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Whistleblower Reveals How Insurers Can Game Healthcare Bill


By Anonymous - Posted on 24 January 2010

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Whistleblower reveals how insurers can game healthcare bill
By Brad Jacobson | Raw Story

“What worries me,” he said, “is people who are forced to buy coverage and all they can afford to buy is a high deductible. And if they get really sick then they have to pay so much out of their own pockets that they’re going to be filing for bankruptcy and losing their homes.”

Though Senate bill cuts 'pre-existing conditions,' it still allows insurance companies to create 'pre-existing' categories to raise rates

The Democrats' healthcare overhaul, billed as a monumental game-changer for Americans' health insurance coverage, provides numerous loopholes for health insurance companies which will allow them to raise rates to protect profit margins, a health insurance whistleblower says.

Wendell Potter, a twenty-year veteran of the insurance industry and former vice president of communications for Cigna, warns that current healthcare legislation does nothing to prevent the insurance industry from continuing its ongoing practice of increasingly shifting healthcare costs to consumers.

A form of bait-and-switch, such practices often set up individuals, families and small businesses for inadequate or unaffordable access and a continued looming threat of financial ruin. The overlooked element, Potter says, is that insurance companies will be able to claim they are reducing premiums by forcing more Americans to pay higher deductibles and offering less coverage. Read more.

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I am on Social Security Disability and SSI. My entire monthly income is $708. Since Oct., I suddenly have a $35 co-pay for each doctor's visit I didn't have before then. With pre-op testing and consultation with my Cardiologist before surgery, I have racked up $210 for January alone. Then they sent me a bill for another $176 for a brand new premium that this district didn't have before and is ALL above what Medicaid will pay.
I go in to the hospital for my surgery on Thursday and am TERRIFIED my doctors will not be paid and I will not have proper follow up after I get home.
I have already had to have this surgery once, 3 years ago due to having gotten frost bite and the surgery was necessary to save my foot. I spent a total of 22 days in the hospital because of post surgical infections and 5 MONTHS of home care. I have also read that Medicare NOR Medicare Plus Blue covers the 1st two pints of blood. Since 2005 I have been given 16 pints of blood in 4 hospitalizations, 2 of those times for internal bleeding and the other 2 for surgery once, and for a hemogloban count of 5 (severe anemia) the first time.
The insurance companies began raising rates the minute health care reform began to be discussed, so they could suck in as much as possible, JUST IN CASE the Congress and Senate MIGHT do the right thing and put a CAP on the amount of BLOOD MONEY those leeches can take from sick and dying people before SIGNING THEIR DEATH WARRENTS. Laura N.

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