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US Healthcare CEO Murdered - Please read mod note at OP

2456727

Comments

  • Moderators, Category Moderators, Science, Health & Environment Moderators, Social & Fun Moderators, Society & Culture Moderators Posts: 43,295 CMod ✭✭✭✭ancapailldorcha


    Completely untrue.

    In the UK, we have the National Institute of Clinical Excellence (NICE). NICE decides whether or not a treatment is cost effective and will approve or disapprove it. The difference is that money saved gets reallocated to other patients. It's really sh*t for people on those conditions but there is a rationale. UH declines claims to funnel cash to very wealthy shareholders.

    The foreigner residing among you must be treated as your native-born. Love them as yourself, for you were foreigners in Egypt. I am the LORD your God.

    Leviticus 19:34



  • Registered Users, Registered Users 2 Posts: 6,342 ✭✭✭yagan


    I believe the mantra in the US healthcare industry is a patient cured is a customer lost.

    https://en.m.wikipedia.org/wiki/File%3ALife_expectancy_vs_healthcare_spending.jpg

    I was working with a lad who was born in the US with type I diabetes who told me the healthcare cost for his condition was the trigger for them to move to Ireland, I think one of his parents was Irish to begin with.

    He explained that here there's annual payment but it's less than €200 and free if you qualify under low means. Whereas his annual insulin costs in the US state they last lived in was around $6.000 a year and rising. Obscene.



  • Registered Users, Registered Users 2 Posts: 74,151 ✭✭✭✭L1011


    Shouldn't be any annual payment for diabetes drugs here - all free under LTI book for T1 and T2.

    They're so cheap if you do buy privately anyway; because the HSE bulk negotiates the prices. Meters, lancets, needles/syringes, insulin etc.

    The meds for T2 diabetes privately will cost people on the most common one about 130/year if they pay privately. I believe that's more like a weekly cost in the US.

    The HSEs negotiation deals have crashed the price of prescription medicines here. Need to do something about OTC next as they're still nuts.



  • Registered Users, Registered Users 2 Posts: 6,725 ✭✭✭eightieschewbaccy


    I do have some complaints about our longterm illness scheme, just cause it's a pretty limited list that needs updating. However we're definitely light years ahead of the US.

    I've been on some biologics in the past and it cost me about a hundred euro every two months. The equivalent is around 5000 euro in the US. You can do complicated rebate **** to get your money back but they seem to get you to jump through hoops. I'd simply never consider moving to the US just cause of how unwelcoming their system is.



  • Registered Users, Registered Users 2 Posts: 12,953 ✭✭✭✭Calahonda52


    This not at all relevant to this thread and won't be until someone here is murdered over the cost of drugs.

    Your point is about how scarce resources should best be used

    [As an aside, we all know we are being rode in the EU by American Pharma re the reference pricing issue]

    This company was taking folk's money and then denying etc

    “I can’t pay my staff or mortgage with instagram likes”.



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  • Registered Users, Registered Users 2, Paid Member Posts: 23,670 ✭✭✭✭Akrasia


    Nonsense
    Ireland has one of the least efficient health care systems in the EU, but we still pay far far less in healthcare costs than the US does

    We pay about half per capita in healthcare spending compared with the US (about $12k vs $6k in Ireland)

    And Ireland is one of the most expensive countries in the EU for healthcare spending, with the average EU spending closer to $3k

    Ireland's health expenditure is expensive BECAUSE of the private sector elements, not because of the state sector. The fact that consultants get to double job and the state has to compete with the private sector for treatments drives up the costs for everyone. And reduces the quality of the service for people without the highest levels of health insurance.

    Ireland's Healthcare is better than US healthcare for most people, at half the cost per capita, and still is worse than the experience of most EU countries, at half the cost of our system.

    Chomsky(2017) on the Republican party

    "Has there ever been an organisation in human history that is dedicated, with such commitment, to the destruction of organised human life on Earth?"



  • Registered Users, Registered Users 2 Posts: 4,764 ✭✭✭Dick phelan


    Who's more evil, the man who shot this CEO, or the CEO who killed thousands by denying them coverage. Hard to have sympathy for a man who made millions from the pain and suffering of others.



  • Registered Users, Registered Users 2 Posts: 6,342 ✭✭✭yagan


    When I heard the €10.000 reward for information I couldn't help but feel that on the ground there actually isn't a strong desire to catch the assassin. Possibly the NYPD have issues with their healthcare scheme and feel unmoved at this time.



  • Moderators, Category Moderators, Science, Health & Environment Moderators, Social & Fun Moderators, Society & Culture Moderators Posts: 43,295 CMod ✭✭✭✭ancapailldorcha


    I'd say nobody gives a toss about some dead parasite.

    The foreigner residing among you must be treated as your native-born. Love them as yourself, for you were foreigners in Egypt. I am the LORD your God.

    Leviticus 19:34



  • Registered Users, Registered Users 2 Posts: 7,949 ✭✭✭Hande hoche!


    Tellingly I saw a fairly simple comment on a news source saying they hope he gets away with it. One of the responses was me too.

    Not too familiar with the American health system. From what I know, the spend a tremendous amount on healthcare with fairly dire results to show. Remember one commentator saying it made the pentagon's spending look responsible and reasonable in comparison.



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  • Registered Users, Registered Users 2, Paid Member Posts: 8,245 ✭✭✭plodder


    I don't think this is the place for that discussion, but I'll just leave this here. The question is a lot more complex than simply public vs private. Ireland is a high cost economy in both the public and private sector.

    Screenshot 2024-12-06 at 12.16.43.png

    https://www.euronews.com/next/2023/08/11/doctors-salaries-which-countries-pay-the-most-and-least-in-europe

    “Fanaticism is always a sign of repressed doubt” - Carl Jung



  • Registered Users, Registered Users 2 Posts: 242 ✭✭rowantree18


    He still had a family and loved ones.

    Post edited by rowantree18 on


  • Moderators, Society & Culture Moderators Posts: 12,567 Mod ✭✭✭✭Amirani


    Your particular ignorance here isn't a reason for the media to not report on it. UnitedHealth Group are the 9th largest company in the world by revenue, and they employ hundreds of people in Ireland too. Whatever your views on the rights and wrongs of the murder and its target, it's clearly a big news story.



  • Registered Users, Registered Users 2 Posts: 6,342 ✭✭✭yagan


    I started reading a book about the legal opioid crisis in the US and I simply stopped reading because the big problem was greed, and in the US greed is good.

    Companies like Perdue acted in a predatory manner to get people hooked, and also enable a black market in people selling their prescriptions. Whitney Houston died of an opioid overdose obtained from a traded prescription if I remember rightly.

    I think opioid overdoses is now the number one cause of non natural deaths in the US.



  • Registered Users, Registered Users 2 Posts: 31,622 ✭✭✭✭breezy1985




  • Registered Users, Registered Users 2, Paid Member Posts: 8,974 ✭✭✭cml387


    It happens in Europe as well:

    And Axa owns Laya.



  • Moderators, Category Moderators, Science, Health & Environment Moderators, Social & Fun Moderators, Society & Culture Moderators Posts: 43,295 CMod ✭✭✭✭ancapailldorcha


    Empire of Pain? I think John Oliver referenced it.

    The foreigner residing among you must be treated as your native-born. Love them as yourself, for you were foreigners in Egypt. I am the LORD your God.

    Leviticus 19:34



  • Registered Users, Registered Users 2 Posts: 6,342 ✭✭✭yagan


    I can't remember, pretty recent book but it was frustrating to read as it's simply legalised addiction profiteering. Most of what I read described how Perdue honed in on West Virginia where they'd get paid by a federal compensation fund for ex-miners coping with health complications from their previous occupation.

    Then they pretty much help set up clinics in towns bordering other states with tighter regulations so they'd enable up cross border addiction.

    That link about the repatriation was awful, but I won't be surprised if we see premiums for holiday travel to the US really start to ramp up to the point that it will put people off.



  • Registered Users, Registered Users 2, Paid Member Posts: 2,932 ✭✭✭PommieBast


    I have read that the opioid crisis in itself has reduced male life expectancy in the US by a year.



  • Registered Users, Registered Users 2 Posts: 1,344 ✭✭✭scottser


    image.png

    Sorry, had to laugh



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  • Registered Users, Registered Users 2 Posts: 1,344 ✭✭✭scottser


    also:

    image.png


  • Registered Users, Registered Users 2 Posts: 1,636 ✭✭✭the.red.baron


    there's no ignorance

    its only become news as a joke

    there are certainly better uses of RTEs time than to feature this and the fact no one created a thread on this forum yesterday, which is full of useless tat most of the time says all that needs to be said



  • Registered Users, Registered Users 2 Posts: 793 ✭✭✭Slightly Kwackers


    It is starting to appear that school massacres are paling into insignificance when compared to the killing of a very rich CEO.

    I'm starting to wonder if the NRA are giving quite the right advice in terms of school shooting prevention. Maybe parents need to find their kiddies jobs running major companies to keep them safe?



  • Registered Users, Registered Users 2 Posts: 25,162 ✭✭✭✭One eyed Jack


    It’s a BS article that attempts to offer an explanation for people being cnuts. Obviously it’s not going to follow through to the rational conclusion of its proposed ‘shared responsibility’ by pointing out that those who are expressing glee are liable for murder as the person who commits the act and should suffer the same fate.

    It’s not untrue though, plodder was making the point in relation to the high cost of drugs used in the treatment of rare medical conditions. He’s not wrong, Orkambi being one particular example, which required Governments in a number of countries to come to an agreement with the manufacturers in order to be able to procure the drug and many which will follow down the pipeline:

    ORKAMBI® has also been approved by regulatory authorities in the U.S., in Great Britain, Australia and Canada, for people with CF and two copies of the F508del mutation in the CFTR gene, ages 1 and above.

    As a result of long-term reimbursement agreements in Austria, Denmark, the Republic of Ireland and Sweden, and provisions for access in health care systems such as Germany, eligible patients in these countries will have access to the expanded indication for ORKAMBI® shortly following regulatory approval by the European Commission. As a result of the long-term reimbursement agreement in the UK, children ages 1 to <2 years old in the UK have had access to this expanded indication for ORKAMBI® since MHRA approval in March 2023. Vertex will continue to work with reimbursement bodies across the European Union, Australia and Canada to ensure access for all eligible patients.

    https://investors.vrtx.com/news-releases/news-release-details/european-commission-approves-orkambir-lumacaftorivacaftor

    https://amp.theguardian.com/society/2019/aug/12/drug-maker-will-make-21bn-from-treating-cystic-fibrosis

    Eventually NICE relented:

    https://www.bbc.com/news/articles/cxxxz01w462o.amp


    plodder was referring to the cost of drugs and the State or Governments or public healthcare services providers having to make similar life and death decisions based on cost/benefit analysis as healthcare insurance providers do, but healthcare insurance providers aren’t held to account in the same way as Government are, because healthcare insurance providers for one thing are private companies, and plodder’s point is that more regulation of the industry is required.

    Even more so in the US where the cost of private healthcare insurance and healthcare provision is based upon market forces and priced on what the market will bear, which is why people living in poverty will always lose out, because the political will doesn’t exist to introduce a universal healthcare system like that which exists in European countries.

    One person choosing to commit murder doesn’t in any way impact upon that reality.



  • Registered Users, Registered Users 2, Paid Member Posts: 2,479 ✭✭✭aero2k


    Sounds like it - I highly recommend it. The author, Patrick Radden Keefe, also wrote the book "Say Nothing" is based on (see thread). I read it (Empire of Pain) and kept thinking it was some sort of thriller, and I was dying to read what happened next. I had to keep reminding myself "the ba$tards actually did all this". I don't think the Sacklers have paid over a cent of the settlement yet.

    Getting back to United Healthcare, Woody Guthrie sang "one man will rob you with a six-gun, another with a fountain pen", I guess he'd have to add "another with an algorithm" now.

    Post edited by aero2k on


  • Registered Users, Registered Users 2 Posts: 4,764 ✭✭✭Dick phelan


    So did all the people he sent to their grave just so he could get his bonus. At least his family won't be left in financial ruin because of medical debts. This guys family will live in luxury for the rest of their lives because of the suffering of others.



  • Registered Users, Registered Users 2, Paid Member Posts: 15,009 ✭✭✭✭Igotadose


    "Even more so in the US where the cost of private healthcare insurance and healthcare provision is based upon market forces and priced on what the market will bear, which is why people living in poverty will always lose out, because the political will doesn’t exist to introduce a universal healthcare system like that which exists in European countries."

    It's all about the money. Private healthcare hasn't been priced on what the market will bear - they set the market and collude on prices. Why? Because Medicare pays so much less, obviously healthcare providers can survive with lower payments. Plus, healthcare providers and insurers - who provide nothing, just services - have enormous influence on policy.

    TBF you're right they're 'based' on market forces, but those forces have been perverted for a long time by political influence, which is why the will isn't there; I think the will is there, but the funding isn't. Obamacare was more ambitious initially, but got defanged and has been a target of the GOP ever since it existed. That mob, now in charge of all 3 branches of government, is going to have a field day for at least the next 2 years, messing about with healthcare. I expect more dead CEOs, this shooting feels like a watershed.

    Having moved from private health insurance in the US, to public (Obamacare, then Medicare), it's remarkable how much better things are under Medicare. The amount of paperwork and hoop-jumping even when private health insurance is being cooperative is surprising and if there is a dispute, forget it, the insurers all wait you out.



  • Registered Users, Registered Users 2, Paid Member Posts: 287 ✭✭tarvis


    Surely governments / WHO/ regulatory authorities have some part to play on permitting new tangled business tactics that affect the public esp the unwell public.

    Delegating responsibilities from govt departments to the private sector is all very well but still requires supervision and. regulation.

    Are these steps are being missed? It seems this company used an algorithm - AI - to decide whose claim is accepted or denied. Do governments really think AI is currently sufficiently sophisticated or tested to do this function.

    Standing over these systems minus much more checking and double checking seems a dereliction of regulatory duties on a world scale.

    Actually listening to those whose cover has been cancelled for no good reason has to happen - media and the public as a whole needs to wake up-

    To paraphrase an old time Radio Eireann agony aunt - Not your problem today but it could be tomorrow.

    Post edited by tarvis on


  • Registered Users, Registered Users 2, Paid Member Posts: 15,009 ✭✭✭✭Igotadose


    The regulatory authority in the US, is the government. It's why GOP are always on the attack against regulations, because it's the thin fraying lead onto which the beasts of corporations are restrained. The WHO has nothing to do with anything in the US - I think the US donates some money to it, but that's about it.

    Yes, delegating to corporations is all very well until it isn't because they're in it for profits. Which tends to mean, it's immediately bad (Thatcher) or long-term bad (Reagan and all his GOP successors.)

    Media has done an o.k. job documenting what's going on with health care in the US. Obamacare arose from a series of articles in the LA Times about recission, denying claims for the lulz by the health care companies. Still it took years for it to be put in place and disappointed a lot of people.

    People are angry because nothing improves. This imo is why the murder of this CEO - which, tbf, just means another job opening and another empty suit running the show soon - is met with some applause. What else can people do? Vote Democratic? Lot of good that did. Vote Republican? Might as well kill yourself now.



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  • Registered Users, Registered Users 2 Posts: 59,524 ✭✭✭✭walshb


    50 year old man with children brutally executed in an instant.. to read some of the heartless and nasty and gleeful posts about this evil act really does amplify what a flawed species we are.



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