AI Denying Your Healthcare? The Trump Admin Thinks That’s a Good Idea

 

⚠️ AI Denying Your Healthcare? The Trump Admin Thinks That’s a Good Idea 🤖💊

Would you trust a robot to approve your grandma’s surgery?
That’s exactly what’s on the horizon — and it’s not science fiction.

🚨 Here’s What’s Happening:

The Trump Administration is rolling out a controversial new plan to let Artificial Intelligence (AI) decide whether YOU or your

loved ones get medical treatments under Traditional Medicare — yes, the very program millions rely on for essential care.

This plan kicks off under a new model called WISeR — short for Wasteful and Inappropriate Service Reduction — running from 2026 to 2031.

🤝 Public-Private AI Partnerships? Sounds Dangerous.

Under WISeR, the government will team up with private companies that specialize in AI-powered “medical necessity” recommendations. The goal? Cut costs. The risk? Delay or denial of life-saving treatments.

CMS says it's about eliminating waste. But critics say it’s really about cutting corners — and care.

💸 In 2022 alone, the government says we spent $5.8 billion on low-value care — treatments they now claim don’t help or even do more harm than good.

But who decides what's "low value"? 🤔
Answer: An AI. Backed by a company. With

financial incentives.
Does that sound safe to you?.

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❌ The Dangers of Prior Authorizations (PAs)

Let’s break it down:
Prior Authorizations = Red Tape before you can get a test, medication, or procedure.

They already exist in Medicare Advantage (run by private insurers) and we KNOW they delay and deny care. Now CMS wants to bring this to Traditional Medicare too. 😡

📊 A 2024 AMA Survey revealed:

• 93% of doctors say PAs delay care

  • Always: 15%

  • Often: 42%

  • Sometimes: 36%

• 82% say patients abandon care because of PAs

  • Always: 2%

  • Often: 20%

  • Sometimes: 60%

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🧾 The Numbers Are Alarming:

• In 2023, providers filed 50 million PA requests in Medicare Advantage

• 3.2 million (6.4%) were denied

• Only 11.7% of denials were appealed

• 81.7% of those appeals were successful
  👉 Translation: Most denials are wrong, but few people know or fight back

A GAO report also found that 13% of PA denials were improper
That means 112,000+ people may have been wrongly denied care — in a single year 😱

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🧠 AI Isn’t Just Helping — It’s Deciding

Yes, the WISeR model requires clinicians to "validate" AI decisions. But how much oversight will there really be?
Private companies + AI + incentives = a recipe for disaster. 🔥

And once it’s in Traditional Medicare? There’s no going back.

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❓So... Who Really Benefits?

✅ Insurance companies
✅ Government budgets
❌ Patients
❌ Seniors
❌ Your health

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🗣️ What Do You Think?

Should AI get the final say in your medical care?
Should Medicare put cost-cutting ahead of patient well-being?

💬 Drop your thoughts.
📢 Share this with someone who needs to know.
❤️ Let’s talk about it — before it’s too late.