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Link for Translation of the Kaiser Papers | ABOUT US | CONTACT | | MCRC The Manipulation of HMO Medical Testing By Charles Phillips, MD FACP - CPhil49401@aol.com Fresno, California, April 22, 2003 XIII. Exhibits #l - Kaiser Ads - the Promises: 1a - website posting - "absolute.. trust"; 1b - Senior Advantage Ad - "we'd like to be there for you"; 1c - Another Senior Advantage Ad - "patient care comes first"; 1d A Third Senior Advantage Ad "secret opinion walking down the hallway"; 1e - A Fourth Senior Advantage Ad - "a plan you can trust" #2 - "Patient" vs. "Customer" Detailed Essay; #3 - Sample Cover of the Permanente Journal; #4 - Kaiser Cartoon - why the lines will stay long; #5 - Web Pathway and Article - "Selecting and Interpreting Diagnostic Tests" - and the table on Lyme's testing; #6 - Abnormal Stress Test - read by Kaiser as "unremarkable"; #7 - Comparing Blood Counts: a. 7a - WBC - Kaiser - 1995 - Southern California; b. 7b - WBC - Kaiser - 1998 - Southern California; c. 7c - WBC - Kaiser - 2001 - Southern California; d. 7d - WBC - Kaiser - 1997 - Northern California (TPMG); e. 7e - WBC - Kaiser - 1998 - Northern California (TPMG); f. 7f - WBC - Kaiser - 1998 - Northern California (TMPC); g. 7g - WBC - Victor Valley Hospital; h. 7h - WBC - National Standard - not Kaiserized; i. 7i - WBC - National Standard #8 - Renal Tests - Northern California - creatinine - upper limit set too high. #9- Lyme Tests a. 9a-Topic Introduction; b. 9b - Overview by Miguel Perez-Lizano; c. 9c - Kaiser's Lyme protocol - now taken offline by Kaiser; d. 9d - Dr. Donta's published protocol on Lyme - Boston; e. 9e - A Critique of Kaiser v. Dr. Donta; f. 9f - One Lyme patient's experience with Kaiser; g. 9g - Another Patient's Experience; h. 9h -Yet Another Patient; i. 9i - $65,000 Award for Missed Lyme Disease and a Wrecked Life. #10- Anthrax a. l0a- Kaiser's Advice vs. that of the CDC; b. l0b- Kaiser uses Anthrax Posting on Web to Recruit MDs #11- Chest X-rays: a. 11a- Patient with CXR sent by outside ER; b. 11b-Kaiser Loses X-ray; c. 11c- Dramatized True Story - Kaiser Delays Ordering a Chest X-ray; d. 11d- Chest x-ray reading simply a checked box, not a description #12- Underreading of MRIs a. Contract Group Avoids Mentioning Cruciate Ligament and Minimizes Damage to the Meniscus Cartilage; b. Correct Reading of the same MRI; #13 - California Leads the Nation in HMO Penetration - [Bad News]; #14- Cover and page II of "The Evolution of Medical Groups and Capitation in California"; #15 - Fewer Physicians for More Patients a. Older Kaiser Doctors Pack their Bags; b. Physician Moves Away From Patients as More DistantTeam Leader Spin Picture to Look Like the Patient will have More Access; #16- The Permanente Map; #17 - Patients vs. Staff 17a. "External Customers" pictured as Drab People; 17b. Kaiser staff- pictured as a more elite group of people; #18 - Kaiser's Dirty Little Secret; #19 - Kaiser Colorado Spin on Physician Incentives; #20 - Medicare Benefits Going Down; #21 - Dr. Lawrence's Life Style: #21 a - $2,800,000 Home; #21 b Questionable Relationship to Watson Pharmacenticals; #21c -$14 Million Kaiser Investment for Caretouch, then Spinoff with Dr. Lawrence still on board; #21d - Home Forgiveness - "In Silicon Valley a new kind of house call" #22 - Mr. Halvorson - Kaiser's New CEO - Caught with Huge Perks in Minnesota -Fooling his own Staff; #23 - Bayer/Kaiser Fraud - Scheming to Defraud the Government on Cipro; #24 - Kaiser Uses 990 to Emphasize Non-profit images with for profit physicians obscured; #25 - Kaiser Tries to Look Benevolent (no KP stocks); #26 - The Permanente Medical Group Clearly Has Stock; #27 - My Own Physician Profile on the Kaiser Computer Note secret "Report Card" (that I'll never see); #28 - Outcome Goes Down for the Poor and Elderly in Managed Care #29 - Kaiser's Net Income $137 per Quarter - or $648 million a year (Now divide half of that among the 3000 Permanente partners) = $100,000+ per year in dividend from under treating and undertesting; #30 - Kaiser Hints at Incentives but Down Plays the Amount Every Time; #31 - Physicians Brag about being Part Owners; #32 - The Tahoe Agreement; #33 - Documents Disappear Easily at Kaiser - State Department of Corporation Investigator Notices.