this post was submitted on 21 Dec 2024
378 points (100.0% liked)

Excellent Reads

2320 readers
1 users here now

Are you tired of clickbait and the current state of journalism? This community is meant to remind you that excellent journalism still happens. While not sticking to a specific topic, the focus will be on high-quality articles and discussion around their topics.

Politics is allowed, but should not be the main focus of the community.

Submissions should be articles of medium length or longer. As in, it should take you 5 minutes or more to read it. Article series’ would also qualify.

Rules:

  1. Common Sense. Civility, etc.
  2. Server rules.
  3. Please either submit an archive link, or include it in your summary.

Other comms that might be of interest:

  1. [email protected]
  2. [email protected]

founded 2 years ago
MODERATORS
 

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.

you are viewing a single comment's thread
view the rest of the comments
[–] [email protected] 6 points 6 months ago (3 children)

I was an intake rep for an insurance site. It sucked. I was so disenfranchised that I chose a new career. Now I work at an elementary school, and it's awesome!

Having said that, the glee that I see people projecting about Mr. Thompson's murder is horrible.

The fact that so many instances on Lemmy celebrate murder--especially .world--disgusts me.

UnitedHealthcare sucks. The insurance industry sucks.

Murder is never the way to solve those issues though.

[–] [email protected] 21 points 6 months ago (1 children)

I mean, you are right, murder shouldn't be the way to change this. But one has to look at the whole thing and wonder, can it change through non-violent means at all? People have been long complaining about the system, there's groups advocating for universal/free healthcare for a long time. How much change did that bring? Maybe the murder will have similar small impact in the long run, we will have to see. But then actions will just get increasingly more extreme over time.

[–] [email protected] 5 points 6 months ago* (last edited 6 months ago) (8 children)

But one has to look at the whole thing and wonder, can it change through non-violent means at all?

Doesn't matter. I will never advocate murder. I don't care what the argument is. If you don't like a product, then don't use it. But don't fucking murder a person walking down the street because you are pissed at the company he works for.

Thank God that most of society doesn't think the way Lemmy does when it comes to this subject!

I had a shit insurance company. They never paid any of my claims. So you know what I did? I dropped them. I went uninsured because the insurance company wasn't doing shit. So I stopped giving them money.

And you know what? If everyone did that, then the health insurance company would go out of business. You don't HAVE to pay for health insurance if you feel it's denying every fucking claim. Because if they are denying every claim, then you don't really have health insurance. So you are no worse off for not having it.

The Democrats didn't do shit about it. The Republicans didn't do shit about it. But if we all stopped paying premiums, then guess what? People would wake up.

But you don't fucking murder people to make your point. I don't give a fuck what your point is.

Luigi committed murder. The jury won't let him off just because they don't like insurance companies. I hope he gets life in prison. Lemmy can feel free to write him all the fan letters they want, but doesn't change my mind about it.

[–] [email protected] 12 points 6 months ago (3 children)

You don’t HAVE to pay for health insurance if you feel it’s denying every fucking claim.

Don't they also go to great lengths to conceal information on their practices? And for most people what health insurance is available depends on their employer? There are a lot of obstacles to the public being sufficiently informed and able to exercise agency to solve this from a consumer level. Not to say you're wrong about murder not being a good solution to this though.

load more comments (3 replies)
[–] [email protected] 6 points 6 months ago (3 children)

If everyone dropped their health insurance tomorrow, a lot more people would die and face bankruptcy and homelessness. People don't want to hurt themselves in order to change the system; they want to hurt their oppressors in order to stop the oppression.

load more comments (3 replies)
[–] [email protected] 6 points 6 months ago (13 children)

You despise the French revolution and thinks it should never have happened?

load more comments (13 replies)
[–] [email protected] 6 points 6 months ago (1 children)
load more comments (1 replies)
[–] [email protected] 5 points 6 months ago (1 children)

No amount of deepthroating rich murderous boot will save you when your turn comes to face off to your insurance company, and it will come.

load more comments (1 replies)
[–] [email protected] 5 points 6 months ago (1 children)

Every thing whe have here in the US came from blood of others. The native Americans, the British, the slaves, the immigrant workers, etc. We wouldn’t be here as a country if it weren’t for revolution, and we wouldn’t be without slaves but for civil war. I know you wish it weren’t true because revolution and war are no fun, but if you think this system will change itself without a fight, I’m afraid you haven’t been paying attention.

[–] [email protected] 1 points 6 months ago (1 children)

I don't care. Murder is wrong. And I hope Luigi spends the rest of his very long life in prison. He's a fucking scumbag murderer. I don't give a fuck what Lemmy thinks.

[–] [email protected] 5 points 6 months ago (1 children)

Murder is wrong.

Is it wrong when a police officer kills a perp in self defense?

Is it wrong when they do it to save the lives of others?

Is it wrong if their boss told them to do it?

Is it wrong if their government told them to do it?

Where do you draw the line on murder?

load more comments (1 replies)
[–] [email protected] 4 points 6 months ago (1 children)

The problem with your "drop them if they don't cover you" bit is that people generally won't find out until something serious happens, and then they're screwed regardless, OR their employer pays a good chunk of their premiums, so they figure they're better off to keep that and hope something winds up covered.

Not American, but we studied this in school. The insurance/free market problem is twofold - healthcare is a captive industry, and the knowledge base required to understand what is and isn't a good plan is well beyond most of the population.

Healthcare is a captive industry in that no one can stop using it entirely. Car insurance? Never get a car, you avoid it. Arguments of car-driven infrastructure aside, that's not a captive industry. So you, at some point in your life, are going to need healthcare. But, you have no idea how bad it's going to be, what's going to be wrong with you, etc. so your needs are extremely unknown. Again, to use a car insurance comparison, your choices are fairly limited here in Canada at least. The govt has set minimum standards that all insurers must provide, and then you can choose to increase above that. But those minimum standards cover enough that you're very unlikely to be totally screwed with enormous debt after an accident no matter what causes the accident, etc.

This leads to the fact that healthcare is so ridiculously complicated that sorting out what is and isn't covered by various insurers (who regularly change their plans) is beyond the average person. They have no way of knowing how much a surgery for appendicitis might cost, and if the 2mil max Plan A covers will be enough. Now multiply that by a thousand illnesses.

Healthcare should not be left to the free market - at a minimum, there needs to be a robust, extensive, and functional public insurance to avoid stupidity like bankruptcy from basic, lifesaving surgeries.

[–] [email protected] 1 points 6 months ago (1 children)

Healthcare should not be left to the free market

Totally agree. Murdering an insurance CEO isn't the answer tho. Which was my original point.

[–] [email protected] 1 points 6 months ago (1 children)

I would agree, except that this has been a problem ongoing for the last twenty years with no progress made by protesting/following legal channels. From my perspective, without the threat of violence, both US parties have too much to gain by maintaining the status quo to respond to general peaceful protesting or trying to legally change things. If your perspective is that these people are causing deaths, and the legal system isn't willing to change quickly enough, an argument could be made that the slow protests/incremental change is causing more deaths.

[–] [email protected] 1 points 6 months ago

except that this has been a problem ongoing for the last twenty years with no progress made by protesting/following legal channels.

Cool. Doesn't matter. I don't think murder is the answer, and I will never advocate it. Lemmy will be on the wrong side of history when it comes to this subject. Cold-blooded murder is never the answer.

And if Luigi would have had some Republican tattoos and history and did this, you all would be crying and memeing about how he should be in prison.

[–] [email protected] 3 points 6 months ago (3 children)

Thank you for stating that point. I really want to like lemmy as I deleted my reddit account and generally like the idea of a federated system a lot more. The people celebrating this murder as and act of heroism has disgusted me to the core. That it's so widely believed violence and self-justice will solve the root cause of this system when it will just affect a symptom but not solve anything in the long run.

From nearly all ethical standpoints this murder was unethical and unjust. I wish I could just turn this discussion off on lemmy since its strong bias of this echo chamber is strongly noticeable. I too hope and think the jury will find a decision that is just.

The only way where I see violence justified is in authoritarian dictatorships, where the public has no sovereignty and the dictator acts willingly harmful to their populace in either exploiting them, attacking them and killing them. Other than that probably in self-defence and situation of war. But this is a completely different scenario. Killing a CEO since you don't like their company.

Whats next? Killing somebody because you don't like their face? But I guess we agree on that notion.

[–] [email protected] 5 points 6 months ago (1 children)

From nearly all ethical standpoints this murder was unethical and unjust.

Really? I definitely don't agree with that. The starting base that you're likely missing is that this man is directly responsible for the preventable deaths of thousands to hundreds of thousands of people. He joined UHC as the CEO in 2021, so has had some time to work and adjust the company. Since he joined, he has changed their policy and implemented measures to deny additional claims (see, chatbot rejecting peoples claims), causing their denial rate to skyrocket to ~30%. Source is here in the XLS files the government provides. UnitedHealtcare claims it pays 90% of claims but hasnt actually provided data showing that.

Since his company posted enormous, increasing profits in every year he was CEO, and the denial rates, I'd argue he's led the company to deny healthcare claims.

Some easy ethical frameworks where this is acceptable?

Utilitarianism - you could argue that killing him has caused companies to back off other healthcare cuts (see BlueCross and their anaesthesia cuts). The ripples it has caused are likely to impact what decisions CEOs of other healthcare organizations make regarding patient care and denials.

Natural law theory essentially argues that law and morality are separate. An example that might be clearer is slavery - I'd argue killing a slaver is morally correct, because I believe that slavery is immoral, even is slavery is legal in that country. I believe that healthcare should not be a for-profit industry, and that denying people care to prioritize "line goes up" is immoral. Those who are making the decisions to do that are thus directly contributing to the preventable deaths of countless people.

Rousseau talks about the social contract theory, and basically says if a government approves immoral actions (which I count for-profit healthcare as), they forfeit their legitimacy, and thus people have the right to rebel.

Retribuutivism by Kant argues punishment should be proportional to the crime. If you accept that he is responsible for deaths (not legally responsible, but morally), then this is definitely moral, though its worth noting Kant though murder is a serious, irreversible action and recommended other options before murder.

I could keep going, but those are the easy ones.

[–] [email protected] 1 points 6 months ago* (last edited 6 months ago)

Yet those companies will probably just postpone these policies until the public has cooled off of the topic.

Rule utilitarianism states that "an action is right as it conforms to a rule that leads to the greatest good". Murder as a general is right. The reason is that this murder is just a short-term thing that doesn't undo all the deaths that have happened. The general abidance to rule of law without self-justice is worth way more than any single person dying in nearly all cases.

In the categorical imperativ Kant argues that you should "Act only according to that maxim whereby you can at the same time will that it should become a universal law." If it became a universal law that you could kill anyone you deemed evil this would end in a worse result for everybody. Thus it cannot be wanted.

The family and friends around him mourn and the new CEO seems like he is not about to roll over and accept every health insurance claim. The death is dividing citizens which believe he is a hero while others believe he is a murderer. The responsibility off of all those unneeded deaths are claimed by not only the CEO but also by legislators who didn't account for universal healthcare. It is on the sitting government and parties for not supporting change. It is on the employer partly for not buying a higher premium package that includes more things or choosing a different company with a smaller denial rate. It is on the individual employee inside UH denying claims. It is on upper management like Brian Thompson and the people around him who are at fault for making this worse. And then there's the stakeholders that don't press on more ethical practices. Then its also on Americans voting against parties that wish to change the healthcare system in a beneficial way for everybody.

As the head of a company Brian Thompson also had the responsibility to steer it in an ethical way which it seems he did not do. His death has sparked public debate which is a good thing. This does not necessarily mean choosing a murder was the right way of doing things that optimizes utility for everybody.

The only statement you made was about Utilitarianism. Every other argument built on that. Retribuutivism for example is a legal concept and the punishment is not chosen by a person but written down in law.

I also agree with the sentiment that law and morality are different from each other but I do still not see this murder as morally right. UH is just one of many healthcare insurers and if the problem was solved legislatively it would benefit everyone.

I appreciate you approaching my statement from a logical standpoint and not just slinging insults at me like some other people. I believe we do not have to share the same view to get along or have an interesting conversation.

[–] [email protected] 5 points 6 months ago (2 children)

The people celebrating this murder as and act of heroism has disgusted me to the core

Go back to reddit then, pussy, class traitors aren't welcome here.

That it's so widely believed violence and self-justice will solve the root cause of this system when it will just affect a symptom but not solve anything in the long run.

You're right, continued passivity will fix everything!

I too hope and think the jury will find a decision that is just.

Exactly, Luigi should be freed!

The only way where I see violence justified is in authoritarian dictatorships, where the public has no sovereignty and the dictator acts willingly harmful to their populace in either exploiting them, attacking them and killing them

Soooooooo Brian Thompson except he just didn't have the exact title you demand for violence? Because uh... That fits him perfectly, so maybe get your tongue out of the shitstain's dead and rotting asshole, yeah?

[–] [email protected] 2 points 6 months ago (1 children)

Bet the FBI will be super interested in your post and Lemmy now.

[–] [email protected] 4 points 6 months ago (5 children)

Fucks given: 0

Savour the leather taste in your mouth

load more comments (5 replies)
[–] [email protected] 1 points 6 months ago* (last edited 6 months ago) (1 children)

Soooooooo Brian Thompson except he just didn’t have the exact title you demand for violence? Because uh… That fits him perfectly, so maybe get your tongue out of the shitstain’s dead and rotting asshole, yeah?

People like you is why lemmy will never have a mass appeal. I have not been insulting to any individual. I think this quote makes the level at which the likes of you are speaking quite obvious. With people like you it seems there is no conversation to be had

[–] [email protected] 1 points 6 months ago

People like you is why lemmy will never have a mass appeal

If the majority are anything like you then good, lol

I have not been insulting to any individual.

Your bootlicking offends me greatly, actually

With people like you it seems there is no conversation to be had

Well you started your side of this conversation sucking the toes of a dead mass murderer, why the fuck should I want to have a pleasant conversation with someone who sympathizers with a mass murderer? Maybe you should be a better person to deserve having a decent conversation

[–] [email protected] 2 points 6 months ago

The people celebrating this murder as and act of heroism has disgusted me to the core.

Thank you for being brave enough to agree with me! As forward-thinking as the idea of Lemmy and the Fediverse is, I was super disappointed at how much people here are celebrating cold-blooded murder. Luigi is no hero. He legit walked up behind a guy and murdered him. Totally cowardly way too. Shot him in the back!

I'll stay on Lemmy for now, because I know that most people here have no emotional maturity. I feel that most will look back on this like older people look back on their early cringy, edgy Myspace emo phase.

Thank goodness that most of society does NOT agree with Lemmy on this. All of their talk about "Jury will never find the guy guilty!!" is BS. The jury will find him guilty. Rightfully so.

The guy is a terrorist. And Lemmy admin should realize that many, and I mean MANY posts to Lemmy lately could def raise FBI alarms.

I see people on here saying stuff like, "Don't talk about your plans here, it's too public. DM me for the next target..."

Lemmy thinks they are planning some sort of revolution. It's not a revolution. It's edgy hippy vegans talking about murdering rich people.

And admins are gonna find out real quick that hey are letting shit get out of hand.

[–] [email protected] 11 points 6 months ago (1 children)

He basically facilitated mass murder.. Most people will feel good when such a person is killed.

Murder of high level people has always been a very effective way for the lower classes to fight back when the elite has taken too much for themselves. It's often the only way to affect change if the elite is corrupt enough.

The problem is it's not good for stability which hurts the stock markets and the elites.

[–] [email protected] 1 points 6 months ago

I hope Luigi spends the rest of his very long life in prison. He's a fucking scumbag murderer. I don't give a fuck what Lemmy thinks.

[–] [email protected] 4 points 6 months ago (1 children)

Please stop interacting with children you are awful

[–] [email protected] 1 points 6 months ago (1 children)

you are awful

Because I don't advocate murder?! Say what?!

[–] [email protected] 3 points 6 months ago (1 children)

Too myopic to be a good caregiver.

You'd let a kid run into traffic because "grabbing their arm would be against the rules"

[–] [email protected] 1 points 6 months ago (5 children)

I don't give a fuck how you frame it. Or try to bully me. I don't and I won't advocate murder.

And Luigi is going to prison. And I can't wait until he gets sentenced, and then I'll come on here and watch you all bitch and moan about it.

load more comments (5 replies)