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"10 percent of Kaiser’s business is Medicare+Choice"  - G.C. Halvorson - Current CEO

In the year 2000, The California Nurses Association put out a warning to Seniors about the Kaiser Permanente Senior Advantage Program.  It is displayed here for you reference.  http://seniors.kaiserpapers.info/cnasenadvantage.html I think that you will find that not much has changed.


Seniors - Don't let Kaiser play Medical Roulette with your life!

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
Seniors that are happy now that they got rid of Kaiser for their Health Care.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.html

See:
Kaiser's Call for Doctor's Willing to EuthanizePatients.This is an actual email that Kaiser sent out to 829 recipients

Morphine Injector
 

See the story of former Senior Kaiser Patient
Mr. John M. Kline
Dr. Charles Phillips


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
They didn't get guy because he was too smart to believe Kaiser lies!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 Another Grandmother saved from Kaiser Care.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 keeps your money to not provide needed medical care when it is to their advantage. 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.


Rural Area
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.
 


Medicare Pays Kaiser in Advantage to Treat you the Senior Citizen.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 In The Hands of Kaiser Doctor.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

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