Finally, Justice for HMO Members

HMOs often don't provide much of a life preserver for patients. All too often, when it comes to health insurance, ailing Americans ultimately find themselves in the position of having to sink or swim. More than 100 million citizens who get health care through employer-funded health-maintenance organizations are sometimes at risk. In the interest of cutting costs, many HMOs, which let accountants rather than doctors render verdicts on who gets what care, deny coverage for necessary medical procedures. Sometimes the end result is an inconvenience for patients and their families. But too often, the result is severely compromised health — or even death. And as US law now stands, Americans are barred from filing suit against their HMOs — even when the insurer’s negligence has caused catastrophic harm.

There is good news: The law may be changing. Get the full story at Open Source Politics

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