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corporate greed
'Out of Control': Insurance Giant UnitedHealth Calls in Middle of Cancer Surgery to Question Necessity
Dr. Elisabeth Potter shared "another horror story from a doctor dealing with United Healthcare's terrible authorization process."
Jan 09, 2025
A month after the killing of UnitedHealthcare CEO Brian Thompson prompted many Americans to share personal horror stories of the company's coverage denials and other practices, a doctor in Austin, Texas on Wednesday shared her own experience that she said exemplified how the for-profit health system "just keeps getting worse."
In a video posted to TikTok, Dr. Elisabeth Potter said she recently received an unprecedented phone call from UnitedHealthcare about a patient—one who was already under anesthesia and having surgery.
Potter, a plastic surgeon who specializes in reconstructive surgery for breast cancer patients who have had mastectomies, said she was performing a bilateral deep inferior epigastric perforator [DIEP} surgery when UnitedHealthcare called her in the operating room.
The call was urgent, she was told, and needed to be returned right away.
"So I scrubbed out of my case and I called UnitedHealthcare, and the gentleman said he needed some information about her," said Potter. "Wanted to know her diagnosis and whether her inpatient stay should be justified."
Potter found that the person calling wasn't aware that the patient whose care he was questioning had breast cancer and was in the operating room—that information was known by "a different department" at UnitedHealthcare.
Potter's account, said Nidhi Hegde, managing director at the American Economic Liberties Project, was "another horror story from a doctor dealing with United Healthcare's terrible authorization process."
"Ridiculous that doctors/nurses are spending time explaining their work to an insurance company instead of being able to focus on care," said Hegde.
As Common Dreams reported last month, cancer patients have become disproportionately affected by "prior authorizations" demanded by for-profit health insurers, which require doctors to get approval for treatments. Prior authorization can delay lifesaving care and one survey of oncologists in 2022 found that patients experienced "disease progression" 80% of the time an insurance company's bureaucratic requirements delayed their treatment.
Potter had to inform the UnitedHealthcare staffer that the company had already given her approval for the surgery.
She said she told him, "I need to go back and be with my patient now" and was able to continue the procedure.
"But it's out of control," she said. "Insurance is out of control. I have no other words."
Even before Thompson's killing, UnitedHealthcare has garnered outrage for the numerous methods it uses to deny healthcare coverage to patients.
A Senate investigation found the company intentionally denied claims submitted by nursing home patients who suffered strokes and falls, in order to increase profits. The company also faces a class-action lawsuit for using an AI algorithm with a 90% error rate to deny coverage to senior citizens with Medicare Advantage plans,
In December, ProPublica published an investigation that found the company is one of several insurers who repeatedly relied on the advice of company doctors who have wrongly recommended denying care.
In a follow-up video, Potter said on Wednesday that insurance companies have created "a fear-based system where, if an insurance company calls me and says I've got to call them right back, I'm afraid they're not going to pay for my patient's surgery, that patient is going to get stuck with a bill."
Potter toldNewsweek that the experience confirmed for her that "there is no room in healthcare where the pressure of insurance isn't felt by both patients and doctors. Not even the operating room."
UnitedHealthcare suggested in a comment to Newsweek that it did not call Potter during surgery, saying, "There are no insurance related circumstances that would require a physician to step out of surgery and it would create potential safety risks if they were to do so. We did not ask nor would ever expect a physician to interrupt patient care to answer a call and we will be following up with the provider and hospital to understand why these unorthodox actions were taken."
Potter joined many Americans in speaking out against the for-profit health insurance system in the days after Thompson's killing, offering a doctor's perspective.
"I want you to know that insurance companies are affecting the kind of care that you're getting, because they're applying pressures to physicians through their policymaking," said Potter in one video posted on TikTok. "This is a dark, dark time for healthcare, and we have to fix this or we're gonna go down a path that we can't get back from."
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And the Winners of the 2024 Shkreli Awards for Worst Healthcare Profiteering Are...
"All these stories paint a picture of a healthcare industry in desperate need of transformation," said the head of the think tank behind the awards.
Jan 07, 2025
The "winners" of the annual Shkreli Awards—named after notorious "pharma bro" Martin Shkreli and given to the 10 "worst examples of profiteering and dysfunction in healthcare"—include a Texas medical school that sold body parts of deceased people without relatives' consent, an alleged multibillion-dollar catheter scam, an oncologist who subjected patients to unnecessary cancer treatments, and a "monster monopoly" insurer.
The Shkreli Awards, now in their eighth year, are given annually by the Lown Institute, a Massachusetts-based think tank "advocating bold ideas for a just and caring system for health." A panel of 20 expert judges—who include physicians, professors, activists, and others—determine the winners.
This year's awardees are:
10: The University of North Texas Health Science Center "dissected and distributed unclaimed bodies without properly seeking consent from the deceased or their families" and supplied the parts "to medical students as well as major for-profit ventures like Medtronic and Johnson & Johnson," reporting revealed.
9:
Baby tongue-tie cutting procedures are "being touted as a cure for everything from breastfeeding difficulties to sleep apnea, scoliosis, and even constipation"—despite any conclusive evidence that the procedure is effective.
8: Zynex Medical is a company facing scrutiny for its billing practices related to nerve stimulation devices used for pain management.
7: Insurance giant Cigna is under fire for billing a family nearly $100,000 for an infant's medevac flight.
6: Seven suppliers allegedly ran a multibillion-dollar urinary catheter billing scam that affected hundreds of thousands of Medicare patients.
5: Memorial Medical Center in Las Cruces, New Mexico allegedly refused cancer treatment "to patients or demanding upfront payments, even from those with insurance."
4: Dr. Thomas C. Weiner is a Montana oncologist who allegedly "subjected a patient to unnecessary cancer treatments for over a decade," provided "disturbingly high doses of barbiturates to facilitate death in seriously ill patients, when those patients may not have actually been close to death," and "prescribed high doses of opioids to patients that did not need them." Weiner denies any wrongdoing.
3: Pharma giant Amgen was accused of pushing 960-milligram doses of its highly toxic cancer drug Lumakras, when "a lower 240mg dose offers similar efficacy with reduced toxicity"—but costs $180,000 less per patient annually at the lower dose.
2: UnitedHealth allegedly exploited "its vast physician network to maximize profits, often at the expense of patients and clinicians," including by pressuring doctors "to reduce time with patients and to practice aggressive medical coding tactics that make patients seem as sick as possible" in order to earn higher reimbursements from the federal government."
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1: Steward Health Care CEO Dr. Ralph de la Torre was accused of orchestrating "a dramatic healthcare debacle by prioritizing private equity profits over patient care" amid "debt and sale-leaseback schemes" and a bankruptcy that "left hospitals gutted, employees laid off, and communities underserved" as he reportedly walked away "with more than $250 million over the last four years as hospitals tanked."
"All these stories paint a picture of a healthcare industry in desperate need of transformation," Lown Institute president Dr. Vikas Saini said during the award ceremony, according toThe Guardian.
"Doing these awards every year shows us that this is nothing new," he added. "We're hoping that these stories illuminate what changes are needed."
The latest Shkreli Awards came just weeks after the brazen assassination of Brian Thompson, CEO of UnitedHealth subsidiary UnitedHealthcare. Although alleged gunman Luigi Mangione has pleaded not guilty, his reported manifesto—which rails against insurance industry greed—resonated with people across the country and sparked discussions about the for-profit healthcare system.
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Murder of Health Insurance CEO Exposes Depth of Rage Over Corporate Greed
The killing of Brian Thompson, as horrendous as it was, forced us to confront the injustices we’ve been taught to tolerate.
Jan 02, 2025
Call him a misguided hero or villain, but the man who killed the United Healthcare CEO struck a nerve, exposing a deep rage shared by many Americans across the political spectrum—anger at an industry that earns obscene profits from the suffering of others. His chilling act shifted the national conversation from immigration to corporate greed. Finally.
For too long, Americans have hesitated to criticize the super-rich. Chalk it up to our tribalist nature that has so many convinced that our financial struggles are caused not by wealth hoarding but by those we view as outside our clan.
History offers many examples. In Nazi Germany, Jews were blamed for a financial depression triggered by the American stock market crash. My parents and grandmother barely escaped; many in my family did not.
Decades later, Ronald Reagan handed the wealthy the largest tax cuts in U.S. history while vilifying the “Welfare Queen” who leached from the feeding trough of “Big Government.”
This racist caricature was meant to distract from policies that began a 40-year transfer of wealth from the 90 percent to the one percent, producing the largest wealth gap in a century. It’s a story about the undeserving poor vs. the deserving rich.
Today, we face a similar narrative. Immigrants are blamed both for stealing jobs and freeloading despite their essential role in propping up our economy given our shrinking workforce. After being fed a steady anti-immigration media diet, it’s not surprising that nearly four out of five Republicans support placing undocumented immigrants in internment camps.
The greater the wealth imbalance, the more the wealthy need to distort the truth. They peddle the long-discredited Trickle-Down theory, claiming that what benefits them benefits us all. But rising tides don’t lift all boats when some people have no boat at all, or when their boats are sinking because the superyachts are capsizing small craft in their massive wake.
We have to stop believing that billionaires have working people’s interests at heart. In fact, they’re mutually exclusive. A gangbuster stock market depends on keeping wages low and unions banished. Outsized campaign contributions ensure that corporate taxes are slashed and regulations meant to keep us healthy, safe, and not impoverished are gutted.
It makes complete sense that the wealth lobby exploits fears of “socialism” to keep people voting against their own interests. It’s no coincidence the U.S. remains the only developed nation without universal healthcare. This is where our anger should be directed.
But redirecting anger is not easy. Six of the richest US corporations control 90 percent of our media and their profits depend on algorithms and news coverage designed to keep us divided, misinformed, and distracted from this billionaire plunder. “You know the media has failed,” says essayist Rebecca Solnit, “when people are more concerned that a trans girl might play on a softball team than that the climate crisis will destroy our planet.”
During the next four years it will be critical to get people to see through this deception. When we start feeling the fallout from a second Trump term, the scapegoating will intensify. Tariffs, more tax cuts for the rich, and the loss of immigrant labor will send prices soaring and balloon the deficit. Many may lose healthcare, Social Security, and worker protections. The wealth lobby will no doubt point fingers elsewhere.
Change is possible though. As a grant writer for 30 years, I’ve seen campaigns shift public opinion on issues like marriage equality, net neutrality, and climate change. Recently, several states won historic economic reforms after decades of trying. In Massachusetts, RiseUpMass won the nation’s sixth millionaire’s tax by debunking claims it would harm retirees.
In Washington state, the Balance Our Tax Code, a coalition of over 80 diverse groups, from home health aide workers to members of the Yakima Nation, was able pass a capital gains tax, calling out Amazon and Microsoft for avoiding their share of taxes. “The biggest lesson we learned,” said campaign communications manager Reiny Cohen “was that when we come together and tell the same story, lawmakers have no choice but to listen.”
In other words, changing minds requires a coordinated echo chamber. The #MeToo movement showed how the right framing, amplified through the media, can shift perspectives and galvanize action. Imagine if we could help more people connect the dots between stagnant wages, failing schools, a burning planet, unaffordable housing, and the greed of the one percent.
But the message must go beyond bashing billionaires. It must present a compelling vision of what is possible if we stand up against the ultra rich. The We Make Minnesota coalition was able to pass a tax increase on the wealthiest one percent by countering anti-Somali rhetoric with a “We’re Better Off Together” message. Instead of using a “Stop the Cuts” framework, the campaign emphasized the subsidized health care, free preschool, and tuition-free college programs the state is now able to offer.
This isn’t about destroying capitalism. A healthy balance between a free market and protective government is essential. But when the richest among us prioritize profit over the well-being of the majority, it’s no longer about politics—it’s about survival.
The murder of the United Healthcare CEO, as horrendous as it was, forced us to confront the injustices we’ve been taught to tolerate. This moment must unite us against the true enemies of the American dream: unchecked greed and exploitation of the many for the benefit of the few. We can either remain manipulated by scapegoating and fear or see the truth and demand change. Only then can we build a society where no one feels driven to such desperate measures again.
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