Tag: Private Insurance

Real people … who we knew and loved … who died unnecessarily in the U.S.

Real Life Stories of Americans

THE SILENT … NOW DECEASED

“My daughter got sick with cancer after her husband lost his job. She never told anyone she was sick because she knew the financial hardship it would cause and eventually the hospital would take their house for unpaid medical bills. We lost her in the following spring … We read her diary and learned all she was feeling and thinking. Now I wonder how many others are just like her in this America? And how many before her?”

Deaths due to Preventable Diseases: Dead Last

Rankings 1st to 19th. France, Japan, Australia, Spain, Italy, Canada, Norway, the Netherlands, Sweden, Greece, Austria, Germany, Finland, New Zealand, Denmark, Britain, Ireland, Portugal, United States

http://www.medicareforall.org/…

Those “death panels” really do exist

MediaMatters — August 20, 2009

To date, the media have debunked the “kill granny” lie more than 40 times. The nonpartisan FactCheck.org says the claim of mandatory counseling on ending seniors’ lives is “a misrepresentation.” ABC’s chief medical editor, Dr. Tim Johnson, said “the idea about death panels” is “not at all legitimate.” PolitiFact.com has called “death panel” claims “a ridiculous falsehood.” When the Associated Press conducted a fact check of the bogus charge, it reported, “No ‘death panel in health care bill.’ “

After former Alaska Gov. Sarah Palin claimed that “Obama’s ‘death panel’ ” could decide the fate of her parents or her son who has Down syndrome, conservative radio host Larry Elder aptly called her comments “over the top.” […]

It seems Sarah’s still leading that pied-piper Twitter Parade …

Since the GOP is fond of saying that “the USA has the Best Health Care System in the World”, I decided to do a little Fact Checking. … And according to the World Health Organization:

Health Performance Rank By Country

United States of America:

Performance: On level of health : 72nd

Performance: Overall health system: 37th

Health expenditure per capita in international $’s

Country Rank:  USA: 1st

http://www.photius.com/ranking…

We’re Number One! alright — BUT only in terms of HOW MUCH WE PAY PER PERSON, for our Health Care! (1st in the World, in terms of Cost)

That’s sounds like a contest, that we just don’t want to keep winning!

If you’re lucky enough to still have Insurance —

1 in 7 Americans Don’t have that Luxury, by the way —

Well you might not feel so Lucky, after learning how much more of the Insurance Premium tab, you have been picking up, over the last several years.

Health Insurance is a “Benefit” of Employment — yeah Right!

A Benefit to the Employer, to keep you locked in your lousy Job.

A Benefit to the Insurer, who has a guaranteed source of Income, every time you get a paycheck!

That “Lucky Insurance Policy” has been to costing you more and more, each year, while promising you less and less, in terms of coverage … this squeeze has been happening for years!

Something is seriously wrong with this Nation’s Broken Health Insurance system …

Medical bills prompt more than 60 percent of U.S. bankruptcies

By Theresa Tamkins — CNN, June 5, 2009

This year, an estimated 1.5 million Americans will declare bankruptcy. Many people may chalk up that misfortune to overspending or a lavish lifestyle, but a new study suggests that more than 60 percent of people who go bankrupt are actually capsized by medical bills.

Bankruptcies due to medical bills increased by nearly 50 percent in a six-year period, from 46 percent in 2001 to 62 percent in 2007, and most of those who filed for bankruptcy were middle-class, well-educated homeowners, according to a report that will be published in the August issue of The American Journal of Medicine.

1.5 million Americans x 60% = 900,000 Americans

that’s about 2500 more people per day

… going bankrupt from medical bills, which were NOT covered by our broken Health Insurance system

Former CIGNA Exec Wendell Potter, says Michael Moore was right!



http://www.youtube.com/watch?v…

WENDELL POTTER: I thought that he hit the nail on the head with his movie.

But the [Insurance] Industry, from the moment that the Industry learned that Michael Moore was taking on the health care industry, it was really concerned.

BILL MOYERS: What were they afraid of?

WENDELL POTTER: They were afraid that people would believe Michael Moore.

The Speaker of the House, took a break from serious legislation, to spell out their plan for Messaging …

http://www.youtube.com/watch?v…

Nancy Pelosi:

You see CEOs of these Industries making millions of dollars a year — indeed many of them a million dollars a month — for their ‘Leadership’ in withholding benefits, to people in NEED of Health.

let the Drum beating, begin …

as reported on Rachel Maddow’s Thursday show:

Congressman Weiner’s bluff-calling, put-up-or-shut-up amendment to the House health care bill (H.R. 3200):

Really Republicans, don’t like Publicly run Health Care?

Would you care to put your Vote where your rhetoric is,

to eliminate a very successful Public Health Care Program — Medicare?

http://www.msnbc.msn.com/id/26…

http://www.youtube.com/watch?v…

So what happened?

Will Medicare be relegated to the “junk heap of history” as another “failed idea” of the Liberal Agenda? … well in a word, HARDLY!

The President gave a compelling prime time Press Conference last week mostly about Health Care Reform — the most pressing Issue of our time, and what was the lead story for the next several days?

The merits of Public Option competition?

The plight of 14,000 citizens losing their Health Insurance each day?

No, the lead story was the President’s take on the arrest of his friend — on the emotionally charged “wedge issue” of Racial Profiling. A worthy discussion, no doubt —

But what about the issues of Health Care Reform?  What about that Debate?

Of course the Media has been failing to have a Real Health Care Debate for some time now …

ABC Censors Obama’s Longtime Doctor, Dr. Scheiner

There is a bit of a Cold War of sorts, raging between Private Insurance “providers” and your neighborhood Health Care professionals (and it’s NOT the Govt getting in between the two.)

It’s the battle over Claim Denials. It’s an “arms race” that just keeps escalating …

DMI: Denial Management, Inc — The Claims Solution People

The Problem:

One in seven claims are denied by insurance companies. This can cost your clinic or practice thousands of dollars every year.

http://www.claimsmgt.com/produ…

That’s about 15% of Claims, Insurers choose NOT to pay. So, Doctors need all the help they can get, to stay focused on Healing, NOT Bill Collecting!

Denial Management Services

Problem: Most Health Systems lose between 3% and 5% of net revenues as a result of payment denials.

Solution: Outsource your denied claims to DMI, the foremost industry leader in capturing additional revenue.

http://www.claimsmgt.com/compa…

We learned last week from LA Times reporting, and from Congressional Hearings, that Insurance companies routinely try to drop your Insurance policy, if you happen to get one of their “Hot List” illnesses.

Getting any of these illnesses, can Trigger the Insurance Company’s “Cancellation Police”, into action.

Denial Specialists scour your medical history, and cross-check that against your application, looking for any reason to Cancel, or rescind, your Insurance policy, thus saving the Insurance Company untold thousands in future payments for your expected Care. Denial Specialists, of course, earn bonuses for each Policy they cancel. What a system!

Those 4 illnesses (out of the 1000+ such Triggers) previously disclosed are:

breast cancer, high blood pressure, lymphoma and pregnancy

Well thanks to the tough questioning of the Oversight and Investigations Sub Committee, at least 2 more Triggering Illnesses have been disclosed, as indicated in the video and transcript of the Hearing:

The 2 other newly disclosed “Drop List” illnesses, include:

ovarian cancer, and brain cancer

crossposted on Daily Kos

White House Open to Deal on Public Health Plan

By LAURA MECKLER and JANET ADAMY – JULY 7, 2009 – WSJ

WASHINGTON — It is more important that health-care legislation inject stiff competition among insurance plans than it is for Congress to create a pure government-run option, White House Chief of Staff Rahm Emanuel said Monday.

[…]

One of the most contentious issues is whether to create a public health-insurance plan to compete with private companies.

Mr. Emanuel said one of several ways to meet President Barack Obama’s goals is a mechanism under which a public plan is introduced only if the marketplace fails to provide sufficient competition on its own. He noted that congressional Republicans crafted a similar trigger mechanism when they created a prescription-drug benefit for Medicare in 2003. In that case, private competition has been judged sufficient and the public option has never gone into effect.

Mr. Obama has pushed hard for a vigorous public option. But he has also said he won’t draw a “line in the sand” over this point.

http://online.wsj.com/article/…

OH NO! Not that stupid Trigger Option again!

Enough Already!