Kaiser specific Articles in this e-mail:
OOPS!!!! Kaiser Lost more patient data!
 
Dr. Charles Phillips Message for June 2007
Lyme Time and Tick Talk!

Arbitration and Kaiser Permanente

Do You Really Have A Mental Disorder?

It's Only The Tip of The Iceberg

Kaiser's TRIPLE Whammy  of denying medical coverage to IT'S employee's
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Be sure to either read or listen to: http://tinyurl.com/3cr72n
KaiserGate -
From the very beginning HMO's  were all based on fraud - What Nixon said about Kaiser.
Then take some time out to see Michael Moore's new film SICKO!

OOPS!!!! Kaiser Lost more patient data!
This is getting to be an everyday event.

Sent in from Patricia Carpenteri - Victim of
KaiserKare - 
Kaiser lost more patient data and this time in Panorama City.  

Kaiser sent out a letter Dated May 16, 2007 and post- marked May 29, 2007 to Kaiser patients out  of Panorma City. 

It seems that they let a vendor capture invoice information with credit card numbers, social security numbers, birth dates and medical record numbers - and then had it all promptly stolen. 

Kaiser writes that this took place on MARCH 21, 2007.  THEY WAITED ALL THAT TIME BEFORE SENDING OUT A LETTER. 

The  letter  advises  everyone  to  notify their credit  card company and have a fraud alert put out by one of the national credit reporting agencies.

A lot of good that is going to do anyone that had to wait a month to find out about the theft.  Kaiser also included in this letter a notice explaining how and where they share their information on patients.  Reading it over, I don't think that Kaiser patients have very much privacy at all.  - Vickie
Vickie may be reached at:  vickie@kaiserpapers.info
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Lyme Time and Tick Talk

The spring, summer and fall months have the greatest risk for contracting Lyme disease and other tick borne infections during outdoor recreational activities.  Lyme disease is a serious and complex bacterial infection transmitted by Ixodes pacificus, or the “deer tick.” Lyme disease is a neurological disorder and also manifests with arthritic and cardiac issues. Once the bacterium is established throughout the body, Lyme disease can be difficult or impossible to eradicate. Lyme disease can be totally debilitating and complications of Lyme disease can be fatal. This is why it is extremely important to be on alert when pursuing outdoor activities. Lyme disease can be eliminated if treated promptly.

 

The tick that most commonly transmits Lyme disease, the nymphal I. pacificus,  is so tiny that most people, about 80%, are not aware they have been bitten. The same tick can also transmit a variety of coinfections including babesiosis, bartonella, HGE and other diseases. The distinctive Lyme disease rash, or erythema migrans, is the only symptom specific to Lyme disease. Fewer than 50% of those infected get the rash. If you get the rash, photograph it and seek immediate attention. Do not let Kaiser undertreat you with only 10 days of a cheap antibiotic. Some of the worst cases of treatment resistant Lyme disease result from initial undertreatment. Please see a tick borne disease specialist, not to be found within Kaiser, if need be. The alternative could be a potential lifetime of misery.

 

The “Lyme test” that Kaiser uses is virtually worthless for West Coast cases. Kaiser is also not likely to test you for possible coinfections that reportedly occur in more than 20% of Lyme cases. Again, the tests and laboratories that Kaiser uses are not likely to find these infections, even presuming Kaiser will give you the tests in the first place. And their clinicians  have not demonstrated expertise in Lyme disease and tick borne coinfections. This is another important reason to see a specialist outside of Kaiser.

 

If you have late-stage Lyme disease, Kaiser can misdiagnose you as having chronic fatigue syndrome, fibromyalgia, MS, Lou Gehrig’s (ALS), early Alzheimers, Parkinson’s and other syndromes of unknown cause and unknown cure.

 

There are Lyme disease support groups in every part of the country. You should contact your local support group if you suspect you have Lyme disease. Also, the article “Advice to Kaiser Lyme Disease Victims” may be helpful…

 

http://lyme.kaiserpapers.info/lymevictimadvice.html

 

I was a Lyme disease victim of the Kaiser system in the Pacific Northwest. My primary care physician refused to give me an appointment when I told him I had Lyme disease and three infectious disease clinicians denied me a diagnosis. Two of these clinicians never saw me and never reviewed my medical file.

 

We have had reports of Kaiser physicians being reprimanded for diagnosing Lyme disease. For this and other reasons, it is highly unlikely that a member with Lyme disease will get appropriate help from Kaiser.

 

Miguel Perez-Lizano

http://lyme.kaiserpapers.info/

Miguel may be reached at:

mikijean@pacifier.com

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"Do You Really Have A Mental Disorder?"
by Tony Zizza


Of all the email's I receive from Kaiser Permanente Behavioral Health patients, I must say I am most concerned with the ones in which the patient is convinced that they have a mental disorder and must be drugged for life. You don't have to have an M.D. next to your last name to recognize that this is a serious problem.
 
The email's truly run the gamut.  The common thread is that the Behavioral Health department changes medications over the phone, and the patient cannot come on in again to the office.  I find this troubling because if a patient is taking psych medications, shouldn't they see a doctor often?  And why are doctors dispensing so many psych medications to begin with?
 
Well, I have learned though the years and through hundreds of email's and conversations, that the Kaiser Permanente Behavioral Health patient is often treated like a mouse running through a maze 24/7.  Not to mention, there are always issues with what office/doctor is within the patient's plan.  What rights does a Kaiser Permanente Behavioral Health patient really have to change doctors if they are not satisfied?  Or if it seems the nurse does all the work - or no work at all?   Does everything depend on the - plan?
 
I firmly believe that Kaiser Permanente Behavioral Health operates much like our popular culture in that the question of whether a person actually has a mental disorder is too often answered with a resounding YES.  And how dare a patient question this!  How dare a patient, or anyone for that matter, contemplate that perhaps the issues are environmental in nature, and there is a medical solution outside of a mind-dumbing pill. There might even be a non-medical solution. Go figure.
 
It's time for folks who are not psychiatrists to stand up on behalf of their own mental health, and the mental health of those that they love.  Question everything.  Explore all options.  Understand that you do not have to accept a diagnosis of being mentally ill, just because you were diagnosed as such from a Kaiser Permanente Behavioral Health psychiatrist within, say, six minutes.
 
So, do you really have a mental disorder? 
 
I suppose it really depends on what you want to hear.

http://www.kaiserpapers.info/tonyz.html
Tony Zizza may be reached at:
tz777@comcast.net

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Kaiser's TRIPLE Whammy  of denying medical coverage to IT'S employee's
The denial of medical via the employees benefit medical coverage and through the worker's comp injuries was a  triple whammy. Employees who had earned wage benefit packages to cover them after their forced termination and  illegal departure, they were denied and employees still cannot get their medical coverage promised under the their bargaining contract with S.E.I.U. 250  as promised in 1992.
 
During this time many employees were injured on the job because of deliberate short staffing and employees doing multiple jobs.  This was against their bargaining contract. S.E.I.U.250 headed by President Sal Roselli  did not only ensure his side of the bargaining contract by guaranteeing employees a safe and healthy work environment but also failed to make sure employees got their much earned medical benefits.
 
After being forced into the California worker compensation system, Kaiser employees were denied medical care by Kaiser's own doctors but also by it's  own Occupational Medicine Dept, they were then forced onto outside doctors where medical care was limited because Kaiser fought these employee's worker comp claims in the worker comp court.
 
Kaiser had no compunction to pay the outside doctors but  paid their own defense firms out of the  employee's insurance claims expense accounts and also paid qualified medical examiners out of the employee's claims to deny the claims including any/all  medical care. 
 
Many Kaiser employees lost all of their future medical claims and then sent off to either COBRA,  California state run Medi-Cal,  but  also outside medical care programs such as Secure Horizens  and or Medicare.

The cost of all this medical care has been put on the burden of the U.S. economy, paid for by the American taxpayers.

Because of a lack of medical care, people have died!

Dina Padilla ca be contacted at: dinapadilla@comcast.net
http://workcomp.kaiserpapers.info/
http://hometown.aol.com/V1BEST/index.html

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Dr. Charles Phillips Message for June 2007
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Kaiser as the Mother (aka grandfather) of all HMOs produced the lowest care ethics in the industrial world - getting paid a lot for doing less - they also developed the art form of tampering with medical records after the poor care to hide the sloppy and lethal care.  Hospitals now have departments of "Risk Management" that will wreck a chart on the way to government or civil review to escape liability.  And no one is stopping them so far - not the government, not the press, etc.
 
The only way to stop this is to empower the trial lawyers (the group that help patients) to be able to accomplish three things upon proving fraud:  A. restarting the clock on time to file,  B. triple damages because of fraud, and C. raising the ceiling of recovery for pain and suffering to triple (for example, in California that would go from $250,000 to $750,0000).
 
This is my primary goal this year.  For once the trial lawyers can bring in case to case accountability, chart tampering - like any business - becomes to risky to the bottom line profit.  One large newspaper believes they can do the story - with several Kaiser examples included. 
 
As to breaking up Kaiser arbitration, I have for the same reason above served notice that the whole arbitration system is worse than it was ten years ago when the supreme court called it awful in Engalla v. Permanente (see HARP.org).  Then the strategy was delay in time; no the strategy is wreck the chart.  This is worse than before.  I will probably try to bring the lead physician ("oversight") and lead attorney ("independent administrator") up on license ethics charges since they will not correct the problem.  This seems to be a good year for that.
 
                                                            Chuck Phillips, MD
http://drphillips.kaiserpapers.info/
Dr. Phillips may be reached at: cphil49401@aol.com
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Arbitration and Kaiser Permanente

By Sharon Rushford

 

Many people don’t realize that arbitration is now the justice system of choice for corporate America. It is touted as faster and cheaper, with judgments being final so there is an end to the dispute once and for all. No appeals going on and on for years.

 

Having been through this system of justice with Kaiser Permanente, I can tell you it is neither fast nor cheap. As for the judgments being final, I ask the question “why is there an appeals process in America”? The answer, to overturn unjust judgments.

 

The process is wrought with problems. Kaiser refuses to play by the rules from the onset with their constant failure to timely provide the evidence necessary to prosecute your case. In other words failing to provide the crucial “intact” medical records.

 

The arbitration system requires selection of a “neutral” arbitrator. These are mostly retired judges who depend on repeat business for their income. Studies have shown that if they award a plaintiff $1 million or more they most likely will not be selected in the future to arbitrate cases. How can this not affect their “judgment”?

 

As far as the cheap goes, I can tell you that it costs the same to arbitrate a case as it does to try one. The rules of law are the same in “proving” your case. I think most people have the idea that arbitration is one person telling a judge in an informal setting their story, then “Kaiser” for instance has their lawyer tell their side, then a judge makes a decision. I can tell you the only thing informal about arbitration is the setting. Instead of a courtroom it is usually held in a conference room with all parties seated at the table.

 

If you want to prevail, you must present your case as if you were at trial. Even then, there are no guarantees you will. And if you lose, there is no appeal, even if you now have the clear evidence to prove your case that you maybe didn’t have during the arbitration.

 

You would think in cases where this happens, Kaiser would step up to the plate and make good for what ever damage they had caused, but they don’t. In the end it’s all about money over humanity.

http://www.rushfordfiles.com/pages/1/index.htm

Sharon Rushford may be reached at: sharon@rushfordfiles.com


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"It's Only The Tip of The Iceberg"
by Hillarie Levy
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Although we were awarded  $928K as a result of Kaiser misdiagnosing my daughter, Robyn Libitsky's cancer, resulting in her death, it has become increasingly evident that this is only the "tip of the iceberg."  Additional disturbing issues concerning Kaiser's treatment of their most ill and dying (expensive) patients are:  1)  1/04 policy of placing cancer patients at a low priority for blood transfusions, 2)  physicians requesting organ donation from ineligible cancer patients, 3)  inappropriately promoting hospice care, 4)  ombudsman's inability to differentiate between legitimate and false legal documents, 5)  nurses and physicians blatantly ignoring legal documents in charts such as Medical Directives.
 
Although the evidence presented is clear,Kaiser, DMHC and the Medical Board have continued to make excuses and defend these actions, which violate laws concerning HIPAA, discrimination, and transplants, all for financial motivation.
 
Hillarie Levy, Robyn Libitsky's mother
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© 2007 Kaiser Papers