Share on Google Plus Share on Twitter Share on Facebook 1 Share on LinkedIn Share on PInterest Share on Fark! Share on Reddit Share on StumbleUpon Tell A Friend 1 (2 Shares)  
Printer Friendly Page Save As Favorite View Favorites View Article Stats   2 comments

Exclusive to OpEdNews:
OpEdNews Op Eds

Supreme Court case could decimate the social contract to keep families together

By (about the author)     Permalink       (Page 1 of 3 pages)
Related Topic(s): ; ; ; ; ; ; ; , Add Tags Add to My Group(s)

View Ratings | Rate It

opednews.com Headlined to H4 9/29/11

Become a Fan
  (2 fans)

Crib with bars on all sides for youth with disabilities by Klimer Cribs from third party online catalogues



The first argument the Supreme Court will hear when it begins its new term on October 3 could determine if this country's entire disability population will be denied the protections of federal law.

We have until then to let our government know we do not support selling off "the "social contract" that provides a decent, functioning society" to Wall Street so shareholders can make bigger profits.

Families like mine stand to lose the right to stay together, even when a child's disabilities are so extensive the only alternative is a cage crib in a hospital somewhere. It was Ronald Reagan who supported extending the social contract to children with disabilities when he gave them federal legal rights to medical care in 1989.

Giving Wall Street corporations already caught embezzling hundreds of millions of federal dollars the ability to embezzle hundreds of billions more is insanity. But removing federal oversight now gives states the ability to restrict rights granted under federal law.  The state can then legislate away the ability to appeal these corporation's decisions, for instance, saving the companies money on legal fees while supporting increasing corporate earnings.

That is what has been happening in Hawaii, where Unitedhealth and Wellcare control two-thirds of the state's Medicaid budget.


Last month Governor Neil Abercrombie admitted the purpose of Act 230 (formerly SB 1274) was to save Hawaii's private Medicaid contractors money on legal fees. 
Act 230 goes into effect on January 1, 2012.  At that time everyone enrolled in Medicaid loses the right to legal help in fighting life-threatening denials of medical services.

With legal decisions coming down against the state only two days after the governor's "I am failing" speech, Unitedhealth continues until then to wrack up significant legal bills.

Now Abercrombie has found a way to save Unitedhealth money before January 1: by denying reimbursement for expert witnesses that testified on that child's behalf.  The state has abruptly reversed a ten year old policy upheld by two previous administrations.

Honolulu attorney Rafael del Castillo represents my daughter Hannah, and five other families of my personal acquaintance.  We are all fighting Unitedhealth's on-going denials of medically necessary services on behalf of our children with disabilities, services the state is paying them to provide.

The company is refusing to provide these services because they would cost too much money and that would have a negative impact on shareholder earnings.  The services in all cases have been prescribed by our children's doctors.

Del Castillo asks for no money from his clients, even to pay advance costs for expert witnesses.  H.R.S. 432E-6 is the state law that makes health insurance companies in Hawaii responsible for the fees incurred by the patient in appealing medical care denials, regardless of who wins the case.  Del Castillo takes the chance he he will win in order to get paid.  He is up to over 90% wins the last I heard.

Act 230 repeals H.R.S. 432E-6.  Del Castillo says last week's move to prohibit reimbursement for expert witnesses goes "as far as the Administration could possibly go to repeal the law before the repeal takes effect on January 1."

When sister legislation to SB 1274 was introduced earlier this year, it turned out to have been drafted by attorneys for Wellcare, the other contractor for the state's disability services program.  Interestingly, it would have made enrollees responsible for the legal fees of the insurance company, even when the insurance company lost.

Later the state legislature tried to make SB 1274 retroactive to January 1.  Since there were twelve appeals cases pending, it was estimated at the time the measure would save Unitedhealth alone about $500,000.

Del Castillo is representing the person with disabilities in all twelve of these cases. 
According to Del Castillo, "the Abercrombie Administration knows that it is making pending patient rights cases ... virtually impossible to win unless one of two things happens:  The patient pays for any experts who cannot afford to work for free, or I pay for them.  The Abercrombie Administration knows ... that I will have to pay for the experts out of my own pocket or lose the cases. "

Next Page  1  |  2  |  3

 

Take action -- click here to contact your local newspaper or congress people:
Stop selling Medicaid and Medicare to Publicly Traded Companies

Click here to see the most recent messages sent to congressional reps and local newspapers

www.disabilitymom.blogspot.com

I'm the mom of a 12 year old with multiple severe disabilities. Since April 2009 I've been blogging about the medical civil rights of children as well as adults with disabilities. As state budgets reacted to the larger economic picture, the (more...)
 

Share on Google Plus Submit to Twitter Add this Page to Facebook! Share on LinkedIn Pin It! Add this Page to Fark! Submit to Reddit Submit to Stumble Upon

The views expressed in this article are the sole responsibility of the author and do not necessarily reflect those of this website or its editors.

Follow Me on Twitter

Contact Author Contact Editor View Authors' Articles

Most Popular Articles by this Author:     (View All Most Popular Articles by this Author)

Son-of-a-glitch: The bi-partisan selling of Medicaid

Obama's $1 trillion subsidy to big business insurers

Supreme Court case could decimate the social contract to keep families together

Romney says corporations are people, so why aren't HMO hoodlums going to jail?

Wall Street HMOs use government funds, fraud, to pad profits, outgrow S&P 500 by 25%

Comments

The time limit for entering new comments on this article has expired.

This limit can be removed. Our paid membership program is designed to give you many benefits, such as removing this time limit. To learn more, please click here.

Comments: Expand   Shrink   Hide  
1 people are discussing this page, with 2 comments
To view all comments:
Expand Comments
(Or you can set your preferences to show all comments, always)

The Supreme Court case that generated the first Wh... by Summer Harrison on Thursday, Sep 29, 2011 at 9:48:49 AM
Families could be torn apart and children institut... by Summer Harrison on Thursday, Sep 29, 2011 at 12:33:41 PM