{"id":3853,"date":"2021-10-06T09:00:59","date_gmt":"2021-10-06T09:00:59","guid":{"rendered":"https:\/\/healthdrum.com\/blog\/?p=3853"},"modified":"2021-10-12T18:55:41","modified_gmt":"2021-10-12T18:55:41","slug":"health-insurance-injustices","status":"publish","type":"post","link":"https:\/\/healthdrum.com\/blog\/health-insurance-injustices\/","title":{"rendered":"Health Insurance Injustices"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Health insurance injustices suffered by patients, employers and physicians at the hands of the domineering health insurance industry are discussed in our podcast attached below.<\/span><\/p>\n<p><b>What are health insurance injustices?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Health insurance injustices are abuses of power that enable the insurance industry to take advantage of patients, employers and physicians.<\/span><\/p>\n<p><b>Insurance industry domination of healthcare<\/b><\/p>\n<ul style=\"line-height: 1.6;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The cost of health insurance grows faster than the cost of medical treatments.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The eight largest publicly traded health insurance companies have some of the most highly compensated executives in the business world.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The health insurance industry makes huge profits by controlling healthcare access, delivery and pricing of services.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The health insurance industry is about the only insurance that covers unnecessarily, generally affordable routine services &#8211; your car insurance doesn\u2019t cover the cost of a new tire.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The insurance-based coverage of easily affordable routine office-based healthcare services is flawed and torpedoes the very basis for insurance which is to cover only against unlikely costly and catastrophic events &#8211; not day-to-day routine needs.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The health insurance industry invented the term \u201callowables\u201d to justify their pricing controls.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Healthcare spending has catapulted to $3.9 trillion dollars because of anti-competitive insurance-based controls and pricing.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The domination of U.S. healthcare by the insurance industry was secured by State and Federal laws that were carefully designed to benefit them.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Insurance-based rules and pricing have prevented market forces from stabilizing or lowering healthcare costs.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Although the health insurance industry gets millions of taxpayer dollars to enable government-sponsored healthcare they deny potential employment opportunities for American workers by outsourcing and sending some of their work offshore.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Healthcare is an insurance industry monopoly.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Because the insurance industry controls healthcare pricing, access and delivery, our healthcare system is grossly inefficient, dysfunctional and unsustainable.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u201cHealthcare is a terminal illness for America&#8217;s governments and businesses\u201d &#8211; The Innovator&#8217;s Prescription by Clayton Christensen.<\/span><\/li>\n<\/ul>\n<p><b>Health insurance injustices suffered by patients.<\/b><\/p>\n<ul style=\"line-height: 1.6;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">One third of all healthcare spending (billions of dollars) is wasted on outdated insurance-based administrative services &#8211; designed only to ration care and control payments.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Health insurance has failed to significantly improve overall health outcomes.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Healthcare decision-making for tests and treatments are made by your health plan and not by you or your doctor.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Two thirds of all the health services delivered in the U.S. are generally affordable routine office-based or outpatient services.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">50 percent of the healthcare public uses only two percent of available healthcare dollars meaning that many consumers are over insured and overpay.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Incredibly, despite being so-called covered by an expensive health plan consumers are paying for their routine care anyway with copays and deductibles as well as paying for the care of pre-existing conditions and non-covered services.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Insurance plans are confusing by design and many consumers are unclear about what is \u201ccovered\u201d.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Some health insurance plans are junk health plans that entice potential consumers with worthless give-aways but have narrow provider networks as well as severely restricted access to specialist care and services.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Health plans deny patients certain advanced but costly tests and treatments by calling them \u201cexperimental\u201d.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Health insurance plans have moved many expensive drugs into higher tiers making them unaffordable for their participants.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Drug pricing is significantly influenced by the health insurance industry (through their predatory pharmacy benefits managers or PBMs) for their benefit.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Health plans partner with drug companies who often fail to perform quality control testing on generic medications manufactured in foreign countries.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Health plans commonly collude with hospitals to set prices for services. These prices have nothing to do with actual costs or quality of service.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Medicare \u201cadvantage\u201d plans are a big disadvantage for consumers as they represent watered-down medicare coverage because health insurance companies have siphoned off big profits before rationing care.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Many tax-paying consumers pay for two health plans &#8211; medicare and their own or an employer-funded plan.<\/span><\/li>\n<\/ul>\n<p><b>Health insurance injustices suffered by employers<\/b><\/p>\n<ul style=\"line-height: 1.6;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">There is no moral or ethical reason why employers should be forced to provide employee health benefits or face a severe tax penalty.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Insurance-based control and pricing have resulted in employers paying about $20,000 dollars to cover a family of five.<\/span><\/li>\n<\/ul>\n<p><b>Health insurance injustices suffered by physicians<\/b><\/p>\n<ul style=\"line-height: 1.6;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The health insurance industry has hijacked the medical profession and physicians are now working like puppets on a string.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Health insurance middlemen have virtually destroyed the sacred doctor-patient bond.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Physician practices have been bought for the sole purpose of using them as conduits to an endless supply of healthcare dollars.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Insurance-based rules have stripped healthcare decision-making autonomy from physicians. Virtually all tests and treatments ordered by physicians have to be approved by non-doctors working for health plans.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Insurance-based rules have driven physicians\u2019 overhead to over 70 percent.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The problematic electronic medical records systems have added hours of unpaid work for physicians and few if any benefits for improving overall health.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Insurance-based rules have forced physicians into practicing defensive medicine.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Insurance-based gaming of physicians\u2019 payments are endless. Arbitrarily discounted and delayed payments, clawbacks and denials &#8211; along with many other insurance industry tricks.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Health insurance companies employ complex healthcare coding systems in order to game the business and deny payments.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Insurance-based rules have resulted in increased physician burnout and suicide.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Insurance-based rules have trampled on the rights of physicians.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The insurance industry has been given license to have physicians bonded in servitude and profit from their expertise.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Insurance-based control of healthcare pricing, access and delivery is unjust,\u00a0 immoral and violates the basic principles of the medical profession.<\/span><\/li>\n<\/ul>\n<p><b>How to cut health insurance industry control and costs<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Healthcare consumers can lower healthcare costs considerably by using cash pay (discounted) for routine healthcare needs and keeping an insurance plan to cover only costly and catastrophic care. Medical and healthcare cost sharing programs (often in association with direct primary care services) can be an alternative to burdensome and costly traditional health insurance plans. These options allow you to reclaim your healthcare decision-making control, stop being over-insured and stop overpaying &#8211; your body, your rules.<\/span><\/p>\n<p><b>Read more<\/b><\/p>\n<p><a href=\"https:\/\/healthdrum.com\/blog\/how-our-medical-profession-was-hijacked\/\"><span style=\"font-weight: 400;\">https:\/\/healthdrum.com\/blog\/how-our-medical-profession-was-hijacked\/<\/span><\/a><span style=\"font-weight: 400;\"><br \/>\n<\/span><a href=\"https:\/\/healthdrum.com\/blog\/medical-cost-sharing-plans\/\"><span style=\"font-weight: 400;\">https:\/\/healthdrum.com\/blog\/medical-cost-sharing-plans\/<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<p><b>Health insurance injustices podcast<\/b><span style=\"font-weight: 400;\"> &#8211; we welcome your feedback as we try to find solutions to the domination of healthcare by the insurance industry.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><iframe title=\"IA Clips - Health Insurance Injustices\" width=\"1080\" height=\"608\" src=\"https:\/\/www.youtube.com\/embed\/L_XlFFfiPjQ?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen><\/iframe><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Health insurance injustices suffered by patients, employers and physicians at the hands of the domineering health insurance industry are discussed in our podcast attached below. What are health insurance injustices? Health insurance injustices are abuses of power that enable the insurance industry to take advantage of patients, employers and physicians. Insurance industry domination of healthcare [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":3867,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[21],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v21.7 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Health Insurance Injustices | HEALTHdrum<\/title>\n<meta name=\"description\" content=\"Health insurance injustices suffered by patients, employers and physicians at the hands of the domineering health insurance industry.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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Subsequently, he completed fellowship training in Pediatric and Adult Reconstructive Urology at the Eastern Virginia Medical School in Norfolk, Virginia. During his time there he also undertook NIH sponsored, pioneering research on \u201cUrinary Bladder Reinnervation\u201d earning him the honor of a Masters of Surgery Diploma through the University of Otago, New Zealand. Dr Vorstman returned to Miami to become a board-certified faculty member in the department of urology, Jackson Memorial Hospital, University of Miami. Eventually, he left academic practice, moved north to Coral Springs and established Florida Urological Associates pa (www.urologyweb.com) in 1987. Dr. Vorstman is passionate about consumer-directed healthcare and helping men diagnosed with prostate cancer navigate the minefield of prostate cancer misinformation. After retiring and leaving colleagues to continue the urology practice, he became founder and CEO of a healthcare platform that connects buyers and sellers of routine, cash pay healthcare services - www.HEALTHdrum.com\/ Through this platform he also enables colleagues to reclaim their profession from health industry exploitation. Partial bibliography https:\/\/ascopost.com\/issues\/june-10-2016\/prostate-cancer-opinions-vary-on-gleason-scores-and-surgery\/ https:\/\/ascopost.com\/issues\/november-25-2020\/a-urologic-surgeon-assesses-the-current-state-of-prostate-cancer\/ https:\/\/www.medscape.com\/viewarticle\/945928 https:\/\/urologyweb.com\/robotic-deception-prostate-cancer-hoax-p-5\/ https:\/\/bvorstman.medium.com\/prostate-cancer-treatment-deception-and-lies-30e23f17b749 https:\/\/healthdrum.com\/blog\/the-gleason-6-prostate-cancer\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Health Insurance Injustices | HEALTHdrum","description":"Health insurance injustices suffered by patients, employers and physicians at the hands of the domineering health insurance 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Vorstman","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/healthdrum.com\/blog\/#\/schema\/person\/image\/","url":"https:\/\/secure.gravatar.com\/avatar\/3af75bb2e908bd808de6943957e36c33?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/3af75bb2e908bd808de6943957e36c33?s=96&d=mm&r=g","caption":"Bert Vorstman"},"description":"Dr. Vorstman did his chief residency at Jackson Memorial hospital in Miami, Florida. Subsequently, he completed fellowship training in Pediatric and Adult Reconstructive Urology at the Eastern Virginia Medical School in Norfolk, Virginia. During his time there he also undertook NIH sponsored, pioneering research on \u201cUrinary Bladder Reinnervation\u201d earning him the honor of a Masters of Surgery Diploma through the University of Otago, New Zealand. Dr Vorstman returned to Miami to become a board-certified faculty member in the department of urology, Jackson Memorial Hospital, University of Miami. Eventually, he left academic practice, moved north to Coral Springs and established Florida Urological Associates pa (www.urologyweb.com) in 1987. Dr. Vorstman is passionate about consumer-directed healthcare and helping men diagnosed with prostate cancer navigate the minefield of prostate cancer misinformation. After retiring and leaving colleagues to continue the urology practice, he became founder and CEO of a healthcare platform that connects buyers and sellers of routine, cash pay healthcare services - www.HEALTHdrum.com\/ Through this platform he also enables colleagues to reclaim their profession from health industry exploitation. Partial bibliography https:\/\/ascopost.com\/issues\/june-10-2016\/prostate-cancer-opinions-vary-on-gleason-scores-and-surgery\/ https:\/\/ascopost.com\/issues\/november-25-2020\/a-urologic-surgeon-assesses-the-current-state-of-prostate-cancer\/ https:\/\/www.medscape.com\/viewarticle\/945928 https:\/\/urologyweb.com\/robotic-deception-prostate-cancer-hoax-p-5\/ https:\/\/bvorstman.medium.com\/prostate-cancer-treatment-deception-and-lies-30e23f17b749 https:\/\/healthdrum.com\/blog\/the-gleason-6-prostate-cancer\/"}]}},"_links":{"self":[{"href":"https:\/\/healthdrum.com\/blog\/wp-json\/wp\/v2\/posts\/3853"}],"collection":[{"href":"https:\/\/healthdrum.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/healthdrum.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/healthdrum.com\/blog\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/healthdrum.com\/blog\/wp-json\/wp\/v2\/comments?post=3853"}],"version-history":[{"count":13,"href":"https:\/\/healthdrum.com\/blog\/wp-json\/wp\/v2\/posts\/3853\/revisions"}],"predecessor-version":[{"id":3873,"href":"https:\/\/healthdrum.com\/blog\/wp-json\/wp\/v2\/posts\/3853\/revisions\/3873"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/healthdrum.com\/blog\/wp-json\/wp\/v2\/media\/3867"}],"wp:attachment":[{"href":"https:\/\/healthdrum.com\/blog\/wp-json\/wp\/v2\/media?parent=3853"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/healthdrum.com\/blog\/wp-json\/wp\/v2\/categories?post=3853"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/healthdrum.com\/blog\/wp-json\/wp\/v2\/tags?post=3853"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}