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Insurers continue to rely on doctors whose judgments have been criticized by courts (www.propublica.org)

submitted 1 month ago by MicroWave to c/health

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Summary

ProPublica investigates health insurers’ reliance on controversial doctors to deny mental health treatment.

Highlighting Emily Dwyer’s case, it details United Healthcare’s rejection of coverage for her anorexia treatment, despite evidence she was gravely ill.

Courts have criticized insurers for “arbitrary and capricious” denials, with judges pointing to factual errors and dismissive reviews by company-hired psychiatrists.

While some families, like the Dwyers, fought back in court, most lack resources to challenge insurers.

Critics call for reforms as denials often worsen health outcomes and highlight systemic issues in mental health care access.

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[–] spankmonkey 11 points 1 month ago* (last edited 1 month ago)

Capitalists don't care about criticism, only action. The courts words mean nothing if they aren't backed up by something the companies have to actually respond to.

If courts take action and the capitalists don't stop doing the bad thing, then the action wasn't enough.