Confessions of a managed-care medical director
While much of the debate over health care talks about the tens of millions of Americans who aren't covered, another, very compelling part of the debate has to do with those who are covered -- or think they are covered -- and how the insurance companies treat them.
It's a shame that documentary filmmaker Michael Moore has become a fringe figure -- his new film is an attack on capitalism, which will give tens of millions of Americans all the permission they need to dismiss or ignore anything he's said in any of his movies. Because "Sicko," his documentary on health care, raises many valid and troubling questions about how the health-insurance industry really operates.
One scene features C-SPAN2 footage of Dr. Linda Peeno's testimony to a congressional subcommittee. As a medical director for an insurance company, she was, she admits, a death panel of one.
Some excerpts:
I am here primarily today to make a public confession. In the spring of 1987, as a physician, I denied a man a necessary operation that would have saved his life and thus caused his death.
No person and no group has held me accountable for this because, in fact, what I did was I saved the company a half a million dollars for this.
And furthermore, this particular act secured my reputation as a good medical director, and it ensured my advancement in the health care industry--in little more than a year, I went from making a few hundred dollars per week to an annual six-figure income.
In all my work, I had one primary duty and that was to use my medical expertise for the financial benefit of the organization for which I worked and according to the managed care industry...
it is not an ethical issue to sacrifice a human being for a savings, no matter how that savings occurs. And I was repeatedly told that I was not denying care. I was simply denying payment..... if I am an expert here today, it is because I know how managed care maims and kills patients....
I turned preexisting exclusions into a game as I tried to connect almost any prior medical complaint or visit as a reason to deny payment...
http://blogs.chicagotribune.com/news_columnists_ezorn/2009/09/confessions-of-a-managedcare-medical-director.html
Death Panels are ok as long it is a corporation doing it and helping the investors get more money to buy new playthings.