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Comment by lumost | Hacker News Reader

We already live in this world for health insurance. The ai can make plausible sounding denials which a doctor can rubber stamp. You have no ability to sue the doctor for malpractice, you cannot appeal the decision.

Medical insurance is quickly becoming a simple scam where you are forced to pay a private entity that refuses to ever perform its function.

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Worth noting this isn't hypothetical. There was a story a while back where a health insurance company would hire real doctors to sit at computers all day clicking "accept AI resolution" over and over (they were fired if they rejected AI resolutions) because the law required that.

Yup! Just fought three denials with Cigna over the last 6 months for rejections of basic appointments for a physical, an ambulance ride for a family member, and one bigger ticket health expense.

They haven’t approved a single insurance claim submitted without calling and fighting it out with them. Each rejection letter looks plausible, although often nonsensical given the situation.

It almost makes me wonder if the solution is the same as for arbitration clause. Giving users the ability to fight it in a semi-automatic way as well ( so AI generated response plan, calls and so on ). I am not entirely certain where it would go, but.. where we are at is already annoying. I have a good medical insurance and they still keep trying to chisel any way they can ( wife just got a letter asking to confirm she does not, in fact, have a health plan in her job ).

Most first world countries don't have this. It's not a given.

The US is usually a hot bed of experimentation in corporate malfeasance.

As an American, it's funny how ahead and "first world" the US can be in some things, but how backwards and "developing country" the US can be in other things.

Medicine itself is very first-world. But medical insurance is one of those "worse than developing country" things. The fact that Americans need medical insurance at all is appalling to many countries, first world and otherwise.

And of course, by funny I mean "I can only laugh otherwise I'd cry"

Which things are the US ahead in?

Good question. Technology, for one. Is it the first in technology? Probably not. But when comparing first world countries with developing countries, technology is where the US's economic output is.

And also military, though I'm not sure if that's something to be proud of.

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