A friend of mine–I’ll call him Sam–recently broke his big toe. But Sam has a bigger problem than his big toe. He’s on Medi-Cal, the California medical plan for the poor.
And if you think the nation’s veterans have it bad, try getting medical care when doctors refuse to honor your insurance.
After breaking his toe while tripping over a bag, Sam went to his regular doctor, a general internist at California Pacific Medical Center (CPMC) in San Francisco.
The doctor examined Sam’s toe and said he was worried. It was a big fracture, and if the bones didn’t knit together properly, Sam could be in for big trouble.
So he advised Sam to see an orthopedic surgeon. Luckily for Sam, said his doctor, there was one close by in the same office. The doctor would ask him to check out Sam’s injury then and there.
Unluckily for Sam, he was on Medi-Cal--and the orthopedic surgeon refused to honor his insurance and see him.
Sam’s doctor sent him home, saying, “I’ll try to find someone as soon as I can.”
At home, Sam called Anthem Blue Cross, the private insurance company now providing coverage to the poor under the state Medi-Cal program.
The Anthem representative soon emailed Sam a list of Anthem Blue Cross orthopedic surgeons who would supposedly accept his insurance. He then printed out the list on his computer.
Sam then made another phone call–to the office of Dr. Vernon L. Giang, Chief Medical Executive for CPMC. There he spoke with an assistant to Dr. Giang.
He explained his difficulties in getting medical care at CPMC. He added that he had obtained a 14-page list of Anthem-Blue Cross-approved orthopedic surgeons who should be willing to accept his insurance.
The assistant said she would gladly check out the list for any doctors affiliated with CPMC. But there was a problem. Sam needed to fax her the information–and Sam didn’t have a fax machine. Nevertheless,
Sam hobbled several blocks to a nearby Kinko’s/FedEx office, which had fax machines.
The next morning, Sam called Dr. Giang’s office. He reached the same assistant, who told him that the faxed material had come in. The bad news: There wasn’t a single doctor on that list whom she had called who would accept Sam’s insurance.
In addition, some of the doctors were “out of our plan.” Which meant that even if they had been willing to accept Sam’s insurance, he couldn’t have seen them.
The assistant was polite and sympathetic, but candid: CPMC’s doctors aren’t required to treat any patient whose insurance they dislike. In fact, CPMC cannot demand that they do so, since the doctors who are practice under its name are considered “independent practitioners.”
So Sam aimed higher. He phoned the office of Dr. Warren S. Browner, the CEO of California Pacific Medical Center.
But he didn’t reach Browner–or even a secretary.
As a rule, when you call a giant corporation and ask to speak with its CEO, this doesn’t happen. But what usually does happen is that you’re put through to the executive offices. You won’t speak with the CEO, but you’ll usually reach a secretary for him.
And if your message is one that poses legal or public relations disaster for the company, the odds are excellent that you’ll soon get a call back. Not from the CEO (except in rare cases) but from someone deputized to speak in his name–and to probably address your problem.
But, in this case, there was no secretary to answer the phone for Dr. Browner. Just a message machine.
So Sam left an urgent message, outlining his difficulties in getting medical care from CPMC.
No one from Dr. Browner’s office called him back that day.
Meanwhile, the pain in Sam’s foot was getting worse. So, later that day, he hobbled into an emergency room of CMPC.
A doctor examined Sam’s foot and ordered several X-rays taken of the broken toe. After examining these, he told Sam what he already knew: The toe was broken. He also warned that if it wasn’t treated properly, Sam could have great pain–such as from arthritis–in the future.
Sam explained how he had been unable to get an orthopedic surgeon to look at his toe. The doctor said he would try to find one who would.
Sam waited in the ER for almost four hours. When he finally saw the doctor again, the latter seemed embarrassed to give him the bad news. He hadn’t been any more successful than Sam at finding a CPMC orthopedic surgeon willing to treat Sam’s injury.
When Sam asked what he should do, the ER doctor said that “time” would take care of the injury.
The website for CPMC boasts: “At California Pacific Medical Center, our mission is to always give each patient the personal, hands-on attention they deserve.” Unless, of course, all of its doctors in a particular specialty refuse to honor the patient’s medical insurance.
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A REMEDY FOR TREASON: PART ONE (OF TWO)
In History, Law, Politics, Social commentary on September 25, 2014 at 12:07 amScotland’s failed vote to withdraw from the United Kingdom has stirred fresh hopes in millions of Americans who want to see their states leave the Union.
Almost a quarter of Americans would like to see their states secede from the Union, a new Reuters/Ipsos poll found.
The poll–of 8,952 respondents from August 23 to September 16–found:
Secessionist sentiment is highest among Republicans and those who live in rural Western states. Democrats and Northerners take a far dimmer view.
Some of those polled blamed Washington gridlock for wanting to see their states go their own way.
Residents in more than 40 states have filed secession petitions to the Obama administration’s “We the People” program, which is featured on the White House website.
States whose residents have filed secession petitions include:
Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, New Hampshire, New Jersey, New Mexico, New York, Nevada, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington (state), West Virginia, Wisconsin and Wyoming.
“I don’t think it makes a whole lot of difference anymore which political party is running things. Nothing gets done,” said Roy Gustafson, 61, of Camden, South Carolina, who lives on disability payments. “The state would be better off handling things on its own.”
But by far the biggest reason for the rage to secede: Thousands–if not millions–of Americans can’t stomach the thought of a moderately-liberal black man winning a second term as President.
Texas GOP official Peter Morrison, treasurer of the Hardin County Republican party, recently called for an “amicable divorce” of Texas from the United States.
“Why should Vermont and Texas live under the same government?” he wrote in an Op-Ed in a Tea Party newsletter.
The Texas petition assails the federal government’s “neglect to reform domestic and foreign spending.”
And it argues that “it is practically feasible for Texas to withdraw from the union, and to do so would protect it’s citizens’ standard of living and re-secure their rights and liberties in accordance with the original ideas and beliefs of our founding fathers which are no longer being reflected by the federal government.”
So far, more than 84,000 people have signed the Texas petition and that number is going up.
And in a post on his Facebook page which has now been removed, Morrison wrote: “We must contest every single inch of ground and delay the baby-murdering, tax-raising socialists at every opportunity.
“But in due time, the maggots will have eaten every morsel of flesh off of the rotting corpse of the Republic, and therein lies our opportunity.”
Evoking the history of Confederate soldiers who refused to surrender after Gettysburg, Morrison, 33, called for Texans to fight “in hopes that Providence might shine upon our cause.”
Confederate flag
Morrison is particularly angry at Asian-Americans and Hispanics who backed Obama, accusing them of voting on an “ethnic basis.”
“‘They’ re-elected Obama,” Morrison wrote. “He is their president.”
Petitions to strip citizenship from–and then deport–those signing petitions to secede have also been filed with the White House website.
President Obama would do well to review how Andrew Jackson, America’s seventh President from 1829 to 1837, reacted to threats of secession.
Andrew Jackson
In 1830, South Carolina was threatening to secede from the Union. A South Carolina Congressman who was returning home visited Jackson and asked: “Do you have a message you want me to give to your friends in the state?”
Jackson questioned him about the recent mass meetings in Charleston.
The friend warned him that South Carolina’s fire-eaters believed “the Army and Navy aren’t big enough to collect a penny” of Federal duties.
“Do they realize what their words mean?” asked Jackson.
“I’m afraid they do, General.”
“Then tell them from me that they can talk and write resolutions and print threats to their hearts’ content.
“But if one drop of blood is shed there in opposition to the laws of the United States, I will hang the first man I can lay my hands on engaged in such treasonable conduct, from the first tree I can reach.”
News of Jackson’s threat quickly spread throughout Washington, D.C.
Senator Robert Hayne of South Carolina told his fellow Senator, Thomas Hart Benton, of Missouri, that he couldn’t believe that Jackson would send an army to invade a sovereign state.
Benton replied: “I tell you, Hayne, when Jackson starts talking about hanging, they can begin to look for the ropes.”
Jackson later issued a proclamation to the people of South Carolina and threatened to hang Hayne’s successor, Senator John C. Calhoun. He also warned that he would himself lead an army into the state to enforce Federal law.
The treasonous rumblings stopped–for the moment.
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