Danny Jones
๐ค SpeakerAppearances Over Time
Podcast Appearances
Because if you're going to put somebody on a medication, shouldn't we at least know where they stand physiologically?
Shouldn't we uncover if there's some sort of hormonal issue that could be causing the depression or anxiety?
Right.
And the answer is absolutely yes.
But when they try to do that, the insurance company go, whoa, what are you doing?
No, no, no, we don't want you pulling all that blood work.
No, you're allowed to pull five panels.
Go back and pull five panels.
If you keep pulling comprehensive blood work, we're gonna terminate your contract.
And so clinicians throughout the state of Texas got nasty letters telling them, if you continue to pull blood work, we will fire you as a clinician for Blue Cross Blue Shield or Cigna or Aetna or United.
And the problem with that is most Americans are covered by their employer and five insurance companies cover 90% of the coverage in America for the average American.
So five insurance companies are controlling all access to what gets tested, what gets looked at.
And that is not based off what's best for you.
It's based off them hitting their quarterly earnings and quarterly profits.
so things like is it just because it's too expensive well think about this you if the blood blood work surgeries a lot of these things are costly to the insurance companies right right right and if i'm an executive at united healthcare and i look at it and i go hey uh brigham is pre-diabetic i know that if brigham progresses to diabetes on average it's going to cost us seven to eight times the cost annually to keep him alive and functioning you would think wow
let's prevent the diabetes.
Let's not prevent the progression.
The dirty other analytic they have is that the average American switches employers every two and a half years.
And so if me doing these workups and these tests or this surgery or whatever is gonna hurt my quarterly profits today,
i can kick the can down the road deny the test less than 10 of patients object so in america less than 10 of patients fight the insurance company and and reapply to the denial and so most the time 90 of the time the insurance company is able to push its will and then if you go on a prescription drug they're monetizing the prescription drug so insulin is a revenue generator for the insurance company