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Silent Type

(7,482 posts)
1. Even traditional Medicare will disallow "experimental, investigational and unproven" treatments.
Mon Dec 30, 2024, 01:14 PM
Dec 30

As the linked article points out-- "And this year, Medicare began denying claims for breast cancer imaging needed to identify cancers among many women."
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I believe one reason Congress doesn't approve Medicare-for-All is that they'd rather people who are unfortunately likely to die/suffer anyway (ie, Stage 4 cancer) blaming them, rather than insurance companies for not wanting to spend every possible dollar on treatment that has little chance of success.

Of course, the example in the OP is an employer based insurance plan, not Medicare or Medicaid.

And, MD Anderson could have continued the treatment. They make good money, have big cash reserves, have a well funded foundation, sponsor research, etc.

So, until Congress decides to do something (even if not perfect), we are stuck with this mess.

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