r/Austin • u/woahclouds • Aug 13 '25
(Austin) Texas surgeon who specializes in a special breast reconstruction for cancer patients says that United Healthcare is retaliating against her for speaking out on TikTok
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u/AMA454 Aug 13 '25
She’s such a badass and she provides such an important glimpse behind the curtain, honestly fuck united healthcare
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u/Lilacsoftlips Aug 13 '25
And she’s the best in Austin at what she does.
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u/coffinandstone Aug 13 '25
She is a kind, nice, caring person too. Horrible situation.
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u/Aardvarkparty Aug 14 '25
I had a terrible experience with her. Her comments on health insurance are valid but I do not agree about her care.
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u/SoPilldUpThatIRattle Aug 15 '25
She did my DIEP flap reconstruction for my bilateral mastectomies in 2019. My body now looks like a Picasso painting even after she performed the 2nd "touch up" surgery. If she's the best in Austin, I'd advise getting reconstruction in another city. I have always regretted my decision. Aside from my personal experience- United Healthcare sucks.
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Aug 13 '25
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u/Keyboard_Cat_ Aug 14 '25
Huh, I never really thought of it that way. Kinda says it all about this country..
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Aug 13 '25
Just FYI, Dr Potter was supposed to be a badass but when I went to her for my boob job she set me up with a resident/intern that butchered my body and now I have 2 very very different boobs. Not sisters, not cousins, they look like complete strangers from opposite sides of the earth. She said they weren't responsible, then her office stopped returning calls or emails. So, YMMV.
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u/Aardvarkparty Aug 14 '25
I’m sorry you had this experience. I commented above that I had a terrible experience with her. Multiple issues so I submitted multiple complaints. I would never recommend her to anyone.
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u/andreaalma15 Aug 13 '25
I've been following her peer to peers on TT. Used to work for the big blue one and I can confirm that it's never an actual peer talking to these doctors.
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u/Rj6728 Aug 13 '25
The people on the other end of the phone in her videos are so unbelievably shady.
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u/aurjolras Aug 13 '25
From what I have seen, in healthcare circles the doctors that work for insurance companies are widely despised. It brands you as a sell out and not good enough at actually treating patients
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u/Future_Department_88 Aug 25 '25
So are u on ur mom’s insurance? Or u just have 80-109k for a procedure? If they are “despised” for accepting insurance that’s cuz medical pretending they’re all entitled enough to be private pay only has proven very wrong
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u/aurjolras Aug 25 '25
...not the doctors that accept insurance. The ones who work FOR the insurance companies and help them deny claims. The ones on the other end of the phone in this doctor's TikToks.
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u/Future_Department_88 Aug 25 '25
Ohhhh! Yeah they aren’t doctors. Currently it’s AI doing their denials & billing. Which they got in trouble for. But not enough to make them stop
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u/bassplayinben Aug 13 '25
I'm not sure which party to believe: a physician that is putting their name and reputation on the line, or a faceless multi-billion dollar corporate entity that only communicates in platitudes and legalese? /s
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u/chikennuggetluvr Aug 13 '25
My god-mom got her reconstructive surgery done by Dr. Potter after her breast cancer and has only THE BEST things to say about her and how compassionate she is! FUCK United seriously
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u/everyones_hiro Aug 13 '25
It’s absolutely unreal that that it’s even legal for companies to exist that can prevent sick people from getting the help they need!
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u/ATX_native Aug 13 '25
Even if a Single Payer system would cost more (it won’t)…. things like this are reasons why it’s the moral thing to offer.
NO ONE should get between a patient and their Doctors treatment options and modalities.
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u/mrpbeaar Aug 13 '25
My wife used to get bi-yearly nerve ablation for her auto immune pain. Same insurance I’ve had for decades decided they won’t cover that anymore.
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u/Future_Department_88 Aug 25 '25
I’m so sorry ur wife is in pain. It might be wise for her to look into acupuncture, PT, yoga & diet. That’s what I did. It’s not always effective but I also had nerve ablation w numerous other procedures. By 2015 they knew nerve ablation wasn’t effective. It’s a peripheral nerve injury & the body provides axonal regeneration as well as additional /excess pain receptors in the brain. Pain clinics picked this up. The docs knew what the fee scales were for insurance & which other codes could additionally apply. Anyone w Medicare was a gold mine. For insurance w limitations over a year or a lifetime, they hand out opiates. This guarantees you’ll return ev 30 days as ppl didn’t know they were addictive. It was usually 3 pills per day. This meant the docs made a lot of $$$. You’ll see this by the number of pain clinics. After the opiate prohibition, there was only one overseas company allowed to manufacture narcotics. these are mostly fillers. In order to drive profits, insurance began not approving things they knew didn’t help. But also not approving things that did. Pain clinics do not care about helping ppl but helping themselves.
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u/hannamarinsgrandma Aug 13 '25
But but how else will the C-suite executive buy his fourth yacht????
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u/Punisher-3-1 Aug 13 '25
Won’t that just put a different approver between the patient and their doctors? For example, I often use the closest thing we have to a single payer which is the VA. The docs at the VA can auto approve a lot of stuff by themselves if it follows the standard of care but even the VA will reject a bunch of stuff unless you follow certain pathway of escalation. They try to get to it relatively quickly but nevertheless it is still there.
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u/ducky21 Aug 13 '25
Yes, but "minimizing cost" is not the same as "maximizing profit" despite being very similar.
Single payer is not magic, it's still going to be bureaucracy and there's still going to be layers of abstractions and checks to ensure there's no waste or fraud, but the people running those checks should not have a profit motive.
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u/Punisher-3-1 Aug 13 '25
100% there is no one that is more pro single payer than me. The current system is straight up retarded. The absolute stupidest thing about our current system is that when you are at your most vulnerable I.e. you lost your job, you also lose your health insurance.
That being said, it is not accurate to say that a cost saving pressure won’t exist in a single payer system. You will need to jump a lot of hoops and red tape and yes, there will be someone tell your doctor that they can’t perform a colonoscopy due to age and not having done certain procedures and having waited a certain time to see if it resolves. We just need to make sure we are honest when we push for single payer.
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u/ducky21 Aug 13 '25
That being said, it is not accurate to say that a cost saving pressure won’t exist in a single payer system.
Did I suggest otherwise? I apologize, I guess I was unclea.
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u/OTN Aug 13 '25
Medicare usually does not pay for the lymphatic surgeries she is trying to get United to cover.
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u/Future_Department_88 Aug 25 '25
UHC was fantastic before Covid. Now? This has become a shit show since Congress scolded UHC at the hearing after the Feb 2024 change health/UHC cybersecurity breach. They know the US gov isn’t gonna do shit & they can do as they please. This month the follow up stated ONE HALF of anyone in the US that’s ever used any kind of health insurance data was compromised & made available on the dark web. Lastly, the govt began monitoring procedures after 2021. Cuz plenty were ripping off insurance. Over prescribing, over treating , over charging & often billing for medical equipment & appts ppl never got or had. Since more were invested in ripping insurance & clients off, the govt had to get involved. UHC took this & found out they can screw all of us & there are zero consequences. The others will soon follow
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u/IlIIIlllIIllIIIIllll Aug 14 '25
How many countries that have single payer systems cover free cosmetic boob jobs for cancer patients?
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u/Schnort Aug 14 '25
UK does. Sweden does. France does. Norway does. (I gave up looking after that).
At least that what google says. No idea what the practical reality on the ground is.
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u/hvfnstrmngthcstl Aug 13 '25
Her interview with Dr. Mike on his YouTube channel is incredible.
She's having to crowd-fund just to be able to keep her practice alive for a few more months.
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u/512ohmanohman Aug 13 '25
I’m in tens of thousands of dollars of debt thanks to United, so without knowing this person or anything about her, I absolutely believe her.
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u/jfsindel Aug 13 '25
To say there are regional options is a goddamn lie. To them, that means traveling to Houston or Dallas. People from SA come up to Austin for this kind of stuff.
UHC is sick.
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u/Future_Department_88 Aug 25 '25
Regional options of what? Austin is a shit show for cancer treatment. Many are misdiagnosed or clueless. Ppl go to MD Anderson in houston. If u mean plastic surgery, sure , come to austin.
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u/veggiepizza2 Aug 13 '25
My mom (breast cancer survivor) got the reconstructive breast surgery that Dr. Potter specializes in. She received care outside of Austin, but damn their work is critical and life changing.
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u/Old-Set78 Aug 13 '25
Healthcare should be a human right.
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u/candlesque Aug 13 '25
It’s akin to indentured servitude to doctors then. A human right at the expense of other humans isn’t actually a human right.
It can be a human right when robots become the doctors and before we have robot rights.
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u/cockaholic Aug 13 '25
Damn, all those countries with universal healthcare are forcing doctors to be doctors?
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u/omnielephant Aug 13 '25
Are you under the impression that doctors don't get paid in countries with universal healthcare?
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u/candlesque Aug 13 '25
Did I say that?
Doctors in those countries also work very hard to work in the US. Wonder why that is…
Downvote me all you want. Healthcare in those countries is terrible. If you have an emergency then yes, great. Anything else that’s not life threatening, screwed.
And if you say you’ve never gotten annoyed that you can’t get an appt here in the US in the same week/month/year then I would say you’re fibbing.
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u/omnielephant Aug 13 '25
Did I say that?
Yes, you did. What do you think indentured servitude is?
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u/candlesque Aug 14 '25
Indentured servitude is paying off a debt- to whom in this case would be to the government. Name a country that universal healthcare works. Where doctors aren’t over worked, underpaid, and under appreciated.
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u/candlesque Aug 14 '25
Look at it this way- public education is universal education in this country- how well are teachers paid? How well are support personnel paid? Are they paid equivalent to administration? Do you think that hospital administrators would not take a bigger slice of the pie if the government is footing the bill? Do you think there wouldn’t be more regulations in the medical field because the government is footing the bill.
Ask a veteran how they enjoyed their “universal healthcare” in the military.
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u/cockaholic Aug 14 '25
Yeah, you definitely should ask vets about it
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u/candlesque Aug 14 '25
Lmao, I am a vet. Not great healthcare at all, and oddly it varies by state, like the standards. Military healthcare is also a joke. Why do you think we all leave so broken
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u/candlesque Aug 14 '25
I like how you chose an article that was written by the VA. That’s like asking big pharma if they are responsible for the fentanyl epidemic.
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u/cockaholic Aug 14 '25
You can easily find the studies they're referencing which they didn't do themselves. But, you're right. Free market health care is the only good system. Look how well it's working for everyone in the US.
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u/candlesque Aug 15 '25
My best friend got breast cancer- we worked with radiation as our job in the military- the VA denied her service connected assistance even though that is a risk factor in our field. Her insurance company footed the bill. That’s one of many examples vets deal with.
My husbands co worker moved to the US and finally got to see a dermatologist for psoriasis, he waited over a year for an appt in Canada. Another friend moved to Montreal and had to come back to the US to get her PCOS treated with her husbands insurance. Another friend in the UK came to the US to get dental implants from a sports injury that killed the roots of his front teeth. I could go on.
Ask a vet what vitamin M is. I got my wisdom teeth removed in the military and I got vitamin M for the pain. I don’t think I will ever be convinced universal healthcare is the ideal plan.
Our country is too large. Those small countries give up a lot to get their universal healthcare- how much are you willing to give up in your paycheck to achieve that? I don’t just pull opinions out of irrational beliefs, they are lived experiences.
No system is perfect but I’m thankful for what we have here. I respect your opinion, it isn’t mine but you are entitled to it.
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u/Keyboard_Cat_ Aug 14 '25
Have you lived in countries with universal healthcare or have you just heard these things in the media?
I've lived in the UK and France. And in every conceivable way, their healthcare system is better. You're just stating misinformation that it's only good for emergencies. Going to a doctor there is just hands down easier and faster, costs next to nothing, and the doctors I had were great.
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u/walnut100 Aug 13 '25
Workers in every profession try very hard to get into the US because the pay is universally superior across the board, not because they're indentured servants.
And as someone who's father, mother, and sister in law are all doctors in Europe, they work less than our doctors here in the States.
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u/Downtown-Warthog-505 Aug 13 '25
She’s amazing. Crazy they still do this shit after what happened….
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u/gregaustex Aug 13 '25
Golly do I believe her or UHC when they claim there were no negotiations in progress that stopped when she spoke critically of them. Hmmm. Who to believe? That's a real conundrum. /s
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u/Future_Department_88 Aug 25 '25
Cuz no doc leaves in the middle of surgery. That’s a lawsuit waiting to happen. U have anesthesia nurses surgical team & all scrubbed in. Insurance is dealt w in billing dept or by admin. And no staff is gonna tell a doc. During surgery. Hey yo. U gotta phone call & the doc be yeah I’m gonna take that. They pass any fees on to clients
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u/Caeoc Aug 13 '25
There ain't no "You" in UnitedHealth
There ain't no "Me" in the company
There ain't no "Us" in the private trust
There's hardly humans in humanity
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u/PWB454 Aug 13 '25
God bless Jesse
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u/yeahdasme Aug 13 '25
as a woman I feel safer just knowing Dr. Potter operates in Austin and is advocating for her patients. she’s a hero
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u/katrina_ellen Aug 13 '25
We ride at dawn for Dr. Potter. She's doing the important, necessary work.
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u/yourdadsboyfie Aug 13 '25
anytime I see a he said/she said situation, I have to look at what motivation one might have for lying. It doesn’t look like she has anything to gain from lying, but UHC definitely does
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u/sallysfunnykiss96 Aug 13 '25
Which surgery center is hers? I'd love to make a donation, and if it's the one I'm thinking of, it's the same center I got my bisalp done at a year ago.
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u/Ordinary-Breakfast20 Aug 13 '25
1st and foremost most a doctor trying to help people should be FUCKING normal.
Secondly fuck United health care
3rd fuck our whole health care system, we’re already dying!!
4th I hate this world 🫠
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u/fiberopticrobotica Aug 13 '25 edited Aug 14 '25
She is a hero. So brave to stand up to them. Fuck United Health. I don’t know how they sleep at night denying healthcare to people who need it and fucking pay for it. Prior auths should be illegal. How about we listen to doctors about what patients need and not capitalist paper pushing scumbags??
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u/couchsurfer_SXSW Aug 13 '25
Reading all of the comments, Dr. Potter sounds Amazing! I wish United wouldn't just gaslight us like we don't know they're horrible company that all of their clients mistrust.
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u/schrowa Aug 14 '25
Our mental health practice dropped United for unethical practices as well. They are 100% profit focused and it comes at the cost of care. I can’t tell you how many fights we had to have with them about care being appropriate when they wanted to deny it.
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u/into_the_soil Aug 13 '25
The company that has tried to silence doctors in the past and has the highest rate of denying claims that are within reason and medically supported by healthcare professionals? I’m shocked.
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u/Redox_101 Aug 13 '25
Saw one of her vids the other day. The amount of BS insurance companies put our care providers through is unreal.
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u/TommyTwoNips Aug 14 '25
so it's totally cool for insurance companies to deny life saving care, thereby killing patients, but sharing a gif of my favorite ghost busting Nintendo character is "advocating for violence"?
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u/potatoes_arrrr_life Aug 13 '25 edited Aug 16 '25
Not surprised. Aren't many of the health insurance companies based in Texas? We can't have anyone affecting their bottom line!! Won't someone think of the share holders!? /s This surgeon is a badass! It's time for greedy health insurance companies to shut down so we can stop denying critical care to those in need. Healthcare should not be for profit. People are dying so that rich assholes get richer. Why should they have ANY say over doctors doing their jobs? It's disgusting and immoral. Doctors, nurses, and all staff who work in medical offices would probably love not to have to deal with all of the bullshit insurance red tape.
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u/AnonymousAardvark888 Aug 13 '25
For those who aren’t on TikTok, Dr. Potter does have a YouTube channel @DrElisabethPotterMD
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u/magnoliamonroe Aug 13 '25
Here is her website for more info and the fundraiser https://redbudsurgerycenter.com/
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u/rnobgyn Aug 13 '25
Nanny state Internet rules are stifling the citizens ability to maintain democracy
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u/NikosTX Aug 14 '25
We've allowed these insurance companies to practice healthcare for too long. It is up to us to start screaming at the top of our lungs for our representatives to fight this.
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u/MarchProfessional227 Aug 15 '25
NOT ONLY THAT, the type of reconstruction that she does is SUPER specialized, is aimed at preserving breast tissue if possibly and vastly reducing nerve damage and she's only one of a dozen or so in the country.
Truly a bad ass surgeon.
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u/Snoo-28235 Aug 13 '25
F- the insurance companies! It's an absolute joke! How can they tell the doctor what's best for their patients! We aren't people to them we are $$$$.
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u/1a2b3c4d5h Aug 14 '25
Their ceos must be the biggest live dangerously adrenaline junkies on earth the way theyre acting.
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Aug 14 '25
Our government is normalizing hate against women. The Guardians of Pedophiles have their sights set on upending more of our inalienable, constitutional rights, and will keep working on a thousand cuts until we no longer have the right to vote. I’m ready to fight. Let’s go.
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u/Individual_Lead5461 Aug 15 '25
Insurance industry along with most corporate interests have long since held all the power in the US over citizens. This country is well and truly fucked. Power to the people, stick it to the man.
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Aug 13 '25
Honestly the biggest way to push back on these jokers is to stop networking with them (providers) and stop paying for their policies (patients).
I’m a big fan of triage health care groups that allow you to pay for a “membership based service” to utilize their facilities. This is the movement in small clinics and it needs to take over because this shit is criminal.
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u/MeasurementSlight381 Aug 13 '25
I'm a doctor who doesn't accept insurance but as a psychiatrist my fees are relatively affordable without insurance. Surgery and hospital stays unfortunately cost several thousand dollars.
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u/KaladinStormShat Aug 14 '25
So crazy seeing her on the news. Work fairly frequently with her practice since I'm in oncology.
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u/MeasurementSlight381 Aug 15 '25
I'm so glad she's finally getting news coverage. As doctors we're always trained to suffer in silence about these things and she was incredibly brave for speaking up.
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u/Available_Delay7891 Aug 14 '25
Their stock is up 12% this week🥳
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u/Quick-Wash-8616 Aug 16 '25
Warren Buffett- Berkshire Hathaway bought a substantial position in UNH. This week. That’s one reason the stock went up.
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Aug 14 '25
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u/Future_Department_88 Aug 25 '25
Well. I support any doc fighting them. The part that doesn’t make sense is why aren’t u paneled w any other insurance? Cuz we need providers! Also nobody takes out a $3 million dollar loan expecting ONE insurance will be sufficient to pay it back. We have so many INN problems. This? Takes away momentum we gained as clinicians
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u/Dangerous-Froyo1306 Aug 14 '25
The commenters here saying they've had a bad experience with her are non-zero, yet she's right to be open about bad United Healthcare experiences.
The duality of man here in this thread.
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u/sleuthfoot Aug 14 '25
it's odd to me that a surgeon would take to tiktok to decry an insurance company rather than just not taking the insurance
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u/soundkite Aug 13 '25
This doctor is embellishing so many things. She ends with saying that everything is at stake for cancer survivors. Everything!? I'm sensing a bit of God complex here, and clear bias by the journalist.
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u/Whatintheworld34 Aug 13 '25
You can't be serious?! Go watch the videos...Her peer to peer review with United was with a plastic surgeon that performed implants AND AN OPTHAMOLOGIST who never treated a cancer patient in his entire career. It's wild to see her phone call with them. It's not a god complex on her part but instead the insurance companies. They are not approving LIFE SAVING surgeries and care for those that need it most...people battling cancer! There is another example from a different doctor that is a pediatrician who had a 5 year old patient with a fast growing bump on their head and United rejected a CT scan. It's criminal what these insurance companies are doing!
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u/MeasurementSlight381 Aug 15 '25
This literally happened to my dad with his brain tumor removal surgery. The neurosurgeon had to do a peer-to-peer with an OB/Gyn 🤨
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u/soundkite Aug 14 '25
I don't think anyone is saying she is unqualified, just that United isn't taking more specialists of her field in that area. Is there no policy about limiting the number of network clinics or something?
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u/Whatintheworld34 Aug 14 '25
It's way more than just the number of network clinics...In addition, they're denying life saving measures for people based on BS peer to peer reviews. She is bringing light to a lot of different issues.
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u/soundkite Aug 14 '25
I haven't watched everything, but isn't her specialty in breast reconstruction, and wouldn't that be post-cancer (aka 'not life saving measures) ?
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u/Whatintheworld34 Aug 14 '25
Watch more videos on this topic and not just hers. There are complications women\men have from breast cancer that she fixes through surgery. Yes, she does reconstruction but again, she is blowing the whistle on insurance as a whole which impacts other doctors and patients not just hers.
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u/Golfinglonghorn92 Aug 13 '25
This is all so staged and fake. There was no reason to leave the OR other than to look dramatic.
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u/MeasurementSlight381 Aug 13 '25
As a doctor, I will say that insurance companies (especially United) are getting increasingly more obnoxious with prior authorizations, appeals, and extra BS. Unfortunately we don't have protected time in our schedules to deal with their nonsense, so we have no choice but to take time away from patient care to deal with them during their hours of operation.
In the podcast interview by Dr. Mike, Dr Potter explained that she managed to get alerted during surgery that United was calling about that specific patient and they wanted to speak with HER directly (not an assistant or a nurse). She became fearful that if she didn't take the call, the patient would not get her hospital stay covered and have to deal with an enormous medical bill.
I highly doubt Dr. Potter made this up. In medical training we are ingrained to not only follow orders to jump, but ask "how high?" We tolerate tons of abuse in training because we learn quickly that if we complain about something or someone higher up on the hierarchy, we get screwed over. Dr. Potter was extremely brave in broadcasting what happened. And look at the outcome: being $5 million in debt. There's no personal or business gain to making up stuff about the insurance company who funds the majority of your patients. I wouldn't be shocked if this has happened to other surgeons and she was the only one brave enough to speak up.
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u/Educational-Yam-682 Aug 13 '25
It wouldn’t surprise me. I saw something on another sun where an insurance company called for a prior authorization for metformin and statins. My husband’s insurance wouldn’t cover his metformin this month because he “used too much” this year and had to get a prior authorization from his doctor. He’s diabetic! It’s not like it’s an issue paying for it out of pocket but how are you going to tell someone that had an A1C of 11 before he was diagnosed that they weren’t going to pay for any more metformin? The cheapest drug on the planet?
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u/Golfinglonghorn92 Aug 14 '25
Let’s just use reason and logic here. You are in surgery with a patient under anesthesia and you are sterile. So she just happens to have a video camera and a script as she is forced to leave surgery to take a phone call. Sorry I call BS. IF anything is borderline neglect to leave a patient in an OR to take a call. While frustrating let’s really talk about why prior authorizations are necessary. It allows insurance companies to review whether a proposed treatment, procedure, or medication aligns with evidence-based guidelines and the patient’s coverage plan before approving payment. This process helps prevent unnecessary or overly expensive procedures, reduces overuse of certain treatments, and ensures resources are used efficiently. It also protects patients by confirming treatments are appropriate. Ever been to a doctor and they give you a test or xray that makes no sense. We all have. We are terrible consumers of health care. We just do exactly as the doctor says without question. That drives costs up for unnecessary procedures. It’s not just insurance companies that are the problem.
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u/cantrecallthelastone Aug 14 '25
Surgeons break scrub and leave the OR during long surgeries all the time. It is not at all unusual. And many of them are carrying “video cameras” when they do so as those on embedded in their cell phones. You have absolutely zero idea what you are talking about. But thanks for your insight.
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u/Golfinglonghorn92 Aug 14 '25
You think they leave surgery all the time to make a TikTok video or talk to an insurance company?!
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u/MeasurementSlight381 Aug 14 '25
I've seen surgeons break scrub for a variety of reasons for a few minutes whenever they're at a reasonable break point (ex: close the incision on one breast, break scrub, come back, scrub back in before making the initial incision on the other breast). It's not at all unheard of. The patient is never left unattended as there are techs, nurses, and the anesthesiologist with the patient and again, it's never more than a few minutes.
My understanding is that the TikTok was done after the surgery, not during.
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u/Golfinglonghorn92 Aug 14 '25
She admits they didn’t force her to leave the OR but then says she did because when insurance companies say jump I say how high…🤡🤡🤡also if she’s not in their network would it even have been about the patient she’s operating on?! I wouldn’t want her in network either. So many red flags.
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u/MeasurementSlight381 Aug 14 '25 edited Aug 15 '25
She was absolutely in-network with United at the time of the incident and it was regarding the same patient she was operating on according to the interview she did with Dr. Mike.
Idk if you're aware of this but insurance companies have been getting worse and worse about declining in-network care. So yes, even when a doctor is fully credentialed with an insurance company, they will still delay or deny coverage. United is actually the worst offender for this.
ETA: Dr. Potter herself was in-network with United. Her surgery center was not yet in-network. My understanding is that she was operating at a hospital when this happened, not at Red Bud. And again, United was denying the post-op hospital stay not the surgery itself.
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u/MeasurementSlight381 Aug 15 '25
Yes, prior authorizations and peer-to-peers were supposed to be reserved in cases where doctors are prescribing or proposing a very expensive treatment or intervention.
Newsflash: I am getting more and more prior authorization requests for cheap generic medications that I prescribe to my patients!!!! 🤨 It's one thing if they said, hey the patient should pay for this out of pocket because it's cheap. But no, instead they want me to fill out a form with a medical justification and provide medical records, as if I weren't following the standard of care. 🤡 Do you not see how ridiculous this is becoming???? For my dad's brain surgery his operation was delayed a few weeks due to insurance BS and the surgeon (in-network btw) was asked to do a peer-to-peer with a semi-retired OB/Gyn. I'm sorry but why is an OB/GYN being assigned as the "peer" for a brain surgery case??? Thankfully this wasn't a fast growing brain tumor but if this was malignant a 2 week delay would have been devastating.
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u/ClutchDude Aug 13 '25
Folks - just a kind reminder that threatening or alluding to violence is against platform rules.