Making A Killing: HMOs and the Threat to Your Health

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Editorial Reviews

Publishers Weekly - Publisher's Weekly
One of the most powerful indictments to date of the managed care industry, this scathing expos presents case histories of those who have lost their health or their lives because an HMO denied or delayed vital treatments, tests or surgery. Consumer activist Court, advocacy director of the Foundation for Taxpayer and Consumer Rights, and public policy consultant Smith zero in on the insidious incentive for HMOs to withhold medical care in order to increase profits, thanks to the current capitation system, which allocates a fixed lump-sum payment for every patient under a provider's care, regardless of how much treatment each needs. HMOs, as portrayed here, are institutions driven by shortsightedness, negligence and greed, in which clerks without medical licenses overrule treating physicians to make life-and-death decisions, accountants scale down medical procedures and determine patient discharge times, and taxpayers are cheated out of billions by distorted federal expense claims for reimbursement. The authors set forth an arsenal of sensible proposals for reforms that would level the playing field for patients. An appendix, "HMO Patient Self-Defense Kit," offers practical pointers on how readers can negotiate with their HMOs to get the care they need. This lively probe is must reading for anyone concerned with the health of the U.S. medical system. (Dec.) Copyright 1999 Cahners Business Information.
Booknews
Court, a nationally recognized consumer advocate and founder of a health care watchdog project, and Smith, an attorney and president of a public policy consulting firm, expose appalling practices of HMOs and the corrupt world of managed care. They tell true stories of patient victims who got caught and killed in the system, and expose the profit motive behind the misery, revealing the collusion of the insurance industry's powerful lobbyists with Congress and state legislatures to block any serious reforms. They supply an HMO patients' self-defense kit to help patients overcome HMO stonewalling. Annotation c. Book News, Inc., Portland, OR (booknews.com)
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Product Details

  • ISBN-13: 9781567511680
  • Publisher: Common Courage Press
  • Publication date: 7/1/2002
  • Edition number: 1
  • Pages: 230
  • Product dimensions: 5.50 (w) x 9.00 (h) x 0.50 (d)

Table of Contents

Acknowledgments
Foreword
Introduction 1
1 The End of Health Care: Who Plays God in a System Bent on Profit 6
2 A Deadly Fraud: Behind the Cating Image of HMOs and Managed Care Companies 40
3 The Death of Community Health Care and Hospitals 70
4 The Financial Sting - Paying More for Less 99
5 Getting Away with Murder: Why You Can't Sue Your HMO 120
6 The Battle to Make Health Care Work 153
App. 1 HMO Patient Self-Defense Kit 178
App. 2 State Regulators 189
App. 3 Consumer Resources 197
Notes 201
Index 222
About the Authors 231
Stay Involved 232
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Sort by: Showing 1 Customer Reviews
  • Anonymous

    Posted January 16, 2002

    Almost Funny

    Anyone who is knowledgeable about the health care system will quickly realize the argument the book makes doesn't hold water. The book contains unsubstantiated claims that border on propaganda. The author over simplifies the problem by blaming the nations current health care crisis on the HMO industry while offering no real solutions and ignoring all the other factors that have contributed to our current situation.

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