TruthArchive.ai - Related Video Feed

I worked at UnitedHealthcare for about nine months in the medical claims department. After extensive training, I was taught various ways to deny claims, which was frustrating given the complexity of the policies. One case involved a widowed woman whose husband had just died from pancreatic cancer. She was facing court over a hospice claim, and they were garnishing her wages within 60 days of his passing. Despite her desperate situation, the company insisted on denying her claim. Eventually, I was able to approve a significant payment, but they expected her to cover it without any insurance. I couldn’t continue working there, so I quit and took a job fighting insurance claims from the other side. My experience taught me a lot about navigating the insurance system, especially with UMR, a branch of UnitedHealthcare.

A board-certified emergency medicine physician believes healthcare professionals are experiencing moral injury, not just burnout. Moral injury is the pain of knowing the right thing for the patient but being unable to do it due to systemic barriers. This disconnect erodes their sense of purpose, and many are leaving the profession. The physician argues that the system doesn't place human health at the center, making it harder to uphold the Hippocratic oath. Insurance companies denying treatments, claiming they are not medically necessary, are not seeing the patient in real-time or drawing from clinical experience and intuition. Providers juggle insurance protocols, productivity metrics, hospital bureaucracy, and electronic medical records, taking them away from the patient. The United States spends more on healthcare than any other nation while delivering some of the worst outcomes because the system is deeply misaligned with care and having it be patient-first.

I have a gag order from my former healthcare employer, but I want to share my experiences. The corruption and greed I witnessed were appalling. Patients were coerced into taking medications they didn’t want, often for profit. I reported serious issues, including a near-fatal medication error, but was told to keep quiet. I eventually took legal action, and the company settled, knowing I was right, but imposed a gag order to silence me. They prioritize money over patient care, using threats to manipulate vulnerable individuals. I urge everyone to share their healthcare stories. This is just the beginning; we need to expose these injustices and not let them win.

We had a system to track discussions with claimants. One woman, who claimed she was on hospice and dying, confronted me during a call. Her sister pleaded for us to stop contacting her. It was a deeply distressing moment for me. Our incentive structure pushed us to maximize fees from claimants, often at their expense. We earned a commission based on the payments they made, which meant that if we settled for less, our fees decreased. The system discouraged any compassion, as showing humanity could lead to personal penalties. I often faced repercussions for trying to treat people with decency.

Linda Pino confesses that in 1987, as a physician, she denied a man a life-saving operation, resulting in his death. She states that she was not held accountable because her action saved a company half a million dollars, secured her reputation, and ensured her career advancement. Pino explains that she went from earning a few hundred dollars a week to a six-figure income as a physician executive. Her primary duty was to use her medical expertise for the financial benefit of the organization. She says she was told she was not denying care, but denying payment. Pino states she knows how managed care maims and kills patients and is haunted by the thousands of denials she wrote.

A patient with severe heart failure was transferred to New York Presbyterian Hospital for a life-saving transplant. The patient needed a mechanical heart pump to survive until a donor heart was available. The insurance company approved the heart transplant but denied authorization for the mechanical heart pump, deeming it unnecessary. The medical team faced an ethical challenge: adhere to the denial, likely leading to the patient's death, or save the patient, risking legal consequences. They chose to implant the pump, allowing the patient to live long enough for a successful transplant. The doctor was then sued by the insurance company, but the lawsuit was dropped.

Society is facing a trade-off between rapidly rising medical costs and the reluctance to question the value of spending a million dollars on the last three months of a patient's life. This trade-off often leads to the decision of laying off teachers instead of allocating funds to medical expenses. However, discussing this issue is often avoided due to the controversial nature of the topic, commonly referred to as the "death panel."

Speaker 0 recalls a case: “patient, he was sick. He looked like he was dying, but they just, like, pushed morphine. He had no pain. You know, they do a pain score, so zero to 10. This guy had zero pain.” Then, “they pushed insulin to drop his sugar, and his glucose was fine. And then he died three minutes later.” He says he “turned him into medical board. I reviewed this chart and turned him into medical board. Nothing.” “But, yeah, they definitely that definitely went on during COVID.” Speaker 1: “Jesus. That is such a terrifying thought that someone would just decide so many people are dying. This guy's definitely gonna die. Yep. This is 100% real?” Speaker 0: “Yeah. Definite. Definite.” Speaker 1: “It's It seems like something” Speaker 0: “they would call it tell euthanasia. They don't call it euthanasia.” Speaker 1: “It seems like something I would tell me, and then I would have to ask you. Like, this is something someone told me. I'm sure this” Speaker 0: “is send you the record that I read to you.” Speaker 1: “It seems like something I would be bringing up to you as a ridiculous thing, and you'd shoot it down.”

A person at a book signing told the speaker a story about Remdesivir. According to the story, a woman's sister was in the hospital when a doctor ordered a second round of Remdesivir. The nurse cautioned the doctor that the patient had four young children. The doctor then rescinded the order. The speaker claims this shows the doctor and nurse knew the drug was killing people, but spared the patient because she had children. The speaker believes that without children, the doctor would have administered the drug and killed her anyway. The speaker concludes this reflects the personalities, behaviors, and ethos of hospital staff.

A family practice physician in San Diego recounts a bizarre experience where her patient's insurance denied a wheelchair request for a double amputee, citing a lack of documentation on how his walking was affected. This highlights the problematic prior authorization process, which often delays necessary treatments. One case involved Kathleen Valentini, whose MRI for hip pain was denied, leading to a delayed cancer diagnosis and ultimately an amputation. Reports show that 80% of doctors say patients abandon treatments due to prior authorizations, which can result in life-threatening situations. Insurance companies claim these processes prevent unnecessary procedures, but many argue they are more about profit than patient care. Legislative efforts are underway to reform prior authorization, but the system remains flawed, with some suggesting a return to a "pay and chase" model that allows doctors to make decisions without insurer interference.

Our initial response to COVID incentivized hospitals to prioritize profit over patient care, leading to questionable treatment decisions. Medical boards, influenced by financial gain, hindered effective protocols like those of Doctor Bartlett. This highlights the need to hold medical boards accountable for prioritizing money over patient well-being.

An ER nurse is suing her former employer for $7.5 million, claiming wrongful termination after refusing to alter patient charts. The lawsuit cites cases of patient deaths due to lack of proper care and staffing, with the nurse being told to change documentation. She was fired a month later. The nurse has obtained legal representation, and the speaker expresses support for whistleblowers and hopes for her success in the case.

Initially, the speaker criticizes the incentive system in hospitals during the pandemic, claiming it encouraged patient deaths for profit. They highlight corruption within medical boards favoring certain treatments for financial gain over patient well-being. The speaker calls for more oversight to prioritize patient care over monetary interests.

A Michigan doctor, Farid Fatah, was sentenced to 45 years in prison for misdiagnosing over 550 patients with cancer and prescribing unnecessary treatments. In court, the 50-year-old doctor said he misused his talents and allowed sin to enter him because of power and greed. One patient recounted hearing him promise to save her mother. Fata pleaded guilty to intentionally misdiagnosing patients, earning over $17,000,000. One patient described the experience as extremely emotional.

In 1987, as a physician, Linda Pino denied a man a life-saving operation, resulting in his death. She was not held accountable because her action saved a company half a million dollars. This secured her reputation and advanced her career from a medical reviewer making a few hundred dollars a week to a physician executive with a six-figure income. Her primary duty was to use her medical expertise for the financial benefit of the organization. She states she was told she was not denying care, but denying payment. She says she knows how managed care maims and kills patients and is haunted by the thousands of denials she wrote.

Speaker describes tasks that felt unconscionable: nurses often battle insurance coverage and must call to obtain a prior authorization, telling the insurer the medication is medically necessary; 'the medication bounced back as not being covered... I would have to call the insurance and get a prior authorization.' She recalls advocating for children, including 'to sterilize themselves.' A doctor asked her to teach a patient how to administer an intramuscular injection so he could inject himself with a prescribed medication—estrogen. She discovered the patient was 'a male dressing up as a female, embracing a false gender identity.' After checking the chart and seeing the estrogen order, she says, 'I can't believe this. ... I've literally taught him how to erase himself with estrogen.' This became a breaking point, as she felt anger, devastation, and sadness for patients 'believing a lie about their identity, about who God's made them to be.'

The speaker shares a disturbing experience where patients died and their bodies were stacked in freezer trucks, but not from COVID. Autopsies were banned and there were price hikes for ventilators and deaths. Feeling unable to speak up, the speaker decided to go undercover and recorded conversations for four weeks. They play a clip of a doctor who didn't properly care for a patient, wrote her death certificate before she died, and lied to her family. The speaker believes it's important for the public to know about these unethical practices. They question why the hospital staff didn't act differently if family or ethics committees were present. The speaker asks for opinions on what the right thing to do in that situation would be.

PainMD, which ran Mid South Pain Management clinics in Virginia, North Carolina, and Tennessee, went bankrupt in 2009. Principals were tried in October of last year in Nashville, and four either plead guilty to or were convicted of healthcare fraud. The CEO was convicted of 13 felonies. The company perpetrated a "pay to play" scheme, requiring patients to receive unnecessary injections in order to obtain needed pain medication. Over eight years, 700,000 injections were performed; some patients received as many as 24 injections at a single visit, and two patients had over 500 injections. One employee had to stop doing injections due to hand inflammation from overuse. The speaker states that this violated the medical ethics principles of beneficence, non-malfeasance, and autonomy. The speaker encourages those who have had similar experiences to share their stories in the comments. The speaker also promotes his book, "Saving Grace, What Patients Teach Their Doctors About Life, Death, and the Balance in Between," available on Amazon and savinggracebook.com.

Most physicians and clinicians avoid getting involved in the issue of profit-driven healthcare. The real problem lies in the collusion between academic institutions, doctors, medical journals, and industry for financial gain. These corporations, as legal entities, often exhibit psychopathic traits, prioritizing profit over the well-being of patients. Many top drug companies have been fined billions for illegal marketing, hiding harm data, and manipulating results. However, these fines are often outweighed by the profits they make from selling the drugs. While the pharmaceutical industry has contributed life-saving treatments, the net effect of their practices is negative, with a significant amount of wasted resources and harmful drugs approved.

You want to talk to her? I can get her on the call. We're dealing with a lot of denials—about 50 a week. My name is Julie, the practice manager. We’ve faced backlash from insurance companies like Aetna and Cigna for speaking out on social media. Patients describe their struggles with chronic pain and the impact on their lives. After starting treatment, one patient felt relief, only to face insurance denials for necessary infusions. We work hard to appeal these decisions, spending countless hours on cases. Even experienced administrators find the process exhausting. However, we’ve had success in getting approvals after appeals. Patients deserve better; insurance companies shouldn’t dictate their quality of life. The health insurance system in the U.S. is fundamentally flawed and needs change.

The speaker's daughter was almost put on a ventilator based on incorrect test results. The speaker challenged the doctor's decision and discovered the numbers were inaccurate. The daughter was not given certain treatments and the speaker was removed from the hospital for questioning protocols. The daughter's oxygen levels were misrepresented, leading to her death from respiratory failure caused by a sedation drug. The speaker's advocacy was absent for 44 hours, during which the daughter's sedation was increased, ultimately contributing to her death. The hospital's negligence led to the daughter's death.

The role of a medical director is often defined by their ability to save the company money. Doctor Linda Pino, a former medical reviewer for Humana, left her position due to the company's practices. She was instructed to maintain a 10% denial rate and received weekly reports comparing her denial percentage to other reviewers. Those with higher denial rates received bonuses. This system incentivized denying care, as any claim payment was considered a "medical loss," meaning that denying care was viewed as a cost-saving measure for the company.

A retired doctor recounted his breaking point, which mirrored the speaker's own experience leaving nursing. The doctor was present when a family friend's 13-year-old daughter was declared brain dead and became an organ donor. He witnessed the organ harvesting. The next day, the girl's mother asked for help at a car wash to raise money for the funeral. The doctor realized the hospital would profit over $20,000,000 from the organs, charging recipients millions per organ while the family struggled to pay for the funeral. He believes organ donation money should go to the donor's family to prevent trafficking and alleviate debt. He noted the hospital readily provides free surgery to harvest organs but not to save a life. He concluded that hospitals prioritize profit over patient care.

I just had a frustrating call with an insurance company regarding a patient's care. The insurance doctor questioned why I ordered certain treatments for a baby, despite established guidelines. I had the guidelines in front of me, but she didn't even have her password to access them. After explaining the medical necessity, she reluctantly agreed to approve the request but suggested that maybe the baby didn’t need such intensive care. I firmly stated that we take infant health very seriously. It’s disheartening to see some doctors prioritize insurance profits over patient care. There should be a clear line drawn when it comes to the value of human life in medicine.

Although I am not a doctor, I’m a nurse. On the front lines we knew what was happening. When we asked for ibuprofen, they said no. When we asked why we weren’t giving steroids, the answer was “we’re just following orders.” Following orders has led to the sheer number of deaths in these hospitals. I didn’t see a single patient die of COVID. I’ve seen a substantial number die of negligence and medical malfeasance. When I was on the front lines of New York, I became globally known as the nurse in the break room sobbing, saying they were murdering my patients. Pharmaceutical companies had gone into those hospitals and decided to practice on the minorities, the disadvantaged, the marginalized populations with no advocates, because the very agencies that should protect them were closed while we were sheltering in place. While I was there, pharmaceutical companies rolled out remdesivir onto a substantial number of patients, which we all saw was killing the patients. And now, it’s the FDA-approved drug that is continuing to kill patients in the United States. As nurses, we’ve collected a descriptive amount of information that you may not get from the doctors. Doctors do quantitative data; we do qualitative data with a humanistic, phenomenological approach in nursing research. We’ve collected data from patients across the country for which we’ve helped patients through the American Front Line Nurses and the advocacy network so nurses could advocate for these patients. This data pool shows that as these patients get remdesivir, they have a less than twenty-five percent chance of survival if they get more than two doses. Now they’re rolling it out on children as well and into nursing homes or skilled nursing facilities as early intervention, even though doctors Pierre Corre and Merrick have demonstrated that there are cost-effective medications out there, and we are going to see the amplification of death across the country. We haven’t even touched on vaccines, which our expert panels have described; I won’t touch on that since many are far superior to me. Two days ago I flew out my first 10-year-old with a heart attack and had to fight the ER doctor because he said, “ten-year-olds don’t have heart attacks.” I argued for thirty minutes to force his hand to get an EKG and found a STEMI; the 12-lead EKG lit up. He said it wasn’t possible, and I said, “was just vaccinated yesterday. It is very much possible.” People contact me and the nurse advocates at American Front Line Nurses to help advocate, because there’s victim shaming—“it’s anxiety,” “it’s this.” But if they acknowledge it as a vaccine injury, the physician, the corporation, the hospital, the clinic may not get reimbursed, so it’s labeled as anxiety, neuropathy, or Guillain–Barré syndrome, when it’s very realistically a vaccine injury. I’ve traveled to South America, India, and South Africa, working in hot zones, stopping the spread of the virus and doing early intervention. Nowhere in developing nations do I see these issues that we see here in the United States. I’m a very proud American citizen from a family of immigrants. Our level of health care has deteriorated to substandard third-world-nation health care. You are better off in South America in a field hospital than in level-one trauma designer hospitals in the United States. As nurses, we are getting reports across the country from American frontline nurses about patients not getting food, water, or basic care. How come a patient hasn’t been fed in nine days? Why do I need a court order to force a hospital to feed a person who isn’t intubated and who would like food? If they’re on a ventilator, they’re not given water or basic care. We’re not allowed to take a BiPAP mask off to help someone eat. I’ve had patients who haven’t been bathed, haven’t been fed, and haven’t been given water, or been turned. This isn’t a hospital; this is a concentration camp. Nowhere in the United States do we isolate people for hundreds of hours with no human contact; it’s not allowed even in prisons. In hospitals, we isolate patients from their families for days, and you have to say goodbye over an iPhone, or you have to shuttle people in to see them. I was fired for sneaking a Hispanic family in to say the last rites to their family. Thank you, Senator Johnson, for giving nurses the opportunity to represent our patients, because we’re not often thought of as leading professionals, though we are the missing link between the doctors and the patients. Thank you for this time. Thank you for being a nurse.