A couple of posts back, I had mentioned that I went to the cardiologist, as I was thinking I was close to death because my jaw hurt and I was short of breath going up the stairs. Sure, being out of shape and having a cavity might have been the easy and logical conclusion for my ailments, but I went to the doctor anyway. Now, I wouldn’t characterize his response to me as flippant, but he did not believe my demise was imminent. He ran some tests, nothing bad came back, but to be safe, he thought I should come back and get a stress test.
And then my insurance stepped in. Word came from The Castle, via a voice mail from a number that was identified as a “Spam Call” that the procedure that was requested by my doctor was denied. No justification or explanation was given by the AI voice that delivered this information. But, the voice went on, if I felt that this decision was incorrect, I could appeal by calling their automated phone line, or visit their website to use their automated IM chat service. Either way, I was promised that I would not have to talk to a human, and in the reverse, they created a system where the people of the insurance company didn’t have to talk me. Thusly, human interaction is eliminated.
I find it odd, that the for-profit health insurance industry, specifically the company we have, likes to remind us that they are in the “people business” and that “our health is their business” as well. And the more I thought about it, I don’t think I have ever spoken to a human at the insurance company in the three years we have been with them.
Then I started to think that maybe this insurance company is headquartered in one of those empty Midtown Manhattan office buildings. That it’s just a building full of computer mainframes, and rows and rows of empty cubicles and offices. That these computers make decisions based on bottom lines and liability probabilities, which in the end, the algorithm decided that seeing if my life was at risk wasn’t worth it. I was just a datapoint. Datapoints for as far as the eye can see…
Now I have to call my cardiologist and see if he can get this denial changed. I guess he has the phone number that connects you to a person, or a better automated AI system.
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