Forecast Ledgerinterventional psychiatry and psychedelic medicineQuoted, dated predictions scored against public outcomes under one written method. Every score links to the words, the rule and the evidence.

Not admitted · Satire or irony

Rules 1.1.0 · as of 14 Sep 2026

Quote

Satire or irony

“This way, many many more treatments will not meet criteria for approval, without the manual labor of having to do peer-to-peer reviews”
· An Open Letter to UnitedHealth Group after Declining My Employment Application: Redux · substack post

Republished satirical open letter, section 'Abandoning My Life's Best Work Gem #1: More Robust Prior Auths!'. The author's mock proposal that Optum Insights build natural language processing software that reads prior records to stop clinicians from fitting diagnoses to prior-authorization criteria; he says many more treatments would then fail approval.

Marked or evident satire, hyperbole or irony.