
The
best thing that we can recommend for seniors is
to have nothing to do
with
the Kaiser Senior Advantage Health Plan.
If
you already do
have this
medical plan than you are only playing HEALTH ROULETTE.
In
the end the house always wins and you will suffer the
consequences.
"Lynching
the Elderly and Disabled?" (Why
We Need An Elder Justice Act) by Ron Panzer
Read the story of former Kaiser Senior Patients Bill and Marie O'Dell |
See also: Contrary
to Kaiser recommendations for Hospice patients with difficulty
breathing
to take Morphine - Many Physician's Disagree and do not recommend that
it be used for this situation! http://www.kaiserpapers.info/senadv.htmlSee:
Kaiser's
Call for Doctor's Willing to EuthanizePatients.This is an actual email
that Kaiser sent out to 829 recipients

See the story of former Senior Kaiser Patient Mr. John M. Kline
|

Dr.
Charles Phillips, a former Kaiser Physician, who currently is devoting
his life to helping Kaiser victims says
"I
believe that seniors
are used to carry HMOs, particularly Kaiser. Triple
enrollment of
seniors shows that HMOs don't mind getting them; the game is
to give
them far less than the ads promise. Pill splitting is an
example
- the pills fragmenting into various size pieces of a 20% too low to
20%
too high range.
IMPORTANT
LETTER
FROM DOCTOR CHARLES PHILLIPS TO THE SENIOR PATIENT |
The
key to Kaiser's business success is to pull in seniors as enrollees -
free
seminars for conservators - and then withhold the patients'
care. Seniors
do not have a strong advocacy
group; they have 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."
Seniors - If you are in
California and
have a problem with Kaiser is it unlikely that The Department of
Managed
Health Care will be choose to assist you. In 2001, Federal
Judge Ronald
Lew wrote that Federal Law was the correct jurisdiction for Medicare
related
matters under Social Security Act Title 1856 section (b)(3)(B) and
Federal
Code Title 42 U.S.C. 1395w-26(b)(3)(B). . Please
see:
http://www.hmohelp.ca.gov/hpp/memos/2001/011217.pdf
and http://www.ssa.gov/OP_Home/ssact/title18/1856.htm
Which states that Federal Law supercedes state law.
and
http://www.ssa.gov/OP_Home/ssact/title18/1856.htm
So this means in general that CMS is the agency that you need to
contact
for assistance. In turn it is likely that CMS will refer you
back
to DMHC stating that they indeed should be handling your case after
all. DMHC may then just deny your existence to not do their
their.
All we can suggest is that you
collect the letters from the
various agencies and send copies of all 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.
So this means in general that CMS is the agency that you need to
contact
for assistance. In turn it is likely that CMS will refer you
back
to DMHC stating that they indeed should be handling your case after
all. DMHC may then just deny your existence to not do their
their.
All we can suggest is that you
collect the letters from the
various agencies and send copies of all 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.ral that CMS is the agency that you need to
contact
for assistance. In turn it is likely that CMS will refer you
back
to DMHC stating that they indeed should be handling your case after
all. DMHC may then just deny your existence to not do their
their.
Why
Kaiser shafts
the Senior Population: "Current financing trends
(e.g., Medicare Prospective
Payment System) put the hospital at risk, and in order for it to
survive,
a hospital must obtain the support and cooperation of its medical
staff.
This shifts a considerable economic responsibility to the physicians
when
any fixed price payment (per case, per patient, or per subscriber)
results
in a fixed budget." From:
http://businesspractices.kaiserpapers.info/kaiserpayoff.html -
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. http://www.kaiserpapers.info/fight.html
|
Keeping
strokes out of the hospital is
another. Ignoring cancer until hospice
time is a third. Putting patients on postassium for
no good
reason is a fourth (I am advising a family now on this issue on a
patient
who was sent home from the ER only to come back with a completed stroke
and get put on potassium.)
Link to
Kaiser Hospice statements and a medical doctors opinion on the
potential
folly of following Kaiser Morphine instructions for this purpose. 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.
Kaiser does not care one little bit about your health. They
only
care about your premiums that the government is paying three months in
advance for .
You will find the occasional
geriatric
specialist that will care for you to keep you alive as long as some
administrator
doesn't decide you need to be part of their so called hospice
program.
That is telling Medicare that is their final payment for your
medical care. Once that program kicks in you can count on
living
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
corporation
wants that to happen. Please
view page
74 http://medicalserialkillers.kaiserpapers.info/pdfs/odyssey.pdf and More
detailed information on the finacial rewards for doing in the patients,
especially when the government is paying for their medical care can be
found her at: http://medicalserialkillers.kaiserpapers.info/pdfs/ ODYSSEYHEALTHCA10Q.pdf. See
the Evidence at: http://www.kaiserpapers.org/cnadir.html
The
above is documentation accumulated by The California Nurses Association
that they have graciously allowed us to duplicate here.
See
the Further Information at:
http://www.kaiserpapers.org/cnadir.html
The
above is documentation accumulated by The California Nurses Association
that they have graciously allowed us to duplicate here. For
Basic Physical
Therapy that your family can help with.
This is where I go t
the information to give my father his
Physical
Therapy. Kaiser of course billed Medicare for the work that I
did.
Kaiser staff was also upset that we did any physical therapy for
him.
It kept him alive and undid much of the damage done while he was " In
The Hands of
Kaiser."
This
site is called the Disabled Village Children. And it provides
information
on how to handle many situations if you have no medical care at all.
|
Kaiser in the central
valley is busy
building new clinics out
toward the rural areas. I suppose this means better
access.
But to what? See: Kaiser
Senior Advantage Program - The Truth!
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. Senior
Survival School Top
of the line information on how to complain.
Financial
Exploitation
of the Elderly
Be aware of what is taking place on a very large scale in this country
today.
|
Did
you know that Kaiser receives your Medicare money in advance from the
Federal
Government? Did you also know that if they sign someone into
their
psuedo hospice program that they are prepaid but that if you live
longer
than 90 days in this program that a Federal Audit may be
triggered? Did
you also know
that Medicare pays a higher rate to
Kaiser for shipping you off into their hospice program?
They just don't
provide half of the services that you
had before this program became involved. If you die before
the 90
days is up they get to keep all that money and avoid any
recertification
and audit problems. For Kaiser this really is a win win
situation.
This translates into higher shareholder dividends for the Permanente
Doctors
that probably never even visit a patient of theirs that they shoved off
into the Kaiser hospice program.
| Kaiser is known as a "Mean
Machine" by everyone
that works at Kaiser.
This Mean Mchine is being fed by your Medicare payments. It's
growth
and benefits are not shared with you. It is a self serving,
manipulative
and slothful entity that does not deserve to receive your Medicare
premiums.
If
you
insist on staying with Kaiser here are
a few self help links that you will need to survive:
Recently 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! Guidelines
for the Prevention of Intravascular Catheter-Related Infections from
the
CDC Examples
of Clinical Definitions for Catheter-Related Infections
Summary
of Recommended Frequency of Replacements for Catheters, Dressings,
Administration
Sets, and Fluids If
You
Need Assistance Obtaining Prescription
Medications click here for further information scroll down the page for
a detailed section that can be of assistance to you.
|
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.
Currently,
it is a felony for any person to deliberately advise or encourage
another
person to commit suicide. - California
Penal Code 401 |