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Joined 2 years ago
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Cake day: July 1st, 2023

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  • I’ve worked for the non-profit insurance subsidiary of a charity hospital system, and part of the problem is that ANY of the competition is for profit. What that means is that the for-profit companies are effectively setting the baseline of coverage. Healthy people (or the HR department at the company) aren’t as concerned with richness of benefit as they are with the lowest premium. Sick people, though? They’ve got a list of doctors and drugs they want to make sure are covered. So if the non-profit benefit is too rich it attracts all the sick people and suddenly the operating costs of the non-profit skyrocket and they go out of business. It’s a weird model that can’t be AS good as the mission wants to be.

    In my case the hospital system actually created a generic drug manufacturer themselves to undercut for-profit drug manufacturers. THAT was less daunting than trying to impact the insurance side any more than they already do.



  • One thing I discovered when I was struggling with mystery stomach ailments was that testing for SIBO/IMO is rarely done even though the treatment can be as simple as a course of oral antibiotics. This is because the test involves drinking a vile sugar concoction and then breathing into a bag every 20 minutes for 4 hours. My gastro didn’t do it, I had to ask for the test myself and then travel to a different city to get it done. You’ve said you’ve had a ton of tests (I did too) but bizarrely a SIBO test just isn’t one of the common ones. I ended up having IMO.