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Thanks for reading.
Injustice anywhere is a threat to justice everywhere. - Martin Luther King, Jr.
by DWG on Tue Feb 12, 2008 at 10:46:24 AM PDT
All this waste - letters, forms, communications, public relations, fights, litigation, secret messages, ill will... for what? For more profit generated on the backs of the sick?
All waste, all of it. Both the horrendous additional expense and the rapacious profit.
Single player dispenses with ALL of this. At a stroke.
-2.63, -6.10
by Tybalt on Tue Feb 12, 2008 at 11:02:47 AM PDT
[ Parent ]
Anything else would be socialist, apparently.
Profit above All! /snark.
Remember Nataline.
by means are the ends on Tue Feb 12, 2008 at 01:05:07 PM PDT
Actually, the insurance business makes its money on the backs of the healthy. Their business model is to siphon in as much money as they can from people who DON'T actually incur medical expenses.
The sick - those who actually need the medical care that insurance supposedly gives access to - are thrown off the bus and left to die in the gutter, as BCBS of California clearly intends to do with this scheme.
by Felix on Tue Feb 12, 2008 at 01:32:59 PM PDT
Insurance guys will collect premiums from healthy people till their fat fingers are too stiff to count the money rolling in -- but the minute a policyholder gets sick and needs their insurance, the companies are looking for any way possible to deny the claim and drop the insured.
Yeah -- on the backs of the sick.
Left. Because it's right. Beware the terrible simplifiers!
by 4thepeople on Tue Feb 12, 2008 at 01:51:41 PM PDT
I guess we're just phrasing it a bit differently.
by Felix on Tue Feb 12, 2008 at 01:56:02 PM PDT
Along with United Health Care and all the other Insurance scoundrels.
In to the dustbin of history.
Many people did not care for Pat Buchanan's speech; it probably sounded better in the original German."
by Flippant on Tue Feb 12, 2008 at 02:20:00 PM PDT
See at:
http://pnhp.org/...
WellPoint's Blue Cross of California remains a leader in introducing innovations that reduce expenditures for health care. By limiting spending on health care they have been able to market their insurance products at highly competitive premiums, thereby reaping profits on this large, very healthy sector of our population. As we have seen before, Blue Cross's very successful business model is often in conflict with the mission of physicians and other professionals to provide the health care that patients need. This letter to physicians has a particularly nefarious intent. Since Blue Cross is paying these physicians a set amount per patient per month (capitation), the physicians themselves are providing an insurance function of assuming risk. Patients with greater health care needs result in a loss since the expenses required to care for them are greater, sometimes much greater, than the capitation payment made by Blue Cross. So now we see why a physician might consider "ratting" on his or her own patient even though it would result in a rescission of the patient's insurance policy. Blue Cross does not have to put in print the very strong message of this letter, even though it will jump out between the lines. "Doctor, your dishonest patient who lied on the insurance application will result in a financial loss for you, not to mention the need to provide additional professional services for which you will not be compensated. Fortunately, you can prevent this loss by notifying us of any medical condition that will allow us to rescind this unfair insurance contract." To enhance profits, the private insurance industry is destroying the sacred relationship between the patient and his or her health care professional. And the politicians are campaigning with the message that we can keep the private insurance we have. Who would want to?
WellPoint's Blue Cross of California remains a leader in introducing innovations that reduce expenditures for health care. By limiting spending on health care they have been able to market their insurance products at highly competitive premiums, thereby reaping profits on this large, very healthy sector of our population.
As we have seen before, Blue Cross's very successful business model is often in conflict with the mission of physicians and other professionals to provide the health care that patients need. This letter to physicians has a particularly nefarious intent.
Since Blue Cross is paying these physicians a set amount per patient per month (capitation), the physicians themselves are providing an insurance function of assuming risk. Patients with greater health care needs result in a loss since the expenses required to care for them are greater, sometimes much greater, than the capitation payment made by Blue Cross.
So now we see why a physician might consider "ratting" on his or her own patient even though it would result in a rescission of the patient's insurance policy. Blue Cross does not have to put in print the very strong message of this letter, even though it will jump out between the lines.
"Doctor, your dishonest patient who lied on the insurance application will result in a financial loss for you, not to mention the need to provide additional professional services for which you will not be compensated. Fortunately, you can prevent this loss by notifying us of any medical condition that will allow us to rescind this unfair insurance contract."
To enhance profits, the private insurance industry is destroying the sacred relationship between the patient and his or her health care professional.
And the politicians are campaigning with the message that we can keep the private insurance we have. Who would want to?
click to learn about Single Payer Health Care
by DrSteveB on Tue Feb 12, 2008 at 11:55:05 AM PDT
I will put up a link in the diary. Everyone should see this.
by DWG on Tue Feb 12, 2008 at 12:22:37 PM PDT
...being that the Dr's are supposed to spend their own time, uncompensated, verifying BC's data?
And this at a time when Doctors and Nurses are overworked already, and many feel patient care has suffered as a result.
Greed, it seems, knows no bounds. Whatever happened to the Commonwealth? Oh yeah, the Ownership Society (tm). As in, Got a health problem? It's YOURS!
you were sick, but now you're well again and there's work to do- vonnegut
by zzyzx on Tue Feb 12, 2008 at 01:41:21 PM PDT
I believe the letter to doctors from Blue Double-Cross is even more nefarious and evil than you've mentioned. When a patient arrives at a doctor's office with a complaint, most patients probably don't know what's wrong with them, or don't know the the antecedents of their own illnesses, or they don't know that they have some underlying disease.
By driving a wedge between the medical interests of the patient and the economic interests of the doctors, Blue Double-Cross is encouraging doctors to report as "pre-existing," a condition that the patient may have "failed" to report because the patient knew nothing about it. Once the doctor makes the report, the patient will shout himself hoarse trying to prove a negative --that he didn't know he had heart disease -- and the insurance companies won't listen to a word the policyholder says.
by 4thepeople on Tue Feb 12, 2008 at 02:03:02 PM PDT
They don't pay the doctors and they deny their subscribers.
by Flippant on Tue Feb 12, 2008 at 02:21:19 PM PDT
Show of hands... who would join Kucinich's effort to impeach VP Cheney?
by Mogolori on Tue Feb 12, 2008 at 12:32:53 PM PDT
sigh, I'm on hold with them now....thank god I was totally forthcoming about my toddlers' minor physical conditions when I signed up. The denied family coverage for 6 months, only allowing individual coverage with very high deductibles, but if I hadn't mentioned these minor things, I'm convinced they would have cancelled my son's coverage when it was discovered he had allergies, asthma, and needed his tonsils out.
NetrootNews coming soon!
by ksh01 on Tue Feb 12, 2008 at 12:51:22 PM PDT
by California Nurses Shum on Tue Feb 12, 2008 at 12:52:58 PM PDT
In Michigan, they are non-profit and wonderful. Most people in this state will take BC/BS over any other insurer.
Republicans don't have 60 votes, and it doesn't seem to bother them one bit.
by dkmich on Tue Feb 12, 2008 at 12:55:16 PM PDT
My understanding is that BCBS (and some other health insurances) are on the book non-profit organizations. But you can make a ton of profit off running a not-for-profit corporation: pay lavish salaries, generous expense reimbursements, start a separate for-profit company under the same ownership and do business with them.
This is actually quite common, and not inherently nefarious - as long as it is not abused.
My guess is that the Michigan BCBS is actually the same kind of for-profit "non-profit" as the CA one.
Army 1st Lt. Ehren T. Watada, Lt. Cdr USN Matthew Diaz, SPC Eli Israel: true American heroes.
by sdgeek on Tue Feb 12, 2008 at 02:32:16 PM PDT
Other's have said that CA is really a for-profit.
by dkmich on Tue Feb 12, 2008 at 02:51:43 PM PDT
"Join the resistance, and there will be no resistance!" - My Grandmother
by Rusty5329 on Tue Feb 12, 2008 at 12:59:40 PM PDT
this is beyond shameful. Can this day get any worse for us?
Edwards Democrats and Progressives Unite! Visit us at EENR Blog
by sarahlane on Tue Feb 12, 2008 at 02:28:31 PM PDT
wide narrow
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