HMOs and Managed Care providers have been guilty of adding unnecessary stress and adversity to being ill for many of their clients for many years. Perhaps the greatest example of contemptible behavior in health care has been the example of government hired intermediaries acting as agents for Medicare to frighten and dun terminally ill patients in hospices with the news that they had cheated the United States government and might owe the same government, because of fraud and abuse, thousands of dollars for not having died on time (benefits allowed for only 6 months). (Ladnado L: Rules are Rules. Hospice’s Patients Beat The Odds, So Medicare Decides to Crack Down, Wall St. Jour., June 5, 2000).
Letters to the Editor, Wall St. Jour., June 16, 2000