Wednesday, March 28, 2007

State To Release HMO's Documents On Claims | State To Release HMO's Documents On Claims

THe long and the short- If you make up your own criteria for what is medically necessary, and then deny people based on your narrow viewpoint, then you make money.

Toubman, who represents indigent clients as a member of the New Haven Legal Assistance Association, fears the HMOs have created their own definitions of what services are "medically necessary" or "medically appropriate" and are rejecting legitimate claims.

Since the Workers Insurance dudes do the same thing, it will be interesting to see what happens if the Insurance Co is found guilty. What will be the implications for other insurers???

Hehehe... I like this dude.

: Butt Out, Blumenthal- This Guy Has Pissed People Off!!

Contrast and Compare How Lyme Disease is Seen By Two Organizations

Wow- K**ser and Lyme Cover-ups...

Whenever anyone tells me that private medical insurance is better than public, I tell them they are trading one set of problems for another.

The problem here is that in order to not pay out to their clients,Kaiser just made up their own rules on what constitutes Lyme Disease.

Do I believe that governments are incapable of that kind of lunacy? No, the NHS in Britain has Simon Wessely, a psychiatrist, as their Lyme Disease expert. His trick is to blame the patient, and then the governement pays very little compared to what they would if they had to pay out for tests and the like. It looks like he would be in agreement with Kaiser. He is not an infectious disease specialist. (I beleive he had one year of education in infectious disease- BUT THAT DOES NOT A SPECIALIST MAKE!!) He is not a neurologist. He is someone who prescribes Paxil and exercise and if the patient is still not doing well they are malingerers with medically unexplained symptoms who deserve nothing.

Understand that there are two "books" on Lyme - one that essentially limits the scope and time frame that Lyme is recognized under, and one in which it is recognized as a possible chronic illness. The treatment guidelines are very different as are the diagnostic tests. All things I have been unaware of for all of Dr. Crippen's discussions on this illness. One is much cheaper than the other to pay for IF the patient is sick....

Neat. If only I could wave my magic wand and make free money and screw people up the ass at the same time!!

Saturday, March 24, 2007

You got some'splainin to do...

I have not blogged in a long time. I could blame it on a lot of things- working multiple jobs, ferrying teenagers to "contact ballet lessons" and work, having a nervous breakdown at my newest job, which entails being ripped a new asshole every few days by a supervisor who obviously failed the "How To Win Friends And Influence People" course, and just basic angst as I adjust to the role of parent to children who only want rides and money.

In other words life has dumped lemons on my head, and I have the concussions and all to prove it- grin!!

I have faithfully read Tara at Aetiology, Orac at Respectful Insolence, PZ at Pharyngula, And Dr. Crippen at NHS Blog Doctor. I have kept up with the rest of my faves. I have commented under another pseudonym, as I really had questions about whether or not I wanted to blog at all any more. I am depressed. I am sick--- low grade coughing, fluey, just off, and I am tired for three months at least, now.

I decided tonite that I probably ought to join the land of the living again. And proudly use the name ImpatientPatient for all the world to see. Because real life sucks so bad, I can at least attempt to pretend I am smart right here, knowing that no-one is going to make an ass out of me- and if they do, this being the Internets and all, I can just tell them to go jump in a lake- or cruder. I won't get my ass chewed off like I do with rude 60 year old assholes with cellphones attached to their heads, who think the world revolves around how their potatoes are cooked, and I won't have a boss SLAP MY HANDS when they are angry with me for not being in the right place at the right time, or use me as an example of WHAT NOT TO DO in front of my colleagues.

Happy to be back again, and cannot believe how Blogger has changed!!!

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Big Brother and On Star - Or why I do not want a new car....

Effect Measure#more

Funny thing that other people just happen to have the same healthy fear of government that I have- though we live in different parts of the world. Mine has something to do with the government doing something illegal when it linked information from one agency to another agency about 10 or so years ago. As well, the push for governments to be involved in "health choices" amd penalizing people for lifestyle factors makes me wonder when people will get fucked up the butt when they figure out their genetic profiles suck. Oh, and the schools insistence on knowing what the youngest child eats is annoying- thankfully the kid spoke up so I only had to say "hurrah"---- except for the fact that the kid had to do a study hall, it was all good. As the kid told the teacher- It really is our parent's decision and responsibility as to what we eat.

Yes!!!! That would be the person I wish to be, speaking in the child's body!!!

And I do wish to know more about the NTSB looking at ted light cameras and broken necks, as my municipality is about to use those bitches as speed recorders as well. Which means that if you speed through a red light you get a big fat ticket, and if you don't you get a broken neck. And since our government legislated a four thousand dollar cap on injury claims, the insurers of the people that hit the people in front of them will be scot free and that just pisses me off.