Showing posts with label Insurance. Show all posts
Showing posts with label Insurance. Show all posts

Wednesday, March 17, 2010

H.I.R.E. : HEALTH INSURANCE RESISTANCE EDUCATION

A MESSAGE FROM THE F.B.I.

"JUST SAY NO"

By : Mr. Robert S. Mueller III, Director, Federal Bureau of Investigation, Washington, D.C.

Americans face threats every day. Foreign terrorists plan violence against us. Domestic thugs commit robberies and senseless killings in our midst. Organized gangs intimidate and extort honest businesses. And psychopaths brutally beat loved ones, including their own wives and children. In a word, crime is everywhere.

Here at the Federal Bureau of Investigation, we are committed to protecting you from criminals. We hunt down killers and thieves. We bring them to justice. But that is not all we do. We try our best to prevent crime, too. While we cannot stop a hardened shoplifter's decision to filch from a store, we can at least help protect potential victims from crime. To that end, the FBI believes in education.

Not all crime is obvious. Everyone knows it's wrong to put on a hoodie and pry into a nice-looking home with a crowbar. Everyone knows it's wrong to smash an elderly woman in the head with a hammer as she struggles to cross the street. These are visible crimes. But not all crime is visible. Crime happens all over the place. Well-educated executives might be committing monumental financial crime two stories above your head as you toil for minimum wage in a corporate copy center. Traders might be illegally fixing prices on a proprietary computer program somewhere down the block. Although these crimes might not be as obvious as bashing an old woman in the skull, they still pose a threat to Americans everywhere. And the FBI is determined to informing Americans about all crime, not just visible crime. We believe in a simple motto: Because information is the best protection™.

Today, the FBI wishes to inform Americans about a pervasive criminal threat: Health insurance sales. We do this because many Americans do not realize that they are being victimized by ruthless health insurance gangs masquerading as upstanding corporations. Until Americans receive the information they need to protect themselves, health insurance gangs--including the notorious "Cigna Hustlaz" and the most-wanted "Blue Crips Blue Shield Brothahood"--will continue to rain unrestricted economic terror on millions every day.

To combat health insurance gangsters, racketeering and economic intimidation, we have instituted a new program directed at Americans of all ages: HEALTH INSURANCE RESISTANCE EDUCATION, or H.I.R.E.

Let's start with some basics. Everyone likes health insurance. Health insurance gangs know that. Health insurance gives people a high; it makes them feel secure that someone else will pay their medical bills if they get sick. In recent years, private employers stopped giving employees health insurance because it made them lazy, unproductive and apathetic. Gangsters like the Cigna Hustlaz stepped in to fill the supply vacuum, selling exorbitantly-priced health insurance at street rates. Once hooked, a health insurance addict can't get enough. He wants more and more insurance. He wants more and more free medical care. And when the gangsters see this, they just keep raising the prices, knowing the addict will pay. In the end, health insurance gangs reap fantastic profits, while addicts waste all their money paying whatever price the gang demands.

Until now, health insurance gangs have tyrannized Americans with relative impunity. For one thing, they do not look like regular criminals. They are generally not African-American or Hispanic. Rather, they are not people at all: They are corporations. Their senior leaders are generally white men between 40 and 60 with suffixes like "IV," "Jr.," "Sr.," and "Esq." after their names. Some health insurance high-ups even have street nicknames, like "Chip," "Skip," "Tad," "Dodger," "Lil Princeton," and "Biggie Witherspoon AKA Tha Kash Docta." Many live in the suburbs and pay their taxes. Most Americans have no idea that these friendly-looking white men are actually vicious health insurance thugs determined to drive them into bankruptcy, addiction and early death.

But the FBI knows all about these gangsters. We have a Most Wanted List for Health Care Thugs. And today we declare that we will protect average Americans from health insurance gangs all over the country.

America's addiction to health insurance has reached epidemic proportions. It has destroyed homes and fortunes. It has ruined marriages. It has even led to imprudent surgeries and haphazard medical care. It has driven hard-working people into homelessness. Now, destitute beggars roam the streets, desperately seeking their next health insurance fix. Citing "cost concerns," health insurance gangsters have caused children to forgo needed doctor visits. And they have forced millions of Americans to deal with vicious health insurance gang "employees" ("wiseguys") who torment them every day with unfair appeals, denial letters and various other petty indignities. Many Americans fear telephone calls from these health insurance "wiseguys." In most cases, they learn that the gang has once again rejected their request for a heart transplant because it is "not covered."

Health insurance gangs have almost succeeded in reducing the American public to dependency. They have laid their hooks into American families from coast to coast, wringing them for excessive premiums every single day. When they don't pay, "wiseguys" threaten them with collection action and illness. Health insurance gangs know that Americans can't get enough health care. They know that Americans crave the health insurance high. So they just ignore the law and common decency to throttle Americans for everything they own. At the same time, they shrewdly cover their tracks by complying with corporate laws, paying taxes, making political contributions and advertising on television. No one thinks they are gangsters. And this all works to their advantage.

We refuse to tolerate health insurance gangsterism any longer. Through our new Health Insurance Resistance Education program, we are confident that we can save America from health insurance thugs. Information will always win over crime. That is why H.I.R.E. will begin teaching America's children how to spot health insurance hustlers. It will teach them to JUST SAY NO to street peddlers like "Holla Humana" and "Dem Anthem Playaz." It will teach them to talk to their parents about health insurance alternatives and fair prices. And it will teach them that strength in numbers is the best way to resist a lone health insurance dealer. When our kids take H.I.R.E., they will learn that health insurance is not cool.

But H.I.R.E. is not just about children. Adults have a lot to learn about health insurance crime, too. We plan to educate all Americans about health insurance thugs, including how to spot them. Health insurance gangs only became strong in America because they hoodwinked Americans into thinking they were "respectable businesses." But through H.I.R.E., we will teach Americans that companies hawking basic doctor visit coverage for $900 a month plus a $50,000 deductible are not "respectable businesses," but rather vicious health insurance thugs. We will inform America about our Most Wanted list and what the worst criminals look like. We will make Americans less naïve about trusting white men who work in the Cigna tower. And we will offer addiction treatment programs to help Americans cope with the fallout from health insurance abuse.

In the end, we are determined to tell America the truth. We refuse to allow health insurance gangs to ruin any more Americans lives. We refuse to see Americans driven to bankruptcy and homelessness because they could not cough up the monthly health insurance vig. We refuse to allow shameless thugs get away with extortion while pretending to be "just another corporation in a skyscraper." That is why we started H.I.R.E. And we are confident that we will put these crooks down once and for all, along with all their "wiseguy" call center enforcers.

America needs health care without health insurance gangsters. Health care by itself is not dangerous. It is only dangerous when sold on the street. We can save America from dependency on street health insurance only by bringing health insurance under government oversight. Just as food used to be dangerous before the government intervened to regulate food production, so too is street-level health insurance dangerous without government supervision. Health insurance is too important and too harmful to entrust to profit-hungry street gangs. Everyone wants health insurance. Everyone needs health insurance. That is all the more reason for the government to ensure that people receive quality-controlled care in a fair, honest manner.

But we will not achieve health insurance safety without first defeating health insurance gangs. Only education will win the war against them. H.I.R.E. is the first step to helping America understand the danger they face. Once Americans see that they are being exploited, bamboozled and extorted every day by so-called "respectable health insurance corporations," they will understand that government regulation is the only way to protect them from gangsters. While we appreciate that many Americans hesitate to support government control over health care, we are confident that H.I.R.E. will show them that the health insurance street market has victimized them, not helped them.

For decades, America has lived at the whim of health insurance thugs. That time is about to end. Here at the FBI, we are determined to protect you from exploitation and violence, even when you do not realize that you are a crime victim. Health insurance gangs have been victimizing you for years and you don't even know it. No more. That is why we promise to win the war against the health insurance gangsters who now tyrannize your life.

One day, every American will have health insurance at very low cost. Education will pave the way. The FBI will do its part. And we promise that no criminal gang will ever profit from your addiction to health care.

This is America. We do not tolerate unfairness or exploitation here.

Watch out, health insurance thugs. We know who you are. You can run but you can't hide.

Tuesday, March 16, 2010

COMMERCE VERSUS JUSTICE : A REAL LIFE EXAMPLE

A REFLECTION

It took me a while to name this blog. I wanted to make it memorable. At the same time, I wanted it to reflect my life philosophy. I didn't want to sound pretentious; rather, I wanted to alert the reader to the big questions that animate me. And I also wanted to hint that I am at heart a "satirical rogue." That's why I added "free beer" at the end.

I chose "Reason," "Commerce" and "Justice" because those subjects focus my critical energy. Everything I write in some way relates to those three concepts. No matter what style I choose, those concepts unite my work.

Reason interests me because it encapsulates the human capacity for thought. Reason allegedly separates human beings from other animals. I write about reason's limitations, as well as its less-than-reasonable corollaries: Emotions, reflections, memories, impressions. My fixation on language also involves "reasoned" analysis. No matter the specific subject, however, I cast a critical eye on reason. I do not praise it as an inexorable pathway to truth. Indeed, I maintain a healthy skepticism for reason. I am a qualified empiricist: Reason is just one tool to help me understand existence. But I certainly don't put all my money on it. Too much unreasonable stuff happens in life. In that light, putting full trust in reason is not only unadvisable; it's also really disappointing.

Commerce offers me plentiful material for both satire and commentary. I define myself against commerce. Its values repel me. I do not like promoting myself. I do not like circulating resumes or kissing ass in interviews. I don't like wearing little costumes and going to work for private employers. I also don't like unfairness, inequality and hypocrisy. Commerce is rife with all three. Commerce also interests me because it is all about instrumentalism; and that clashes with my steadfast respect for the individual. In commerce, people play roles to make money: Master, servant, employer, employee, officer, director, customer, client…the list goes on. In the process, they lose their humanity. They also tend to exploit one another for crass personal gain. Commerce is the stage upon which to showcase my ruthless cynicism. It allows me to ironically brandish my own colors while criticizing things I fundamentally don't like.

Moreover, commerce is the perfect context in which to explore the tension between flexibility and principle. I often write about principles and honor. Commerce weighs against both. And sadly, my satires take doubled strength from the unfortunate truth that most people live for commerce rather than honor. Just listen to the radio or watch television. You will see and hear a lot more commercial messages than honorable ones.

Finally, justice draws me because it represents something larger than commerce. Justice has obsessed philosophers for millennia. I am just continuing down the road. In my work, justice stands as something hopeful, something better than ourselves, something transcendent, something to achieve. Justice is that great, intuitive feeling that something is right, not wrong. I do not identify a source for it. It just "is." I am no theologian. But in my heart I know when a situation is just. And I know when a situation is unjust. Injustice reeks. It seems to revolt against nature.

Justice is about ideals. It is about striving for something more than mere convenience or comfort. In that light, I use justice to champion my zeal for principle, honor, equality and "better" things. I use it to underline the key distinction between subjectivity and objectivity, because justice is largely subjective and cannot be objectively measured.

I also use justice as a backdrop to criticize the law. My fascination with ethics relates to my suspicion toward law. Justice and ethics go hand in hand. Ethics clashes with law. Therefore, law and justice clash, too. If you've spent any time studying my writing, you will know that I have very little respect for the law. If anything, I relegate law to the "commercial" category. And that it is ultimate insult, because law claims to advance justice. I make a few exceptions in my criticism for law, especially in cases where the law protects individual rights and enforces principles that restrain commerce. But I castigate everything else. In fact, law in most cases does not serve justice at all. To the contrary, in most cases it serves commerce--my perpetual theoretical foe.

In essence, then, my writing boils down to a battle between justice and commerce. I even thought about renaming my blog "Commerce Versus Justice," because that dichotomy really dominates my arguments. Something is either "just" or "just commercial." No matter what subject I address, chances are good that it involves hopeful ideals and crass realities. I lament the crass realities and wish for the hopeful ideals. The hopeful ideals are "justice." The crass realities are "commerce." In the "real world," commerce usually wins. In my eyes, it is usually an "unjust victory." And that "injustice" provides me fuel for criticism, commentary and satire.

But I decided against renaming my blog. Although I consistently allude to the struggle between commerce and justice, I refuse to abandon my commitment to "reason." There is a significant self-exploratory element to my writing. I write about people, their motivations, thoughts, dreams, hopes, happiness, unhappiness and machinations. While these things often involve commerce, they also implicate reason. I need to retain my focus on "reason" in order to continue writing about human beings--myself included. That is why I am going to keep my original three-part title. Well, four-part when you drink the free beer.

I sketch my thoughts about my blog's title in order to provide background for an important story. After all, one of the reasons I opened this blog was to therapeutically resolve difficulties that began to arise in my mind around 2006. In 2006, three critical events occurred in my life: (1) I finished my legal education; (2) My father died; and (3) I rejected law practice on principle. In essence, my life expectations completely changed. For one, I began thinking about death more than I ever had before. Second, after spending three years submerged in legal study, I recognized that I had no place in legal practice. That forced me to reevaluate my life in a very basic way. Beginning in 2006, I started to understand the distinction between commerce and justice. And when my father died, I used my reason to reflect on life. My philosophical fixation on reason, commerce and justice had begun.

I was not a child anymore. I was suddenly an adult. And life was full of trouble. Wrenching, inscrutable trouble.

In 2007, my focus on reason, commerce and justice sharpened even more. As I have written in several other contexts over the years, 2007 was the year in which my life partner, Steve, suffered a life-altering accident. I have not gone into great detail about the event. Neither has Steve. Yet I am painfully aware of it because I lived through its aftermath. And in truth, Steve's story perfectly illustrates the tension between commerce and justice. In this sense, Steve's story cemented my theoretical focus with a real life example.

Late on August 1, 2007, Steve went to work out at an all-night gym in Chicago. Back in those days, we used to go our own ways. We stayed out late alone sometimes and it never mattered. I went to bed about midnight. At about 2:15 AM, I got a phone call from the Illinois Masonic Hospital. "Are you Steve's partner?" someone asked. Half-asleep, I replied: "Yes. What is it?" "Steve has been badly burned. He wants you to visit him." I could not really understand what that meant, but I was stunned. "I'll be right over," I think I said. Then I hung up. I sat on the edge of the bed for a minute or two thinking. Then I got up and pulled on my jeans. I had no idea what was in store.

I got to the emergency room about 3:00 AM. Steve was laying on a cot, incoherent, drenched in sweat. They had wrapped a huge bulky bandage on his right arm. I could see dark-red bloodstains on the upper part. It looked like his skin had peeled right off midshoulder. Steve managed to tell me that he had been burned in the gym's steam room. He said he had just walked in when suddenly a jet of steam burst from the wall and scorched his arm.

I did not really know what to make of his story at the time. He was delirious. He must have been in shock. He talked about our dog and his clothes. I stayed with him in the emergency room for about two hours while the hospital arranged a transfer to a burn center outside town. I dozed for a while on a folding chair. I remember when the emergency room staff wheeled him away and put him in the back of the ambulance. He was smiling. He said he would be fine. He told me to go home and get some sleep. He told me to meet him at the hospital the next day. Then they closed the ambulance doors. The ambulance rolled off into the brightening summer dawn.

I had a meeting with my law school dean later that morning. I think I wanted to talk to him about getting a job with a federal judge. I somehow managed to attend the meeting with a straight face. At the time, I thought Steve would be all right, so I don't think the meeting went badly. The dean told me he would "put a word in" for me with several judges. I was out within an hour. I immediately hopped in the car and went to visit Steve.

Steve was fine when I arrived. They had his arm suspended above him in a sling. The doctors said they were going to perform skin graft surgery on him at 9 AM the next day, August 3. I spent about 8 hours in Steve's hospital room, assuring him that everything would be all right. Steve was cheery that day. He was happy that I was at his side. I went home about 8 PM. At 9:30 PM, he called me and thanked me for being at the hospital during the day. I told him I wouldn't abandon him for the world. I also told him I would be there as soon as he came out of the recovery room after his surgery. He cried when I said that.

I went to bed that night confident that Steve would be fine. I thought they would just do the surgery, then he would be home in a week or so. I was tired, sure, but I did not think life would be much different after that day.

I got up on August 3 waiting for a phone call to let me know I could visit Steve after his surgery. At about 11:00 AM, I got a call from a nurse who told me the surgeon needed to speak with me. I figured the surgeon was just going to tell me that the surgery had gone well and I could visit. So I called the surgeon back. I didn't reach him. After two more tries, I did reach him. He told me to come to the hospital right away. That was all he said.

I was a little nervous at this point. I had never really spent much time around hospitals. I did not know the procedure for getting news about surgeries. I thought maybe the surgeon could only tell me details about the surgery in person, not on the phone. So I headed back over to the hospital. It was about a 40-minute drive. I remember George Benson's "Affirmation" was on the radio during the trip.

I made it to the hospital and parked my car. First I went to the gift shop. I bought Steve a "Get Well Soon" balloon and a teddy bear. Then, holding the balloon in one hand, I went to the main desk. I said I was here I visit Steve. The guard tapped the keyboard and said: "Burn ICU. Seventh floor."

Now I was getting more nervous: Why is he in the ICU? Why isn't he in the recovery room?

I followed the signs to the Burn ICU. I went through a few automatic double doors into a large room with a nurse's station in the middle. Patient rooms lined the walls in a big circle around the station. I asked one nurse: "I'm here to see Steve."

She pointed to a room on my left. It was full of doctors, nurses, interns, even executives in suits. I pushed my way in. Steve was unconscious on a bed, angled up. He was on a respirator. A thick silver tube stretched from the respirator into a hole punched through his throat. There were two tubes lined into his nostrils. More tubes funneled out from his arms. Wires were tacked on to his chest and legs. There must have been about twenty wires and tubes attached to his body. His mouth was wide open and his eyes were as if glued shut. His tongue was protruding from his mouth slightly and it looked completely parched. There was blood caked on the edges of his lips. Bleeping, whirring machines and monitors ringed his bed.

I let go of the balloon and covered my mouth with my hands. I left the room for minute to reflect on what I was seeing. At that moment, the anesthesiologist approached me and explained nervously that something went horribly wrong during the surgery. Apparently, Steve had a strong reaction to a particular anesthesia and it stopped his heart. He told me that he had jumped on top of Steve to perform CPR and that he finally got his pulse back after 53 seconds. After reviving him, they stabilized his blood pressure and rushed him to the ICU. He told me he was in an induced coma. They wanted to keep him motionless until they could place a stent in his heart. Apparently, his body had convulsed uncontrollably after his heart stopped.

I could not believe what I was hearing and seeing. Here was the man I had loved for seven years, reduced before me to a motionless vegetable. Here was the man who just two days before was strong, enterprising and courageous; and now he was on the verge of death. I felt utterly broken. I immediately thought about my father. Was I going to lose Steve, too, just a year later? What was this life? What was the point? Was I doomed to lose everyone I loved?

At that moment, I thought that Steve would die. At the very least, I thought he would never recover his brain function. The doctors were all very grave. They said: "We have no idea what will happen with him. But he did go without oxygen to the brain for over a minute." I just paced around the ICU all day. I made phone calls. Our best friend was flying in from New York that day. I took a break and picked him up at the airport. That was a good distraction; I needed support that day, and he gave it to me. We spent the rest of the day staring hopelessly at Steve on the respirator. We worried every time a machine made a noise. Finally, we left at about 8 PM.

Over the next two days, Steve was in critical condition. He could not open his eyes. I just sat at his side for hours at a time listening to the respirator and the other beeping machines that kept him alive.

On the third day, however, Steve suddenly opened his eyes. The paralytic had worn off. He looked around as if in a panic. Then he turned and saw me. His face glowed for an instant, then it crumpled into tears. He grabbed for my hand as the nurses struggled to keep all the tubes attached to his body. Tears streamed down my face. I clenched his hand and told him everything would be all right. I tried to explain what had happened, but it was obvious he could not comprehend what was wrong. He could not speak. He could mouth words, but the tracheal tube blocked his throat. Still, as pitiful as he appeared that day, I knew he would survive. It was a huge relief.

Ultimately, Steve stayed 33 more days in the hospital. I was there every day from morning to night. He got the stent he needed in his heart. He underwent three more skin graft surgeries to repair the arm. They had to shear skin off his thighs to replant it on his arm. At one point, the graft did not take; so they had to put cadaver skin on his arm as a "bedding." Toward the end of his stay, they took out the tracheal tube and he could speak again. His voice had changed and he lisped, but he could speak. There had been no brain damage. He was handicapped and slower, but he had survived. He went home September 5, 2007. The hospital bill came to something around $2,000,000.

In the months that followed, Steve pursued a legal case against the gym that caused his injuries. We hired a law firm to investigate and prosecute the claim. As a former trial lawyer, the case seemed a winner to me. There was nothing wrong with his arm before he went into the steam room on August 2. When he came out, he was permanently injured. His "special damages" amounted to at least $2,000,000, not to mention the "loss of a normal life," "disfigurement," "pain and suffering" and "mental anguish." There was no quarrel that the gym's facilities caused these injuries and Steve had no control over those facilities. Based on my experience, I estimated Steve's case at around $7,000,000.

Despite these compelling facts, the case went poorly. For its part, the gym denied it had done anything wrong. It actually came forward with some questionable "incident reports" that said that Steve "laid down in front of the steam vent" and "caused his own injury." The gym manager--who was not there on August 2--claimed that Steve must have "passed out in the steam room," then fallen in front of the vent for a long time. Yet the medical records all corroborated Steve's story. And the emergency responders who took him from the gym said nothing about "fainting" or "falling." They did not treat him as they would have treated someone who had just fainted. Steve's surgeon even said there was no evidence of a fall.

Still, our lawyers found the gym's self-serving reports troublesome. For some reason, they thought that if the gym's story were true, then Steve could not win the case. Yet Steve always told the same story about how he was injured: He walked into the steam room and a jet of steam suddenly burst from the wall. The gym did not provide warnings anywhere about steam vents. It was a very big steam room with several blind corners and crannies. I had been in it myself and often found it difficult to determine where steam was coming from. That is why it did not surprise me when Steve said the steam took him by surprise.

And no matter what story people believed, the logic of the case seemed obvious to me: You shouldn't allow access to something on your property that can cause an injury as bad as Steve's. It's almost like letting a wild animal loose in your house during a dinner party.

But our lawyers did not see it that way. They said they could never sell Steve's story to a jury. They said they could not convince people that steam could emanate from the wall when the pictures showed the vents were only at ankle level. They did not acknowledge the fact, however, that they took the pictures almost a year after the event. Who knows what "improvements" the gym had made in the intervening time.

Yet all these rationalizations took a back seat to an even more compelling problem for our lawyers: They discovered that the gym did not have any liability insurance. Liability insurance means that an insurance company pays if someone gets injured on your land. If you don't have liability insurance, an injured person can go directly after your assets. But if you have no assets--or if the assets are insufficient to cover the injury--it makes little sense for an injured person to pursue you. After all, it takes years to win a judgment, let alone collect on one. Insurance companies shorten the time needed to get money from an accident. Without insurance, most injury lawyers don't waste their time on cases, even if they are meritorious. After all, they don't get paid until they win. If they spend 5 years working a case, then discover no pot of gold at the end of the rainbow, they will have wasted 5 years for nothing. That is a terrifying prospect for a lawyer trying to pay his rent.

So our lawyers fired us. They never said that the gym's insurance situation was the reason they turned us away. But it was obvious to me. The gym got away scot-free because it strategically decided not to buy liability insurance. The gym knew that no personal injury lawyer would waste his time pursuing an entity without insurance, so it just did not buy insurance. In essence, it insured itself against lawsuits by refusing to insure. It understood that civil litigation is a time-consuming, expensive business. So it correctly guessed that most lawyers would avoid a case that does not promise a quick insurance payout.

In short, the gym acted in a commercially prudent manner. It minimized its liabilities. It saved money.

But Steve suffered injustice for it. Steve's life changed because of the gym's conduct. It offered its facilities to the public for a fee. Those facilities nearly killed Steve and gutted his entire existence, not to mention mine. And due to the gym's strategic failure to buy liability insurance, Steve will not even receive the psychic satisfaction that the law avenged the hurt he endured. Put simply, Steve did not get justice. The law failed him.

Or did it? Steve's case confirms me that the law does not serve justice. If it did, lawyers would have flocked to represent him. Yet none did. From an intuitive perspective, Steve suffered a gross injustice due to another's negligence. No one should ever have to endure such clear wrongs in life.

But the lawyers did not flock to his aid because justice does not motivate them. Avenging injustice, after all, does not necessarily pay the bills. Paying the bills is a quintessentially commercial function. And lawyers did not take Steve's case because they could not assure themselves that it would be "worth the investment." It did not matter that he suffered injustice. Rather, his case was not "commercially viable" because the gym did not have insurance.

In Steve's case, commerce won out over justice. That's a lesson in law for you.

I have no more illusions about the law. It is a business like any other. If a case doesn’t promise a quick profit, no lawyer will take it, even if a person has suffered obvious injustice.

Tuesday, February 2, 2010

NEIGHBORS ARE RARELY GOOD, AND EVEN MORE RARELY THERE WHEN YOU NEED THEM

OESTERHOUDT STRIKES

I reserve especially harsh criticism for insurance companies. In the past, I have mocked them in satires and rebuked them in essays. I know what insurance companies are all about: Demand money from you, then stubbornly refuse to pay when disaster strikes. Neither cockney-speaking GEICO® geckos nor ditzy discount-dishing Progressive® saleswomen nor confident black men telling me "Allstate's® stand" will ever persuade me that insurance companies are anything other than what I already know: Insatiable, vicious, unsympathetic private profit machines that capitalize on human qualms about the future.

Insurance companies advertise all the time. I use insurance advertising as a thematic backdrop for my criticism. I analyze insurance advertising to show inconsistencies between messages and practices. For example, I have analyzed GEICO®'s vacuous advertising several times to show that commercial actors rarely provide the most essential information to consumers, like information about prices, risks and even services. Rather, they merely create "visual candy" that forges a mental link between the product and the company. This implants a sensory impression in the viewer, which then yields an increased likelihood that he will remember the image when it comes time to buy insurance. This has nothing to do with educating the consumer about advantages and disadvantages between competing products. It is merely a cynical ploy to trigger a mental reflex to buy something in particular circumstances.

But this is what advertising is all about. It is not about education or even information. It is about sensory perception. For commercial actors, the end is always profit. To make a profit in the free market, you need customers. To get customers, you need to convince people to part with their money. To make customers part with their money, you need to make sure they know you have something they need or want. Advertising does that: It merely advises potential customers that a company has something they need or want. It shows it to them in a memorable way. It plays to their senses. Once it makes an impression, it increases the chance that they will spend their money in the right place. And that fulfills the profit goal.

Still, my purpose today is not to analyze sensory mechanics in American advertising. Rather, I am writing today to take a hard look at a particular advertising message on its own terms. In the end, I will reveal its absurdity.

Insurance companies use slogans to reinforce their visual advertising. In addition to leaving a visual impression with consumers, they also leave an audible one. For example, GEICO® not only hammers a visual connection between geckos and car insurance. It also pairs the image with the ever-repeated phrase: "Fifteen minutes could save you fifteen percent or more on car insurance." Allstate® uses the phrase: "You're in good hands." And State Farm® matches its imagery with: "Like a good neighbor, State Farm is there." Sometimes State Farm even sings the slogan to make sure you remember it. Hey, they need to make sure you reflexively think State Farm® when you need some insurance. And people remember tunes a lot better than just spoken words.

"Like a good neighbor, State Farm is there." What a curious slogan. It reflects an incredibly naïve view of human nature. And that's ironic, because State Farm obviously does not hold that view. I know for a fact it doesn't. I have litigated cases involving State Farm, and I can tell you firsthand that they do not treat claimants--or their opponents--as "good neighbors." In fact, they treat them as mortal enemies whom they would rather see die than pay a red cent.

What is a "good neighbor," anyway? Do people really like their neighbors? Do neighbors actively help each other in this society? It sure doesn't seem so to me. In that light, I find it bizarre that State Farm adopted a slogan that equates its insurance service with the service you can expect from a "good neighbor." In my experience, I have generally found that my neighbors could not give a damn about whether I lived, died or prospered. Some have said hello. Some have not. Actually, most did not. Most just went to work, came home, locked their doors, attended to their own shit and went to bed without even looking at me in the hallway.

In fact, most of my relationships with neighbors over the years have been negative. If they knock on my door, it's usually to complain about something I'm doing. They never stop over to check on me or to ask how my life is going. They never volunteer to help me with anything. To the contrary, they just grumble about me and spread gossip if they suspect me doing something "inappropriate."

And they certainly don't make house calls if I'm suffering a crisis. If I have a problem, they'll never know about it. Even if they did, I seriously doubt they would rush in to help me.

And why should they? American law says that we are not our brothers' keepers. If you pass a person dying on the street, you have absolutely no legal obligation to render assistance, even if you're a doctor. That reflects our society's views about "neighbors" much more than any corny State Farm slogan. That is why I find it flat-out laughable for State Farm to equate its insurance service with the "help" you can expect from a "neighbor" in the United States. You might as well say that you won't provide any help at all, because that's how much help you'll receive from your neighbor. In truth, your neighbor is much more likely to complain about you or even report you to the authorities than help you in a pinch.

This is the world we inhabit.

If this is the level of support we can expect from neighbors, what can we expect from State Farm? State Farm says that it will be "there" for you "like a good neighbor." Well, no neighbor has never been "there" to help me with anything, let alone a "good" one. By that standard, I guess that means that State Farm will leave you hanging just the way your neighbors do.

But State Farm has a greater legal obligation to help than some undifferentiated neighbor. After all, if you pay money for a State Farm insurance policy, you enter into a contractual relationship. Contracts mean that two people promise to do things for each other on pain of legal penalty. Contracts create legal duties to act or refrain from acting. Neighbors have no such duties. In that sense, if you buy insurance from State Farm, you are buying something more than a neighbor's obligation. You are enlisting services for a fee. You are engaging in commerce. You are creating a legal relationship. If State Farm acts like a "neighbor" after you hire it as a "servant," it would violate its legal duties to you. Hey, you signed a contract so that State Farm would give you more than a neighbor would give. But that's still not that much, because neighbors have no obligation to give you anything at all.

Of course, State Farm does not want you to think this way. It wants you to think that neighbors help each other when they are in need. In fact, it wants you to accept the fantasy that your neighbors will actually sacrifice themselves to help you for no reward. That is an extremely Christian delusion; and State Farm fully exploits it. After all, Christian doctrine advises us to "love our neighbor as ourselves" and to help those in need without expectation of reward. State Farm taps into that notion to cast itself as a "magnanimous patron," not a profit-hungry private corporation. And State Farm knows that many consumers equate the term "neighbor" with selfless Christianity.

This is cynical exploitation at its worst. While Christ might have helped his undifferentiated neighbor without hope of reward, most neighbors are not Christ-like. In fact, experience tells us the opposite.

State Farm is no exception. During Hurricane Katrina, State Farm acted exactly like the neighbors I know: It refused to help out at all when people really needed help. State Farm wiggled out from paying "hurricane damages" because it said its policies did not cover flooding. In my own experience practicing law, I recall a case in which State Farm refused to pay its own customer's $60,000 medical bill because it disputed the doctor's belief that the injury was "permanent." So it left its "neighbor" holding the bag with a $60,000 bill and a deformed arm--even though the "neighbor" dutifully paid his premium every month. How's that for service?

But that's how neighbors treat each other. So I guess State Farm was just doing as it advertised: It was just acting like a neighbor.

I find it utterly shameless for State Farm to exploit Christian overtones in the word "neighbor" to lull customers into thinking it actually cares about their welfare. No private corporation cares about anything beyond its quarterly profits. That is the law. Corporations owe no duties to anyone except their own shareholders; and shareholders could care less about magnanimity toward non-shareholders. They want money; and they don't really care if they're "nice" about getting it.

Commerce and Christianity just don't mix. State Farm knows that. It simply proceeds on the assumption that consumers are too stupid to understand the same thing.

Then again, most advertising functions on that premise. If people were too smart, it would really hurt business.

Thursday, January 28, 2010

HEALTH INSURANCE BILLERS REFUSE TO GO QUIETLY

AN OPEN LETTER TO PRESIDENT OBAMA ON BEHALF OF ALL PRIVATE HEALTH INSURANCE BILLING PROFESSIONALS NATIONWIDE

Dear President Obama,

For months now, my colleagues and I have watched you with trepidation. We watched as you and your Democratic majority in Congress rammed through a health care reform bill that threatens to upend Americans' control over their lives. Although Scott Brown's amazing Senate victory in Massachusetts promises hope for the future, we nonetheless feel it necessary to voice our concerns as Americans and health care professionals.

During your State of the Union Address last night, you vowed to continue the fight to reform health care in America. You said that millions of Americans remain uninsured. You declared that "private health insurance companies" reap "massive" profits while "common people" struggle to pay inflated bills. You claimed that privately-administered health insurance is the reason why America fell into a "health care crisis." You even suggested that America must move closer toward government-run health care to curb the influence of insurance companies and lobbyists.

Mr. President, you are gravely mistaken. Government is never the answer. Only private enterprise can deliver quality goods and services to Americans at reasonable prices. Only vigorous competition between rival economic interests can ensure the innovation Americans expect from any industry. Just because the health care industry deals in human illness does not make it different from any other business enterprise. People who work in health care need incentives like anyone else. If government starts meddling in health care, doctors might not earn what they deserve. Inventors might not enjoy the protection they need to profitably guard their discoveries. And every day Americans will certainly lose the cherished freedom to choose where to seek health care. As Americans committed to liberty, we find this appalling.

But health care reform will not just destroy liberty. Health care reform will also destroy jobs. Mr. President, our American health care system works because it runs like a well-oiled business machine. Like any good business, the American health care system has great accountants. Everyone pays what they owe; no expense ever falls through the cracks. This encourages both responsibility and financial discipline. Americans know that they must pay for everything they receive in a hospital or at a doctor's visit. That encourages them to be judicious in seeking medical care, as well as to make prudent economic decisions when addressing their health care needs. Health care is a consumer product in America. And stringent health care billing practices are the reason why American health care is so good.

Health care reform will curtail private health care opportunities. If the government intervenes to pay medical bills, there will be little need for private health care insurance billing professionals. If government suddenly steps in and says: "This man has diabetes. We are handling his care and paying the bill," that man will not receive a private bill. Consequently, there will be little need for hospitals and insurance companies to employ hundreds of accountants, actuaries and typists to draft thousand-page itemized bills for every patient. Yet thousand-page itemized bills are precisely the things that make the American health care system so wonderful. Thousand-page itemized bills make the health care world go around in America. If health care reform succeeds, thousand-page itemized bills will become unnecessary. And so will the millions of American workers who make them possible.

We are Private Health Insurance Billing Professionals. We refuse to allow President Obama to destroy our jobs. We refuse to allow Obama-Care to eradicate our livelihoods. We refuse to stop itemizing charges for 5g of hospital pudding on 4/3/08 ($459.90), 30cc of Titrium Chloride on 4/4/08 ($1,983.08), one night, hospital room (standard special rate) on 4/4/08 ($7,000), and lower rhomboidal surgery plus anesthesia on 4/5/08 ($497,632.26). We went to school to do what we do. Billing is not easy. Yet it is essential to run any business, including the American health care business.

Mr. President, screw your health reform. As professional health billers, we say now: "Hell no, we won't go." If health reform means giving up our Excel® spreadsheets and expense logging software, we say: "Hell to the naw-naw, mah niz-aw."

Leave us alone. We are productive American workers. We stay up for days at a time tabulating hospital meal costs, hospital linen charges, surgery costs, financing charges for doctor visits and outpatient anesthesiology service payment schedules. We even tack on progressive interest rates for all this shit. We do not have an easy job. But we receive good wages and we pay good taxes. We support families on the wages we receive from sending angry collection letters to penniless amputees. We send children to school on the cash we receive for mailing book-sized bills to destitute underinsured cancer victims. And our taxes help keep this Nation strong. How dare you introduce reform that threatens our jobs?

Mr. President, you must not reform health care because reform impacts private health insurance billing professionals. American life is all about paying bills. Some even say that the meaning of life in this country is making timely monthly payments on this, that and the other thing. If you attack health insurance billing, you attack the very meaning of life in America. Where would Americans be if they no longer had to fret over insurmountable medical bills? What reason would they have to live? Health care bills dominate American lives. If your "reform efforts" sweep them away, you will open a tragic void in every American's life.

What good will flow from that void? After all, bills keep Americans honest. It keeps them at work. It keeps them responsible. If Americans no longer live to fear bills, they will lose all respect for authority. They will no longer look for employment. They will begin leading debauched, wasteful lives. Only bills maintain order in our society. Think seriously on it, Mr. President. Any effort that reduces the influence of bills on Americans chips away at our country's very core.

And any effort that eliminates bills means that important people don't get paid. When that happens, God help us: I quake to think what a radiologist would do if he knew he would no longer receive $925,000 a year due to "health care reform." Radiologists are not schmucks. As a Nation, we cannot allow radiologists to receive a meager $800,000 a year for their work.

Stop disrespecting professionals. We are private health care billing professionals. We might not be as important as radiologists, but we are nonetheless professionals. We learned how to meticulously track fees and expenses. We even read textbooks, listened to lectures and took exams. We went to school and we learned how to bill like pros. We don't deserve unemployment for our toil and study. No, we deserve a place in the economy. More to the point, we deserve a hallowed place because our efforts keep every American responsible. Our work reminds every American that there are no free lunches in this country. In fact, we remind every American that every little piece of the lunch has a specific price--and they need to pay every penny to avoid financial ruin.

Mr. President, we urge you to scrap health care reform at once. It makes no sense to sacrifice America's commitment to responsible free market principles in order to grant charity hospital stays to a few stinking beggars. More pragmatically, it makes no sense to destroy the private health insurance billing profession. Professions are valuable; government should support them, not destroy them. And our profession is much more significant than most people realize. Without us, no doctor would get paid and no American would fear bills.

For a moment, think about how dangerous our society would be if every American suddenly stopped worrying about bills. It is too terrifying to even consider. That is why you must abandon health care reform once and for all.

Defend private health insurance billers. We remind every American that everything has a price. We keep every American fixed on his duty: Paying prices. The next time you get a thousand-page bill for a two-day hospital stay, thank us. We are actually doing you a favor by maintaining the American economic system as we know it. And you have to admit: It's pretty damn good.

That's because everyone fears bills and works to pay them. You can thank professional billers for that.

Mr. President, forget about reform. Think about jobs and responsibility for once. Enough with the justice rhetoric. Americans don't want hope. They want accurate bills, secure services and competitive prices.

Think about your poll numbers. If you really want to be popular again, drop this foolish health care crusade. Give power back to the private health insurance billers. It is the only way to save America's economic soul.

Yours very sincerely and truly,

Prof. Gabriella F. Trackett-Goode, B.S. (Health Care Billing Systems)

Assistant Professor, Medical Accounting & Billing Science
Amboy Community College, Perth Amboy Twp., N.J.

Consultant, The Bayer Group LLC (a Fortune 100 Company Specializing in Effective Billing Strategies for the Pharmaceutical Industry)

Monday, December 7, 2009

CAR INSURANCE IS THE MOST IMPORTANT THING IN LIFE

OESTERHOUDT STRIKES

No, I'm not kidding. This is no satire. If there is any correlation between broadcast airtime and importance in life, then car insurance must be the most important thing in life.

Watch network television for an hour. I guarantee that you will see at least four commercials for car insurance. During the same hour, you might only see one or two advertisements for erectile dysfunction or prostate pills. There might be an appeal to send money to children in Africa, or the odd statement from a tax accountant or a lawyer--who usually wants you to join a class-action lawsuit involving prescription medication or car insurance fraud. Mixed messages?

But I digress. Let's get back to the real question: What's so important about car insurance? Why are companies spending so much money--and wasting so much of my time--simply to say that they are selling indemnity contracts for my car? I don't even have a car; why the hell would I want car insurance? They talk about low prices (Allstate), discounts (Progressive) and savings (GEICO). Some take a "trust me" approach (Allstate); others try to throw in humor (GEICO and Progressive). Some provide more specific information, like the fact that they also sell boating insurance, garage insurance, homeowner's insurance, life insurance, renter's insurance and lawn insurance. Other provide no information at all, just a slogan and a phone number.

Animated geckos with cockney accents do not provide commercially relevant information necessary to make a reasonable free market decision, no matter what GEICO's Board says. On the other hand, advertisers don't care about providing information relevant to a reasonable free market decision. They just want you to remember them and buy. It doesn't matter if it's the "most reasonable choice" you've ever made. Advertisers target the visual sense: "See this? Now buy this." That's how it works.

This simple strategy explains why car insurance commercials dominate the airwaves. If a company has enough money to advertise, it will advertise as much as it can. After all, an idiot is more likely to remember something he sees ten times in two hours than something he saw only once during the same two hours. Advertisers like GEICO, Allstate and Progressive know that, so they deluge viewers' senses over and over again. Even if people don't think about car insurance every single day in their lives, advertisers make sure that when they finally do think about car insurance, they also think of their company. By bombarding the senses, advertisers create a mental connection. When the mind strays onto the topic "car insurance," it triggers the connection: "Must buy GEICO." When that happens, advertising has done its work. Advertisers don't want reflection. They want reflex.

Broadcast airtime is a precious commodity. It is very expensive. It can reach millions of people in an instant. It has the potential to spread knowledge, understanding and enrichment. If something appears in a broadcast medium, it carries weight: Someone had to pay a huge sum to air it. To convey a message in such a costly medium, the message must be "important." In that light, does it not reveal something about our society that commercials are the only messages that regularly appear in this medium? The broadcast medium could be used to enrich the population with meaningful messages. But in the end, it merely barrages them with animated geckos, cavemen, obnoxious women chirping about discounts and various entreaties to buy boating insurance. After all, car insurance is important: It's on TV all the time.

Some will inevitably say that commercial messages are the only way that networks can finance their non-commercial messages. But most non-commercial material on most television channels is utterly unenlightening. In many cases, it even bows to commercial pressures. Networks will not broadcast material that alienates their commercial sponsors. In a strange way, then, commercial messages dictate which non-commercial messages ultimately appear on television. Advertisers will not advertise on programs that do not draw people likely to buy their products. This limits the kinds of messages that people hear on television because everything comes back to commerce: The programmer must placate the advertiser first. Only then can he exercise some expressive freedom. Without the advertiser, he can broadcast nothing. Who's more important then: The car insurance company or the viewer who wants to see a show about medieval England?

In my view, this is all very pathetic. In the end, car insurance gets more play than momentous world issues in the United States. It may seem absurd to suggest that car insurance is the most important thing in life. Yet I promise you that you will see more GEICO commercials on television than programs about Darfur, the health care bill or the War in Iraq. Those things may be more "objectively" important, but they do not pay the network's expenses. Insurance companies do. So we hear their messages more than any other messages.

That's why it's perhaps not so absurd to say that car insurance is the most important thing in life. Our country dedicates more airtime to it than virtually any other single subject. If airtime is as precious as we hear, doesn't that mean that car insurance is important? It's getting all the airtime, so it must be important. Very important, even.

Wednesday, November 4, 2009

OBAMA IS GENETICALLY RELATED TO STALIN, MAO AND CASTRO : I HAVE PROOF


PALIN ON POLICY

Families are very important in America. I, for example, come from a very strong family. Alaskans believe in good family values. That's one of the reasons I entered politics. It saddens me to see declining family values in America. Children have babies out of wedlock. Parents divorce. And relatives abandon each other when one family member suffers a health crisis. Why? Because too many people have ignored traditional family values.

I am glad that I never turned my back on family values. My family is strong. We practice traditional American family values. I come from strong roots. I can prove who my father was. I even know my mother and grandmother. We all believed in the same things: Freedom, liberty, justice, nature, stag hunting, business opportunities, low taxes, gun ownership. We all liked the same things. We even kind of all looked the same, too. Family always gives you away; if you ever doubt who you are, just look at old family pictures and you'll remember where you come from.

Barack Hussein Obama does not believe in family. That is why he is destroying this country. It is no accident that he is a socialist. People from broken families turn into socialists or worse. Sometimes they become intellectuals or terrorists, or even intellectual terrorists. Over the last year, he has made war on traditional American values, like the freedom to buy private health insurance and the freedom to work for little pay. In short, Obama has already struck a grave blow at America's golden virtue: Responsibility. And only the right kind of families can cultivate responsibility.

This is not my grandfather's America. It is not even my mother's America. It is new and shocking. Government is telling everyone what to do. It is taking away people's property. It is sentencing old people to death under Obama's new "rationed" health care system. It is freeing convicted African killers and allowing them to rape white women. It is imposing unfair burdens on credit card companies. It is even paying for people's college education and freeing them from debt.

How could this be happening in America? What happened to our "do-it-yourself-no-help-thank-you" attitude that transformed us from frontiersmen into the greatest Nation on earth? What happened to paying our own way? What happened to me first, you second? Basically, what happened to the families?

Let's look closely at Obama. It is no surprise that he is ruining the country because he does not come from the right kind of family. People did not think that Obama would become a socialist once he won the White House. But I knew better. After all, I have uncovered evidence that decisively proves Obama's socialist ancestry. I hold an Honorary Degree in Investigative Biology from the University of Alaska at Elk's Bush. Using my expertise, I discovered some truly startling facts. Americans have long been worried about Obama's citizenship. But my research shows far more than Obama's lack of citizenship. It shows that he is genetically related to the worst socialists in history. I even have photographs to prove my points.

Let's begin.

Barack Hussein Obama's father was an African. Look at him; it's obvious:

Socialism runs rampant in Africa. Should we be surprised that son followed father? But the trail does not end there. No, Obama's father had an uncle in Southern Russia who was related to notorious Soviet dictator Joseph Stalin. Family does not lie. Look at the resemblance:

Should we be surprised that Obama is dismantling the free market system? He is related to Joseph Stalin, for goodness sakes!

I wish this were the only bad news I discovered during my research. Unfortunately, it is not. I also found out that Obama's great uncle lived in China. By no small chance, that great uncle was Mao Zedong's cousin. Again, look at the resemblance:
Obama's socialist roots run deep and cross continents. He is related to Mao and Stalin by blood. He is an internationalist by family bond. If ever there were a time for America to stand up against this tyrant, the time is now.

But there is even more. Thanks to help from a prominent Genetics scholar at Elk's Bush, I uncovered another disturbing link in Obama's family tree. Specifically, after proving Obama's definitive relationship to Stalin and Mao, I determined that Obama's great-great-great-grandfather was seized in Africa and sent to the West Indies as a slave. Over the generations, Obama's forefathers intermingled with the local Spanish population in Cuba. One of his descendants is Fidel Castro. Again, let's examine the resemblance:
Can anyone deny the genetic link? I have the records and the photographs to prove that Obama is communist dictator-spawn. This is America. We believe in families, not dictators. And Obama descends from the wrong kind of family, make no mistake about it.

We must take action. Our "President" is related to infamous socialists from three Continents. When he talked about diversity during the campaign last year, this is not the diversity we had in mind. We he talked about international understanding, we had no idea he was the living embodiment of worldwide socialism. If we care about American families, we must stand against Obama. He is not an American. He is a frightening communist-African-Chinese-Cuban-Russian amalgam seething with anti-capitalist venom. He represents everything America detests. We cannot allow him to take a single step further.

This is about families. I care about family because I come from a strong American family. We take our commitments seriously. I refuse to allow Obama to destroy this Nation with his poisonous ancestry. It is my duty to inform the American people about who is really leading them. This is not an American. This is a socialist with bona fide socialist roots. If you see a dog, you can pretty much bet it will act like a dog. That is why Americans need to know about Obama's ancestry. Obama's relatives murdered millions and made war on free market economics worldwide. How can we tolerate a ruler who might do the same here in America? If we lose the free market, what do we have left?

Stand with me against Obama and his socialist pedigree. Obama may have fooled America into thinking he was a pillar of hope against economic despair. But my research shows otherwise. We must band together to stop his socialist machinations before it is too late. In one year, he has already made it more difficult for health insurance companies to deny customers coverage. That is the first step to communism. And if we care about economic freedom, we must act now. Because when insurance companies are not free to act as they please, we have fallen into socialism.

Let's tell this Maoist Stalinist Castro-African bandit that we don't appreciate socialism in America. America is for American families, not your kind of families.

Wednesday, October 7, 2009

A THERAPEUTIC POST, AND A WORD ABOUT "REASONABLENESS"

A REFLECTION

I'm really in no emotional condition to write. This is not a confession; I just want to say how I feel now so I can remember it later. It helps me when I express what's going on inside my head. During easier times, I can write almost endlessly because I can focus. These days, however, I can barely concentrate. I mentioned last week that I have been going through hard times because my life partner began suffering from a mental illness. It got so bad that he had to go to the hospital to "rest." I have no idea how long he will stay there.

I have never endured a situation like this. We have lived together for nearly ten years; it is jarring to know he is no longer in the house. Worse, I am tormented by the thought that he is not the person I knew. When I speak to him on the phone, it is clear that his illness has overtaken his mind. It breaks my heart and drains my own energy. In addition, I have no idea what the future holds. It is mentally taxing to deal with uncertainty about important things. I am tired all day long. My mind cannot follow anything for more than a few minutes. I am not doing well.

All this trouble started more than two years ago. My partner's mental illness represents the culmination of pressures that began when he suffered a freak burn accident in 2007. I typically do not talk about personal things like this, but now I see no reason to hold back. It helps me sort out my own difficulties when I put them in a chronology. I still cling to logic when it comes to understanding historical events that have an effect on me. I have a good memory and I put it to use.

Let's start with the injury. My partner suffered a devastating burn on his right arm in a health club steam room. No one really knows how it happened; he went into shock almost immediately after it happened. He always tells the same story: He was walking into the steam room when a burst of steam came from his right side, scalding him. He immediately left the steam room, where an employee saw him and remarked: "Oh my God, your arm!" Soon thereafter, he fainted. An ambulance took him to the emergency room. A few hours later, Chicago's best burn trauma unit admitted him for treatment. To make a long story short, he stayed in the hospital for 35 days, endured several skin graft surgeries, suffered two heart attacks and an induced coma.

Upon his release, he was essentially a broken man. His right arm was permanently disfigured. He could still use it for most things, but he did not dare show it in public. To save his arm, doctors had to shear skin off his legs to patch onto the wound. He bears those scars, too. Within a few months, he began slipping into deep depression. He did not get out of bed all day. And he continued to suffer pain in his arm. He took addictive opiate pain-killers to manage it.

All the while, I cared for him. I did the shopping. I did the errands. I took him to appointments and made phone calls. I managed the medications and dealt with the doctors. I provided comfort and sat by the bed when I had to. I tried to work for the first few months after he left the hospital. But he got so lonely and depressed while I was away that I genuinely feared for his life. So I decided to suspend my career to care for him. During that I time, I started writing this blog. Yet during the same time, I have had the much greater responsibility to care for him. In consequence, I, too, have scarcely known rest since 2007.

We tried to sue the health club that caused the injury. But whenever my partner talked about what happened, he fell deeper into depression. Lawyers think it's easy for injured people to relive the worst day in their lives over and over again; it isn't. Worse, we discovered that the health club did not maintain liability insurance on its land, so it would be extremely difficult to recover any money on his behalf without a knock-down, drag-out fight that likely would have driven him over the emotional edge. Our lawyers refused to continue representing us when they found the club had no insurance. Legally and morally, our lawyers held the high ground: No one deserves to enter a business establishment and walk out with a life-threatening burn injury. Numerous legal theories supported our position, from negligence to strict products liability. From a theoretical perspective, we should have won some compensation for him.

But we didn't. No matter how many legal advantages we had, the lawyers got cold feet as soon as they learned there was no insurance involved. Five other lawyers had the same reaction: "Oooh, no insurance! Sorry, I can't help you."

In personal injury cases, liability insurance companies ensure that defendants do not go bankrupt when accidents happen on their land. The insurance company pays for the defense and pays any judgments against the defendants. This protects the defendants' own assets from seizure. Insurance companies also speed things along relatively fast; and that makes everyone happy, including the injured person's lawyers. An insurance company will settle a case against its client quite readily if there are strong facts from which to imply negligence. The defendant just goes along with the program: After all, it is not his money at stake. By contrast, when a defendant does not have insurance, he will fight to the end because it is his money.

That was the situation we faced. And our lawyers bailed out the moment they discovered that they would have to fight for years for potentially no reward. Neither justice nor legal principle spurred them to action. Unless a case could quickly pay out, it was not worth taking. For these lawyers, cases were little more than investments. It did not matter that my partner suffered outrageous injustice due to the health club's negligence: There was not a quick, ready profit to be made on his case, so no lawyer pursued it. Ironically, the health club saved itself by acting irresponsibly: It did not have liability insurance.

Naturally, this result only deepened my resentment toward lawyers and their profession. It reaffirmed that justice does not motivate lawyers. Only potential profits interest them. If a case involves justice and profits, that will get them off their seats. But if it involves justice and no profit, forget it.

But I wonder what would have happened even if the case went forward. How could anyone put a dollar value on my partner's injury? How could money compensate him for the agony he suffered? How could any check restore his scorched arm, or make him whole from the misery and pain he endured in the hospital? I saw his pain up close and personal. I saw him scream at night. I saw him unconscious and hooked up to a ventilator. I saw him cry out in fear as they wheeled him off for yet another surgery. I saw him with a trach tube down his throat and unable to speak. I saw him sweat through his clothes and lie helpless in the bed with his bloody arm in a splint. I had to cut off his shirts with a knife and sponge him dry. I saw him fall into depression and now into mania. What money could make all this "disappear?" What does money have to do with all this?

All these experiences made me question the law. From the law's perspective, money "recompenses" negligently-caused injury. Yet I know from experience that money would have done nothing to recompense my partner's plight, nor would have made his life "all better." Worse, I saw that the law condescends when it comes to monetary awards for injury. Suppose, for instance, that a jury evaluated my partner's pain, suffering and emotional turmoil and concluded that the health club's negligence caused it. Let's say it awarded him $5,000,000. That's all well and good. But under a doctrine called "remittitur," the judge could say: "That's unreasonable. He's only getting $500,000."

Think about how insulting that is. It's one thing to put a dollar amount on physical suffering, disfigurement, permanent injury and even death. It's quite another to claim that one amount is "reasonable" over another. My experience with life-altering injuries convinced me that the law is stupid. After all, what does a judge know about what injured people really suffer? And how can he say with any authority what someone's pain is "worth," let alone whether the amount is "reasonable?"

This example illustrates my deep resentment toward all "objective standards" in the law. Judges always speak in "reasonable" terms: "Reasonable time," "reasonable care," "reasonable regard," "reasonable amount," "reasonable certainty." They think they refer to some magical standard when they use the word "reasonable." In fact, they refer only to their own, value-laden judgments concerning particular conduct in particular circumstances. Judges, after all, come from a distinct social class with distinct ideas about money, punctuality, relationships and "responsibility." They probably never suffered life-altering injuries. If they object to a monetary amount as "excessive" from their perspective, they call it "unreasonable." Yet who are they to quantify another human being's suffering?

Let a judge's wife suffer the same agony that my partner suffered. Then he can tell me what amount would "reasonably" compensate her for it.

Wednesday, September 16, 2009

GENTLEMEN DON'T WANT FREE PERSONAL HEALTH COVERAGE : THEY WANT FREE PERSONAL VICTORIA'S SECRET MODEL BREAST COVERAGE


CONSIDERED OPINION

By : United States Special Master Douglas G. Bates, Esq. (Special Factfinder in Corporate Fraud Cases, United States District Court for the Southern District of Illinois) (2002-present); Lead Auditor & Senior Partner, Headmaster, Bates & Bobbitt LLP (1979-2002); University of Chicago Business School (M.B.A. 1979); University of Chicago School of Law (J.D. 1976); Certified Public Accountant; Women's Undergarment Enthusiast (since puberty).

Today, America faces a major policy crisis involving health care. Democrats want to comprehensively reform the system. They want to deliver European-style "universal coverage" to everyone living in the United States, even criminals and Mexicans. This is a fiscally irresponsible position. Thankfully, Republican opposition stands united against such wasteful policy. In contrast to the Democrats, Republicans aim to keep health coverage private, encourage private enterprise and keep taxes low. For Republicans, health coverage is important, but it remains everyone's individual financial responsibility to obtain it.

As Special Master for the United States District Court for the Southern District of Illinois, I support the Republican position on health care. I believe that universal health coverage would gravely undermine this country's respect for free enterprise and individual responsibility. Put simply, if the Federal government provides care to people too irresponsible to manage their own financial health, what message does that send about responsibility? Responsibility is essential to America. We cannot survive without it. Saving people from their own irresponsibility is not an option. That is why I oppose the Democrats on this issue. I believe in responsibility, not waste.

Nonetheless, I believe that the Federal government should provide other things to the American people. As a taxpayer and a gentleman, I believe that the Federal government should give me genuine stimulus once in a while. Health coverage is all well and good, but I for one would much rather be covered in other things. I speak for gentlemen all across the country when I say to the Federal government: "Forget free health coverage. Cover us with the breasts of Victoria's Secret models--female ones." I am not the only gentleman in this great country who can verifiably say that free breasts on my face would stimulate me far more than any $456 "stimulus package."

I believe that government should give back once in a while. More specifically, I believe that government should give fun things back once in a while. Who cares about boring stuff like health coverage? If the government wants to give away free coverage, let that coverage be exciting coverage. Being covered against illness and cancer is not exciting. By contrast, being covered by the feet, breasts, hands and long hair of beautiful Victoria's Secret Models (females only) is extremely exciting. If the government wants to give away free coverage, give us coverage we can believe in. As gentlemen, we can believe in free model breast coverage, not free health coverage.

We are American gentlemen and taxpayers. We made this country. Without us, the highways would fall apart and the military would run out of gas. I am not the only one who believes that American gentlemen deserve a reward for making this country as great as it is. True, we are gentlemen because we are decent people. Yet doesn't it make sense to reward people for doing a good job once in a while? We already have health coverage. For that reason, if the government gave us free health coverage, it wouldn't really be a reward. You do not reward a child by giving him a toy he already has. Rather, you reward a child by giving him a toy he doesn't have yet. The same principle applies to American taxpayer-gentlemen: We don't want universal health coverage. We want universal breast coverage.

Gentlemen are honest about their needs and obligations. Speaking honestly, I can say that I would very much rather have a Victoria's Secret Model's breast or toes in my face at government expense than an MRI at government expense. I can get an MRI simply by flashing my employer's health plan card at any reputable health care facility. Yet I cannot get a Victoria's Secret Model to sit on my face by flashing the same card at her. In fact, despite my relatively large income, investment portfolio and private health coverage, there is nothing that would induce a Victoria's Secret Model to sit on my face. After all, I am moderately obese, I have bad breath and a particularly odd-looking nose. Without government assistance, I would never be able to obtain Victoria's Secret Model breast coverage. But as a taxpayer and a gentleman, I deserve it. Why should only young, athletic, good-looking men obtain Victoria's Secret Model breast coverage? Why should I be punished for my pre-existing aesthetic conditions? This is inequality. And inequality is un-American.

In 21st Century America, we can do better. It is time to rethink what it means to live in a Federal Republic committed to its citizens. This does not mean that we should throw personal responsibility to the wind and pay for universal health coverage. Rather, it means that we should start rewarding responsible gentlemen for their contributions to American life. In my view, it more advisable to cover gentlemen's faces with Victoria's Secret Models' breasts than it is to cover every American against illness. Additionally, providing Universal Gentlemen's Breast Coverage would yield real returns for the American people. A gentleman with a model's breasts or buttocks covering his face is a more satisfied gentleman than a gentleman without comparable coverage. Satisfied gentlemen put a spring in their step and work harder. Motivated gentleman are more productive. More motivation means more productivity. And more productivity means more taxes and more wealth for America.

We can do all this for a relatively small price. As an auditor, accountant and settlement analyst for the Federal Courts, I can say with assurance that universal health coverage would break the Treasury. Furthermore, even if the government invests in universal health coverage, it would not necessarily yield tangible results. By contrast, Universal Gentlemen's Breast Coverage would cost far less than universal health coverage and yield instantaneous economic benefits. In my view, it is a no-brainer: Universal health coverage costs a lot and wins nothing; Universal Gentlemen's Breast Coverage costs little and wins a lot. When government spends money on coverage of any kind, I believe it should spend profitably, not wastefully. Universal Gentlemen's Breast Coverage will fulfill that mandate. By covering every gentleman-taxpayer's face with a Victoria's Secret breast or buttock, then, we not only spend government money in a prudent manner; we also provide genuine stimulus where it matters most.

Isn't it time that gentlemen get coverage they can believe in? Let us bring the health care debate into focus. As gentlemen with private health coverage, we don't care about wasteful, expensive reforms that will cost a fortune and return nothing for the investment. When it comes to health coverage, we just don't care. We take care of ourselves, as all responsible gentlemen should. But we still believe that government can spend money on coverage that matters, namely: Victoria's Secret Model Breast Coverage for responsible gentlemen nationwide. By providing breast coverage for hardworking gentlemen-taxpayers everywhere, we will make gentlemen happy. This is a prudent investment. After all, when gentlemen are happy--and fully covered in models' breasts from head to toe--there is nothing they can't do for this country.

This is about coverage. If we must spend money on coverage, let us do so in a way that rewards gentlemen for everything they have done for this great land. We must not fritter away our national treasure on expensive coverage that yields no profits. As a lifelong undergarment enthusiast, gentleman and Federal Special Master currently resident and domiciled in the Southern District of Illinois, I can say without hesitation that covering my face with Victoria's Secret Models' breasts at Federal expense will admirably advance this Nation's journey toward justice and prosperity for all. Because when gentlemen are covered in the breasts they want, they can do anything.

We stand at a critical junction in our Nation's history. The question is coverage. Let us choose the right coverage: Universal Gentlemen's Breast Coverage. This is our chance as a Nation to make the right decision.

Friday, August 14, 2009

PALIN ON POLICY : OBAMA-CARE WILL KILL YOUR GRANDPARENTS, CHILDREN AND PETS


CONSIDERED OPINION


By : Sarah Louise Heath Palin, B.S (Journalism/Communication, University of Idaho, 1987), Former Republican Candidate for Vice President of the United States (2008); Former Governor of the Democratic Republic of the State of Alaska (resigned 2009); Foreign Policy Expert (Russian Studies); Clay Pigeon Champion, Anchorage Gals With Guns Club (2006); Champion, Alaska State Women’s Basketball Tournament (1982); Master Chef (Specializing in Patented “Big Game Burgers,” including Moose Macs® and Elk-O-Steaks®); Health Care Expert; Republican.

Before the election last year, I wrote about my foreign policy experience. See http://reasoncommercejustice.blogspot.com/2008/09/palin-on-policy.html. In that article, I warned that America had to take swift action to protect Portugal against imminent Russian aggression because Russia and Portugal share a long border. I know all about Russia. I live right next door to them. And I know you can’t trust Ivan.

Thankfully, the Soviets never attacked the defenseless Portuguese. I am confident that my strong stance on the matter dissuaded Moscow from launching an attack on its Portuguese neighbor. I received wide praise for my foreign policy work. Although I did not win the election, I gained valuable experience in foreign policy matters. The Northern Alaska State Polytechnic Institute at Dead Gull even honored me with a Professorship in Russian Studies. So when it comes to Russia, I know what I’m talking about.

In the months since the election, I have gained insights into other policy areas. Now, I am not just an expert in Alaska State highway law and local drilling ordinances. I have also learned a great deal about health care. I resigned my post as Alaska governor in order to fully focus my efforts on national matters. In short, our country faces immense dangers from within. Specifically, we face an evil man: Barack Obama. It is my duty to unite all Americans against him. If we do not, there is no telling how many children he will kill.

I am determined to oppose Barack Obama’s health care reform efforts. Last week, I informed the public that Obama’s proposed health care legislation will constitute Federal “death panels” that will decide whether certain people receive medical care. As the mother of a disabled child—and as a Republican—I know that Obama’s “death panels” will refuse care for disabled Republican children. Obama’s “death panels” will only award care to black mothers, welfare recipients, anti-gun activists, conservationists, homosexuals, Democratic firebrands and smug CNN newscasters. They will not award care to innocent Republican children or FOX news anchormen like Shepard Smith or Bill O’Reilly. If Obama succeeds in passing this bill, Shepard Smith and Bill O’Reilly could go without medical care. Obama’s ruthless “death panels” will let good-looking liberals like Anderson Cooper live, but let crooked-faced conservatives like Greta van Susteren die. This is injustice. We must stop him.

As a health care expert, it is my duty to alert the American people about Obama’s plans. I have information that is not yet publicly available. I must speak. I owe it to America. America faces grave danger. Although Americans are rising up in opposition to Obama’s plan for many reasons, they will not truly stop him unless they know all the facts. At the moment, Americans resist Obama because they fear his plan will prevent them from seeing their own doctors or reduce their benefits. They do not know whether this will happen. They just fear it. Americans are rightly afraid. But they would be terrified if they knew what I know.

Let me put all doubts to rest: Obama’s health bill creates “death panels.” This is not a rumor. No matter what the New York Times says, Federal bureaucrats will soon decide whether people receive medical care. But it gets worse. According to my sources, Obama intends to staff his “death panels” with convicted criminals, hip-hop artists, gay DJs and radical filmmakers. Only Democrats will be allowed to serve on death panels. Additionally, Obama has personally drafted a “Death Panel Protocol” governing medical care award decisions. The Protocol creates a presumption that Republicans do not deserve care. The Protocol gives death panels full discretion whether to deny care to a Republican, but limits its discretion whether to deny care to a Democrat. Worse, the Protocol creates a universal right for African-Americans, immigrants and minimum wage employees to receive top-notch medical treatment, but denies that right to everyone else. In short, if you are not black, Democratic or an immigrant, or if you make more than $5.45 an hour, an Obama death panel might just let you die a horrible death.

This is not all. According to my sources, Obama’s Death Panel Protocol also creates a Special Death Panel Executive Arm. In essence, this Executive Arm empowers death panels to “eliminate unworthy life.” Thus, if Obama-Care prevails, “death panels” will not just decide whether sick Republicans get medical treatment. They will also have the authority to seek out and kill anyone—and any animal—they consider “unworthy of life.” My sources have revealed that Death Panels will have full authority to conduct secret investigations to locate “unworthy life” without court approval. Once a person has been identified as “unworthy,” he or she may appeal to Supreme Court Justice Sonia Sotomayor for mercy. But President Obama has instructed Justice Sotomayor to deny all appeals unless “eliminating the targeted individual would jeopardize the overall goals of the health care reform effort.” This means that no Republican will survive.

Americans have a right to know about this. We cannot yield to Obama’s sweet talk any longer. If we do not take a stand against Obama-Care now, we will lose far more than the contractual right to see whatever proctologist we choose. Quite simply, if we do not fight back now, Obama will kill our grandparents, children and pets. What’s to stop Obama’s death panels from declaring that our sick grandparents are not “unworthy of life?” What’s to stop his vicious bureaucrats from investigating our housecats and targeting them for execution? And what’s to stop the death panels from slaughtering our newborn Republican young? We cannot depend on Justice Sotomayor to save our grandparents, children and pets. We must do something now. We must resist the death panels before they open for business.

Information will win the health care debate. Obama thinks he can win the battle for health care by concealing the truth from the American people. I refuse to let him deceive us. I refuse to let him channel the debate away from death panels and government-run health care. I refuse to let him fool Americans into thinking that he wants to care for them, when in fact he wants to cut my grandfather's throat. Obama is not a savior. He is the angel of death. I will not rest until every American knows the truth.

Democracy cannot survive when the public lives in ignorance. President Obama has skillfully manipulated the health care crisis in order to implement his sinister plan for social reconstruction. He knows that Americans are worried about health care. He knows that no one has a straight answer about the facts. He knows people are confused. So he employs his artful rhetoric, hoping to gloss over his secret plan to kill our grandparents, children and pets. He says he believes in Democracy and “compassionate care for all.” Well, if “compassionate care for all” means drowning Republican children, gassing Republican seniors and butchering Republican puppies, we will have none of it. We refuse to support a system that will care only for blacks but kill everyone else. Americans deserve to learn the truth. This is not about hope or compassion. This is about killing Republicans and letting innocent pets die.

Join me in bringing rationality back to the health care debate. In my view, there was nothing wrong with the American health care system in the first place. It is not difficult to get private health insurance as long as you have a job, you’re healthy and you do not fall under a contractual exclusion in the policy. It’s your responsibility and right as an American to bargain for whatever contract you want. It’s your responsibility to read the contract, and it’s your responsibility to accept the consequences if the insurance company decides against you. This is the way it’s always been. Health care is no different from any other business.

As a health care policy expert, my solution is simple: If it ain’t broke, don’t fix it. I have health insurance. I paid for it. I am responsible. So I have no complaints about the American health care system. If others don’t get health insurance—or if their existing insurance does not cover some special eye improvement surgery—well, they bargained for it. In this country, you get what you pay for. That’s what it’s all about, whether you’re buying health care or a car. Some people buy Mercedes-type health care. Others buy Hyundai-type health care. We can’t all have a Mercedes; that’s just not the way things work around here.

Yet this is why Obama’s rhetoric appealed to so many: He promised to give everyone Mercedes-type health insurance. Of course it struck a chord. Hey, I’d like to get a free car, too. But Obama blinded America with his idealistic promises. He wants to give blacks and immigrants Mercedes-type health care, all right. But he also wants to kill Republican grandparents, children and pets. He thinks he can slip in “death panels” as long as he gives away enough free health care, just as the ancient Roman emperors thought they could commit political atrocities as long as they gave away enough free entertainment to the mob.

We refuse to be manipulated. We are not ignorant Roman plebeians. We are 21st-Century Americans. We know when we are being hoodwinked. As a health care policy expert and a patriot, I am committed to dispelling the sinister lies about Obama-care. I am committed to telling America the truth. If we allow Obama to pass health care reform, we will give government the power over life and death. If you love your grandparents, children and pets, you will stand with me against this tyranny. When you stand with me, you tell Obama: “I am a rational person. I do not believe government has a right to kill my grandma or my parakeet.” When you stand with me, you tell Obama: “I believe in information and democracy, not death panels.” Obama thinks he can beat us by concealing the truth. But the truth will always come out in the end.

Informed Americans are powerful Americans. Informed Americans drive our democracy. Get informed. Learn the truth. Stop Obama-Care before it kills your grandfather, son and dog.

This is America. We care about everyone’s life in this country, not just Democrats and blacks.