Foolin’ the People About America…”Thanks for the Health Care Savings, Dick!” Better Off Than Fifty Years Ago? Part Seven: Hit Men for the HMOs

Foolin’ the People About America: Nixon’s Big Idea—HMOs

Thanks for the Health Care Savings, Dick.

So Nixon says he is going to lower health care costs. Well, you can see how right he was about that. Just look at Michael Moore’s movie on American’s health care system if you can handle knowing how bad it got. The documentary, “Sicko,” lays out in brutal detail how devastating it was to inject the profit motive into health care.

“I Was a Hit-Man for the HMO.”

There is one especially disturbing example of this. A former employee of a huge HMO testified before Congress. Crying and tearful she related how she was rewarded for denying an operation that would have saved a man’s life. It would have cost the HMO a half million dollars. Instead, he died; they increased their profits.

In another situation an HMO employee received bonuses upwards of $20,000 for cancelling coverage on people who were costing the insurer a lot of money. She cancelled hundreds of policies, including for those who were scheduled for life-saving procedures. In one “particularly good” year for this person, she saved her employer $6 million. I don’t know offhand how many folks died in exchange for her dutiful and lucrative actions and am not sure I want to. This is hard to look at, isn’t it?

The upshot is these HMO-persons were rewarded for taking people’s lives; and they are in no way untypical. Linda Peeno, the physician who testified before Congress, admitted as much; she admitted her action amounted to a murder, for which she should have been charged but wasn’t. She pointed out how perverse it was that instead the system rained rewards up her. Now you show me the moral dividing line between theses actions of professionals of the HMO and “professional” assassins…mafia hit men. For I don’t see it.

Pay Us Now. We’ll Think About Covering You Later.

Now you might argue that saving money on costly care means there would be more help for others.

But, no. That’s not the rationale. That’s another part of it. They can deny health care on any basis. They can deny it on any basis but they went out and they found more ways to make even greater profits. If you were going to cost them a lot of money, if what you needed to live was medical treatment that they might consider too expensive, well what they would sometimes do is hire people to look into you. These people would be paid to research your background, to see if they could find something that could be used as an excuse to deny your costly procedures to you.

Michael Moore records in his documentary at least one such researcher who explains, with remorse, what he had been paid to do and how he would go about it. He, and people like him, would pore over your records to look for something, even slight, that they could hang a denial of coverage on. They would in particular look into your childhood for any care that they could say indicated the presence of a medical condition for you at that time.

When they found something, they would be able to say that you had a pre-existing condition and so they were not liable for your care now. They would claim that you lied on your application in not listing such an ongoing ailment so that they could can drop you from coverage and let you die.

So people were being left to die, killed in this manner. Does this not amount to more “hits” put out on people by the HMO?

Buuuut It’s Contract Law!!

Did You, At Any Point in the Past, Pre-exist This Application?

Buuut it’s contract law! …dollar laid, dollar played, y’know. And it’s contract law that is stretched to benefit the people with the most money and who have the better lawyers and who can, y’know, twist things better in their favor. Here you have a situation, where, let’s say, somebody is dying and they’re dying of emphysema. I don’t know enough about medicine to know if that would be the kind of thing that could entail very costly care, but let’s just say it did. So this person very ill with emphysema might be informed that it had been discovered, let’s say, that they had a bronchial condition as a child…maybe to them, they were prone to get colds. But they would make the determination that your frequent colds shows a preexisting condition for you. Now you tell me how a person who is dying is going to be able to fight that.

Over Your Dead Body Getting Paid

We’ve all heard Obama’s story about his mother and what she had to go through prior to her death. She spent the last months of her life arguing with the medical insurers over the bills. She was being told they didn’t have to cover her. Are those the kind of final days you would want for a loved one of yours? How does that prospect fit your own view of your last days?

One-Stop Larceny

Getting back to Nixon, at the time of his health care proposal he said huge managed care systems, which he touted as being one-stop medical systems, were going to lower health care costs. This was so, he claimed, because cost sharing and lower overhead would rein in the price of providing medical care. He said these lower expenses would benefit the whole system.

Apparently he forgot to mention the for-profit part, which ended up funneling all those benefits, those lower expenses, into the pockets of the owners and shareholders. That is what happens when you put profit-hungry businessmen in charge of care. Gradually, America’s medical needs were primarily the purview of business, big business.

Remember, again, that the health care law that went into effect under Obama was to make sure everyone would receive coverage, not health care. It remains to be seen how effective this health care reform will be in reducing these sorts of abuses by insurers. No doubt it is better than what existed before. But it leaves intact the profit motive in American health care. So any regulation and prohibitions of abuses are likely to amount to tying down a ravenous beast with bungee cords. It is hard to believe this monster created by Nixon will not break free whenever it can and wreak much havoc before being stopped again…but again with piles of dead Americans in its wake.

You Mean You Care…And You’re Not Paid To?? (Oh, Kumbaya.)

Previous to all this with big business put in charge of the life or death decisions of Americans, much of what was involved in caring for the sick had been attended to by religious and charitable organizations. These concerned social institutions might be dedicated to idealistic or religious principles, for example, which included compassion and caring for the sick as one of their values or one of their religious ideals. So, much of health care had been in the hands of charitable entities and people dedicated to the idea of service, caring for the sick, getting them well, caring for your fellow person, your fellow man or woman, and so on; naturally the type of care you received was infused with such ideals.