Protecting Patients

Blue Cross's taste of what's to come if health reform fails

Those of us who have health insurance--or think we have health insurance--can get complacent about whether the nation needs that big, complicated health reform legislation. But just try getting sick. Is your insurance even real? If it is, can you afford it after the latest round of price hikes? Is your deductible so big that paying it will mean financial ruin? Check out these stories and think about what the White House and Congress, by wimping out again on health reform, will condemn all of us to...

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New Jerseyans Could Soon Be Able to Shop Across State Lines for Health Insurance

If insurers can sell beyond state lines, the concern is that consumers would be attracted to the least comprehensive policies because they'd be cheapest. For example, someone could buy a policy in a state that doesn't mandate coverage of diabetic supplies. "You get what you pay for in these policies (and) consumers won't realize it until they are sick and it's too late," said Jerry Flanagan, health care policy analyst for Consumer Watchdog, a California consumer health group.

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Letter to DC Leaders Warns Against "Fallback" Health Reforms As Trojan Horses for Insurers

Consumer Watchdog Also Releases Dozen 'Better Than Nothing' Reforms To Curb Insurance Abuses, Aid States
  
Washington, D.C. -- Consumer Watchdog issued a warning today in a letter to President Obama and Congressional leaders against the health reform fallback proposals of some Congressional moderates, including deregulated national insurance plans and malpractice restrictions, calling them "the wish list of the insurance and medical industries."

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Healthcare Reform With The Stroke Of A Pen: Obama Can Help 132 Million Without Congress

Obama should close a legal loophole that currently prohibits 132 million Americans from holding their health insurance providers legally accountable for denials and delays of care"even if those denials or delays result in serious injury or death, according to the organization, Consumer Watchdog. Consumer Watchdog also asked Obama not to wait for Congress, but to re-establish a special assistant for consumer affairs in the White House"a post that the organization says every other Democratic president since John Kennedy has filled to be a voice for patients who lack legal remedies against insurance companies.

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Is Health Overhaul Possible Without Requiring Coverage?

WASHINGTON, D.C. -- With a major health overhaul in deep trouble, some lawmakers want a scaled-back approach that targets the indisputably unpopular insurance industry, by enacting such popular ideas as requiring insurers to accept people with medical problems and barring them from canceling policies or charging more for customers with health problems. Jerry Flanagan, the health care policy director of the Consumer Watchdog advocacy group in Los Angeles, never bought the idea of a mandate. "The industry was crying a lot of crocodile tears. The idea that people won't buy coverage unless it's required is largely overblown," he says. A more modest bill that includes new limits on insurers but doesn't force people to buy coverage will prove that "Congress can stand up to the industry."

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Obama: Make Equal Justice For Patients A State Of The Union Pledge & Re-establish White House Office Of Consumer Affairs

Washington, D.C. -- Consumer Watchdog urged President Obama to watch Sunday’s Dateline NBC documentary on patients who have insurance but not adequate coverage, then pledge in his State of the Union address tomorrow to deal with the lack of legal accountability for insurers and lack of adequate representation for consumers in the federal government.

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Dateline NBC on why being insured isn't same as being covered

Here's the full link to last night's excellent Dateline NBC "Critical Condition," which followed insured patients as they were turned down by their health insurers for critical care.

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Health Insurers Use Pre-emptive Strike on Legislative Mandate in Florida

OLDWICK, N.J. -- In a pre-emptive strike on a legislative mandate, major health insurers in Florida have agreed to pay for what could be costly care for members diagnosed with cancer who participate in clinical trials. Jerry Flanagan, health care policy director for the California-based Consumer Watchdog, with offices in Washington, D.C., said it's likely legislators were threatening a mandate. Cancer patients in Florida are getting a short-term victory but "without a clear law on the books that requires this treatment, the insurance companies are free to back away from their promise in the future."

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Interstate Insurance Sales Considered By Legislators

A proposal to allow Georgia residents to buy individual insurance plans across state lines could give residents cheaper options for coverage, but consumer protections would be a necessary component, said a North Georgia insurance agent. In the U.S. House health reform bill, Republicans tried to include a provision that would have allowed individual plans to be sold across state lines nationwide. The provision was rejected. The overhaul bills passed by the House and Senate offered similar provisions with added regulations, though critics say those consumer protections still don't go far enough. "The idea is very seductive, but the details are very bad for consumers," said Jerry Flanagan, health policy director for Consumer Watchdog. "Insurance companies are pushing these plans to essentially deregulate state regulation of health insurance."

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Reform or no reform, insurers will weasel on "out of network" loopholes

The Washington Post today has an eye-opening story today on how a family ended up in crushing debt at an "in-network" hospital apparently jammed with out-of-network doctors. Tens of thousands of dollars later, their little boy's rare and deadly heart defect is at least semi-fixed, but the family finances are in ruins. It's a problem that won't be fixed by reforms that rely on the private insurance industry. But it's also a problem that Congress can partly cure, with or without bigger reforms.

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