Top positive review
7 people found this helpful
Warning! The Surgeon General should note:Health Insurance Companies are Hazardous to Your Health
on September 4, 2015
For a few years, I had the "opportunity" to be the medical director of a small(20,000 lives covered, as they say in the health insurance industry) Health Maintenance Organization(HMO). There I learned that the most important number in the life of a health insurance executive is the "pmpm." This translates to "per member per month" which translates to profit, profit, profit--the singularly driving force behind every single decision inside a health insurance company. Thus a CEO of a health insurance company gets paid in the millions for deciding what health care the patient will not receive while the primary care doctor may receive something under $100,000 for actually being there for patients--at a birth, dealing with a trauma, learning of a spreading cancer, terminating life support while consoling a grieving family. These moments can happen most anytime of day or night, 24/7 365 days per year. Meanwhile, the millionaire insurance executive works 9-12, takes an hour or two for a gourmet, martini lunch, wraps up the afternoon with a couple hours conference call with lobbyists from the Anerican Health Insurance Plans(AHIP) "advocacy" organization. In this meeting of fellow Gucci enthusiasts, the CEO learns the latest update on how the AHIP is posturing and posing and buying more Congressional votes with catchy marketing phrases and "position" papers solely intended to maximize their pmpm , eg, profits, while pretending to maximize the population's health. Wendell Potter has worked inside such a corporate health insurance company and delivers observations of the infuriating inner workings of the health insurance industry and its relentless machinations to protect and expand profits while selling the idea that your actual daily healthcare matters to the boardroom. Wendell Potter has been there and has news for all citizens--the AHIP exists to make sure the status quo remains, that is to say that the USA will continue to lag far behind the civilized countries of the world in its collective compassion for the less fortunate, those who live in the "shadows" of our violent society, the uninsured while pretending that the millionaire-laden boardrooms of health insurance companies care about your health. Wendell Potter has been there-his message to you the reader, the citizen--They Don't Care, Wake Up!