Under me is 1000 salesman. Every salesman knows and understands I am selling a plan that will deny or delay for some covered minor ailments that once in a million set off a chain inducing death.
As CEO of ICI I collect $300M in premiums and from that take $3M.
After selling a million policies, a patient dies as a side effect of intentional strategy of denying authorization to pay for care. That plan is traced to going through a single salesman, who collected $5 from that sale and $50k in all his sales. From that same sales, I, the CEO only collected $1. That is, the dollar profit for the death is greater for the salesman than the CEO.
The salesman and I are both direct paths in the death, in fact the salesman more than me, hell the salesman even made more of a commission than I did. The public will likely hold me more in contempt.
My point is he (CEO) is viewed by many as most culpable for fraudulently denied claims at UHC -- and there are crimes, even non-financial ones like drug dealing, that tightly couple level of organization and sales of a product to differences in penalty for even a singe death. That is, this line of thinking is embedded in the USC.
The contrarian view is that drug dealing is a financial crime of not paying for the credentials of a DEA license, or that fraudulently denying medical claims is a crime of criminal negligence resulting in bodily harm.
As for where I started, my initial comments involved both financial crimes and drug dealing. Most but not all probably consider insurance fraud as a financial crime but one that some can only atone through vigilantism. The line to me on all accounts looks blurry.
Under me is 1000 salesman. Every salesman knows and understands I am selling a plan that will deny or delay for some covered minor ailments that once in a million set off a chain inducing death.
As CEO of ICI I collect $300M in premiums and from that take $3M.
After selling a million policies, a patient dies as a side effect of intentional strategy of denying authorization to pay for care. That plan is traced to going through a single salesman, who collected $5 from that sale and $50k in all his sales. From that same sales, I, the CEO only collected $1. That is, the dollar profit for the death is greater for the salesman than the CEO.
The salesman and I are both direct paths in the death, in fact the salesman more than me, hell the salesman even made more of a commission than I did. The public will likely hold me more in contempt.