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Man Wins Battle for Operation against Aetna after Local Talk Radio blasted Aetna

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RamboLiberal Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Mar-30-11 11:00 AM
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Man Wins Battle for Operation against Aetna after Local Talk Radio blasted Aetna
I related this story in another post on health insurance last week. Here's an update.

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Petok has Stage 4 stomach cancer. His medical records give him nine months to a year to live. The one hope, according to his doctors, is surgery that must be done immediately.

“If I don’t have this surgery done within six months to a year, I will not be living,” he said. “I will die from this and I don’t want to die.”

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In denying the surgery, Petok’s insurance carrier Aetna responds: “Clinical studies have not proven that this procedure is safe and effective for treatment of the member’s condition.”

(Aetna after being raked over the coals last week on local Pittsburgh talk radio KDKA (who incidentally has hosts who in other shows rips "Obamacare".)

“While our initial determination resulted in a denial for experimental reasons, we expedited an external review to determine whether an outside expert would recommend this treatment for this particular member, given his circumstances and a current view of the medical evidence. As a result of that review, we have approved this treatment. We know the family is going through difficulties and we sympathize. We wish the family and Mr. Petok well.”

http://pittsburgh.cbslocal.com/2011/03/29/local-cancer-patient-wins-battle-with-insurance-company/
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freshwest Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Mar-30-11 11:12 AM
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1. This is degrading and pathetic. The profits need to come out of healthcare - NOW.
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KeepItReal Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Mar-30-11 11:12 AM
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2. Aetna forgot to add: "Don't you other policyholders get any smart ideas...."
Another chapter for the movie "Sicko"
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walldude Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Mar-30-11 11:13 AM
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3. Death Panels...... n/t
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Doctor_J Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Mar-30-11 11:16 AM
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4. Hate Radio gets results
but we knew that already.
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DCKit Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Mar-30-11 11:26 AM
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Are the teabaggers finally facing up to the world they claim they want?
Do those in Pittsburgh realize that Aetna is the dreaded "Death Panel"?
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DCKit Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Mar-30-11 11:26 AM
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5. Dupe
Edited on Wed Mar-30-11 11:27 AM by DCKit
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JHB Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Mar-30-11 11:27 AM
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6. Was the "external expert" their PR firm?
"This one isn't just going to die quietly, so just pay for the operation, let it blow over, and go back to normal for the next one."
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RamboLiberal Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Mar-30-11 03:51 PM
Response to Reply #6
7. More than likely - don't like the bad publicity
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