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babylonsister Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Jun-18-09 10:54 AM
Original message
Rescission: customers have insurance, pay premiums, get sick, companies drop coverage
:grr:

http://www.washingtonmonthly.com/archives/individual/2009_06/018667.php


RESCISSION.... In light of the current policy debate, it was awfully nice of insurance industry executives to help demonstrate why a public option is so necessary as part of the broader reform effort. (via Kevin Drum)

Executives of three of the nation's largest health insurers told federal lawmakers in Washington on Tuesday that they would continue canceling medical coverage for some sick policyholders, despite withering criticism from Republican and Democratic members of Congress who decried the practice as unfair and abusive. <...>

An investigation by the House Subcommittee on Oversight and Investigations showed that health insurers WellPoint Inc., UnitedHealth Group and Assurant Inc. canceled the coverage of more than 20,000 people, allowing the companies to avoid paying more than $300 million in medical claims over a five-year period.

It also found that policyholders with breast cancer, lymphoma and more than 1,000 other conditions were targeted for rescission and that employees were praised in performance reviews for terminating the policies of customers with expensive illnesses.


The insurance industry -- you know, the one conservative lawmakers and the AMA are so desperate to protect at all costs -- has this unpleasant habit called "rescission." Customers have insurance, and they pay their premiums, but once they get sick and require expensive medical treatment, the companies drop the coverage.

And in testifying before Congress, executives of these insurers not only confirmed the rescission practice, but said they had no plans to change the money-saving tactic.

One executive said rescission is about "stopping fraud and material misrepresentations that contribute to spiraling healthcare costs." So, for example, when a woman in Texas was diagnosed with aggressive breast cancer, her insurer dropped her coverage because the company found an instance in which she visited a dermatologist for acne, and didn't tell the insurance company about it. This, the insurer said, was an example of "fraud and material misrepresentation."

Late in the hearing, {Rep. Bart Stupak (D-Mich.)}, the committee chairman, put the executives on the spot. Stupak asked each of them whether he would at least commit his company to immediately stop rescissions except where they could show "intentional fraud."

The answer from all three executives: "No."

Rep. John Dingell (D-Mich.) added, "This is precisely why we need a public option
."


You don't say.

—Steve Benen
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The_Casual_Observer Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Jun-18-09 10:58 AM
Response to Original message
1. They figure sick people are too weak to take to the streets.
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Echo In Light Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Jun-18-09 11:57 AM
Response to Reply #1
7. This is America: the healthy one's won't either. No courage or conviction.
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WeDidIt Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Jun-18-09 11:00 AM
Response to Original message
2. Health Insurance Companies, privatizing profits and socializing risk for the past century!
Motherfucking MURDERERS!
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cdsilv Donating Member (883 posts) Send PM | Profile | Ignore Thu Jun-18-09 11:11 AM
Response to Reply #2
3. They should realize that sick people with nothing else to lose.....
...have access to firearms....
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truedelphi Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Jun-18-09 11:49 AM
Response to Reply #3
6. Sooner or later, one of them will figure this out for him or herself
When it is just a click too late to help themselves.
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sarcasmo Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Jun-18-09 11:18 AM
Response to Original message
4. Insurance companies are all about making money not taking care of the policy holder.
I always thought Lobbyist were the most Greedy bastards on the planet, no I believe the Insurance companies have past the Lobbyist.
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Stellabella Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Jun-18-09 11:19 AM
Response to Original message
5. Why no one has gone postal on an insurance company is beyond me.
They kill people every day.
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Echo In Light Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Jun-18-09 11:58 AM
Response to Reply #5
8. Americans obediently, passively accept being routinely fucked over.
To do otherwise would be considered irregular and abnormal.
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izquierdista Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Jun-18-09 12:18 PM
Response to Reply #8
9. They agreed to it
Read it, it's in the fine print.
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Lydia Leftcoast Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Jun-18-09 12:21 PM
Response to Original message
10. They're REFUSING to change? Hello? Is this a clear indication of who really
runs this country, or what?

Go all criminal penalty on their asses, including that anyone they drop without proof of intentional fraud gets free coverage for life. Congress has the power to do so; they just don't have the guts.
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GreenTea Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Jun-18-09 12:57 PM
Response to Original message
11. This is where republicans want to keep us, It's why repugs are fighting against a public option!
Edited on Thu Jun-18-09 01:09 PM by GreenTea
Republicans are fighting to keep insurance companies for profit only, as our only option - Public option would mean competition for the insurance corporations, republicans hate competition, they prefer a rigged game, collusion , no competition means sky high profits because there's no place else for one to go...the insurance companies, like all corporations & monopolies set prices among themselves to keep profits as high as possible, fuck sick people, it's about PROFITS!

It's should be a safety net for people who get sick and the insurance companies and republicans think it should be about profits & privatization....to charge outrageous fees, throw people off policies if the hospital bill is too large and not accepting people if they are sick, that's the republican plan health care, corporate profit....

"For middle-class Americans, health insurance offers little protection," he added.

"Nationally, a quarter of firms cancel coverage immediately when an employee suffers a disabling illness; another quarter do so within a year," the report reads.

We are fucked again if we get no public option, right back where we stated at the mercy of the insurance companies...out not for your well being but for profit and corporations always cut corners for more profits.
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