Insurance company deny treatment to 5 year old with Cancer

Discussion in 'Healthcare/Insurance/Govt Healthcare' started by Modbert, Feb 10, 2010.

  1. Modbert
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    Modbert Daydream Believer Supporting Member

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    Ronnie Polaneczky: Parents suing to force insurance firm to cover their ailing son's therapy needs | Philadelphia Daily News | 02/09/2010

    What the Hell. :eusa_eh:

    What's your opinion USMB?
     
    Last edited: Feb 10, 2010
  2. xotoxi
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    xotoxi Platinum Member

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    We must protect the insurance companies at all costs.
     
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  3. geauxtohell
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    geauxtohell Choose your weapon.

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    This can't be. Surely private health insurance companies don't ration!

    In fairness, this comes down to a dilemma that any system is going to have to address (regardless of payer).

    There was a similar story about a lady in Oregon on the State's plan that was denied chemotherapy after her lung cancer came out of remission because of the 5/5 rule.

    That rule stated that if the drug, which was rare and experimental, couldn't prolong five percent of patient's lives for five years, it wouldn't be covered.

    That being said, I don't know if that was the case here, but the prognosis for this type of cancer is not very good.

    The sad fact is, no matter how much money you spend on treatment, you can't cure everybody.
     
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  4. RetiredGySgt
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    RetiredGySgt Platinum Member

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    So now Insurance Companies are required to pay for unapproved treatments? For treatments that have no history of solving the problem?

    Why hasn't the FDA approved the treatment?

    I can almost buy the no history argument since any new treatment will fall in that category. But no FDA approval is a big one.
     
  5. Old Rocks
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    Old Rocks Diamond Member

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    Yessiree.... We must protect the salaries of the underpaid, overworked CEOs of the Health Care Companies against these five year old fraudsters.
     
  6. eagleseven
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    eagleseven Quod Erat Demonstrandum

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    There is your answer. You would be outraged if an insurance company paid for non-FDA approved pharmaceuticals...so how can you expect the same company to pay for non-FDA approved cancer therapies?

    Health America's executives sleep at night knowing they are following FDA regulations. I thought you were a fan of greater regulation, Dogbert?
     
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  7. Modbert
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    Modbert Daydream Believer Supporting Member

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    From the article:

     
  8. Modbert
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    Modbert Daydream Believer Supporting Member

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    Before you decide to blast me, see my post above this.
     
  9. geauxtohell
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    geauxtohell Choose your weapon.

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    Experimental treatments are often used in treating cancers that are refractory to other types of chemo as a last resort.

    My basic point is that, if you think your are immune from "rationing" with your private health insurance, you are delusional.
     
  10. Modbert
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    Modbert Daydream Believer Supporting Member

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    And there's also this from the article:

     

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