Mangione is accused of leaving behind evidence showing disdain for the insurance industry. Similarly, the NFL headquarters gunman identified as Shane Tamura left behind a handwritten note blaming the league and football for causing chronic traumatic encephalopathy, known at CTE, prosecutors noted.
I believe there is talk of that evidence being mishandled or planted.
I’ve never actually heard that phrase, but from Context I’m guessing they mean to get pre-approval done before you get the procedure done. Which is really good advice for every medical procedure you ever get done. At least the ones you are conscious for.
“Pre-determination,” I’m guessing.