worlds population but they pay for 75% of the cost of comercializing healthcare drugs and treatments. So in many ways the rest of the world is freeloaders off the American system.
    The insurance companies aren't making huge profits, the hospitals and other providers are. My co-pay for a blood test was the same as what I would have paid without insurance at a private provider in Canada. My co-pay for an utlra sound was 50% more than what I would have paid without insurance at a private clinic in Canada. The difference being in Canada it would have been 2+ months to see my doctor, get the referal and then get the test. In the USA it was done in less than an hour. Also in Canada, if I got the treatment provided by Canadian healthcare, I would have spent more on the parking than my USA co pay because my appointment would have taken over 12 hours. (I once had a 7am appointment and wasn't seen till 7:45pm)

    I can read my Canadian bill. My USA bills are convoluted and there is always one more entity that wants to be paid. I think the confusion is intentional. It makes it impossible to price shop. Hospitals and other providers are using this to screw individuals. They are definitely doing it to screw the insurance providers. The insurance providers need better ways to push back at the hospitals.
  • When the kaiju battle, it's usually the citizenry that get trampled underfoot.
  • Something like this happens.

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