Chris McNaighton was an athlete in college and led an active life until tragedy struck: he was diagnosed with a painful, debilitating disease called ulcerative colitis. He was so disabled by its symptoms that he became housebound. After trying many treatments and doctors, he finally went to the Mayo Clinic, where a specialist prescribed a mix of drugs that were very expensive but saved his life.
Chris was covered by his parents’ insurance; they were both faculty members at Penn State. Chris enrolled at Penn State, so he was covered as a student as well.
UnitedHealth did not like paying the cost of Chris’s treatment. It was $2 million a year. It had Chris’s claims reviewed by doctors who denied them and said he could do with a lower dose, which would cost less. The doctor at Mayo responded that lower doses were ineffective.
Chris’s parents sued UnitedHealth.
Chris’s story was told by ProPublica.
It begins:
Christopher McNaughton suffered from a crippling case of ulcerative colitis — an ailment that caused him to develop severe arthritis, debilitating diarrhea, numbing fatigue and life-threatening blood clots. His medical bills were running nearly $2 million a year.
United had flagged McNaughton’s case as a “high dollar account,” and the company was reviewing whether it needed to keep paying for the expensive cocktail of drugs crafted by a Mayo Clinic specialist that had brought McNaughton’s disease under control after he’d been through years of misery.

Sickening 🤮
Thank you for your posts re: Heathcare insurance and denying claims.
Makes me puke! 🤢
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Off topic, but this was in today’s WSJ. https://www.wsj.com/politics/biden-white-house-age-function-diminished-3906a839
Are you still maintaining that Biden was/is not cognitively impaired?
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Biden in mental decline is a zillion times preferable to Trump.
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I didn’t say anything about Trump. Glad you finally admit to Biden’s incompetence.
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BIden is extraordinarily competent. He appointed a highly qualified cabinet. He persuaded Congress to pass major legislation to create jobs, fight climate change, build infrastructure, attract high-tech industries. He strengthened NATO and rebuilt our alliances.
On the civil rights front, he fought for marginalized groups.
I recall your saying in an earlier comment that you have a trans child. Biden protected the rights of trans people. Trump will strip them away. This will not be a good four years for your family. Read Project 25. Read Agenda 47. They are filled with hatred for all trans people.
I’m Sorry for you. You will miss Biden’s decency.
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Biden has done nothing for trans people. What are you on about???
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Tell that to the Trumpers who wrote Project 2025. The document promises to reverse all of Biden’s executive actions that protect non-binary and trans people.
So does Agenda 47, the GOP platform.
The woman chose to lead the Civil Rights Division of the Justice Department is virulently anti/trans and has litigated several anti/trans cases
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Without mentioning Trump, tell me what Biden did for trans people.
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Here is a report from the Human Rights Campaign, thanking President Biden for his actions in behalf of LGBT people. The incoming administration has promised to nullify all of them.
https://www.hrc.org/resources/president-bidens-pro-lgbtq-timeline
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More on Biden’s actions on behalf of trans rights. All will be reversed by Trump.
https://search.app/y8NDcZ7nKj1gJNsK9
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This is what’s in store for LGBT folks in Trump era:
https://open.substack.com/pub/erininthemorn/p/120-anti-trans-bills-filed-across?r=rls8&utm_medium=ios
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Dienne, I almost forgot. Biden appointed a transgender woman:
“President-elect Joe Biden announced Tuesday that he will nominate Rachel Levine, Pennsylvania’s top health official, as his assistant secretary of health. Levine, a pediatrician, would become the first openly transgender federal official to be confirmed by the U.S. Senate.”
Do you think Trump will?
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I wish I could read this, but apparently you need a Wall Street Journal subscription.
hmmmm……..
I thought Biden’s presidency was quite good and so did Bernie Sanders and AOC when they endorsed his re-election BEFORE anyone else did. Had Bernie and AOC not immediately endorsed Biden’s re-election, other candidates would have run against him.
So maybe you should be asking that question of them.
Whose judgement do you trust as to whether Biden was fit enough to continue to be president? Bernie Sanders and AOC, or Rupert Murdoch’s Wall Street Journal?
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OMG, you’re blaming Bernie and AOC for the fact that no one ran against Biden? Lol! Do you think the party would have allowed it?
But you are somewhat right. The fact that they both immediately endorsed Biden is emblematic of why neither can be trusted.
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Oh come on, Dienne. We know where your sympathies lie. You will never trust anyone in the Democratic Party. Who cares?
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What specifically are you arguing about? Do you really think that anyone else would have gotten the support of the DNC or been able to be elected without it? The DNC went to court (successfully) for the right to pick their own candidate regardless of the will of the people.
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^^I find it hilarious that the same people who worry about a decline in Biden (i.e. the WSJ) don’t worry about a decline in Trump!
I mean, Trump declining from the absolutely terrible job he did as president because he was cognitively unable to understand either science or economics or truth is SCARY.
But apparently there are people who are terrified at the the thought that Biden would continue to do the same “cognitively impaired” job he has done for the last 4 years.
We all decline post our prime. No doubt Elizabeth Warren isn’t as sharp as she was. I am not either.
But Trump has failed with pretty much every business endeavor he tried except for selling himself. And even his campaign would have been a failure without the Putin/Musk/Thiel/Robert Mercer backing.
Some of us weren’t worried about Biden continuing to do his so-called “cognitively impaired” job as president because despite Biden’s supposed decline into a vegetative state, his actual job performance was superior to ANY president in recent history, in every way except one.
Biden “failed” at the one job too many Americans seem to value over actual job performance — self-promotion.
And if cognitive ability was a requirement for self-promotion, Trump would not be a master at self-promotion.
If Biden had stayed on the ticket, he would have 100% defeated Trump in a landslide as he did in 2020. (I say this with the same confidence as the people who say that only with an open primary where Dems tore one another apart for a year to prove how inept and “in disarray” they were could a Democrat win against Trump.)
Trump beat more than a dozen Republicans and every Democrat he ran against except Biden.
When voters in this country had a choice between two cognitive vegetables in 2020, they preferred Biden over Trump!
Which makes sense since voters preferred cognitively impaired Trump over every other Republican.
Voters obviously like to vote for cognitive vegetables, which is why Biden would have won, since at least he was a cognitive vegetable doing an excellent job.
Biden’s biggest cognitive failure was listening to the idiots who said that Biden’s lack of any ability to govern during his 4 years of being president had caused the greatest economic failure in history and America was in a huge crisis because too many people had jobs and wanted to spend money. That was all Biden’s fault and he needed to step down because Biden’s cognitive failings obviously caused him not to follow the super secret plan to make the economy perfect that all that Biden critics know exists because they are definitely people with superior cognitive fitness.
What I find ironic is all the people who seem to believe they are cognitively superior to Biden who fail to understand basic economic truths. Like that there isn’t a superior secret plan to fight inflation that Biden refused to use due to his cognitive impairment.
Like the economy is actually quite good and inflation was coming down because of BIDEN’s policies. Do people certain that they are cognitively superior to Biden even know how Biden’s decisions about economic policies in this country compares to other democracies? Or do they still believe in that super secret economic plan that was better? Certainly we are about to experience that “better” plan and I hope that Biden’s critics realize they own that.
Some of us actually believe that the cognitive vegetable’s presidency put the economy on the right track and was poised to make it even better in a 2nd term.
Others say they’d rather have a person who wasn’t a cognitive vegetable ruin the economy and cause distress and hardship to most Americans, because that is a sign of their own cognitive superiority.
I’m just one of those idiots who wanted a cognitive vegetable who proved over 4 years he knew how to manage an economy instead of the guy who the WSJ has never called cognitive impaired! And if you can’t trust the WSJ to inform us who is cognitively impaired and who isn’t, and who is capable of being a good president and who isn’t, then who the heck can you trust?
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Trump, Trump, Trump. Perfect excuse to let Democrats get away with murder (literally). Trump would be worse, so who cares how bad Democrats are. For shame.
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Did you know that Trump will be President on Jan 20? It’s true.
I remember in his last term, you advised that if I ignored him, he wouldn’t matter. I wish I had that power.
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The thing is, Diane, had you and the other party loyalists ever demanded that the Democrats be better rather than just using Trump as an excuse for them to be mendacious, there never would have been a Trump to worry about. Trump is on you, not those of us who have tried to demand better. You allowed fear to bring you down rather than justice and rightness to bring you up. More’s the pity because you had it in you to be great.
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Dienne,
Your understanding of politics is less than half-baked. You belittled Hillary on 2026, belittled Biden in 2020 and again in 2024. Your comment is so bizarre that it doesn’t deserve a response. Your repeated insults are reason to bar you permanently. This is the last time I will let one appear.
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The point is that Biden did such a good job that 2 leading progressives with a long history of integrity endorsed him for re-election.
But BECAUSE they endorsed Biden for re-election, the same person who defended Putin and Trump is now posting lies about how Bernie and AOC are no longer trustworthy and implying that both of them lack integrity.
Think about it. Both of those folks are still fighting for good progressive policies, but because they endorsed the person who would have defeated Trump, they are no longer trustworthy.
It’s clear that this person is all about Trump. RFK Jr. endorsed Trump, so no criticism of him allowed! Bernie and AOC endorsed Biden, so she lies about them and smears them. Would RFK Jr. be attacked if he had endorsed Biden and not Trump?
If only Bernie and AOC had endorsed Trump like RFK,Jr., maybe she wouldn’t demonize them.
When Trump locks up Bernie and AOC, will she say they deserved it?
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This stuff cracks me up because it assumes that this wasn’t totally obvious to anyone who wasn’t afraid to acknowledge what was right in front of their eyes. Sadly that was too many people. But the idea that this was a big conspiracy that fooled everyone into believing Biden was not substantially declining, that he wasn’t someone who “had good days and bad days,” is absurd.
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You read this blog as much as I do.
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Good job. Here’s a potato.
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If university professors that have more agency than the typical citizen cannot get a straight answer from United Healthcare, what can a single working class patient expect? They can expect lots of delaying and denying of care. Kudos to the McNaughton’s for their persistence and diligence in going against a corporate giant. They managed to get a look behind the opaque curtain of for-profit healthcare. Elderly doctors are paid to deny claims like piece work in a factory. Today, some insurance companies are using AI to routinely deny claims. It is unfortunate that Chris has had to suffer through the laborious claims process and lawsuit. I hope this young man stays well enough to get his law degree so he can fight for better patient care. We are just a commodity to big insurance that is only on our side when we are an economic asset to them. Thank you for this informative article.
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As we moved into the Information Age, consumers became an afterthought, labor for products lost political power, and shareholders became the driving force for profit. As healthcare became more beholden to the markets all of those with a financial interest benefited from providing less care at higher costs. The insurance companies are certainly front and center in driving this beast, but pharmaceuticals, medical specialists, and large hospital conglomerates participate gleefully. None of our current economic drivers care about results beyond the currency rattling around in the digital pyramid that is private equity.
The health care nightmares posted on Diane’s blog used middle class circumstances with agency as examples of the profound economic sacrifice required to get care. None of the entities profiting from our private healthcare grift really care about the pain of individuals as long as they get their cut. And the poor? Who are they?
Our current marketplace has shown itself incapable of holding bad actors to account. Thus the rise of the Trump economy, the Tech bros, and the Sackler family. I no longer believe Trump is a failed businessman, but an opportunistic money launderer who willingly hides the ill gotten booty collected by global autocrats and and corporate privateers. They have captured both political parties motivated by greed and power.
In the case of the Democratic Party, they can’t understand how to counter our attention economy seemingly because the “norms” or rules thrown out by Citizens United no longer apply. So, the Democratic Party establishment has become a gerontocracy that is wealthy and incapable of understanding why most of America is not benefiting as they are, or, even worse, dares to complain. Yes, Biden has gotten significant policies passed, but they are soon to be irrelevant because he was also caught up in the hubris that told him he was the one who could get all of this done moving forward. His handlers kept him behind the curtain until they could no longer, and Pelosi then revealed who was the real Minority Leader. The party had no choice but to move on to Harris due to the byzantine rules of political fund raising, that are never really followed, and it was too late to beat the storm of misinformation. And what have Democrats learned? Keep that gerontocracy in power baby! Even if it does mean being in the minority in perpetuity.
Meanwhile, the Republicans are simply the party of T-Rex sociopaths feeding on the carrion left to rot beneath a vastly corrupt financial sector. Conveniently playing clueless evangelicals and social media lemmings, the money keeps moving up the golden escalator and stays there. Simply continue to intimidate the cowards in Congress by making those offers they can’t refuse.
There is little real evidence that the suffering of the masses will force change in regard to this malfeasance in health care. Yes, a rich young man just waxed a rich CEO, but to what effect? The message from the legacy media is that the response of the general public to the murder reveals our moral ineptitude, when in fact they are simply ignoring the illegality and immorality that has left most of us in the lurch for decades, while killing thousands every year. As Bernie continues to be our contemporary John the Baptizer crying in the wilderness for the sanity of “Medicare For All”, the fat cats on K Street, Wall Street, and inhabiting Silicon Valley laugh all the way to the Cayman Islands or Mara Lago. The old adage that “we get what we pay for” was just augmented to “whether we want it or not.”
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The only solution to current insurance company’s profits first stance is to sue. In order to do so one must keep complete records of office visits and details of conversations with them.
A second diagnosis from doctors in the same specialty as yours is also important. My own efforts in both areas cost my insurance ten times as much as it would have if they had paid the original estimate. The company folded and settled once the deposition was taken.
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