Financial Exploitation of the Elderly Be aware of what is taking place on a very large scale in this country today.We have received numerous reports of in hospital and at home Kaiser patients dying from urinary tract infections where the blame has been laid on a catheter. Rather than voice any one persons opinion on this epidemic the following links on this subject are provided. Arm yourself with as much knowledge as possible if dealing with this situation and are under Kaiser's care! "The "right to die" could all too easily become a "duty to die".
- If you are in
have a problem with Kaiser is it unlikely that The Department of
Health Care will choose to assist you. In 2001, Federal
Lew wrote that the Federal Level was the correct jurisdiction for
matters under Social Security Act Title 1856 section (b)(3)(B) and
Code Title 42 U.S.C. 1395w-26(b)(3)(B). . Please
and http://www.ssa.gov/OP_Home/ssact/title18/1856.htm Which
that Federal Law supercedes state law. and http://www.ssa.gov/OP_Home/ssact/title18/1856.htm
means in general that CMS is the agency that you need to
for assistance. In turn it is likely that CMS will refer you
to DMHC stating that they indeed should be handling your case after
all. DMHC may then just deny your existence and not do their
They may also continue to give you the run around and refer to you to whatever QIO has the contract at the time for review.
A QIO is a "Quality Improvement Organization." This is not a government agency. This is a trade organization owned by those in the health industry, such as Kaiser and often run by Kaiser and DMHC former employees.
By sending you to the QIO which has no authority, they are wasting your time. By the time that their investigation is done the statute will be tolled. That might be their intent.
All we can suggest is that you collect the letters from the various agencies you have to contact. Send copies of your letters to the next agency that they refer you to. Eventually, someone may finally decide to do the right thing and show you respect as a citizen, and finally assist you.
Why Kaiser shafts the Senior Population:
(e.g., Medicare Prospective
Payment System) put the hospital at risk, and in order for it to
a hospital must obtain the support and cooperation of its medical
This shifts a considerable economic responsibility to the physicians
any fixed price payment (per case, per patient, or per subscriber)
in a fixed budget." From:
http://businesspractices.kaiserpapers.org/kaiserpayoff.html - Source: Payments to physicians in the Permanente Medical Group - a report prepared for Congress by Kaiser and the For-Profit Permanente. You can help fight Medicare Fraud and Abuse. Check out this link if you believe that Medicare Fraud is taking place.
Medicare data show high rates of serious complications for elderly
patients at 3 out of 10 major teaching hospitals..."
ALL KAISER HOSPITALS ARE TEACHING HOSPITALS
"Too many people leave this life with a bit too much morphine in their system for their death to be considered natural."
With the act of euthanasia, the sick or elderly are killed by action or omission, out of a misplaced sense of compassion or misguided mercy or for a corporation to make more money.
The best thing that we can recommend for seniors is to have nothing to do with ANY Kaiser Senior Health Plan.
Tips and Notes
about the Kaiser Advantage Programs sent in from Advocates and the
Did you also know that all those excuses as to why you have to see a nurse instead of your assigned physician is an intentional act? I am sure that you will hear all sorts of excuses about how busy the doctor is, but the truth is if they put your care Into The Hands of A Kaiser Nurse that doctor can bill for lots of patients at the same time without ever seeing them. Maybe someday, if no one complains your doctor will get around to reviewing your medical records but I wouldn't count on it in this lifetime.
Your greatest chance of survival is to go straight Medicare and purchase a Medi Gap Policy. Forget the outdated, previously over rated and falsely advertised Kaiser Senior Advantage Plan if you want to be around to see your children and grandchildren in the future.
Kaiser's "physician responsibility" term is the code words for the strategy of do not go beyond one pass at providing care for a senior. Complications go to hospice or home care. Cancer is to be ignored early and diagnosed when too extensive to treat. Pneumonias may be sent home at the midlevel Class C severity - the point at which the "best evidence" says admit - because the 2% mortality rate is worth the (unexplained to patients) risk. Seniors, Kaiser believes that you should not absorb too much treatment cost as part of their "patient responsibility" to their Kaiser enrollees, the latter hidden agreement is never explained in the ads or contracts.
Kaiser is known as a "Mean
Machine" by everyone
that works at Kaiser.
This Mean Machine is being fed by your Medicare payments.
and benefits are not shared with you. It is a self serving,
and slothful entity that does not deserve to receive your Medicare
Seniors do not have a strong advocacy group; they have a less suable life span; their diseases can be blamed on aging; they are harder to study for outcome; and few Western families can use the Asian approach of camping out by the bedside and watching every care event."In the case of a Senior that has the misfortune to have the Senior Advantage package, don't count on your contract to be honored by them when you really need it. Kaiser will pretend that they have budget cuts, no knowledge or staff capable of treating your needed medical situation and the end result will be that you will suffer.
will find the occasional
specialist that will care for you to keep you alive as long as some
doesn't decide you need to be part of their so called hospice
That is telling Medicare that is their final payment for your
medical care. Once that program kicks in you can count on
just about 85.2 days after
that. At 90 days the government computers may trigger an audit of those
systems that still have patients on their program. No
wants that to happen. Please
detailed information on the financial rewards for doing in the patients,
especially when the government is paying for their medical care can be
found her at: http://medicalserialkillers.kaiserpapers.org/pdfs/