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I Was a Health Insurance Executive. What I Saw Made Me Quit. (www.nytimes.com)

submitted 2 days ago by [email protected] to c/[email protected]

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One story that we couldn’t keep out of the press and that contributed most to my decision to walk away from my career in 2008 involved Nataline Sarkisyan, a 17-year-old leukemia patient in California whose scheduled liver transplant was postponed at the last minute when Cigna told her surgeons it wouldn’t pay. Cigna’s medical director, 2,500 miles away from Ms. Sarkisyan, said she was too sick for the procedure. Her family stirred up so much media attention that Cigna relented, but it was too late. She died a few hours after Cigna’s change of heart.

Ms. Sarkisyan’s death affected me personally and deeply. As a father, I couldn’t imagine the depth of despair her parents were facing. I turned in my notice a few weeks later. I could not in good conscience continue being a spokesman for an industry that was making it increasingly difficult for Americans to get often lifesaving care.

One of my last acts before resigning was helping to plan a meeting for investors and Wall Street financial analysts — similar to the one that UnitedHealthcare canceled after Mr. Thompson’s horrific killing. These annual investor days, like the consumerism idea I helped spread, reveal an uncomfortable truth about our health insurance system: that shareholders, not patient outcomes, tend to drive decisions at for-profit health insurance companies.

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[–] [email protected] 69 points 2 days ago (2 children)

What a frustrating article. We have an author that admits to being part of an effort to decrease access to healthcare and refers to the death of a monster in a human suit as a tragedy. He also admits he fucked up and has gone on to work with organizations that advocate for the right to healthcare.

I think I'm frustrated with this piece because it feels so lukewarm. Maybe that's by design so that it reaches a wider audience. I'm just tired of seeing the insurance industry and its executives handled with kid gloves. It is unambiguously evil to make the kind of money they make off of healthcare.

[–] [email protected] 15 points 2 days ago

He cannot escape in his narrative that he got his. He did the damned work and was able to move on with his conscious. He quit, the company replaced him, nothing fundamentally changed. He feels better, kids still dead.

The article isn't a tale of redemption: it is about deflecting blame from executives to shareholders.

Which is just a subtle way of portraying a publicly traded company as less desireable than a fully privatized company that apparently would make different decisions about how to profit off dying people.

[–] [email protected] 41 points 2 days ago* (last edited 2 days ago)

In his own example his company literally killed a child with leukemia and the tone is still so weak.