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Politics : PRESIDENT GEORGE W. BUSH -- Ignore unavailable to you. Want to Upgrade?


To: Neocon who wrote (164860)7/26/2001 6:20:24 PM
From: Ish  Read Replies (1) | Respond to of 769670
 
Script writers. The real Ezekiel 25:17 was too short.

And I will execute great vengeance upon them with furious rebukes; and they shall know that I amthe LORD when I shall lay my vengeance upon them.



To: Neocon who wrote (164860)7/26/2001 6:31:00 PM
From: ColtonGang  Read Replies (2) | Respond to of 769670
 
real good whodunit........." Last of Sheila"....with Coburn,Benjamin,Cannon, and Boyer.



To: Neocon who wrote (164860)7/26/2001 6:38:28 PM
From: ColtonGang  Read Replies (1) | Respond to of 769670
 
Time to get rid of the HMO's for good................HMO Lawsuit Could Represent 50 Million People
By Jim Loney

MIAMI (Reuters) - A small group of HMO subscribers asked a US judge on Tuesday to certify their fraud claims against the nation's largest managed care companies as a class action that could represent in excess of 50 million people.

Lawyers for the managed care companies, including Aetna Inc., the leading US health management company, said allegations that they used financial incentives to limit medical care and failed to disclose those practices to patients must be tried as individual lawsuits, not in a class action.

US District Judge Federico Moreno did not say when he would make the critical class-action ruling in a case lawyers said was probably the largest civil litigation pending in the United States.

In a day-long hearing attended by at least 100 lawyers in a packed Miami courtroom, attorneys for HMO customers in six separate lawsuits told Moreno that the cases deserved class-action status because the HMOs made ``uniform, national representations'' that misled consumers about their health coverage.

In addition to Aetna, with some 19 million subscribers, the lawsuits named as defendants CIGNA Corp., UnitedHealth Group Inc. and Humana Inc.

The case has brought together some of the top legal talent in the country, including David Boies, who prosecuted the US government's antitrust case against Microsoft and was Al Gore (news - web sites)'s chief combatant in the legal fight over the US presidency, and Richard Scruggs, the Mississippi lawyer who led the 1998 settlement between the US and the tobacco industry. Both are representing subscribers.

The plaintiffs allege the companies committed fraud by failing to tell customers they offered secret bonuses to doctors to deny certain types of healthcare to patients in favor of less costly diagnostic tests or treatments.

``They said things that are not true,'' Boies told Moreno. ''We have not said it's wrong to give incentives to doctors. We've said it's wrong to give bonuses to doctors to deny care, and then conceal it.''

But lawyers for the healthcare companies said they had clearly disclosed that they paid financial incentives to ''promote the delivery of healthcare in a cost-effective manner.''

They argued that the cases centered on what information was disclosed to individual subscribers by both the HMOs and by the subscribers' own employers. As a result, tens or hundreds of thousands of people would have to be interviewed--a prospect defense lawyers called ``unmanageable.''

``It makes your hair hurt, the thought that anybody could try a case like that,'' said attorney Jim Quinn, representing UnitedHealth Group.

Moreno questioned lawyers about whether such an unwieldy case--which lawyers estimate could ultimately represent in excess of 50 million HMO subscribers--could be broken down into ''sub-classes.''

``The whole issue is how different people have different knowledge,'' Quinn told Moreno.

``Surely you can group people in different categories?'' Moreno asked.

``You would have dozens and hundreds of groups,'' Quinn said, noting that UnitedHealth Group alone had 29 separate plans across the US, many with their own sets of rules and regulations.

``But you could do it?'' Moreno pressed.

``It would take decades. My grandchildren could be involved,'' Quinn said. ``It makes no sense.''

Moreno's court is the stage for a host of lawsuits filed about 2 years ago by patients and doctors against the embattled managed care industry.

He also has been asked to consolidate into a single class action the claims of an estimated 600,000 doctors who accuse the nation's largest health insurers of cheating on fees. The companies have argued in that case that the claims are too complex and varied to be lumped together.