Speaking of what irks you....
2 years ago
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This type of corporate greed really irks me!!
Comments (19)Oh, I see...I don't know why I didn't get that when you said "Consumers gripe about C/S rates", that you actually meant "the homebirth, unattended birth, etc who are the first to point blame at the medical community for our interventions [gripe about C/S rates]"...I definitely should have gotten that. I don't even understand why gifts are offered by anyone, actually. That's an indication of the mindset-change just in itself. I will stick by my thought about the change in mindset--although it's much more evident in doctors than in nurses, because they have the most to gain. Nurses don't 'control the means of production' the way doctors do, or at least used to, before insurance came in and took *real* control. And re noticing the mindset-change: nothing I'm saying is uniquely personal to you, but rather something endemic and pretty much predetermined when 'insurance' started playing a role. The insurance industry makes money by denying claims--that's how they keep the premiums, right? So everything becomes a claim, a negotiation, a layer of commodification put between the caregivers and the patients. There's no logical way, within this conceptual framework, that patients can't become seen as 'consumers', in one way or another. It's inherent in the structure of the interactions, once insurance has stuck its nose under the tent, as it were. You frame the debate and the terminology used, and you *win*. _Don't Think of an Elephant_ shows how that's done. Anyway, lyfia, I agree with the person who said that at that price, the drug becomes almost worthless. All the price does is show how inhumanly cold-hearted the company is. So if they *don't* get sued, are they going to give retroactive rebates to all purchasers? Hey, that could be a selling point -- "buy our drug, and if you don't sue us, you'll get 95% of the cost back after a year"...nah, don't see that happening....See MoreSpeak up Pebble Fina owners...tell me what you think
Comments (29)@ambiguous02 YESS!! Cielo blue has been my first choice, but my builder uses NPT product (stonescapes brand, not pebbletec) …but just found out from the owner we might be able to go with Cielo after all. I have a sample of the material but I would also love to see some finished pools! There are almost NO pics online of this color..and I been searching for almost a year. From what I’ve read, it’s a clear-light blue-green which is exactly what I want. Photo is of the sample shown wet with water....See MoreAnother Silly "This Irks Me" Thread
Comments (54)In the words category, boughten instead of bought, pleaded instead of pled,and broke instead of broken. For example, This skirt was boughten at the mall. He has pleaded guilty. The necklace was broke when I got home. National news people say these all the time. I get "irked" at children running around in a restaurant. Parents who are so engrossed in their phones they don't acknowledge their children. Dirty coats and snotty noses on little ones. People that "test" the grapes at the grocery store. First of all, isn't that stealing? Secondly, puhleezzz, it is not washed! I do feel better now. Thank you....See MoreIrked at AARP Hucksters
Comments (25)Sushipup1 -- as far as I know, everyone is eligible for a supplemental plan, but if they don't sign up when they first become eligible for Medicare (or, as in my case, after an allowed deferral ), they might have to qualify for the coverage -- just as a person can be denied life insurance for existing conditions. But, also as far as I understand, during the open enrollment period this year your friend could sign up for a supplemental plan. Now, as for what the ENT charged.... A provider is a Medicare participating provider if they agree to charge only the Medicare-approved fee for all services (they write off the amount Medicare doesn't cover). The patient pays the 20% of that approved fee that Medicare doesn't pay. A nonparticipating provider is one who sees Medicare patients and sends a bill to Medicare, but does not accept the Medicare-approved fee as the full fee for the service provided. The provider can charge the patient up to Medicare's limiting charge. Medicare lowers its approved fee by 5% for nonparticipating providers. In other words, the approved fee for a nonparticipating provider will be 95% of the approved fee for a participating provider. Then, the nonparticipating provider can charge the patient 115% of the lowered (95%) fee. If you do the math, it works out to the nonparticipating provider's fee being 109.25% -- that is, the maximum you can be charged by a nonparticipating provider is 9.25% more than Medicare's approved fee. There is a third type of provider -- one who doesn't get involved with Medicare at all. They don't submit a bill to Medicare and won't accept any fee limitations by Medicare. They reject Medicare. They will see patients who are on Medicare, but only after the patient signs a contract stating that they understand these terms and agree to pay the provider's full fee themselves. However, that provider must inform you if the service to be provided would be covered by Medicare if rendered by a provider who sees Medicare patients. So, either the ENT is a participating provider who violated Medicare's rules and charged more than the limiting fee (in which case he should be reported to Medicare), or else your friend signed a contract to be seen by a provider who rejects Medicare and she agreed to pay his entire fee. But, yeah, if she can't afford it, she can't afford it. Because her only income is SS which cannot be garnished, she is what is referred to as "judgment proof."...See More- 2 years ago
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