It should be illegal for anyone but a doctor to deny a claim. This isn't even going to be AI, its just going to be a program that denies everything.

I’m so tired of living under capitalism. Can you all please get some fucking class consciousness so we can get out of this hellscape?

I guess "death panels" are fine if they are machines?

This is definitely the wrong "motive structure" for administrative decisions from agency supposed to provide healthcare. Proof of grift as a goal.

By all means, use AI assistance to determine claims validity. But the AI service should be paid per query, or to licence whole model for unlimited use with medicare paying for the computers/gpus. Medicare should be choosing a model that is accurate instead of one that is paid to deny everything, because Homer Simpson's birdy automation can do that ultra cheap.

What I time to be alive

The only way to actually get decent coverage is to get it though an employer.

So bribe the private sector to deny all claims routed through them first for government healthcare and then claim 'gUbmEnT dEAtH pANEls!' are the problem.

Is there a name for the next step beyond perverse incentives?

Because that's where we are now.

You don’t need AI for that….

#!/usr/bin/env python3

def main():
    try:
        _ = input("Enter reasoning for claim: ")  # read but ignore the input
        print("denied")                # always respond "denied"
    except (EOFError, KeyboardInterrupt):
        # Even if input is interrupted, still respond "denied"
        print("denied")

if __name__ == "__main__":
    main()

Officials assert that the AI tools will only be used to judge claims for about a dozen different types of procedures it deems to be wasteful and providing little benefit, including steroid shots to relieve pain, per the NYT.

Yeah cause people on medicare aren't likely to need steroid shots for things like joint pain or anything. Anyone 65 and older should start saving their money now to pay for their steroid shots that are going to start costing them a couple hundred bucks a pop.

Literally and with no exaggeration, death panels. You know, the ones Republicans were yelling about a few years ago. Those exact fucking ones.

Well that's the worst headline I have read in a while

something something video game character from a nintendo game who's colors are from mixing blue+yellow... 😏

So basically the opposite of what Obama or Biden did as usual https://arstechnica.com/health/2024/11/biden-proposes-guardrails-on-health-care-ai-upping-weight-loss-drug-access/

I fucking hate the future, man.

As I get older and need the healthcare system more, I have had this realization that except for cosmetic surgery no one uses healthcare that they don’t need. Like, no one is out there trying to scam their insurance company out of a free colonoscopy. They get that procedure because they don’t want to die. Rejecting claims should be illegal. The goal of the healthcare system should be to treat people. Insurance is the wrong paradigm to manage healthcare because implicitly it’s built around rationing resources.

We don’t do this with food, and yet healthcare is a basic need. What do we do as a society to meet our food needs? We scale up. We plant megatons of crops. We build new technologies to be able to produce more. Why with healthcare do we not do the same? Med schools should accept more than 2% of applicants. The number of doctors in the US is kept artificially low. Also, let people interested in medicine attend abbreviated university programs. Skip the 4 year bachelors and get your med school degree directly in 5-6 years like they do in the UK. Redirect all the overhead and money spent on insurance to building hospitals and hiring doctors.

so no healthcare for anyone anymore? just insurance companies paying themselves now.

Ah! Americans need to be willing to dig deep—really tough it out—to cut costs and save as much money as AI makes possible so that the government can give just 1 more penny to the billionaires. Won't someone please think of the billionaires?

So, reject everything and let appeals sort it out.

We got you fam.

Well I'm sure it'll be all fair and definitely not
DENIED
DENIED
DENIED
DENIED
DENIED CHACHING
DENIED CHACHING
CHACHING
CHACHING
CHACHING

Oh no, that'll deffo not happen. No way!!!

In the radio business they call that "payola", and it is very much illegal.

AI companies going to start generating fake claims and denying them for rewards, I guarantee it.

Good Job, Luigi! You saved healthcare!