The Real
Truth About What Kaiser and The
Permanente
Is!
1.
The Permanente
Medical Group is for profit each share in Northern
California being worth $10,000; quick home loans through
Kaiser companies help enhance the benefits of minimizing care;
2.
The physicians are told in the Permanente Journal to get involved
in politics and medical societies to promote the Permanente
Promise,
not really to advance general medicine itself;
3.
Collaborative team care is being substituted for physician
care to save money and keep the stock value for physicians rising at
about 18% a year;
4.
Dr.
Lawrence's new salary as of the year 2000 was over $2 million
a year, not counting all of his corporate duties within Kaiser
contractors and alliances - PGE, Caretouch, Raffles Medical Group,
pharmaceutical companies, etc. (the salary source is their own
990 IRS reporting form);
5.
The
methodology of patient terrorism in Kaiser is buried in
arbitrations as Kaiser fends of class action legal suits at every turn
-
in San Francisco, in Seattle, etc.;
6.
Under "Patient Rights," Kaiser cannot even follow their own
guidelines posted on their own walls, e.g. patients in phone appeal
hearings do not even know who is in the room making decisions;
7.
Specific Kaiser deaths include lung cancer called shoulder
bursitis, preeclampsia called migraine, pediatric quadriplegia due to
failure to recognize standard definitions of high risk pregnancy,
angina
treated with antacids, absence of a physical in nine years of
care, chronic potassium overdose with induced infection, stomach cancer
seen on x-ray with followup not timely, dissecting aortic
aneurysm treated by non-urgent ambulance, etc. [I'm ready on all of
these];
8.
Kaiser has empowered nurses to initiate medications, prescribe
insulin doses, biopsy colon polyps, etc. as a substitute for physician
expertise;
9.
Kaiser is the only HMO in the country involved in massive pill
splitting - now some 37 varieties with physicians encouraged to use
these
pills
over others - the organization has probably pocketed $200
million on this shabby behavior alone;
10. Kaiser's
$100
million a year ad campaign has bought the media silence
they need to carry on; but only California really tolerates
Kaiser big time - hence the term "Kaiser-fornia";
11. Kaiser's
national "Anthrax Guidelines" (really a physician recruiting
gimmick) do not coincide with those of the CDC; most likely
the Kaiser approach will be found in the courts to have contributed
substantially to the deaths of the two postal workers near
Washington DC.
12. Kaiser's
"group ethic" gives permission for taking care away from
the elderly to perhaps redistribute it to others; if Kaiser can
use the money for business investments, so be it;
13. Kaiser's
unique right - one of a handful of such corporations in
California - to keep its own injured employees dependent on
Kaiser care for a full year (rather than the standard of one month)
makes every employee a potential slave of the giant HMO;
14. Kaiser is
the
only HMO in the country that feels that its "Best
Practices" of "Evidenced Based Medicine" are so riddled with
care rationing that they need to be password protected even from other
physicians outside the organization;
15. Kaiser
tries
to change the profession of medicine into the business
of mangled care, for example, placing on break room walls
such advice as that the answer to feeling understaffed is to realize
that Kaiser is a "mean machine"; after all as Kaiser pamphlets
remind us, patients are only "external customers."
Kaiser
succeeded
with Dr. Lawrence's "Path to Recovery 2001 Plan" -
with the state and federal government asleep at the
regulatory wheel. More nurses; fewer docs. More
pills;
lower doses. More stress tests; far lower percentage read
positive.
Fewer C-sections; more infants with paralyzed arms. Yes, and
even janitors answering emergency room buzzers as patients
try to get help. Not a very pretty picture. But
hey, someone
has to drive a Porsche.
Allowed by
Sacramento to carry on this way unchecked, Kaiser pulls down
the medical neighborhood throughout the state.
Political kickbacks funded by the Kaiser "nonprofit" (house for every
administrator) Plan through the Permanente Medical
Group (bonus if you're bad) and on to the Governor seal the
deal.
The DMHC has no choice but to allow the gorilla of greed
safe passage.
Chuck Phillips, MD
Former Kaiser physician