Monday, December 31, 2007

FEATURE: Health Insurance, What is Reasonable?


A true story regarding America’s healthcare system. There is a range I see: the poor with no health coverage, working class with employee based insurance, and the wealthy possessing access to necessary in addition to elective, cosmetic procedures. Conservatives state that families should use their own resources in health care. I do not agree but let us entertain this view for this true circumstance. Paying monthly premiums for health insurance is an expression of such a resource. I ask then what role then do insurance companies have to deny coverage for a life extending procedure. What is reasonable? Should the government play a role in assuring insurance holders and patient rights? If and precisely in this true case a family (or individual) has health insurance but are denied claim to a procedure improving the quality of or the extension of life, there is fact supporting drastic changes in America’s profit driven health car system. -A.T. Brooks

“Every presidential candidate whose health plan rewards the health insurance companies by giving them more business via mandates needs to rethink that approach.

The lawyer for California teen Nataline Sarkisyan charged today that the only reason Cigna Health Care officials changed their minds and approved a liver transplant for the desperate girl was they knew it was too late and they wouldn't have to pay for it.

Sarkisyan, 17, died Thursday just hours after Cigna reversed its decision and approved the procedure it had previously described as "too experimental…and unproven." Now the Sarkisyan family hopes manslaughter or murder charges will be pressed.
Their lawyer, Mark Geragos, says he will refer the case to prosecutors for possible criminal charges against the insurer, Cigna HealthCare.

"All of the doctors there unanimously agreed that she needed and should have that liver transplant. And the only entity, if you will, who said no to that in the middle of that medical decision, was some piece of garbage who decided that making a couple of dollars, or saving them a couple of dollars, was worth more than the 65% chance over six months that she would survive," said Geragos.

I've been locked with my own battle with Blue Shield over what is really a minor (still unresolved) health issue, those who need far more expensive care as they fight for their lives are in far worse shape, and people are dying as a result.
A system that replaces the judgement of doctors for that of accountants is inherently broken and must be scrapped.

These Cigna execs should be charged with manslaughter or the murder of Nataline, while a more comprehensive solution to the nation's health care crisis must ensure that a for-profit health care system be scrapped for one that puts the health of the people first.
Every presidential candidate whose health plan rewards the health insurance companies by giving them more business via mandates needs to rethink that approach.

The lawyer for California teen Nataline Sarkisyan charged today that the only reason Cigna Health Care officials changed their minds and approved a liver transplant for the desperate girl was they knew it was too late and they wouldn't have to pay for it.

Sarkisyan, 17, died Thursday just hours after Cigna reversed its decision and approved the procedure it had previously described as "too experimental…and unproven." Now the Sarkisyan family hopes manslaughter or murder charges will be pressed.
Their lawyer, Mark Geragos, says he will refer the case to prosecutors for possible criminal charges against the insurer, Cigna HealthCare.

"All of the doctors there unanimously agreed that she needed and should have that liver transplant. And the only entity, if you will, who said no to that in the middle of that medical decision, was some piece of garbage who decided that making a couple of dollars, or saving them a couple of dollars, was worth more than the 65% chance over six months that she would survive," said Geragos.

I've been locked with my own battle with Blue Shield over what is really a minor (still unresolved) health issue, those who need far more expensive care as they fight for their lives are in far worse shape, and people are dying as a result.
A system that replaces the judgement of doctors for that of accountants is inherently broken and must be scrapped.

These Cigna execs should be charged with manslaughter or the murder of Nataline, while a more comprehensive solution to the nation's health care crisis must ensure that a for-profit health care system be scrapped for one that puts the health of the people first. (daily kos)”

2 comments:

forHealth said...

I agree that the health insurance industry as it is now should be eliminated. I have had my own fight with trying to get insurance in the first place. I now live without insurance and I am glad that stress is gone. I am also opposed to any form of government mandates - the government has yet to prove it can do something and stay in the black.

Dallas Health said...

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