If one doctor is rubber stamping 60,000 denials in one month, more than a dozen people are dying each rinse and repeat cycle.  Your math is a bit off.

QuoteTheir wealth has completely distorted their perception of reality.  And while they might pay lip
service to our concerns in order to placate us, never forget that their interests are fundamentally at odds with ours.

A carbon fiber cylinder filled with thick printed washers.  Twenty of them with holes larger than the projectile. Between the printed washers rubber washers made from a bicycle inner tube have an outside diameter that matches the tube.  The inner diameter matches the projectile diameter.  The printed washers have randomly oriented gas channels to absorb the back pressure and sound radiating from the hole the projectile passes through.  Two regular washers seal the ends with holes that match the plastic washer holes diameter.

Roll your own.

This is one of those situations where EVERYBODY KNOWS it's a racket, but the insurance companies simply pay lawyers to come up with new fine print or new procedures to circumvent regulations designed to protect the policy holders.  Then a couple of years are spent in litigation about the claim adjusting policies, and if they are found in violation they pay a fine and rewrite their procedures and go right back to denying claims based on the new system until somebody sues again, then rinse and repeat the whole game.  Meanwhile a few dozen people die, the company rakes in millions in premiums, the lawyers and managers get fat paychecks and the shareholders get a nice dividend.  Thus explaining why some policy holders have given up on getting help from the legal system and are investing in 3D Printers (ones that actually work).


RE

What, no silencer?

RE

Delay Deny Depose.

MOFO gets what I saved and earned in a lifetime in less than a week.  For supporting a system that exploits and kills. A system based on financial violence and financial murder..





When a stubborn pain in Nick van Terheyden's bones would not subside, his doctor had a hunch what was wrong.

A blood test in the fall of 2021 confirmed the doctor's diagnosis, and van Terheyden expected his company's insurance plan, managed by Cigna, to cover the cost of the bloodwork. Instead, Cigna sent van Terheyden a letter explaining that it would not pay for the $350 test because it was not "medically necessary."

The letter was signed by one of Cigna's medical directors, a doctor employed by the company to review insurance claims.

Something about the denial letter did not sit well with van Terheyden, a 58-year-old Maryland resident. "This was a clinical decision being second-guessed by someone with no knowledge of me," said van Terheyden, a physician himself and a specialist who had worked in emergency care in the United Kingdom.

Without enough vitamin D in the blood, the body will pull calcium from the bones. Left untreated, a vitamin D deficiency can lead to osteoporosis.

The vague wording made van Terheyden suspect that Dr. Cheryl Dopke, the medical director who signed it, had not taken much care with his case.

Van Terheyden was right to be suspicious. His claim was just one of roughly 60,000 that Dopke denied in a single month last year, according to internal Cigna records reviewed by ProPublica and The Capitol Forum.

The rejection of van Terheyden's claim was typical for Cigna, one of the country's largest insurers. The company has built a system that allows its doctors to instantly reject a claim on medical grounds without opening the patient file, leaving people with unexpected bills, according to corporate documents and interviews with former Cigna officials. Over a period of two months last year, Cigna doctors denied over 300,000 requests for payments using this method, spending an average of 1.2 seconds on each case, the documents show. The company has reported it covers or administers health care plans for 18 million people.

Before health insurers reject claims for medical reasons, company doctors must review them, according to insurance laws and regulations in many states. Medical directors are expected to examine patient records, review coverage policies and use their expertise to decide whether to approve or deny claims, regulators said. This process helps avoid unfair denials.

But the Cigna review system that blocked van Terheyden's claim bypasses those steps. Medical directors do not see any patient records or put their medical judgment to use, said former company employees familiar with the system. Instead, a computer does the work. A Cigna algorithm flags mismatches between diagnoses and what the company considers acceptable tests and procedures for those ailments. Company doctors then sign off on the denials in batches, according to interviews with former employees who spoke on condition of anonymity.

"We literally click and submit," one former Cigna doctor said. "It takes all of 10 seconds to do 50 at a time."

Not all claims are processed through this review system. For those that are, it is unclear how many are approved and how many are funneled to doctors for automatic denial.

Insurance experts questioned Cigna's review system.

Patients expect insurers to treat them fairly and meaningfully review each claim, said Dave Jones, California's former insurance commissioner. Under California regulations, insurers must consider patient claims using a "thorough, fair and objective investigation."

"It's hard to imagine that spending only seconds to review medical records complies with the California law," said Jones. "At a minimum, I believe it warrants an investigation."

You should wait until we know what printer made Luigi's gun.  That one worked pretty good.




    Last Updated: 10/20/2024

Glock 19 Frame dd19.2 STL Files
The FMDA dd19.2 3D Printed Glock Pistol Frame


Download

3D Printed Glock 19 Build Kit


Husky Armory's 3D Printed Glock 19 (FMDA DD19.2) kit includes everything you need to complete your 3D printed Glock frame.

Includes:

- Glock 19 'Iditarod' Slide Kit

- Lower Parts Kit

- Standard Glock 19 Sights

- Aves DD19.2 Rail Kit

- Aves Glock 19 Locking Block







By next Christmas the orange man will have so thoroughly boned America that the right kit will sell faster than a Chinese factory can make them.  There is your 'capitalist' adventure.

Then you can be like this guy.    Once you be rich.

Looks like Cuba is dropping off the map as a tourist destination due to the regularly scheduled blackouts which take out everything from A/C to ATMs, cell phone communications and their water and sewage systems.  Since tourism is one of the few ways Cuba gets FOREX with which to buy energy, this creates a positive feedback loop.  Less energy-->less tourism--->less money--->less energy, rinse & repeat.

Not surprisingly, there are now reports of civil unrest due to the continuing blackouts, along with increased crime on darkened streets.  The only thing surprising about this is how long it has taken for this type of social breakdown to take hold.

Other than reporting about the expanding problem though, nobody has offered up any solution to the widening crisis so the average Jose 6-pack gets to just twist in the wind as the country circles the toilet bowl of industrial civilization.  For collapse observers, it's a great window into the near future for many smaller and highly indebted countries like Greece and South Africa.  Still probably a few years away for the big economies like the FSoA and China, but it will get here in due time also.  Both countries have huge debt problems as well, but are TBTF and have some control over the availability of credit.  Not infinite control though.

In the meantime life in the Belly of the Beast is BAU, and most people look at what's happening in Cuba and think "it can't happen here".  They are in for a rude awakening when the time comes.

https://havanatimes.org/news/germany-issues-a-security-alert-for-travel-to-cuba/

Germany Issues a Security Alert for Travel to Cuba

RE

Well, I tried a few more times to print, and each time some problem occurred before the print was complete.  Here's a pic of 3 partially completed parts.



They offered to replace the print head, but I told them this printer blows chunks and I want it replaced with a different model, the Adventurer 4 Pro.

There are problems besides the print head getting clogged so I don't think replacing it will be sufficient.

I have made 3 more attempts to print objects, and not once has the printer completed an object before it detaches itself from the plate after about 20 minutes of printing.  Attached is a pic of 3 partially completed print jobs.  This printer is a piece of junk.

I would like to replace this printer with a different model, the Adventurer 4 Pro.  I will return the A5M in the packaging the A4P comes in.  If the A4P actually works, I will pay the difference in price, which is about $150 I have seen advertized.

I am attaching also the invoice from Amazon.

The A4P has been around longer so hopefully is better tested.  It also has a glass enclosed print bed, and my CAD program works with it directly so I shouldn't have to shuttle between programs importing and exporting .stl files..

We'll see if they go for the exchange.

RE

It took a while to develop the skill to use a piece of paper as a feeler gauge to space the print head above the print table correctly.  I had to feel all four corners and adjust a couple of Allen screws to get the table leveled and the print head spacing right.  Post-it-note paper worked well.  Not the sticky part.  Your machine should have a similar procedure.  There was a menu setting that moved the print head to the corners.