KevinMD February 6, 2025
With the murder of the UnitedHealthcare CEO, many have expressed vitriol towards the insurance industry.
Having worked in non-profit health care all my life, I decided in 2018 to switch to the “dark side,” or the insurance industry, out of curiosity. What is it that they do, and how are they doing it? I thought knowing would make me a better health care worker when I returned.
As a registered nurse case manager, I was in the room where it happened: approvals, denials, and decisions. These were rational and straightforward. Clinical guidelines were followed, and medical reviews were completed by MDs. I worked for a Blue Cross Blue Shield plan. Nothing was ever done out of malice or profit. It...