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It should be illegal for anyone but a doctor to deny a claim. This isn’t even going to be AI, its just going to be a program that denies everything.
if(true) { return deny } else { return deny }
They’ll still use AI for it though, even just to write the program that just does a single line of code: reject();
I’m so tired of living under capitalism. Can you all please get some fucking class consciousness so we can get out of this hellscape?
This is definitely the wrong “motive structure” for administrative decisions from agency supposed to provide healthcare. Proof of grift as a goal.
By all means, use AI assistance to determine claims validity. But the AI service should be paid per query, or to licence whole model for unlimited use with medicare paying for the computers/gpus. Medicare should be choosing a model that is accurate instead of one that is paid to deny everything, because Homer Simpson’s birdy automation can do that ultra cheap.
Taking claim validity away from the doctor that’s actually in charge of the patient’s care is already fucked. AI cost cutting doesn’t belong in medicine full stop. It shouldn’t be a for-profit “industry” in the first place. We’re so fucked nobody can even think about this without insane, anti-human framing coloring everything
Private medical insurance is corrupt as starting point. A public health insurance/payer system can still be subject to ineligible or fraudulent claims. Every medical provider demand for money automatically accepted is not the perfect model either. Systems, AI or not, should avoid improper denials is a standard only possible in public health systems.
What I time to be alive
The only way to actually get decent coverage is to get it though an employer.
I guess “death panels” are fine if they are machines?
They’re fine if they make money for the right billionaires.
Death panels always existed they just wanted them to be employees at a for-profit.
It’s the lack of profit that scares them I guess.
So bribe the private sector to deny all claims routed through them first for government healthcare and then claim ‘gUbmEnT dEAtH pANEls!’ are the problem.
So bribe the private sector to deny all claims routed through them first
The AI models getting paid most the most they deny is private sector grift built in here.
Is there a name for the next step beyond perverse incentives?
Because that’s where we are now.
Kleptocracy. They just aren’t bothering to hide the fact that they’re selling off the government for parts anymore
They are ethically clensing America
They’re trying… But it’s almost performative. I calmed down a lot when they complied with the orders to shut down alligator Auschwitz, now we’ve got ICE whining about how no one likes them, people aren’t coming to their hearings to get picked up, and all that bullshit about denaturalization seems to have been dropped
Don’t get me wrong, it’s still horrible, we need to fight it, and we need to disband ICE and have trials when this is all over… But it’s not the defining aspect of this administration
Those tents and cages in the Everglades cost hundreds of millions to set up, and probably a comparable amount to tear down. Money that was set aside for disaster recovery. The majority of that money went in someone’s pocket
And that’s the real defining aspect of the administration. They’re fascist enough to do fascism, but they’re too busy looting the government for profit to commit to it
perverse intentions?
Willful hatred
You don’t need AI for that….
#!/usr/bin/env python3 def main(): try: _ = input("Enter reasoning for claim: ") # read but ignore the input print("denied") # always respond "denied" except (EOFError, KeyboardInterrupt): # Even if input is interrupted, still respond "denied" print("denied") if __name__ == "__main__": main()
Officials assert that the AI tools will only be used to judge claims for about a dozen different types of procedures it deems to be wasteful and providing little benefit, including steroid shots to relieve pain, per the NYT.
Yeah cause people on medicare aren’t likely to need steroid shots for things like joint pain or anything. Anyone 65 and older should start saving their money now to pay for their steroid shots that are going to start costing them a couple hundred bucks a pop.
As someone who lives with constant pain, calling pain relief of any kind “wasteful” enrages me. See if pain relief has “little benefit” when im done with you, mufucka
If payments out of pocket were reasonable maybe we are charged like a hundred times what everybody elsein the world pays.
Investors like private equity have taken over Health Care and are extracting the life savings of baby boomers for medical care that used to cost a reasonable amount of money.
something something video game character from a nintendo game who’s colors are from mixing blue+yellow… 😏
Luigi has allegedly already done his part. Mario needs to step up and help his bro out.
Need multiplayer.
So basically the opposite of what Obama or Biden did as usual https://arstechnica.com/health/2024/11/biden-proposes-guardrails-on-health-care-ai-upping-weight-loss-drug-access/
This is the point. They want to erase any legacy either of them left. Trump is a petty little asshole who is still mad that Obama made fun of him once.
I fucking hate the future, man.
This is why I’m so thankful for mortality and chose not to have children. Please, universe, let reincarnation not be a thing.
Afraid it is. But you will never be allowed to understand.
Surprise! You’re dead!
Guess what? It never ends! Hahaha!
Literally and with no exaggeration, death panels. You know, the ones Republicans were yelling about a few years ago. Those exact fucking ones.
More than that: fully automated death panels.
Evangelical Christianity. They have always claimed that “absolute evil” exists. They have won the philosophical debate, by demonstrating the Platonic form of evil.
Those same ones who screamed about fema prisons… At some point, we’ll catch on that these conspiracy theories are actual plans…
The question is: which came first? The conspiracy theory, or the plan? It could go either way with the party of family values.
Ah, see, there’s your problem: you’re using a slight mistranslation. A common mistake. They were never the party of “Family Values”. They’re the party of “Family Valuations”. They exist to find a way to put a number on every family, either “amount of money we can squeeze out of them” or “amount of money we can make by destroying them”, and they get bonuses from their corpocratic upstream if they can manage both at the same time.
These don’t count because they’re just software and the designers can feign complete innocence because of the black-box nature of AI decision-making.
There are reasons they want AI in charge of so many things. It’s not because they think AI can do a better job.
And also, AI makes pictures of Trump riding tanks and fist-bumping Jesus so it has to be perfect and awesome, right?
Every accusation is a confession, right? That’s how conservatives work. They’re unimaginative people with poor empathy. They think about what they would do and assume that’s what everyone else would do, too. They are trash. Failures. Disappointments.
Failures in every way except for gaining power and wealth. A few of them anyway. The sad reality is that throughout history being ruthless always paid off to a large extent.
Some of the leadership is getting a lot of wealth, true. The majority seem to be losing more. Loss of government programs (eg: Medicare). Return of preventable diseases (eg: measles). Pollution and climate change.
I was referring to those at the top. Most of them will be giant failures in life. But the ones that ‘succeed’ sadly will have more money than God.
Well that’s the worst headline I have read in a while
The fact that there’s shares to be had for denying care is crazy. They know denying care is their business! Meaning that the money they didn’t spend on your care doesn’t go back into the pot for everyone in your group, they are pocketing some of the money whenever they deny someone. That’s it. They don’t help anyone but themselves. There should be a requirement that insurance companies publicly announce how much money they made from denying care
