Slashdot Mirror


Facebook Photos Lead To Cancellation of Quebec Woman's Insurance

No. 24601 writes "A Quebec woman on long-term sick leave, due to a diagnosis of depression, lost her health benefits after her insurance provider found photos of her on Facebook smiling and looking cheerful at parties and out on the beach. Besides all the obvious questions, how did the insurance company access her locked Facebook profile?"

114 of 645 comments (clear)

  1. Is she really sure it was locked? by Mr.+Freeman · · Score: 5, Insightful

    First question, is she sure it was actually locked down? Some of those settings sound like nonsense to the non-technical.
    Second, is she the one that posted the photos? If someone else posted photos of her on a public page, anyone can see them.

    --
    -1 disagree is not a modifier for a reason. -1 troll, flaimbait, redundant, overrated are NOT acceptable substitutes.
    1. Re:Is she really sure it was locked? by sopssa · · Score: 5, Insightful

      Second, is she the one that posted the photos? If someone else posted photos of her on a public page, anyone can see them.

      Exactly, and because of tag-a-person-in-photo feature it's quite easy to find the photos too.

      She said her insurance agent described several pictures Blanchard posted on the popular social networking site, including ones showing her having a good time at a Chippendales bar show, at her birthday party and on a sun holiday — evidence that she is no longer depressed, Manulife said.

      This is evidence that she is no longer depressed? Depression is a lot deeper thing than that. Obviously you have happy moments and can smile on birthday party or on holiday. But in no way that mean that you really feel good and like that always. And I think you're supposed to try to have fun, so that said depression would actually go away.

      "We can't ignore it, wherever the source of the information is," she said. "We can't ignore it."

      Like a depressed person wants to always show everyone that she is depressed? Facebook isn't a complete picture in to your life. It is what the person posts there, and usually people like to make themself look good and not like a depressed wreck.

    2. Re:Is she really sure it was locked? by dmbasso · · Score: 5, Funny

      Nah, probably it was a female "friend" that handed her pictures to the insurance company.

      That reminded me of a joke where a man calls every of his wife's female friends, asking each one if she had slept over with them, and receives the same "no, not here" answer. Another night the reverse happens, and the wife call's every of her husband male friends. Everyone answer "yes, he was here all night" and five of them even responds "he's still here, in the bathroom"! :-)

      --
      `echo $[0x853204FA81]|tr 0-9 ionbsdeaml`@gmail.com
    3. Re:Is she really sure it was locked? by epiphani · · Score: 5, Insightful

      Like a depressed person wants to always show everyone that she is depressed? Facebook isn't a complete picture in to your life. It is what the person posts there, and usually people like to make themself look good and not like a depressed wreck.

      My best friend and my brother have both had severe depression problems. It is quite possible to be out and functioning at moderate levels of depression - talking, smiling, looking like you're enjoying yourself. I think one described it something like this:

      I was standing there having a conversation, smiling and laughing, while thinking about different ways I could kill myself to get out of that situation.

      So you know what, fuck you Manulife. You are in no situation to reverse a doctors' diagnosis based on some pictures you found on the internet.

      --
      .
    4. Re:Is she really sure it was locked? by KingSkippus · · Score: 3, Informative

      The women are brutally honest. The guys are covering for each other.

    5. Re:Is she really sure it was locked? by Anonymous Coward · · Score: 5, Interesting

      what do you mean locked down ? i used to work for a PI and we had access to everyones profiles all the time. facebook does not restrict information if you are a corp with a PI license. you dont need to friend anyone. its incredibly convenient. see the facebook tos :
      We may also share information when we have a good faith belief it is NECESSARY TO PREVENT FRAUD or other illegal activity, to prevent imminent bodily harm, or to protect ourselves and you from people violating our Statement of Rights and Responsibilities. This may include sharing information with other companies, lawyers, courts or other government entities.

    6. Re:Is she really sure it was locked? by Ruede · · Score: 2, Informative

      the male friends are real friends because they cover the ass of their friend that is supposedly in the bathroom of each of the 5 friend's. where at the same time the chicks dont do that for their female friend.

    7. Re:Is she really sure it was locked? by digitalchinky · · Score: 4, Informative

      Just to expand on the tag a photo thing...

      If your profile is completely private to me, but not to someone in my friends list - and you happen to tag a common friend for both of us in one of your own galleries, then that'll show up on my wall - I click on the picture and get full access to that particular gallery. (Maybe there's an option to stop it doing that, but I currently see it happening every day)

      Profiles aren't really private anyway, if you know the full link to a particular image then you can view it regardless of user settings. Where to get such links? All over the place. Proxy, cache, etc.

    8. Re:Is she really sure it was locked? by elecmahm · · Score: 5, Insightful

      I don't have severe depression, but that old black beast does occasionally roll around on me. At my worst time I would appear completely normal, and occasionally even have brief periods where I could smile and laugh. It just doesn't last though, when you're depressed. Shame on the insurance company, though. I think the most appropriate recourse would be to find the executives names on the annual report, look them up, and start rooting through their trash, and post anything embarassing found in a public place. Maybe even follow them around with a camera and record every little thing they do. If they want to invade privacy that much, then fair's fair.

    9. Re:Is she really sure it was locked? by Alef · · Score: 4, Insightful

      Exactly. The only effect this is going to have is that depressed people stay at home, never go to parties or beaches and make sure never to smile where they could be seen (in Sweden we have even had cases were insurance companies even hired private investigators hiding in the bushes with cameras). How is that for being counter-productive? One would think the insurance company would be interested in the person recovering. Isn't it a good thing she gets out in positive environments and tries to enjoy herself?

    10. Re:Is she really sure it was locked? by IWannaBeAnAC · · Score: 3, Insightful

      So if I get a doctors note for a sore back but Manulife have pictures of me enjoying a football match then they have no right to reverse the doctors' diagnosis?

      I think they should have no right to reverse the doctor's diagnosis. I think they do have the right to insist that you get another diagnosis from another doctor, and I think they do have the right to send the name of the doctor who performed the original diagnosis and the evidence to some kind of medical fraud tribunal. But I do not agree with a layman overturning an expert opinon. By all means question the qualifications of the expert, or second opinion, etc, but don't think that a layman knows best, even in cases where it would appear 'obvious'. In too many cases, 'obvious' turns out to be not obvious not at all.

    11. Re:Is she really sure it was locked? by AGMW · · Score: 2, Funny

      LOL - I sometimes have to work away from home and luckily the route passes close enough to my parents that I can call in and stay overnight.
      My (female) boss called home to talk about something or other and the wife picked up. She wasn't sure if it was OK that I stopped off at my folks so she said I was away on business but that she wasn't sure where I was which led my boss to believe that I was playing away.
      The conversation the ensued had both women covering for me and was, by both accounts, both anxious and hilarious!

      --
      Eclectic beats from Leeds, UK
      handmadehands.co.uk
    12. Re:Is she really sure it was locked? by RichardJenkins · · Score: 3, Funny

      I'm more interested in knowing how a picture of someone smiling invalidates an insurance claim for depression?

      * Miserable people can smile and look cheerful
      * Miserable people can go to the beach
      * People suffering from atypcial depression (Most people who suffer from depression do, despite the name) CAN actually be cheerful, and still be suffering from the illness.

      Last medical history I gave didn't involve facebook. It isn't a medical diagnostic tool.

      I'm outraged - and I'm not going to read the article in case it explains these points satisfactorily.

    13. Re:Is she really sure it was locked? by Narpak · · Score: 4, Interesting

      So you know what, fuck you Manulife. You are in no situation to reverse a doctors' diagnosis based on some pictures you found on the internet.

      Agreed. I wonder what that company would do with someone with say a bipolar disorder. "Oh he was exceptionally cheerful and friendly; therefore he can't possible have crippling depressive phases." Speaking from experience I can say that depression, at least in my personal experience and from dialogue with family members with a similar affliction, comes in varying intensity at sometimes random intervals. And during the summer months is it generally easier to have a prolonged positive phase, while during the winter the depressive phases can be harder to deal with.

      A cousin of mine killed himself at the age of nineteen; it came as a total surprise to everyone except his absolutely closes friends and relatives "he always seemed like he was in such a good mood" someone said about him afterwards. Society seems to pressure people into hiding these types of problems, or at least people with these types of problems tend to keep them to themselves. One of the very worst things that can happen is to not be believed, or have people belittle what they don't understand.

      I have no personal knowledge of this particular case, but this kind of shit from the Insurance Company in question can only add to problems that are already bad enough. Personally I hope the Canadian authority shaft this company hard.

    14. Re:Is she really sure it was locked? by Alef · · Score: 4, Interesting

      There have been several cases in Sweden were the insurance companies have been spying on the beneficiaries video taping them, then hired a doctor to claim that the person is healthy. The problem is, there are many doctors, and you can always find one that will disagree with the first one.

      If what you are suggesting is going to work, you would at least need some formalized appeals process, perhaps with government hired doctors from every medical field, that can review the cases from a neutral point of view.

    15. Re:Is she really sure it was locked? by hkmarks · · Score: 5, Insightful

      Absolutely. If she's depressed, going to parties and taking a holiday is only going to get her healthy faster. Staying home and moping will only make her depression worse. Antidepressants and having fun are roughly equally effective, and work far better together.

      (Not that plenty of people don't scam the system.)

    16. Re:Is she really sure it was locked? by Clover_Kicker · · Score: 4, Insightful

      One would think the insurance company would be interested in the person recovering.

      The insurance company doesn't care if you live or die, so long as they don't have to pay out.

    17. Re:Is she really sure it was locked? by Anonymous Coward · · Score: 3, Insightful

      Bullshit. I actually worked for Facebook for a while recently, and even employees don't have this kind of access.

    18. Re:Is she really sure it was locked? by davester666 · · Score: 2, Insightful

      But if she can be artificially made happy by booze, friends and hot guys for a few hours, it's logical to assume she is happy 24/7 at home...

      --
      Sleep your way to a whiter smile...date a dentist!
    19. Re:Is she really sure it was locked? by iamhassi · · Score: 2, Interesting

      "You are in no situation to reverse a doctors' diagnosis based on some pictures you found on the internet."

      Yep. Giant and easily winnable lawsuit in 3...2...1....

      Hell if we judged everyone by Facebook:
      --I'm a 26 yr old underwear model
      --I drive a Viper and vacation in Italy
      --My ex is a really nice girl
      --I spend 24 hrs a day playing Mafia Wars and Street Racing

      Obviously none of that is true

      --
      my karma will be here long after I'm gone
    20. Re:Is she really sure it was locked? by m.ducharme · · Score: 4, Insightful

      Insurance companies hiring private investigators to spy on their clients is fairly common in Canada, where the payout looks like it's going to be long-term or the client seems a little suspicious. It's kind of a "dirty tricks" thing to do, but it's not entirely unjustified, depending on the illness, and the circumstances. For example, since we brought in contingency fee arrangements, auto insurance lawsuits have increased dramatically, and claims for things like chronic pain syndromes and whiplash are skyrocketing. One reason Insurance companies pay for surveillance (and they do pay, it's not cheap) is that they often do catch people faking illness or injury.

      The irony is, of course, that depression is not one of the illnesses that people are likely to fake. There's still a strong stigma around mental illness here in Canada (and the US as I'm sure you can tell from the comments here) and people will go out of their way to avoid being diagnosed with depression or any other mental illness. To further compound the irony, the "chronic pain syndromes"* that so many people suffer from are quite often symptoms of depression. But the sufferer refuses to acknowledge even being depressed, so the doctors are limited to treating the symptoms (and eventually enabling an oxycontin habit).

      My experience with Insurance companies has been that most of them will pay out on medically supported depression claims for a certain amount of time (probably up to 2 years) and after that time they'll start snooping on the client; the rationale being that after two years, the client should have found a treatment that works.

      --
      Rule of Slashdot #0: You and people like you are not representative of the larger population. - A.C.
    21. Re:Is she really sure it was locked? by m.ducharme · · Score: 4, Informative

      I have some experience working with Insurance companies (in Ontario), and I can say that usually, if they're paying out on a depression claim, they do so with a certain amount of good grace, up to a point. If treatment goes on longer than, say two years, the company is going to get suspicious and nosy, on the grounds that after two years the patient should have found a treatment that works and be on the road to recovery. Depression is a treatable illness.

      This woman will either have an option to appeal the insurance company's decision, or sue them for the money. If all the company has is a few Facebook photos, they're not going to get very far against her. If, on the other hand, she's been depressed for 3 or 4 years, has been treated by her doctor and seeing a psychologist and psychiatrist for all those years, and she's still not better, they'll have a somewhat stronger case.

      --
      Rule of Slashdot #0: You and people like you are not representative of the larger population. - A.C.
    22. Re:Is she really sure it was locked? by skine · · Score: 2, Insightful

      Basically, dmbasso left out some details that help the joke make sense:

      That reminded me of a joke where [a woman stays out all night and] [her worried husband] calls every of his wife's female friends, asking each one if she had slept over with them, and receives the same "no, not here" answer. Another night the reverse happens[, where the husband stays out all night], and the wife calls every [one] of her husband['s] male friends. [Every friend] answer[s] "yes, he was here all night," and five of them even respond "he's still here, in the bathroom"! :-)

    23. Re:Is she really sure it was locked? by sjames · · Score: 4, Insightful

      But I do not agree with a layman overturning an expert opinon.

      IMHO, that sort of thing by insurance companies needs to be legally treated for exactly what it is, practicing medicine without a license. That is, a felony. In the rare instance that an insurance adjuster happens to also be a licensed M.D. unless they actually SEE the patient in person first it is malpractice and grounds for losing that license. Just like the "pain docs" that prescribe strong opiates sight unseen for the scam pharmacies.

      She was attempting to follow her doctor's orders and may even have been making progress. Then the insurance company did it's very best to send her back to square 1 or worse.

    24. Re:Is she really sure it was locked? by mikael_j · · Score: 2, Insightful

      You missed my point by about a mile.

      There are definitely painful injuries where proper rehabilitation includes exercise and by insurance company logic you're rehabilitated if you can exercise (even if the exercise results in increased pain in the short-term). Much in the same way that a depressed person may very well smile and be happy on occasion without having recovered from his/her depression.

      Here in .se there was a scandal dealing with a similar situation, insurance companies labeled people as frauds after PIs had photographed them grocery shopping. That would be like my boss firing me for going to the pharmacy when I've called in sick with the flu, just because you can push yourself hard enough to get something necessary done doesn't mean you're healthy enough to work.

      /Mikael

      --
      Greylisting is to SMTP as NAT is to IPv4
    25. Re:Is she really sure it was locked? by ubrgeek · · Score: 5, Informative

      As much as I think "there, fixed it for you" comments are moronic this time I had to: "Depression is usually a treatable illness." I have an aunt who has been suffering with post-partum depression for more than 15 years. She's gone through treatment. She's tried dozens of medications. She goes through the highs and lows that I guess are not uncommon with depression, but the highs rarely last. Thus far, treatment hasn't been able to do anything.

      --
      Bark less. Wag more.
    26. Re:Is she really sure it was locked? by saleenS281 · · Score: 5, Informative

      You're correct, ALL employees do not have this access. Given you worked there for "a while", I highly doubt you would've fallen into the category of those who do have that access. I can assure you that Facebook has the ability to give the proper authority any and all access to anyone's account hey so choose.

      The receptionist at a bank doesn't have access to everyone's accounts. The teller does. I'm not sure why you would be surprised that access is granted on a need-to-have-it basis at facebook, just like most every other successful business in the US.

    27. Re:Is she really sure it was locked? by m.ducharme · · Score: 4, Insightful

      IANAL, but I did work as a clerk in a law firm that defended insurance companies, and I am a law student. Investigators may take surveillance of claimants from off the claimant's property. They may not pass on to the claimant's property, take images of the claimant inside their home, tap phone lines. When recording video they may not record audio of the claimant simultaneously. In fact audio recording in public is a no-no as well.

      Basically, the law behind this is the notion that you have no expectation of privacy outside of your own home, but you do have a strong expectation of privacy inside that home. Keep in mind, this isn't a particularly new law, it seems to have roots in the common law and might predate large-scale insurance consumption by the masses (but I'm not going to do the research right now to back this up, so don't nit-pick me on this, mkay?).

      Who does it benefit? It benefits insurance companies to some extent, Google Streetview teams, and other people with an interest in recording what's going on in public. It benefits shopkeepers who can put up CCTV cameras pointing outside their stores for security. But your implication is right, it doesn't benefit everybody. But don't make the mistake of thinking that the Insurance companies bought and paid for these laws, they didn't (though they may stump up good money if those laws get threatened).

      DISCLAIMER: I'm not a lawyer, the above are not legal opinions, if you want a legal opinion please go talk to your lawyer!

      --
      Rule of Slashdot #0: You and people like you are not representative of the larger population. - A.C.
    28. Re:Is she really sure it was locked? by m.ducharme · · Score: 3, Insightful

      Normally nitpicking drives me up the wall, but given the subject, I must say only this.

      Sorry, of course you are correct.

      --
      Rule of Slashdot #0: You and people like you are not representative of the larger population. - A.C.
    29. Re:Is she really sure it was locked? by Mashiki · · Score: 3, Informative

      Bullshit. I've got my PI license in Ontario. Why? Because it was an extra $80 on top of my $80 for my security licence and you'd be stupid not to pay for it. I don't get any special perks and I still have to follow every single law in existence in Ontario, and the rest of Canada. In fact they sent me an extra special booklet saying what I can, and can't do.

      Having a PI licence does not entitle you to violate the law. You're just a normal citizen with an extra bit of paper up here, with more responsibility, being even more closely monitored.

      --
      Om, nomnomnom...
    30. Re:Is she really sure it was locked? by AlamedaStone · · Score: 3, Insightful

      But if she can be artificially made happy by booze, friends and hot guys for a few hours, it's logical to assume she is happy 24/7 at home...

      It only seems logical if you have no understanding of mental illness. With a little effort you find that ignorance masquerading as logic is a poor substitute for real knowledge.

      --
      "All these years believing you're the signified monkey, only to find out you're just a big hunk of nobody cares."
    31. Re:Is she really sure it was locked? by rochberg · · Score: 2, Informative

      According to the article, she'd been on leave for a year and a half since being diagnosed. Then her payments just stopped coming with no notification. She had to call the company to find out why, and, at that point, they informed her that she was doing well enough to work. In response to the article, the company put out a written statement that they do not cancel policies based solely on Facebook.

      Either there's more to this case than what is being reported, or this company needs to get nailed to the wall.

    32. Re:Is she really sure it was locked? by 93+Escort+Wagon · · Score: 4, Insightful

      Yeah, having dealt with a family member who suffered through clinical depression for several years - I can say with certainty that very few of the posts in this discussion show any knowledge of the disease whatsoever. Especially those that are claiming "going out and doing fun stuff" will have any affect on the disease whatsoever.

      Clinical depression has very little to do with what people normally experience when they're "feeling depressed".

      --
      #DeleteChrome
    33. Re:Is she really sure it was locked? by Hognoxious · · Score: 2, Funny

      I wonder what that company would do with someone with say a bipolar disorder.

      Half the time they pay up, half the time they send a mailbomb?

      --
      Confucius say, "Find worm in apple - bad. Find half a worm - worse."
  2. Her lawyer should pursue this. by Anonymous Coward · · Score: 5, Informative

    *sigh* Well, speaking as a depressive I can say that a good part of the treatment that a psychiatrist suggests to their patients, besides their antidepressants, is to engage in social activities outside the home. They also say that staying cooped up at home and failing to get out can lead to a relapse and readmission to hospital. The Insurance company is not licensed to practice medicine, only to read a doctor's diagnosis and pay what's due.

    1. Re:Her lawyer should pursue this. by JohnFluxx · · Score: 4, Insightful

      And you are hardly going to be post pictures of when you're unhappy, and people tend to smile just for photos, so you get a selective image of someone.

    2. Re:Her lawyer should pursue this. by Anonymous Coward · · Score: 3, Insightful

      I have suffered from depression at some times in my life.

      I found that you 'put on a face' sometimes to live a normal life. People around you don't want to see people with a miserable expression, talking in a depressive way and acting depressed all the time.

      The way we appear look socially is virtually never a direct reflection of the way we really feel, for anyone, depressed or not. We choose how much of what we really feel we communicate to others. If this were not the case then it would be impossible even to go shopping while clinically depressed.

      If the social situation calls for smiling and looking cheerful, well, that's what you do.

    3. Re:Her lawyer should pursue this. by Tim+C · · Score: 5, Informative

      Not to mention that a very close friend of mine has serious depression (she's not so bad at the moment, but has been hospitalised for her own safety before), and she can sound absolutely fine on the phone in the morning, and be totally withdrawn and uncommunicative in the afternoon. She can also be on a serious downer, yet sound fine on the phone to other people - in other words, put a brave face on things.

    4. Re:Her lawyer should pursue this. by X10 · · Score: 2, Funny

      Apparently, the insurance company people are masochists. They want the woman to stay home and get even more depressed, so they can pay her more money.

      --
      no, I don't have a sig
    5. Re:Her lawyer should pursue this. by commodore64_love · · Score: 3, Insightful

      So will this new "no denial for existing conditions" Congressional law stop this stuff from happening? I hope so. I understand insurance companies need to watch out for fraudsters, but they should have more evidence than "we saw her smiling" to deny coverage.

      --
      "I disapprove of what you say, but I will defend to the death your right to say it." - historian Evelyn Beatrice Hall
    6. Re:Her lawyer should pursue this. by NotBornYesterday · · Score: 2, Insightful

      She could do that. Chances are that the insurance company would a) offer her a lowball settlement to see if she will bite and hopefully lessen the bad press they get, and if it goes to court they will b) stonewall her, drag out the case, file continuances, and (if they lose) launch an appeal process that will either bankrupt her or force her to go back to work.

      Even if the lawsuit only takes a year, how is she supposed to live? They've taken away her disability, and what other income does she have? If she tried to get a job, what does that do to her chances of winning the lawsuit?

      --
      I prefer rogues to imbeciles because they sometimes take a rest.
  3. Well yes... by Gordonjcp · · Score: 2, Insightful

    ... because people with depression must wear black on the outside, as black as they feel on the inside.

    Yet another reason why private healthcare must be stopped. Curing people doesn't come into it - it's about keeping them sick enough to stay profitable.

    1. Re:Well yes... by MoeDumb · · Score: 4, Funny

      "Yet another reason why private healthcare must be stopped." That's a reason to destroy the greatest healthcare system in the free world? Where are mod points when you need them.

      --
      Mod Me Up. You'll make a grown man cry.
    2. Re:Well yes... by 4D6963 · · Score: 2, Insightful

      Curing people doesn't come into it - it's about keeping them sick enough to stay profitable.

      No, it's about taking the money of the healthy people and finding any excuse to get rid of the sick (cause they cost money). What you said doesn't make any sense.

      --
      You just got troll'd!
    3. Re:Well yes... by Pyrion · · Score: 2, Insightful

      He's confusing insurance companies with pharmaceutical companies. Insurance companies want you to stay as healthy as possible requiring as few doctor's visits, treatments and prescriptions as possible for them to stay profitable. Pharmaceutical companies want you to stay as sick as possible while only providing marginal, long-term treatment (almost never a flat-out "cure") for them to stay profitable.

      --
      "There is much pleasure to be gained from useless knowledge." - Bertrand Russell.
    4. Re:Well yes... by Dunbal · · Score: 4, Informative

      Yet another reason why private healthcare must be stopped. Curing people doesn't come into it - it's about keeping them sick enough to stay profitable.

            As a doctor I am disgusted by your remark. There's something called the Hippocratic Oath, you know. Insurance companies also have a vested interest in insuring only healthy people. Now I can't vouch for our cousins in the pharmaceutical industry who have ALWAYS been about the money, and make no allusions otherwise (hence their use of the Caduceus - the staff of Mercury god of Business, rather than the Asclepius or "healing" staff we doctors use). After all, the ideal situation for them is for all patients to become chronic, pill taking customers.

            But those of us who actually provide the healthcare ONLY have the patient's full recovery in mind, when that's possible. The only thing we have to balance here is our own personal lives and time (doctors are people too - we have families, we have hobbies, and we get stressed - especially since most patients are ungrateful and we rarely hear the words "thank you" when we do our job well: we're just "expected" to do it). Being realistic, however, it's not always possible to "cure" everyone.

      --
      Seven puppies were harmed during the making of this post.
    5. Re:Well yes... by commodore64_love · · Score: 2, Insightful

      >>>"Yet another reason why private healthcare must be stopped."

      Why? So we can switch to a government system where they ration care, like sayng, "Raise the mmamogram age from 40 to 50," and "We don't need annual PAP smears. Every three years is good enough." That last one really bother me because it reminds me of the story from the UK, where a college aged woman was told "no" every time she asked for a PAP smear *even though he grandmother and mother* had cervical cancer, and therefore she was high risk.

      She then developed cervical cancer at age 25 and died shortly thereafter. Government rations. That's the whole reason why "NICE" exists in the UK - to deny care.

      --
      "I disapprove of what you say, but I will defend to the death your right to say it." - historian Evelyn Beatrice Hall
    6. Re:Well yes... by Dunbal · · Score: 4, Interesting

      That's a reason to destroy the greatest healthcare system in the free world?

            How does Cuba come into this?

            You think I'm joking, but for the dollars invested per capita, Cuba has the greatest health care system in the world. Look it up.

      --
      Seven puppies were harmed during the making of this post.
    7. Re:Well yes... by Nuskrad · · Score: 2, Insightful

      Or possibly, it's because the scientific evidence shows that reducing the screening age doesn't make much difference in reducing cancer rates, and the number of false positives at younger ages means that more people would have to go through lots of unnecessary stress and months of tests and unnecessary, potentially harmful treatments. It doesn't have anything to do with money.

    8. Re:Well yes... by odourpreventer · · Score: 5, Informative

      > why people say the U.S. has the best healthcare in the world

      Then why is USA ranked 37th in the world, whereas UK is ranked 18th?

    9. Re:Well yes... by jo_ham · · Score: 2, Insightful

      Ahaahahahahahahahahaha. Oh wait, you were serious, let me laugh even harder.

      Private healthcare is a very, very, very distant runner up to a properly managed universal system. Just ask someone in France or Sweden or Cuba (or gasp, even in the UK if they'd actually fix it properly) if they'd trade for the private system as it exists in the US.

      There's a reason the US is ranked 67th on the list.

      "Greatest healthcare in the free world, if you ignore the 66 other countries above us!"

    10. Re:Well yes... by commodore64_love · · Score: 2, Interesting

      I accepted that argument the first time about mammograms. It sounded reasonable that they based their recommendation on science.

      I did Not accept that argument the second time.

      Especially since the second time mirrors so exactly that story from the UK about the college-aged woman being denied a PAP smear, and then dying as a result of the undetected cancer. They DO ration care in the UK - there's no denying the obvious.

      --
      "I disapprove of what you say, but I will defend to the death your right to say it." - historian Evelyn Beatrice Hall
    11. Re:Well yes... by odourpreventer · · Score: 3, Insightful

      Because those rankings are based upon OPINION

      Yeah, because the World Health Organization bases its studies on opinion. *snark*

      Besides, you're saying that because US citizens have a slightly higher chance of surviving cancer, USA has the best health care system. Please excuse me if I'm not impressed.

    12. Re:Well yes... by anyGould · · Score: 2, Insightful

      now now, no one wants to destroy the Canadian healthcare system

      No-one except American owned insurance companies. And American fan-boy politicians. And locally, the rednecks who figure that since they've never been sick a day in their 20-year-old lives, they shouldn't have to pay taxes for healthcare.

    13. Re:Well yes... by u38cg · · Score: 2, Insightful
      Please do not attempt to argue your point by using selected stories. I can assure you I can dig up as many horror stories due to the use of private medical care as from public. You may be right, but you would be better off citing statistical outcomes and population data. For any large population there will be a small number of individuals whose experience is many, many standard deviations away from the norm.

      The purpose of NICE is not to deny care, but to study the cost-benefit ratio of treatments. If a drug costs fifty thousand pounds a year to treat an otherwise fatal condition, there are half a million patients for whom its use is indicated, and it will save five lives, should it be used? Every system denies some level of care: the question is how and under what circumstances it happens.

      --
      [FUCK BETA]
    14. Re:Well yes... by sjames · · Score: 5, Interesting

      My guess would be because the cure rates above are based on those who get treatment at all. Those who don't aren't counted. Only one of the systems listed above has people not get treatment once symptoms become apparent.

      That and a carefully chosen ailment. Prostate cancer is generally slow. Watchful waiting is often advised for older patients.By the time it might cause death it will be a race between that and other ailments. If you're in the U.S. you'll get heroic (and expensive) efforts to make sure it's one of the other conditions that kills you (a month or 2 later while your quality of life sucks from the cancer treatment). It's a matter of having 3 more decent months of life or 5 more crappy months.

      As for the wait times, in the U.S. if you are uninsured or your condition is "pre-existing", the wait time is effectively forever.

    15. Re:Well yes... by sjames · · Score: 4, Informative

      Care is rationed in the U.S. as well, only the rationing doesn't necessarily take actual need (statistical or otherwise) into account. For every case like the U.K. woman you mention, there's several more where an under-insured American didn't see a doctor at all until too late because it was just too expensive.

      The U.K. has nice, we have "insurance adjusters" whose job is to find excuses for not paying.

    16. Re:Well yes... by AK+Marc · · Score: 2, Insightful

      Yeah but if you save $1000/year over 80 years of life, then you'll have $80,000 in the bank, or $200,000+ with compound interest, and can easily afford to replace the burned-out shell. You don't need the insurance scammers.

      It's a good thing that no one has a fire until they are 80.

  4. How? Could have been any "friend" by danerthomas · · Score: 2, Insightful

    Suppose she has friended coworkers who know that she is collecting disability pay for depression but is posting party pics. Or suppose that the pics were posted by others who have not limited access to them. If she is tagged and the photos aren't actively blocked to outside viewers, they are fair game.

  5. Well.. by mutube · · Score: 5, Funny

    I guess she's feeling pretty depressed right now. Does that mean she can have the insurance back?

  6. If she wasn't depressed before she must be now by thetoadwarrior · · Score: 3, Insightful

    Facebook has so many little loopholes and you can be sharing information without realising it. I know a few people who think their accounts are locked down andyou can't view anything from their profile page. However their photo albums show up in other areas even if you can access it from their profile page. I assume they've not set the right settings for that particular album.

    This is why I don't use my real name on Facebook or use my exact location. It may mean friends, relatives, etc find it harder to find me but if I want to speak to them then I'll look for them.

    1. Re:If she wasn't depressed before she must be now by thetoadwarrior · · Score: 3, Interesting

      Luckily, I've not really felt the need to add relatives to Facebook. It's mainly people I know from various forums and they don't know much more mainly because I wouldn't be silly enough to mention something like my employer's name on something like Facebook.

      I think something like Facebook can be good but too many people think it's private. If you view it as never being private then you're probably going to be fine.

  7. Evil by Aldenissin · · Score: 5, Insightful

    Evil insurance company, plain and simple. I am not saying that they all are, but this is beyond grasping at straws. This is healing someone because they are sick, and them kicking them to the curb and throwing them out because they show signs of recovery. She should sue them for making the depression worse. We should get together and figure out how to draw enough attention to put a stop to this, and make an example for other insurance companies.

      This is a prime example why I don't think capitalism alone has all of the answers. If A needs B and C to prosper, and C needs A & B, A will rape B dry until C is so bad off that it is also hurting A. How does this make sense?

    --
    Like a city whose walls are broken down is a man who lacks self-control.
  8. Not Surprising by eldavojohn · · Score: 4, Insightful

    She also doesn’t understand how Manulife accessed her photos because her Facebook profile is locked and only people she approves can look at what she posts.

    Oh, please, you're talking to a generation that grew up watching Dateline and 20/20 where insurance companies hired private investigators to stalk people who would do the following:

    1. Bring a flask of water or oil into Walmart or some supermarket.
    2. Covertly empty it onto the floor.
    3. Come back minutes later to 'slip' on said spill.
    4. Sue the hell out of the store and claim crazy grief and pain charges in court.

    So then you'd see the companies hiring PIs to track the people (who allegedly could barely move) tearing it up at Disney World. Yeah, scam artists and fraudsters.

    You shouldn't be surprised to see insurance companies being very proactive in their searches to follow up on people. I cannot say whether or not she is legitimately getting the short end of the stick or if she's defrauding the company. Sounds like the former. If she had made claims that she never smiled and couldn't go out in public due to depression then she might have problems. Why doesn't she just get her doctor to send a note to her insurance company explaining that people suffering from this magnitude of depression (and those recovering from it) can force themselves to smile for a picture? I mean, it's likely that the insurance company got tired of paying sick leave for depression unless it could be shown to be a chemical imbalance they probably were just looking for any reason to have to stop forking over pay.

    Personally, I was offered $250 by my company's health insurance plan if I signed something that said I had not used tobacco products in the past 6 months. I hadn't but a few years ago I had (what I was told) were Cuban cigars in Mexico. Those friends put pictures of me on Facebook smoking them. So what? Well, if they found contrary evidence to my claim, I faced having my insurance terminated. Not worth the $250. Be aware of what Facebook puts on display for the world--even if you think it's private it's usually not. I mean, it could be as inane as some coworker who doesn't like her sees her other friend at work tagged in a photo with 'depressed' coworker on leave and decided to copy what photos they could see and forward them on to the insurance company?

    --
    My work here is dung.
    1. Re:Not Surprising by RealGrouchy · · Score: 3, Interesting

      I'd love to hear the insurance provider, in court, try to prove that said picture actually had been taken within the past six months.

      The insurance company has all the power. All they have to do is cancel your insurance, citing the photos. It's up to you to haul them to court, which would likely take a lawyer costing a lot more than $250.

      - RG>

      --
      Hey pal, this isn't a pleasantforest, so don't waste my time with pleasantries!
    2. Re:Not Surprising by joebagodonuts · · Score: 3, Interesting

      "were just looking for any reason to have to stop forking over pay." And therein lies an issue. I pay them to "fork over pay" when I need it. Period. They advertise such a product and sell it to me. This is an example of bait-and-switch, and all too common. I'm buying health-care insurance. I didn't buy a "chance to maximize profits for the shareholders and executives of a publicly traded company".

      There is quite a bit of money to be made as an insurance provider. Enough that it would be attractive even if it wasn't publicly traded. A turn-a-profit-at-all-costs attitude doesn't serve the customer. Capitalism uber alles doesn't seem to serve me as well as I thought it would when I was younger...

      --
      "Give a woman two glasses of wine and some pad thai, and they'll agree to just about anything." the Sports Guy
  9. Depressed or Bi-Polar? by Xeleema · · Score: 5, Insightful

    after her insurance provider found photos of her on Facebook smiling and looking cheerful at parties and out on the beach....

    Well, she was on benefits because she was diagnosed as depressed, and it's already been said that any psychiatrist worth their salt will tell you to get yourself out there and at least *try* to have a good time.

    But seriously, this is a bit out of hand, hasn't anyone at her insurance carrier ever had a picture taken? What does the photographer usually scream at you?

    SMILE!!!

    --
    "When I am king, you will be first against the wall..."
  10. As someone that suffers from depression too.. by malkavian · · Score: 5, Insightful

    I think this could rebound terribly (and rightfully) on the insurer.
    The worst thing for a clinical depression is to stay closeted away. In the UK, there is no "social prescribing", where a GP may decide that the root of your troubles are a social disconnection. This disconnect raises stress, and is a sizable aspect in depression.
    Rather than pump people full of antidepressants, they prescribe you a visit to a local social group that is ratified as being suitable for this (can be activity groups, plain social groups, heading to a gym, or whatever would best fit the person that's available).
    This has had marked benefits to many that use the service.
    Depression is always a fight, and when you fight it best, there's always a time that you smile. It may not last for long, but every point you can laugh and be brought out is an absolute gem. And there's no surprise that mates will take a pic of you when you're smiling and paste it on Facebook, rather than ones of you looking glum and disconnected.
    One of those gems, for me, was years ago, just after my brother had had a massive car smash that left him on life support. One of my friends had first been blunt (there's nothing you can do, so get on with life while this goes on and things work themselves out), then actually managed to get me out and make me laugh. For just a minute; epic effort on his part, but it gave me a moment's respite, for which I'm eternally grateful.
    Now, if anyone had dared to say to me in that minute or two of respite that I wasn't upset, torn up and terrified, I'd have torn them several new ones, and stomped on the pieces until the men in white coats dragged me off.
    Smiling pictures of a depressive are not evidence they're not depressed. They're evidence that they have a good support network of people who are prepared to do the heavy emotional lifting to keep them going..
    Cutting the insurance is going to make anyone depressive (or recovering depressive) fall far back down the treatment path..
    Wouldn't be surprised to find this one in litigation sometime soon.

    1. Re:As someone that suffers from depression too.. by Archon-X · · Score: 2, Informative

      Side note: Not all depression meds are 'hard'.
      Check out something like Zoloft, which works to balance the level of seratonin, to work to fix the problem, as opposed to a med that simply 'props' you up.
      I had similar issues years ago, found Zoloft was a good fit for a few reasons:
      1) As mentioned above, it helps fix the cause, not the symptoms
      2) Taking anti-depressives is depressing. Taking one you know won't fuck you up helps lessen the blow.

      Chat to a sensible doctor. There may be something that fits you.

    2. Re:As someone that suffers from depression too.. by SetupWeasel · · Score: 2, Interesting

      I've been on antidepressants. When one worked well for me, I was not an emotional zombie. The depression made me an emotional zombie, and the antidepressants helped that.

  11. Insurance companies aren't doctors by Pedrito · · Score: 2, Insightful

    This is a HUGE part of the current problem in the States with health insurance. Health insurance companies are not doctors. You can't make a diagnosis by looking at pictures on someone's facebook account. They teach you that in medical school, I think. I'm all for the public option myself, and I hope it puts the health insurance companies out of business. Frankly, I think anyone who works for an organization as corrupt as an American health insurance company, has it coming, because nobody who works for one can possibly claim ignorance to the crap that goes on with them.

    1. Re:Insurance companies aren't doctors by PNutts · · Score: 2, Insightful

      This is a HUGE part of the current problem in the States with health insurance.

      It was already pointed out this incident is in Canada. Moving on...

      Health insurance companies are not doctors.

      No, but in the US they typically have doctors on staff.

      You can't make a diagnosis by looking at pictures on someone's facebook account.

      Congratulations, you got one right.

      They teach you that in medical school, I think.

      I assume that is a first year course? You gotta weed out the slow ones somehow.

      Frankly, I think anyone who works for an organization as corrupt as an American health insurance company, has it coming, because nobody who works for one can possibly claim ignorance to the crap that goes on with them.

      You didn't go into much detail but it certainly can't be the profits since Farm and construction machinery, Tupperware, the railroads, Hershey sweets, Yum food brands and Yahoo are all more profitable than the health insurance industry: http://news.yahoo.com/s/ap/20091025/ap_on_go_co/us_fact_check_health_insurance I would start with the financial institutions that nearly plunged the US into another great depression. Also at the top of my list would be the companies that poison people by contanimating the air/ground/water. Companies like Wal-Mart with illegal business practices that take advantage of workers is also a good start. And don't get me started on the telco's and cable TV. And yes, the employees can claim ignorance because of some little things called federal laws that protect patient's information. The guy managing the routers does not know about Ms. Anderson's implants (ok, bad example but a lovely mental image). Heck, I know an Enron programmer who thought they were visionary until the wheels fell off.

    2. Re:Insurance companies aren't doctors by zippthorne · · Score: 2, Funny

      Yeah, we should pattern our health care system on Canada's. That way we won't get situations like what affected this Quebec woman.

      --
      Can you be Even More Awesome?!
  12. The agent's no expert. by TheLink · · Score: 4, Insightful

    Yeah.

    A cancer patient might be rather sick, but make an extra effort for special events.

    What next? They're going to cancel insurance for cancer patients if they look like they're better?

    An insurance agent is unlikely to be an authoritative expert on medical matters (or in the rarefied field of "psychiatric diagnosis via facebook photos") - they may know some stuff (just like I do), but when it comes to a court case or other legal stuff it should not be their call to make. If the insurance company has doubts they should insist that the policy holder be examined by a certified expert in the relevant field. After all, it's not unusual that you have to go for a medical examination when you sign up for certain sorts of insurance. They don't just leave it to an insurance agent to say "hmm she looks ok to me".

    Too bad if her case is genuine she'll likely be too depressed to sue them (unless she can afford her meds and is still taking them).

    --
    1. Re:The agent's no expert. by m.ducharme · · Score: 4, Informative

      Keep in mind that this is a Canadian woman, so her insurance is going to look different than what you're used to. She's being insured privately for the time she misses from work, not for the treatment of the depression. The depression treatment is covered under her provincial health care. Here in Ontario that would mean she's covered for her doctor's appointments, regular appointments with a psychiatrist, access to free counseling if she's near a Community Mental Health Centre, and if she can't afford her meds there's a public drug plan with a $200/year deductible. I would imagine that Quebec's health coverage is better than Ontario's, and she might get her drugs covered %100 there.

      The private insurer (depending on what kind of insurance it is) would cover a percentage of her lost income, travel to and from medical appointments as needed including travel to out-of-town clinics or treatment centres, etc.

      As for whose call it is, you're right. Generally the Insurance companies won't cut payments unless the patient has been non-compliant with treatment or they have a doctor's opinion supporting their position that she's better/should be better/faking. In this instance (I guess, I haven't RTFA) either they have other evidence or their jumping the gun.

      --
      Rule of Slashdot #0: You and people like you are not representative of the larger population. - A.C.
  13. I wonder if the opposite is true? by KingSkippus · · Score: 3, Interesting

    If Facebook photos are the standard by which we're judging whether or not people should be paid insurance claims for being depressed, I wonder if I can use that?

    No, I'm not depressed. I mean, I have ups and downs like everyone else, but I don't think it's so severe to be classified as a medical condition. Still, I could certainly churn out a few photos when I'm feeling down one day and post them. Then maybe I could call my insurance company and tell them, "See? I'm depressed! It's right there on Facebook!"

  14. In my experience, by JRHodel · · Score: 4, Informative

    people with depression, even deep depression, can smile, laugh, and be outgoing right up until the moment they commit suicide.

    It's part of the syndrome that they want to act like a natural, happy person, even if they're on a brink - no matter what. Many won't admit they're ill until fatal results happen.

    Insurance companies shouldn't have anything to do with diagnosis, they aren't qualified (not being doctors), and they have a conflict of interest, making money by denying illness. Frankly I think making money by denying health care to people is nearly as unethical as just shooting them up front.

    --
    Think of the Irony!
  15. Depression doesn't work that way. by tepples · · Score: 2, Informative

    Unless of course you argue that depression doesn't work that way.

    It doesn't. Everyone has periods of highs and lows. A person with major depressive disorder has highs, as seen on Facebook in this case, but the highs are so short and the lows so long and deep that they interfere with the patient's ability to function for a significant period of time.

  16. Re:Troll me all you want. by betterunixthanunix · · Score: 5, Insightful

    Some people are not as able to cope with depression as you claim to be. I have a few friends who suffer, and if they were not receiving medication and therapy, they would never have the will to see daylight, let alone accomplish anything. For them, it is not a matter of biting the bullet, they need help, and thankfully they receive it.

    --
    Palm trees and 8
  17. Re:Troll me all you want. by tjstork · · Score: 3, Insightful

    I have a few friends who suffer, and if they were not receiving medication and therapy, they would never have the will to see daylight, let alone accomplish anything

    I'm not biting the bullet by myself. Wellbutrin is the greatest thing ever invented and I've got no problem writing out the 2 cents per paycheck to the FEds or my insurance so that people that need psych meds can get them. Without meds, its just aweful.

    --
    This is my sig.
  18. Re:Then you can work, thief! by instantkamera · · Score: 5, Insightful

    from my post on TFA:
    Here's the thing, it doesn't really matter if she is plain old lazy, or truly depressed.
    The issue here is that the insurance company is making the call, and it is not their job to make that decision.
    The insurance company's job is to collect premiums and pay out when the doctor says "this person has a bad back" or "this person has a broken leg" or "this person is clinically depressed".

    It is my assumption that this woman has regular meetings with a doctor at which time she is assessed to see - "is she still depressed?", "Has there been any improvement?", etc.
    THAT is the ONLY information the insurance company needs to make their decision.

    Anything else, such as info from FACEBOOK, does not tell the whole story, hell, it might not tell ANY part of the story. It may be irrelevant, and it may just be misinterpreted completely by someone who lacks the professional designation to be making decisions and pointing fingers in the first place.

    The insurance company no doubt will argue that the have to "protect their assets" and that "people scam insurance co. all the time". While that is no doubt true, we must not forget that the insurance companies make plenty of cash by ripping people off on a daily basis. It's a two way street.

    Bottom line, insurance companies HAVE to take the advice of "trusted" professionals, trusted or not, really. That is why we have doctors and lawyers etc - we must have someone who has the proper knowledge to make the ultimate decision.

    If they want to save money so bad, they can start by firing the person that is paid to browse facebook.

  19. Re:A great fraud story! by mikael_j · · Score: 4, Insightful

    As someone who has known several people with depression and bipolar disorder I'd like call bullshit on your kneejerk "FRAUD!" conclusion.

    Most people with depression can be just fine for an hour or two and then spend a long time not even leaving their bed, those who are bipolar can be even worse, they'll be at a party having a blast and in just a few minutes they'll switch over to seriously contemplating suicide right then and there.

    And even discounting this and trying to look happy for everyone else's sake there's also the fact that a lot depressed people do seem to really value those times when they can shake their depression for a few minutes or hours, and guess which image of themselves they'd rather show friends and family...

    /Mikael

    --
    Greylisting is to SMTP as NAT is to IPv4
  20. Re:Not health benefits, disability by Delkster · · Score: 2, Interesting

    And if I were the insurer, I would question that if someone is functioning well enough to go on vacation, to go out to a bar with friends, etc... is ready to go back to work.

    If I were the insurer, I might do the same, but only because it would be in my selfish interest. It would still be either ignorant or dishonest and shouldn't be allowed.

    As many others have already pointed out in various ways, a majorly depressed person can easily have a good moment. The thing is, even if she has a good moment of 15 minutes, the rest of the 23 h 45 mins of the day she might still be disfunctional. She might even have decently good full days if her friends take her for a trip and get her involved in a lot of fun stuff, making her forget about her problems for a moment. That doesn't make it last or mean that she'd be fine or able to function normally in normal everyday life. That makes a major difference. Depression may not make you unable to laugh at a joke, but that doesn't make it any less of a problem -- you can't live laughing at a joke all the time.

    Of course major depression tends to come with major drop in motivation to do anything, so you might think something requiring arrangements such as a vacation might be out of reach for a majorly depressed person. After all, she'd have to find the motivation to get through the arrangements, choosing a place and activities etc. to actually get out for a vacation, right? Well, maybe she just has good caring friends who arranged it for her.

  21. We're not getting the whole story here by 91degrees · · Score: 2, Interesting

    The insurance company knows full well they'd be in serious trouble if they used a claim of "you look happy so can't be depressed". They know depression is a medical condition.

    Here's what I think happened; a co-worker got annoyed with her being on sick leave for such a long time. She grabbed some photos from facebook and sent them to the insurance company with an email saying "See! She's not depressed". The insurance company thought there was probably justification for some sort of investigation. They investigated. They pulled the medical records and their doctor decided that based on the objective evidence there was no reason she was still entitled to sick pay.

  22. Re:Then you can work, thief! by lordsid · · Score: 2, Interesting

    The parent wasn't complaining about the insurance companies being robbed. It is your co-workers who pay for your insurance when you cannot. If enough people are so "depressed" that they can't work the insurance company will adjust its rates if it continues long enough. That is exactly why your insurance goes up, because your company is costing the insurance company more to cover you.

    While I agree an insurance company has no business using Facebook for determining a case they do have the right to investigate fraud. Keep in mind insurance companies have a whole slew of their own "trusted" professionals that are on their pay role and look after their best interest, not the insured's.

    --
    IMAGE VERIFICATION IS EVIL!
  23. That's depressing! by tomhudson · · Score: 5, Insightful

    You know when the most dangerous time is for someone who has suicidal tendencies. It's when they cheer up - it might mean that they've made the final decision to end it all. They'll be happy, smiling, giving away their stuff, party-party-party - and then they kill themselves.

    Not only can you not diagnose whether someone's suffering from depression (it's NOT "gee, I'm depressed") by just looking at pictures - it's actually against the shrinks' professional code here in Quebec to proffer a diagnosis or ANY opinion without actually having examined the patient.

    The proper course for the insurance company would have been to get a second opinion.

    1. Re:That's depressing! by Majik+Sheff · · Score: 5, Interesting

      You're right on the money here.

      When a person resolves to end it, there's a sense of relief; something to look forward to. It's perverse but having experienced it first-hand I can tell you its very true. I'd likely not be here if I had been living alone at the time.

      One of the first things that comes back when you start taking antidepressants is your motivation. You still have the suicidal thoughts, but now you have the motivation and energy to go through with it.This is one of the reasons antidepressants are so dangerous to adolescents and kids. You combine motivation, negative outlook, and the impulsive nature of youth and you end up with a massive spike in suicides/attempts during the first months of antidepressant therapy.

      --
      Women are like electronics: you don't know how damaged they are until you try to turn them on.
    2. Re:That's depressing! by Flere+Imsaho · · Score: 2, Informative

      I've struggled with depression in the past. One night I ended up getting as far as putting a length of hose into the car's exhaust and through the car window.

      The perverse thing was, the realisation that I could end my suffering any time I wanted actually saved me. Knowing that I had options removed the feeling that life was a never-ending shit sandwich, and gave me a sense of control over my life.

      That was several years ago, and whilst I still (very infrequently) have black days, knowing they are transient is a huge help. The world doesn't change, just how I perceive and react to it. Keeping that in mind is key for me, and allows me to break the iterative spiral before it drags me under.

      Anyhow, I just wanted to reinforce and agree with your ,and the parents, comments - a lot of people get that feeling of relief and still go through with it. Tidying up is another classic symptom - no-one wants to be remembered as a slob!

      --
      It gripped her hand gently. 'Regret is for humans,' it said.
  24. Eh, they ain't denying cancer by SmallFurryCreature · · Score: 2, Interesting

    Cancer is a "simple" disease, not a mental condition. Why do you link the two?

    Insurance agents ARE often experts in the field they insure. How else would they do their job? Car insurers know a LOT about cars, that is what they do. They collect as much data as they can and then determine what premium to charge so they can still make a profit by insuring against risks. And one part of it is knowing when a claim is bogus. Don't try to claim seagulls ruined the paint job on your car, in the mountains. Do not claim damage from hail unless you are certain hail did indeed fell in your parking spot, because they DO know. It is their job.

    Depression is a very difficult mental diagnosis and people have been known to lie. This woman did NOT just go to ONE special event, but several, in a short time frame. When does depression end and just feeling blue start? When do YOU pay more for your insurance to cover someone else? Oh, that is right. YOU are paying for this woman and the moment YOUR premium goes up, you are crying the company check more carefully.

    I could easily create an insurance company that is very nice and kind and considerate, you would also pay through the nose to be insured by it. Want to bet that you don't, that you go for the cheapest possible? Well, then this is how they do it, by investigating claims.

    No doubt this will go to court. Sometimes insurance companies get it very wrong, but then, they have calculated the risks of that too and they seem to think that they have the edge here. Nothing I have seen so far convinces me they are wrong. All we got is two stories, why do you automatically presume this woman isn't running a scam?

    --

    MMO Quests are like orgasms:

    You may solo them, I prefer them in a group.

  25. Re:Then you can work, thief! by jedidiah · · Score: 3, Insightful

    It's the insurance company's job to pay out claims. Period. End of story.

    That is what they exist for.

    If they don't pay claims then they might as well be all arrested for fraud.

    They do their best to avoid paying claims even when there aren't people around willing to make excuses for them.

    --
    A Pirate and a Puritan look the same on a balance sheet.
  26. Re:DOESN'T CANADA HAVE PUBLIC HEALTH CARE? by Clover_Kicker · · Score: 2, Informative

    As stated in a dozen comments in this topic, the article is about disability insurance to replace wages, not about access to health care.

    If this person ends up a destitute bag lady, she'll still be covered by the Canadian universal health care system.

  27. Re:Then you can work, thief! by m.ducharme · · Score: 5, Informative

    This particular story is out of Canada, different health-care system, different incentives.

    --
    Rule of Slashdot #0: You and people like you are not representative of the larger population. - A.C.
  28. Re:Then you can work, thief! by schon · · Score: 4, Insightful

    The problem is that doctors are rather incented to declare people sick, so insurers will pay them.

    This. This is what is wrong with US health care. The only incentive doctors should have to declare people sick is that the people are sick. If your system is designed to encourage anything else then it's broken by definition.

  29. Re:A great fraud story! by vorpal22 · · Score: 2, Interesting

    If she can function at a bar, she can function at a desk.

    Clearly, you have never suffered from depression. Even though she's at the bar appearing functional, keep in mind that that may have been the first time she was able to leave the house in weeks.

  30. Re:Then you can work, thief! by Runaway1956 · · Score: 2, Insightful

    Tjstork shouldn't be modded "troll". Our constitution guarantees us "life liberty and the PURSUIT of happiness". Happiness is not a given.

    Next thing to consider is, all of the medical practices are considered "arts". Psychiatry is not a science, with quantifiable, qualitative states. It's all guesswork. You can't plug someone into a freaking machine, and say, "I can measure x units of schizophrenia, x units of depression, and x units of whatever else".

    At least with physical health, much of what might be wrong with a patient is measurable. Blood pressure, pulse, respiration, blood chemistry, urine and stool specimens. You have nothing like that with psychiatry.

    Parent has a valid point, in that people with physical problems often have to work, unless that physical problem measurably impairs their ability to work. Psych problems? Fat chance. All we have is the doctor's word. How can we know this is NOT yet another scam to take the insurance companies for a ride?

    Part of the reason I'm skeptical of shrinks is, I've read and heard plenty of stories about people who had grave psych problems, who were admitted into various programs to "cure" them. Amazingly, many are "cured" just about the time that all available funding expires. What a coincidence, huh? IMHO, they were scams from start to finish.

    As for those who say the insurance companies are ripping us off, so they deserve to be ripped off - I ask, "Why not fix the real problem?" Here in the states, at least, we have healthcare reform on the table right now. Part of the goal is to limit the insurance company's ability to rip us off, and another part is to limit the ability of "customers" to rip off the insurance. Why the hell should 95% of honest, working people have to foot the bill for those 5% dishonest insurers, care providers, as well as customers? FFS, if we could eliminate the graft and corruption, ALL OF OUR BILLS could be cut by 20% or more!!

    Send all the thieves to jail, and stop trying to justify your favorite thief.

    --
    "Windows is like the faint smell of piss in a subway: it's there, and there's nothing you can do about it." - Charlie Br
  31. Re:Troll me all you want. by AlamedaStone · · Score: 3, Insightful

    I have a few friends who suffer, and if they were not receiving medication and therapy, they would never have the will to see daylight, let alone accomplish anything

    I'm not biting the bullet by myself. Wellbutrin is the greatest thing ever invented and I've got no problem writing out the 2 cents per paycheck to the FEds or my insurance so that people that need psych meds can get them. Without meds, its just aweful.

    If you really are on Wellbutrin as you claim then maybe you understand how complex and time-consuming it is to find the correct medicine and dosage for illnesses like depression. Based on your comments, I'm not inclined to believe that you are - and if you are, perhaps it isn't the correct medication for you. Lack of empathy doesn't really fall into the depression spectrum, it's more like borderline or even paranoid personality disorders.

    If you had a deeper understanding of mental illness, you would probably have some compassion for people who struggle for years after seeking treatment to have some positive results, and many others that find testing med after med leads to disaster as often as improvement.

    If you are satisfied with taking your pill and feel that is all that your illness requires, I strongly suggest you consider a more complete treatment program that includes weekly therapy sessions with someone that isn't a psychiatrist. Perhaps you will gain some coping mechanisms to deal with the issues that a pill will never solve.

    Good day, sir.

    --
    "All these years believing you're the signified monkey, only to find out you're just a big hunk of nobody cares."
  32. The best of both worlds by KingSkippus · · Score: 2, Insightful

    I honestly don't see why we can't have the best of both worlds.

    For example, we have a thriving public education system which guarantees almost universal education. We also have a thriving private education system for those who, for whatever reason, don't want to take advantage of public eduction. Sure, right-wingers gripe about our public eduction system, and I know that there are people out there would like to see it systematically dismantled, but the truth is that it works pretty well. Especially when you get to the university level, such as state colleges and universities.

    Speaking of education, we have a fantastic student loan system as well. As a student, you can borrow money from the federal government to attend college. You can also borrow money from private lenders. You have a choice.

    I guess I don't understand why health care can't work the same way. We have a public system to take care of everyone's basic medical necessities. We have a private system to take care of what people want above and beyond that. (Private rooms, name-generic prescriptions, specialists who charge above the normal rates, elective procedures, etc.) No one has to go bankrupt because they get sick. No one has to decide between having a broken bone set or buying dinner that night. If for whatever reason you don't like the public health system, you're free to go spend money out-of-pocket on either a private plan, or if you have enough, pay the health care providers directly.

    It seems to me that those who are fighting against the public option are the ones who want to limit our choice, not the other way around.

  33. The case for reform by Jawn98685 · · Score: 4, Insightful

    So..., you're saying that some kind of evil bureaucracy is being allowed to get between a patient and his or her doctor? And meddle in the healthcare decisions that are made by patient and doctor? Why, that's scandalous! We should protest such bureaucratic meddling and demand that our rights as patients be protected from same.
    Oh, wait...

  34. I deal with depression. She should be dropped. by log0n · · Score: 2, Insightful

    (there are a lot of stickywickets here and not enough details.. but reading between the lines and going with my gut based on my dealings.. this is my take)

    Everyone want to rant about the evils of health care and I agree with damn near all of it. But as someone who has dealt with depression for a couple of decades and with (actually pretty good) healthcare assistance, I'm inclined to think she's taking advantage of the system and deserves to be dropped.

    As I understand it, sick leave in Canada is paid sick leave (like maternity leave here in the US) which over insurance premiums. Sick leave is designed for medical recovery that would inhibit your ability to perform you job.

    Now believe me.. coping with depression can definitely include going to the beach and smiling for pictures, but by doing those things in the capacity mentioned in the article, she's demonstrating that she is in fact capable of doing tasks where she had previously claimed her depression would inhibit her job performance. As she's being paid, she's now defrauding the system.

    I'll give her the benefit of the doubt that she is depressed. In her case, her sick leave is designed to allow her time to visit therapists, psychologists for medications, or even prolonged hospital visitation if required. She should be using the paid sick leave to take real advantage of her medical coverage.

  35. guess who by thuerrsch · · Score: 2, Informative

    On this picture you see two members of the German national football (soccer) team. One of them killed himself on November 10th by leaping in front of a train, suffering from severe chronic depression. Guess which one.

    (You'll find the solution here. If you picked the right answer, you may want to consider a career in insurance. I'd suggest this one for starters.)

    --
    most of what follows is true
  36. Re:Diagnoses from a Pic? by phillymjs · · Score: 3, Funny

    Me: Doc, Do I have rectal Cancer?
    Doc: Email me a pic so I can tell.

    ----------
    To: Doc
    Subject: Rectal diagnosis photo
    Attachment: hello.jpg (25 KB)

    Here you go.
    ----------

  37. As a nurse this disgusts me by ethicalcannibal · · Score: 4, Informative

    I'm not surprised a desk jockey at an insurance company decided to make a medical decision on this. Insurance desk monkeys don't usually have any medical training, and become a hindrance.

    I once had a patient come into the office. He was in near tears. I took him to the exam room, and found out that his insurance company (Molina in the US) had canceled his coverage for dialysis. He was a critically ill patient, and was panicking. I called the insurance to find out what was going on. I was told by the desk monkey that they did not cover 'elective' procedures. At this point I was incredulous. I tried a couple times to tell him dialysis was not a choice, and certainly not elective. No dice.

    I had to argue for close to an hour to get a supervisor. This flunky was going to cut all coverage to this man's dialysis. No if's, and's, or but's. The supervisor reversed the decision on the spot, but damn. Most nurses don't have the kind of day they can devote an hour of arguing with an insurance company. The patient isn't medically trained, and certainly wasn't in a state to do it, what with being critically ill, and coming to grips that he was not going to ever get off of dialysis.

    That's the worst of my experiences, but I can't say it was isolated. After ten years of nursing the episodes of crackpot crazy insurance company behavior just keeps happening more and more. It's not that uncommon.

  38. Re:Then you can work, thief! by 93+Escort+Wagon · · Score: 3, Insightful

    This particular story is out of Canada, different health-care system, different incentives.

    But... but... I've been reading Slashdot for years - so I know this sort of thing only happens in America! The rest of the world is run by virtuous, thoughtful, caring, intelligent individuals who act only in their population's best interests!

    --
    #DeleteChrome
  39. NEW SICK LEAVE POLICY by theshowmecanuck · · Score: 2, Funny

    TO: All Employees
    SUBJECT: New Sick Leave Policy

    SICKNESS:
    No excuse...We will no longer accept your doctor's statement as proof. We believe that if you are able to go to the doctor, you are able to come to work.

    AN OPERATION:
    We are no longer allowing this practice. We wish to discourage any thoughts that you may need an operation. We believe that as long as you are an employee here, you will need all of whatever you have and should not consider having anything removed. We hired you as you are, and to have anything removed would certainly make you less than we bargained for.

    DEATH:
    Other than your own: This is no excuse for missing work. There is nothing you can do for them, and we are sure that someone else can attend to the arrangements. However, if the funeral can be held in the late afternoon, we will be glad to allow you to work through your lunch hour and subsequently let you leave 1 hour early, provided your share of the work is ahead enough to keep the job going in your absence.

    Your own death: This will be accepted as an excuse. However, we require at least two weeks notice as we feel it is your duty to train your replacement.

    ALSO:
    Entirely too much time is being spent in the restroom. In the future, we will follow the practice of going in alphabetical order. For instance, those whose names begin with "A" will go from 8:00-8:15, and so on. If you're unable to go at your time, it will be necessary to wait until the next day when your time comes again.

    We appreciate your cooperation,
    THE MANAGEMENT

    This is an old joke (and way older from what I know, than the linked newspaper article). But anyway tistork, you might still agree with it agree with it even if it is a joke. If so, then you definitely have real management potential.

    On another note, well before the public internet and email, I took this and ummm copied my high school's official letterhead and signature section (with the school principal's signature) onto it. Then I made around 500 copies and left them lying around all over the place (2000 student population). It was excellent to see how many people freaked out before they figured out it was a joke. Amazing how people look for the worst some times... and amazing how much fun you can have with that too, sometimes. :) In the end the principal actually told me he thought it was one of the better jokes pulled at the school. :D

    --
    -- I ignore anonymous replies to my comments and postings.
  40. Re:Then you can work, thief! by Anonymous Coward · · Score: 4, Insightful

    This particular story is out of Canada, different health-care system, different incentives.

    Yes, but this sort of insurance is PRIVATE INSURANCE. Were it covered under the Universal health care, it would not be an issue. A private company has a profit motive, and therefore usually tries to come up with ways to DENY CLAIMS. Now, perhaps this is a wrong instance, perhaps it is a right instance... I'm not informed enough to know.

    But certainly, a fraud claim under the public system would require much more evidence than just "we saw some pictures of her smiling." This is more like the guy claiming he couldn't work cuz he has a bad back, and then people seeing him building a house (god I've seen this at last 3 times, fucking scammers). Those people need to be OUTED big time, because we are paying for those pricks to collect $$$ for nothing; and worse, they then work under the table on side jobs and pay no taxes BACK into the system!!!

    Manulife is acting EXACTLY like the US health care system. EXACTLY.

  41. Re:Troll me all you want. by Hognoxious · · Score: 2, Funny

    I'm not biting the bullet by myself. Wellbutrin is the greatest thing ever invented

    I thought for a moment you said warfarin.

    On second thoughts take that back. It was more like I hoped it.

    --
    Confucius say, "Find worm in apple - bad. Find half a worm - worse."
  42. Re:Zero blame on the woman? by ShiningSomething · · Score: 2, Insightful

    Any sort of work would require her showing up regularly to her workplace. Anyone with a history of depression will tell you this is hard. Can you summon the energy to go out and pretend to have a good time when a friend asks you out? Sure, especially if you know it means a lot to them. But to do that *every single day*? There will be days when you can't really get out of bed, because the world just feels too heavy, and it may ruin you company's presentation, or deadline, or whatever.

    So yes, your mental illness may be such that you can function at a party, but not cope with the responsibilities of a job. The point is, this is not up to the insurer: there are doctors to verify the diagnosis.

    As for the woman herself, if she lives in a system where she can get paid while she battles with depression, should she refuse it? Sure, she may be scamming them, but the photos don't prove anything.

  43. Re:Then you can work, thief! by m.ducharme · · Score: 4, Interesting

    Except that the doctor shortage is not a function of universal health care, it's a function of the self-regulated medical profession maintaining control over how many doctors are certified every year. They keep the numbers down, so everyone has to scramble for a doctor, and the doctors can pick and choose patients. If the gov stepped in and mandated more seats in medical schools, there would be more doctors and less of a shortage.

    The Canadian system isn't perfect, hell it isn't even very good, but it covers everybody, and it's more than twice as efficient as the current US system. But hey, if you enjoy the taste of the shit that the insurance companies feed you, by all means, keep right on eating it.

    --
    Rule of Slashdot #0: You and people like you are not representative of the larger population. - A.C.
  44. Re:Then you can work, thief! by fyoder · · Score: 2, Informative

    Yeah, Canada, where you can't even just switch doctors if the one you've got keeps failing to do his job. I'm not particularly against a semi-state funded healthcare system, but looking at the Canadian healthcare system I can completely understand why US citizens are so afraid of socialized healthcare.

    You've obviously never actually "looked" at the Canadian health care system, or you couldn't post such crap. You're just repeating right wing propaganda.

    The Canadian system isn't perfect, and there are real improvements which could be made to it. But apparently it's good enough that right wingers have to make up bullshit in order to sufficiently discredit it.

    Now excuse me, I have to attend a euthanasia board meeting to determine whether its time to terminate grandma.

    --
    Loose lips lose spit.
  45. Re:Then you can work, thief! by Derleth · · Score: 2, Insightful

    If the gov stepped in and mandated more seats in medical schools, there would be more doctors and less of a shortage.

    And a lower average quality of physician. The government can’t mandate skill or talent among its citizens.

    --
    How can you use my intestines as a gift? -Actual Hong Kong subtitle.
  46. Re:Then you can work, thief! by m.ducharme · · Score: 3, Insightful

    You're hilarious. Are you the kind of libertarian who wants just enough government to protect the rich from everyone else? Good luck with that.
    Private health care works great in the US, don't it? Where you have the least efficient health care system in the developed world. By a factor of two. No really. Basically you have the private sector insurance companies who spend 40-60 percent of their revenues on denying claims. How is that a good thing? Insurance companies can get away with this because when it comes to their health, people get desperate. So basically, left without regulation, the insurance companies can deny you services that you've already paid for. How is even less regulation going to fix this?

    The only part of your health care system that works reasonably well is Medicare. You know about Medicare, right? That government-funded insurance that pays for people who can't get insurance elsewhere?

    The fact is, the numbers just don't bear out the libertarian position when it comes to health care. The US spends $6000/person/year on health care, and 45 Million people go uncovered by insurance. The next best developed nation spends $3000/person/year, and has coverage for everyone. And for this horrible value, the US has one of the sickest populations in the developed world. Not exactly getting your money's worth, are you?

    Basically, your libertarian argument comes down to this: you want to live in a well-functioning, healthy society, but you don't want to pay for it. Well guess what, that doesn't work. When the poorest people get healthier, everyone benefits. That's why things like healthcare, education, public works, etc are worth paying taxes for, to make life better for everyone. But you guys are too selfish to see that.

    --
    Rule of Slashdot #0: You and people like you are not representative of the larger population. - A.C.
  47. Re:Then you can work, thief! by John+Jamieson · · Score: 2, Insightful

    Blame it on Canada, the theme never gets old here.

    The issue is much more nuanced than most arguments would indicate.

    Unlike most, I live near Canada, worked in Canada and even been to the hospital in Canada. Canadian Hospitals are not as comfy as the ones I go to in the US. They seem more institutional and less customer focused. That being said, they seem just as competent. (life expectancy and infant mortality are much better in Canada than here in the US)

    Anyone with real money (and suckers like myself who pay 10 Grand a year) will likely have a better experience in the US system than the government system in Canada.
    The other 60% would do much better in Canada. No more worries about loosing insurance when they loose a job, or worries about scrounging up insurance money, no more co-pays driving people to the brink.

    BTW, us IT workers need to learn from the Canadian Doctors. Imagine if we controlled who could enter the IT field? We also could create artificial shortages and boost our salaries as well.

  48. Psychiatry by WiiVault · · Score: 2

    Psychiatry is not simply guesswork despite the standard on /. of marginalizing anything non tech related. Anybody who has met a handful of shrinks will tell you there is certainly skill involved.

  49. Insurance Co's & PIs by dogeatery · · Score: 2, Informative

    My girlfriend and I previously have worked for a private investigation company concerned entirely with insurance fraud. There are many similar companies, but ours was a nationwide company with clients like Walmart, AIG, the Hartford, Prudential, GEICO and many others you can think of. Insurance co's will use any information they can get to deny your coverage, and they will take very extreme steps. Once an investigator followed a target to firefighter training and participated in a daylong course with a hidden camera showing the target hauling heavy gear and "injured" people.

    While there are many frauds out there, and the vast majority of cases in our company were almost certainly fraudulent, it's important to know that the VERY first thing they do is a regular Google/Facebook/Myspace search. It's amazing how many people don't keep their profiles privately viewable. (One pattern I noticed was a common tendency to use Myspace as proof of one's "coolness" and you don't want that private when there's a whole world who needs to know.)

    If you ever are on disability or making insurance claims that might LOOK shady, you should know that there will almost certainly be someone watching you from the street in a car with curtains on the windows. They will follow you across state lines, they will follow you to Walmart, they will follow you to the strip club and they will sit outside your house and photograph you when you come out to check the mail. The photos and videos will be presented to you in court, if not beforehand.