Surgeon is forced to scrub out, mid-surgery, to justify breast cancer patient’s care – We Got This Covered

Judging from their public actions alone, United Healthcare learned peanuts from their CEO’s murder and the American people’s subsequent reaction. That said, by listening to individual patients’ stories, we can get a better purview of how these companies have forsaken any humaneness to embrace the role of countless narratives’ villains.

In these stories, where the villainous insurers deny vital procedures in the name of profit, one tends to forget the people who are often seen as the unnamed secondary characters: the healthcare providers who must frequently plead their patients’ cases.

Not all doctors are built the same. However, the ones who embarked on this career path motivated and dead-set on helping people can also suffer emotionally when, every step of the way, the faceless hand of corporate greed tries to thwart their ability to treat their patients as efficiently as possible.

We may feel disheartened every time we hear of how businesses like United Healthcare care nothing about human wellbeing so, it’s important to be reminded that some haven’t given up the fight against this avaricious villainy. Enter this story’s hero: Dr. Elisabeth Potter, a surgeon based in Texas, who’s admirably vocal on social media about defending her patients’ rights and keeping people informed.

United missed the opportunity for some end-of-the-year introspection

@drelisabethpotter

It’s 2025, and navigating insurance has somehow gotten even more out of control… I just performed two bilateral DIEP flap surgeries and two bilateral tissue expander surgeries. During one of the DIEP cases, I was interrupted by a call from United Healthcare—while the patient was already asleep on the operating table. They demanded information about her diagnosis and inpatient stay justification. I had to scrub out mid-surgery to call United, only to find that the person on the line didn’t even have access to the patient’s full medical information, despite the procedure already being pre-approved. It’s beyond frustrating and, frankly, unacceptable. Patients and providers deserve better than this. We should be focused on care, not bureaucracy. I just have no other words at this point

♬ original sound – Dr. Elisabeth Potter

Dr. Elisabeth Potter was performing a bilateral DIEP flap surgery on a patient with breast cancer when United Healthcare decided this was an opportune moment to make sure whether there was any need for the patient to be officially admitted and stay overnight. While the employee who called may (somehow) not have known the surgery was ongoing, one cannot even say this counts as “last minute.”

By then, Dr. Potter had certainly dealt with more than her fair share of ruthless insurance practices, but, even for her, this incident was a first. It gets to the point of absurdity when a surgeon has to scrub out while her patient is on the operating table under anesthesia to defend their rights to a United employee. This, to the understandably frustrated healthcare practitioner, is more proof that “insurance just keeps getting worse.” “United Healthcare didn’t learn anything? Really? I’m so shocked,” one netizen commented.

@drelisabethpotter

Recently, I hit a breaking point with the state of healthcare. I was frustrated, exhausted, and feeling like I had no one to turn to. I decided to speak up about my experience, and the response has been overwhelming. I became a doctor because I am passionate about helping people—but so much of my time is spent fighting insurance companies to value the care my patients deserve. It’s disheartening, and it’s not okay. What I’ve realized is that staying quiet won’t change anything. Speaking out was a turning point for me, and what I didn’t expect was how many of you feel the same way. Thank you for listening, for understanding, and for standing with me. Together, we can work toward a better direction in healthcare—because patients and providers deserve better. It starts by sharing the truth about what is happening. It starts by sharing our stories 🩵

♬ original sound – Dr. Elisabeth Potter

In a video posted a few days later, the surgeon thanked everyone who took the time to listen to her grievances, revealing that the cruelly bizarre moment “was a turning point for” her and she’s “done being quiet about what’s going on in healthcare.” But, by now, we should know how powerful corporations feel about any individual who speaks out against them and threatens their already unfavorable reputation.

@drelisabethpotter

UnitedHealthcare Update: It Just Got Worse On January 7th, 2025 I shared a video, after I was asked to call UnitedHealthcare from the operating room to answer administrative questions about the patient who was having surgery to treat breast cancer. Despite my efforts, they denied her stay. UnitedHealthcare didn’t stop at calling me during surgery. Now, they’ve sent me a legal threat—and even worse? They ended up denying my cancer patient’s hospital stay. Exactly what I was afraid would happen. Staying overnight after major surgery isn’t optional—it’s medically necessary. But UnitedHealthcare decided they know better than the doctors caring for the patient. When they called me while I was operating, I knew that if I didn’t step out and respond immediately, they might deny her stay—leaving her with a massive bill. So, with another surgeon in the OR, I scrubbed out and called them back. But after all of that? They denied her stay anyway. And instead of fixing their broken system, they sent me a legal threat for speaking out. I’m sharing their response in full, letting their words speak for themselves. Let me be clear: I stand by everything I said. I told the truth. I was honest about what’s happening in our healthcare system. And I will not be silenced by legal threats when it comes to advocating for my patients and my ability to care for them. Denying an overnight stay that a doctor orders is dangerous. The doctor caring for the patient should be able to make these decisions without delay, pressure, or harassment. If I don’t speak up, I lose—my integrity, my voice, and the opportunity to make a difference. And while it’s intimidating to receive a letter like this from a company as powerful as UnitedHealthcare, I know where I stand. I am a woman taking care of women affected by breast cancer. I do this work with all of my heart, and I will continue to speak up for my patients—because they deserve better. I ask you to follow along, share this story, and have these conversations in your own communities. I know I’m not the only one dealing with this, and real change will take all of us telling our stories and standing up for what’s right. I’m here for it. Are you? 💙

♬ original sound – Dr. Elisabeth Potter

Although on the first page of the United attorneys’ letter one could read “Confidential – Not for Publication or Attribution” highlighted in bold, Dr. Elisabeth was not to be intimated into silence. Not only did she post a public response to the letter, but she also posted the document’s contents in its entirety. The words, the tone, the gaslighting, it all speaks for itself.

Dr. Potter’s public response to the lawyers’ letter (left) A few paragraphs from United’s attorneys’ letter (right)

The lawyers may not know this – if they did not care to do some simple research – but Dr. Potter was treating a patient with breast cancer and the procedure was a bilateral DIEP flap surgery. “Observation stay,” as United wanted is only expected for minor procedures. Well, a mastectomy with flap-based reconstruction is a complex surgery that usually requires inpatient care for at least a night. United Healthcare’s problem here, in my humble opinion, is that billing for inpatient versus observatory stays is different and has different coverage. This is a company that jumps at every opportunity to increase its bottom line, too often at the expense of its clients.

As the surgeon says at the end of her response video: “Although it is a bit intimidating to have a company like United send a letter like this to me, I know where I stand. I’m a woman taking care of women who are affected by breast cancer. I know that I do that with all of my heart and in a way that I can be proud of. I spoke up when I needed to, and I’ll continue speaking up.”

True to herself, this practitioner has not been silent on the many issues she finds with the system. If one peruses her TikTok or Instagram profiles for a mere few minutes, there can be no doubt Dr. Potter cares deeply about her patients and wants to ensure the best options for them. In addition, she strives to guarantee those under her care are informed about the reality of the system and all their options.

@drelisabethpotter

Navigating healthcare in 2025 means that as a surgeon, I don’t just care for my patients—I have to care about insurance, too. Breast reconstruction for patients affected by breast cancer is about more than just surgery. A cancer diagnosis is already financially devastating, and if I don’t carefully navigate the insurance system, my patients could end up with enormous bills for their care. That’s why I’ve worked hard to stay in-network with as many insurance providers as possible—Medicare, Medicaid, Tricare, United, Blue Cross, Aetna, Humana, and more. My goal has always been to ensure that insurance isn’t an obstacle for my patients when they come to me for help. But even with that effort, insurance can still be a barrier. The system is complicated, and out-of-network costs have only continued to rise, making it harder for patients to afford care outside their network. I want you to know that my focus on insurance isn’t just about logistics—it’s about my patients. Caring about their well-being means navigating the system as carefully as possible to protect them from financial burdens they shouldn’t have to bear. This is just part of the reality of being a doctor in 2025, and I’ll continue to fight for my patients every step of the way.

♬ original sound – Dr. Elisabeth Potter

Being a doctor can be difficult enough as part of the job description (and the wider system) can turn the effort to abide by the best possible treatment plan into a Kafkaesque nightmare. In the latter TikTok, Elisabeth explains why part of caring for her patients ultimately entails caring for insurers and insurance coverage.

She must (unnecessarily) occupy herself with these hellish bureaucratic processes so that her patients don’t have to regain their health at the expense of their financial livelihoods. “If we don’t navigate the system carefully,” she states, “[the patients] can get stuck with huge bills.” Now, on account of having principles, a doctor whose working routine is spent taking care of women at their most vulnerable is suffering direct legal threats.

A friend was recently in a meeting where a coworker was told off by their manager: “We’re a business, not a charity.” This sentence could well encapsulate how health insurance companies operate in the States. The system capitalizes on necessity and desperation, and the willingness of people to put money on a lower priority when death becomes a latent possibility.

It is cruel and it shouldn’t get to the point where violence may feel to some like the only way to propel change. There are other means to make our voices heard, but that often entails the courage to show dissidence and nonconformity. If Dr. Potter is willing to keep up the fight on behalf of her patients, we, the people, can do our parts by actively keeping our attention on this and similar stories.


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