The treatments were deemed medically necessary by Nick's doctors, but California's Managed Care oversight board recently sided with PacifiCare, a decision that Nick's caregivers, family and community have vowed to overturn.
PacifiCare was recently fined $3.5 million by the state of California for systematic mishandling of at least 133,000 claims like Nick's. The company is facing up to $1.3 billion in addition penalties, for illegally denying care, and a Department of Managed Health Care investigation found that the corporation wrongly denied claims in 30 percent of its HMO cases in 2006-7. In 2005, PacifiCare was taken over by the nation's largest health insurer, UnitedHealth, which is expected to grow its profits 13 percent in 2007-8, according to recent reports.
The diversion of care dollars from Nick Colombo to PacifiCare profits is direct evidence of the need for immediate ate and fundamental healthcare reform. Every person in this country deserves guaranteed healthcare, which can only be achieved by replacing wasteful private insurance with non-profit, universal, single-payer coverage, such as Medicare for All. U.S. Rep. John Conyers is the author of H.R. 676, the national bill for guaranteed healthcare, and the California Nurses Association/National Nurses Organizing Committee is a lead sponsor of the bill.
The California Nurses Association/National Nurses Organizing Committee is America's largest RN union, representing 80,000 critical-care nurses from every state.
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