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.
this post was submitted on 03 Sep 2025
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if(true) { return deny } else { return deny }
They'll still use AI for it though, even just to write the program that just does a single line of code: reject();
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?
They're fine if they make money for the right billionaires.
Death panels always existed they just wanted them to be employees at a for-profit.
It's the lack of profit that scares them I guess.
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.
So bribe the private sector to deny all claims routed through them first
The AI models getting paid most the most they deny is private sector grift built in here.
Is there a name for the next step beyond perverse incentives?
Because that's where we are now.
Kleptocracy. They just aren't bothering to hide the fact that they're selling off the government for parts anymore
They are ethically clensing America
They're trying... But it's almost performative. I calmed down a lot when they complied with the orders to shut down alligator Auschwitz, now we've got ICE whining about how no one likes them, people aren't coming to their hearings to get picked up, and all that bullshit about denaturalization seems to have been dropped
Don't get me wrong, it's still horrible, we need to fight it, and we need to disband ICE and have trials when this is all over... But it's not the defining aspect of this administration
Those tents and cages in the Everglades cost hundreds of millions to set up, and probably a comparable amount to tear down. Money that was set aside for disaster recovery. The majority of that money went in someone's pocket
And that's the real defining aspect of the administration. They're fascist enough to do fascism, but they're too busy looting the government for profit to commit to it
perverse intentions?
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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()
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.
Taking claim validity away from the doctor that's actually in charge of the patient's care is already fucked. AI cost cutting doesn't belong in medicine full stop. It shouldn't be a for-profit "industry" in the first place. We're so fucked nobody can even think about this without insane, anti-human framing coloring everything
Private medical insurance is corrupt as starting point. A public health insurance/payer system can still be subject to ineligible or fraudulent claims. Every medical provider demand for money automatically accepted is not the perfect model either. Systems, AI or not, should avoid improper denials is a standard only possible in public health systems.
Literally and with no exaggeration, death panels. You know, the ones Republicans were yelling about a few years ago. Those exact fucking ones.
Those same ones who screamed about fema prisons... At some point, we'll catch on that these conspiracy theories are actual plans...
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More than that: fully automated death panels.
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Well that's the worst headline I have read in a while
The fact that there's shares to be had for denying care is crazy. They know denying care is their business! Meaning that the money they didn't spend on your care doesn't go back into the pot for everyone in your group, they are pocketing some of the money whenever they deny someone. That's it. They don't help anyone but themselves. There should be a requirement that insurance companies publicly announce how much money they made from denying care
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.
As someone who lives with constant pain, calling pain relief of any kind "wasteful" enrages me. See if pain relief has "little benefit" when im done with you, mufucka
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What I time to be alive
The only way to actually get decent coverage is to get it though an employer.
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.
Rejecting claims does have some legitimate purposes.
Invalid ID numbers, people aren’t actually a customer of the insurance company, unreadable data, and actual medical fraud to name a few.
Denials should trigger a government review that the insurance company must justify to a neutral 3rd party that has a medical degree
The goal of the healthcare system should be to treat people.
The goal of a good healthcare system is to treat people. The goal of ours is to treat the rich to another yacht. Healthcare providers bill far above cost for profit, knowing that either the insurance or the patient will have no choice but to eat the cost. Insurance providers use high healthcare costs to justify high policy prices and then do unethical shit to avoid paying out.
The hospitals make money. The insurance company makes money. The shareholders and corporate owners make money. The people needing healthcare get screwed.
The system is, unfortunately, working as intended for those who benefit from it being the way it is.
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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/
This is the point. They want to erase any legacy either of them left. Trump is a petty little asshole who is still mad that Obama made fun of him once.
something something video game character from a nintendo game who's colors are from mixing blue+yellow... 😏
Luigi has allegedly already done his part. Mario needs to step up and help his bro out.
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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?
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!!!
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AI companies going to start generating fake claims and denying them for rewards, I guarantee it.
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In the radio business they call that "payola", and it is very much illegal.
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