From the Huffpo Investigations Fund:
Heather Galeotti was hit by a car and rushed to the hospital, where she lay in a coma in the intensive care unit. Her health insurance company, Kaiser Permanente, told her family that she was covered through her father's group plan. But five months later, they received a letter from Kaiser. Her policy had been retroactively terminated and they owed more than $4 million in hospital bills.
It's a hole in the health care reform bill that was never discussed. The new bill bans retroactive decisions by insurers in policies sold to individuals, except in cases of fraud. However, as it stands the ban would not apply to group policies, such as the one held by the Galeotti family, which cover some 150 million Americans. Why? Because most experts think it can't happen. This case, reported for the first time at the Huffington Post Investigative Fund, shows that -- even in the group market -- people might be vulnerable.
This story came to the Huffington Post Investigative Fund through its citizen journalism project, which seeks to shed light on the inner workings of the insurance industry. Former and current employees at Kaiser responded to the Fund's online requests for help from insiders. Their tips led the Investigative Fund to identify the Galeotti family and obtain records of the case, including internal Kaiser e-mails.
Background
Friday, April 2, 2010
Thursday, April 1, 2010
AN IDEA WHOSE TIME HAS COME
My friend Sue shared this with me and its worth repeating:
There is one HERO in the U.S. Senate and his name is Sherrod Brown from Ohio. Senator Brown REFUSES to accept the Health Care granted to him as a Senator UNTIL all Americans have the same kind of coverage.
The Idea
For too long we have been too complacent about the workings of Congress. Many citizens had no idea that members of Congress could retire with the same pay after only one term, that they didn't pay into Social Security, that they specifically exempted themselves from many of the laws they have passed (such as being exempt from any fear of prosecution for sexual harassment) while ordinary citizens must live under those laws. The latest is to exempt themselves from the Healthcare Reform that is being considered...in all of its forms. Somehow, that doesn't seem logical. We do not have an elite that is above the law. I truly don't care if they are Democrat, Republican, Independent or whatever. The self-serving must stop. This is a good way to do that. It is an idea whose time has come.
Proposed 28th Amendment to the United States Constitution
"Congress shall make no law that applies to the citizens of the United States that does not apply equally to the Senators and/or Representatives; and, Congress shall make no law that applies to the Senators and/or Representatives that does not apply equally to the citizens of the United States."
There is one HERO in the U.S. Senate and his name is Sherrod Brown from Ohio. Senator Brown REFUSES to accept the Health Care granted to him as a Senator UNTIL all Americans have the same kind of coverage.
The Idea
For too long we have been too complacent about the workings of Congress. Many citizens had no idea that members of Congress could retire with the same pay after only one term, that they didn't pay into Social Security, that they specifically exempted themselves from many of the laws they have passed (such as being exempt from any fear of prosecution for sexual harassment) while ordinary citizens must live under those laws. The latest is to exempt themselves from the Healthcare Reform that is being considered...in all of its forms. Somehow, that doesn't seem logical. We do not have an elite that is above the law. I truly don't care if they are Democrat, Republican, Independent or whatever. The self-serving must stop. This is a good way to do that. It is an idea whose time has come.
Proposed 28th Amendment to the United States Constitution
"Congress shall make no law that applies to the citizens of the United States that does not apply equally to the Senators and/or Representatives; and, Congress shall make no law that applies to the Senators and/or Representatives that does not apply equally to the citizens of the United States."
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