Death panels already exist in glorious free market

“Death panels”? I’ll tell you about death panels. My husband faced one some years ago, and it didn’t involve any government bureaucrat. It was run by our private insurer, the sort of corporate entity that foes of health care reform say will give you anything you want.

My husband was diagnosed with liver cancer. We were “insured” by United Healthcare. The deal was as follows: You had to use doctors on its list, but if you needed specialized care outside the network, United’s health-maintenance organization would pay for it. Fair enough.

A liver expert within the network said point blank that for my husband’s case, there was but one place to go, a specialized chemotherapy program at Deaconess Hospital in Boston. Fortunately, it was only 50 minutes away.

ADVERTISEMENT
0 seconds of 0 secondsVolume 0%
Press shift question mark to access a list of keyboard shortcuts
00:00
00:00
00:00
 

But United Healthcare refused to pay for it. Instead, it directed us to a small, local hospital unequipped to deal with this kind of cancer. Our liver specialist warned, “Don’t waste your time.”

We naively tried to go through United Healthcare’s appeals process. We would call the number and speak to a handler who said our case would be reconsidered. Days later, a one-sentence letter would arrive by slow mail saying that we were being denied, but call this number to challenge the verdict.

Around and around we went. We could never speak to anyone making the decisions. No one would even talk to our doctor, who at one point whispered to us, “Mortgage the house.”

I became convinced that the insurance company was trying to run out the clock on my husband’s life. Had it issued an outright “no,” we would have gone to Deaconess, paid for the care ourselves and fought the insurer later. But it always pretended that a possible “yes” could be around the corner.

Having already lost precious time confronting this cancer, we simply rushed to Deaconess. On hearing the story, the head of the chemo program told us: “HMOs don’t care whether you live or die. They just want to save money.”

My husband underwent the arduous chemo. Meanwhile, powerful people were pulling strings for us with the insurer. Upon learning we had “connections,” United Healthcare finally said it would pay.

The cancer came back. This treatment was never a sure thing, but I often wonder how much the delay affected the outcome.

An ex-Marine, my husband was a tough customer. Toward the end, he said to me, “You know, fighting the insurance company was worse than fighting the cancer.”

A year after my husband died, I was still receiving medical bills for some of the treatment that United Healthcare had agreed to cover. Oh, they eventually paid. The game is to break you down.

An economic note: In 2006, William “Dollar Bill” McGuire, CEO of parent-company UnitedHealth Group, walked off with a $1.1 billion golden parachute (on top of the $500 million he had already raked in) — though he had to return some of it in an options backdating scandal.

What we wouldn’t have done to have traded Dollar Bill’s minions for a government bureaucrat. The bureaucrat would have given a simple “yes” or “no” based on official guidelines. He or she would have had no personal stake in denying you care.

By the way, a government-run program doesn’t tell you what treatments you may or may not have. It tells you what the taxpayers will subsidize. You are free to go out with your own money and buy whatever you want. We would have been prepared to do that. Instead, we got tied up in a private insurer’s web of tricks.

Believe me, “death panels” already exist, and they have nothing to do with the government.

Froma Harrop is a Providence Journal columnist. Her e-mail address is fharrop@projo.com.

Talk to us

> Give us your news tips.

> Send us a letter to the editor.

> More Herald contact information.

More in Opinion

toon
Editorial cartoons for Friday, May 23

A sketchy look at the news of the day.… Continue reading

A visitor takes in the view of Twin Lakes from a second floor unit at Housing Hope’s Twin Lakes Landing II Wednesday, Feb. 22, 2023, in Marysville, Washington. (Ryan Berry / The Herald)
Editorial: Housing Hope’s ‘Stone Soup’ recipe for community

With homelessness growing among seniors, an advocate calls for support of the nonprofit’s projects.

Wildfire smoke builds over Darrington on Friday, Sept. 11, 2020 in Darrington, Wa. (Olivia Vanni / The Herald)
Editorial: Loss of research funds threat to climate resilience

The Trump administration’s end of a grant for climate research threatens solutions communities need.

Sarah Weiser / The Herald
Air Force One touches ground Friday morning at Boeing in Everett.
PHOTO SHOT 02172012
Editorial: There’s no free lunch and no free Air Force One

Qatar’s offer of a 747 to President Trump solves nothing and leaves the nation beholden.

The Washington State Legislature convenes for a joint session for a swearing-in ceremony of statewide elected officials and Governor Bob Ferguson’s inaugural address, March 15, 2025.
Editorial: 4 bills that need a second look by state lawmakers

Even good ideas, such as these four bills, can fail to gain traction in the state Legislature.

Schwab: Words, numbers mean what Trump and cadre say they mean

It’s best if you 86 past and present; they only keep you from accepting what’s happening around you.

Kristof: Helpful tips from an anti-authoritarian playbook

Don’t underestimate the power of mockery, pointing out corruption and the influence held by one person.

Time for age, term limits for all politicians

I think we’re all getting weary about how old and decrepit our… Continue reading

Fluoridated water best way to ensure dental health

Obviously drinking bleach in any form is not a great proposition, and… Continue reading

What do we need with growth and its problems?

Why do we have to prepare for growth? Stupid question, right? Well… Continue reading

toon
Editorial cartoons for Thursday, May 22

A sketchy look at the news of the day.… Continue reading

Support local journalism

If you value local news, make a gift now to support the trusted journalism you get in The Daily Herald. Donations processed in this system are not tax deductible.