Why I want people to
realize just how deadly Kaiser and The Permanente is -
Because they both are truly LETHAL!!!!!
This is a picture of my Dad, Adam
Wesley Arnold before Kaiser got a hold of him.
On September 11, 2000, Kaiser Permanente Staff euthanized
him against his and his family's wishes. He was 70
years old and the father of 6 living children. He
had been married 51 years to our mother.
Kaiser euthanized him because his health maintenance had
become too expensive for this HMO to honor the contract
they had with him. This I was told by his Kaiser
Permanente/Sunset Branch nurse when I asked directly
why he was hurting our father. He also, on my father's
front porch expounded as to what his financial benefits
were in having my father killed and then told me what a
great Craftsman House it was and how much he wished that
he could have it for himself. I immediately reported
to Kaiser Permanente/Sunset what had taken place and what
this man said and Kaiser did nothing.
His death was painful as he had developed blood poisoning
under this nurses care. Kaiser denied him any and
all medical care either regular or emergency treatment.
Under Kaiser's care he was denied any antibiotics and was
needlessly prescribed a lethal dose of potassium chloride.
The government did sanction Kaiser for this patient
abuse. The sanction amounts to more frequent self
regulated inspections. The Sanction never made it to
Medicare Enforcement Division for unknown to the
I urge everyone to contract with a different insurance
company. Not just to spare your family the grief
that we have and still are going through but to also avoid
the threats of medical retaliation against your family's
that we have had to endure.
I am pretty sure that our father has the same low opinion
of Kaiser's treatment as we do. I very much wish that he
were still with us today. I promised my Dad that
Kaiser was not going to get away with what they did to
September 11, 2001 - The first anniversary of his death.
The synopsis of the Kaiser abuse on him is as follows:
HMO Commits Fraud - Enrolls Non-terminal Patient in
Hospice; Causes Infection and Makes Patient Terminal by
Withholding Antibiotic Treatment Shuts down Heart Function
but Never Informs Family that High Dose of Potassium is
(A Medical Doctor's Analysis of this case Follows Below)
This account of an involuntary euthanasia comes
from Victoria Travis whose father was lied to,
misdiagnosed and treated with inappropriate medications
and even inappropriate surgeries, denied needed care for
an infection resulting from Kaiser's own actions, and
overdosed on potassium resulting in death. In this case,
the family itself was instructed by Kaiser Permanente to
give the potassium resulting in cardiac failure and death,
and for the family, ongoing anguish and regrets.
Misdiagnosis and Inappropriate Treatment Equivalent To
Assault and Battery
In the spring of 1999, my father fainted and was
transported to Huntington Memorial Hospital in Pasadena,
California. At the time his medical insurance was with
SCAN. The attending physician in the emergency room made a
major mistake and deduced that our father had serious
heart problems. As it turned out our father was having a
panic attack, which can resemble a heart condition, but
you are supposed to check the patient's vital signs, and
this was not done.
Thus our father was placed on life support and sent to
the intensive care unit. The head of ICU that first night
informed us that our father did not have a heart problem
and that he was "perfectly fine."
However, as his children we did not have the legal right
to release him; as our father was heavily sedated, he
could not release himself from the hospital. A legal
nightmare began at that point for us!
The attending physician transferred my Dad to St. Lukes
hospital in Pasadena, California acute care unit, without
permission from my Dad or our family, where the doctor had
a tracheostomy tube inserted and a gastro-intestinal tube
placed (both of which were totally unnecessary and
medically not indicated).
I was, however, able to prevent the doctor and hospital
from transferring my father to the doctor's own private
nursing home (where she could personally continue to
collect money for room, board and unwanted medical care).
At this point we had family members with him nearly 24
hours a day ... we had to! When we learned that the
attending physician was attempting to gain conservatorship
over our father, we were shocked and were forced to go to
court. This doctor had at this point indicated that our
father suffered from everything from Leukemia to
Parkinson's disease, and the doctor also refused to honor
our father's demand to be released from the hospital.
My sister became the legal conservator at this point.
Still the family had to take legal action to have our
father transferred to Barlow Respiratory Center to
undo the serious damage to our father's body that was done
by the attending physician. This doctor falsely made
claims of her affiliation with Barlow Center in an attempt
to intimidate us into complying with her wish to transfer
him to her nursing home. She also forced a contract with
Barlow to receive payment for referrals in order to have
our father transferred to their hospital. The family also
had to promise that once he was released to Barlow that
they would discontinue the SCAN medical insurance. The
hospital there did what they could, but they did not get
him completely off oxygen before the money ran out.
Dr. Angela Ross Hay is the doctor that created this
medical fiasco and is currently not disciplined by the CA
Medical Board. She has also had her hospital
privileges recently reinstated from another incident,
which resulted in the cruel tortuous death of another
patient. In short, Angela Ross Hay made a lot of money off
of my fathers body and weakened him physically to the
point he never recovered.
Beginning of HMO Failure to Provide Care
Finally we converted part of the family home into a care
unit for our father including specialized medical
equipment, heating and air conditioning, and an emergency
electrical generator. We thought that we were prepared for
just about everything. He was transferred to the family
home where the family signed him up for Kaiser Permanente
Senior Advantage Plan. He became a home health patient.
After the family paid for $350.00 per day for nurses that
did not provide proper care nor did they exercise his
body, the family members took care of him. With six
brothers and sisters we all took shifts and were fully
trained (probably more so than the licensed professionals
that we had hired). We now laugh at the quality of care by
these "professionals," because we did a far better job. As
is normal with a large family there were squabbles amongst
Some family disagreements arose and in order to stop the
family fighting, a private conservator was hired to
oversee the family matters. Under his direction I became
the official designated caregiver. Now, I drove 100 miles
each day to and from the house to care for my father. I
left my home at 5 in the morning and returned home after
10 at night. I was dedicated and honored to have the
chance to be of assistance.
HMO Commits Medicare Fraud by Enrolling Non-Terminal
Patient in Hospice
Kaisers "assistance" amounted to a nurse visiting once a
week and asking me how my father was doing. Occasionally
they brought bandages for his stomas. When his Medicare
funding for home health ran out he was transferred to
their hospice plan even though he was not terminal. The
conservator, Daniel Stubbs and my father's "hidden" Kaiser
doctor, Dr. James Robert Evans, made this
arrangement. Dan Stubbs openly told the family,
myself included that while my father was not terminal this
would ensure that he received decent medical care as his
benefits, according to Kaiser had run out for the
year. I advised Dan Stubb's that this was fraud upon
the Federal Government and I advised him to not do this. I
HMO Intimidation to Force DNR Status and HMO Abuse Begins
The hospice nurse, Dennis Kane, M.D. repeatedly terrified
my father. Who could blame him for being afraid after the
treatment that he had already received? The nurse yelled
at him, "you're going to die" and "you'll never walk
again." During this time, Kaiser staff intensively
pressured us to make my father's status DNR, or "do not
resuscitate." This was against my father's and our
family's firm convictions. He, and all of us as well,
wanted him to receive all medical treatment that would be
appropriate when necessary and under all circumstances to
resuscitate him. This was documented in writing several
For the entire time my Dad was enrolled in Kaiser's
hospice "program," his nurse refused to change the foley
urinary catheter nor would he change the trach tube.
Dennis Kane, RN also told us that he was a PA (physicians
assistant) which was not true. These urinary drainage
catheters are usually changed a minimum of once per month
and sooner if they become blocked. The nurse also told the
family in the presence of our father that if we wanted the
g-tube changed that he would have to stand over our father
on his bed and rip it out of his stomach without any
anesthesia and then use a hard object to shove in a new
one. Kaiser even refused to provide an adult-size wheel
chair for our father, but they did provide a small, child
size one that my father was obviously unable to use.
I repeatedly requested physical therapy assistance for my
Dad and was told several times that they had been billing
Medicare for physical therapy, but no one performed any
physical therapy on my Dad other than myself. Kaiser said
that they did in fact have a report from a physical
therapist. If they had a report, it would be fiction,
because no physical therapist ever came out to work with
my father, even though they were billing the government
for therapy services. He was also supposed to have a
respiratory therapist, and they did bill for that also.
But there was none.
There was a man that came out to check the equipment
twice, but that is all. As for assistance with bathing,
there was a health aide that every fifteen days or so
would call and say she would be out to help us. She seldom
showed up. I was his bather and again it was an honor to
serve my father.
Of course we complained to Kaiser about their not
honoring their contract with our father. We were always
informed that they had budget and scheduling problems and
"nothing could be done" to help us.
Still, we as a family continued to go forward and our
father kept getting healthier and much stronger. After one
of the physically painful incidents that my father had to
endure under the care of Dennis Kane, R.N., I finally told
him that I knew medicare fraud was being committed and
that I was going to talk. The following week Kaiser
officially upgraded my fathers health and they commented
that it certainly didn't look like he was going to die any
time soon. He was to be transferred to the palliative
section of the Kaiser/Sunset home health department, but
not until they actually formed a palliative section or
department, so we patiently waited.
HMO Nurse Causes Fatal Septic Infection and Sepsis
When they finally got this department created for their
patients, Dennis Kane, R.N. was ordered by Kaiser to
finally change our father's catheter and trach in order to
finalize his work and complete his reports. He came out to
the house under duress, informing me that he was acting as
a "Closer", and without washing his hands nor wearing
gloves he proceeded to change the foley catheter
immediately after using the bathroom where he did not wash
his hands. Then, still without washing his hands, nor
wearing gloves attempted to change the trach tube. After a
lot of blood being spread around, the nurse informed me
that he was unable to change the trach tube because it was
stuck and it was now a detriment to our father's
health if he continued to try do so.
We later were informed that Kaiser rules require two
nurses to change a trach tube. My father did develop an
infection, and to us, it is obvious it resulted from the
complete failure to follow sterile technique required to
change an indwelling foley urinary catheter and the
Finally a new nurse came to see our father. She actually
examined him, but we never heard from the bather again.
The new nurse did try to get us to help her go after
Dennis Kane, R.N. for his terrible medical treatment of
all of his patients. She did change the catheter and the
trach was changed. For several weeks we demanded that our
father be treated for his infection, but Kaiser
refused him treatment.
HMO Practices Medicine Without License
Does Not Have Actual Doctor Making Orders, Directing Care
We took a urine sample for Kaiser and the nurse finally
took it with her. Previously we were always informed that
they could not take a urine sample or a blood sample
without a doctor's order. Unfortunately, Kaiser never did
assign a doctor that we knew of for our father. No Kaiser
doctor ever did examine our father, nor did any doctor
specifically make the orders that decided what care our
father would not or would receive. The new nurse did take
care of the wheelchair matter but it took a few weeks
because as we learned, Kaiser had falsely recorded in
their computers for several weeks before our father's
death that he was already deceased! Kaiser never corrected
that matter. The doctor's named on the prescription for
potassium denied he was our father's doctor.
For the next three weeks the new nurse repeatedly told us
that our father did not have an infection and that we "did
not know what we were talking about." Those were her
words. She also pressured us again to make our father a
DNR patient, however our father and we did not want that
and we refused to cave in to Kaisers manipulations. We all
wanted our Dad to be resuscitated if his breathing or
heart stopped. He had been getting better. We just wanted
his infection treated to allow him to recover!
On Monday, September 11, 2000 when I arrived at the house
I saw a drastic change in his health. He was seriously
ill. Kaiser staff threatened me that if I tried to treat
him with antibiotics that they would have me incarcerated.
So, to my regret I did not. Throughout the day and that
night we repeatedly contacted Kaiser Permanente/Sunset
begging for medical assistance.
One nurse informed us that our father had a septic
infection and that it was very serious. Apparently this
information was tied into their computer problem that said
he was deceased. After it was clarified that he was very
much alive, the nurse asked what antibiotics he was on. We
explained that we had been repeatedly told that no
antibiotics could be given. The nurse told us that she did
not know what to do about the matter then, and she did
nothing to make sure our father's infection was
HMO Director of Home Health Laughs At Us When We Pleaded
We all kept calling the various departments of Kaiser and
finally reached the head of the Kaiser Permanente
home health department/Sunset Division. The head of this
Kaiser department refused to have medical assistance
provided and laughed at us and said, "If you don't like
the care your father is receiving under our care, get
coverage under a different health care plan." Our father's
conservator also unsuccessfully attempted to get medical
care for our father that night we were told by him.
Our father developed severe edema and his catheter was
entirely plugged up with a grainy material. Kaiser told us
that if we wanted to do anything about the plugged urinary
catheter, that we would have to take care of it ourselves.
Urinary catheters that become plugged can back urine up
into the kidneys causing kidney failure and death. We
learned that night how to remove a foley catheter because
he had become a medical emergency at this point. However
we replaced it with a common sheath catheter as not being
trained in insertion of objects into a bladder we did not
want to cause any more harm than had already been done. As
it turns out, my Dad passed away within a few hours.
Unfortunately, because no Kaiser physician, ever saw or
participated in any way with the medical decision-making
made by Kaiser with regard to our father, the paramedics
could not declare his death until a day later. September
12, 2000 Kaiser finally found a doctor to come up with a
cause of death that would not implicate Kaisers actions in
causing his death and who was willing to sign the death
certificate. This man that had never even seen our father
had over the phone decided that our father died of
Parkinson's Disease, which he most likely never had!
Were We Used by Kaiser Permanente to
Harm Our Own Father?
During the course of our father's "treatment," Kaiser had
made sure that our father got 100 MeQ of Potassium every
day. We thought that this was just standard medication,
however, we later realized that potassium is often given
as a replacement when a diuretic like Lasix (furosemide)
depletes the potassium found in the blood. We were later
informed that potassium given when not medically
indicated, can cause severe adverse reactions, including
shutting down the heart. Drug references warn that
potassium can cause death. Now we wonder if the HMO had us
help our Dad take his pills, including the potassium, so
that our Dad could die from the potassium. There were no
lab tests for several months, and we now have learned that
periodic lab tests are necessary to determine the medical
need for added potassium. In fact, now we learn that some
"angels of death" like Jack Kevorkian and Elian
Saldivar/Glendale Adventist respiratory therapist, have
used potassium to kill their patients. A potassium
death is not painless nor is it peaceful. A
potassium death causes terror and is a form of
torture. The heart and lungs stop working yet the
persons mind is clear. This goes on at the least
many minutes. It is not in any manner a
HMO Falsifies Death Certificate to
Cover Its Tracks
I thought that no one can die just from Parkinson's
Disease, but then who am I, I was only there. The current
death certificate falsely states that he died of
Parkinson's disease! In the presence of impartial
witnesses, at the time of death the bodily fluids were
properly collected and taken to an independent laboratory
for analysis. The following day, again with proper chain
of command and great legal documentation, under the
direction of the mortuary director, photographs were taken
by my husband and myself of the blisters and oozing sores
that broke out on our father the day of his death. These
sores were an indication of sepsis as the body was trying
to eliminate the poison through the skin.
The laboratory informed us that our father had two
different types of bacterial infection, common in cases of
septic infection, and that in our father's condition they
certainly were serious enough to have killed him.
I requested an investigation by Kaiser Permanente as to
why our father received this type of treatment and they
denied us that right. Following through Kaiser chain of
command I finally reached a supervisor that asked me "What
is it going to take to make you go away?" I informed her
as I do everyone to this day that I want Kaiser Permanente
to change the way they treat their patients. She in turn
offered me $219,000.00 to go away.
HMO Threatens to Retaliate if We Go Public
I refused the Kaiser money. The Kaiser supervisor then
threatened me that "Your family will most likely receive
medical retaliation unless you keep quiet and don't talk
about what happened."
That of course has spurred me on. How dare they threaten
me for such a matter? The arrogance of this organization
is revolting. Finally, under duress because Kaiser was not
acting in the spirit of the law, The State Board of
Managed Health Care had a formal investigation conducted
by Kaiser themselves. Unfortunately, Kaiser refuses to
release to the family or to the State of California the
results of their investigation. Whether the State or other
government agencies are going to force the issue to get
the investigation report is still unknown.
Needless to say, all of this has been extremely hard on
our family. We all find ourselves extremely angry, hurt
and depressed by the unspeakable violation of our father
as a human being. The HMO not only caused terrible
suffering for him, but also killed him, quite literally.
This is something that we will never let go of. For our
father's sake, we will fight this type of HMO atrocity to
the very end.
We refuse to accept any financial bribe to keep quiet
from Kaiser or anyone else in this matter; thus we choose
not to handle this through the civil courts and the tiny
cap that California allows. It would not harm of reform
Kaiser in any manner. Numerous people in this community
have come up to me and informed me of similar events that
have occurred to their family "In The Hands of
Kaiser." I sincerely am attempting to turn these
needless deaths into good by making these arrogant
corporations that purport to be not-for-profit health care
organizations reform themselves.
If they can't do that then they should be put out of
business once and for all! The patients' relationship with
the health care professionals and Kaisers should be one of
trust. You may not be aware that many highly educated
people are refusing to seek basic medical care. I thought
that was silly, but now I understand and I am very sorry
that I do. And my father had to suffer so terribly for all
of us in our family to directly learn this lesson!
I respectfully request any of you who read this to bring
this matter to the attention of the American government
officials and the general public. I am confidant that our
entire family will be willing to cooperate with you in
most any way that you request and will provide you with
any and all documentation that you request.
A Medical Doctor Speaks Out and
Analyzes This Case
Note: The actual HMO name and other identifiers have
been removed, but this is the actual analysis provided
by a medical doctor very familiar with the workings of
The doctor writes:
The Kaiser organization is as sly as it is evil. They
communicate to each other through oral agreements rather
than written policy. They try to set up the individual
front line person as the bad apple if anything goes
wrong, official policy always spinning out great concern
for the individual patient.
Let's start with some historical perspective and you
will better understand my specific comments about each
choice Kaiser made with your father. Through such
history you will see that the government is not a
The Pearl Harbor attack not only set off war with Japan
it also set off price control in the United States. Job
salaries were fixed. Workers could be attracted or
rewarded, however, with unlimited health benefits. The
war years created the health packages of today.
But this approach also put the quality of care offered
by health plans in the hands of the employers. It set up
the unholy alliance between employers and insurers which
put the worker at risk. Health care rationing - if done
with craft and cunning - could be conducted under the
illusion that patients were in a Health Net ..., etc.
Then President Johnson initiated Medicare itself in
1966. It was almost the nation's memorial gift to the
legacy of assassinated President John F. Kennedy.
Kennedy had the dream. Johnson was the legislative
ringmaster and master barbequer who could launch this
part of the Great Society.
But by 1973 Medicare's funding was already in trouble.
So under President Nixon, Prepaid Health Plans were
deceptively renamed "Health Maintenance Organizations"
and given funding and help to rapidly expand. [the HMO]
Act of 1973 helped transform Kaiser from a small to a
Next an ERISA protection act out of Congress made them
impossible for patients to sue HMOs organizations. It
confirmed diplomat status to [an] ethically
challenge[ed] industry. It was at this point that
Patient Rights were taken away, the restoration of which
still puzzles Congress in the year 2000.
This state, in the mid 1980s - fearful that OB doctors
were pulling out due to high malpractice insurance - in
the mid 1980s passed a ... Cap which limited the amount
physicians would have to pay for bad decisions to
$250,000 plus actual patient damage. Fewer lawyers since
have found the cost of a medical malpractice case worth
the investment in experts and time delays.
Kaiser Permanente added in mandatory arbitration in
their enrollment contracts. And, because Kaiser is the
largest employer of arbitrators, the decisions are once
more weighed toward Kaiser and against the patient. But
this ... [is] not informed consent. The trusting patient
signs to arbitrate what has been secretly designed as
tightly rationed care. It is a death trap designed by
the withholding of vital care rather than the aggressive
act of IV euthanasia.
We are now dealing with a royal court which owns the
premiums. Patients are but serfs hoping for an
occasional help from the castle. Sick patients are
barbarians trying to ask too much of the King. This is
why I keep a picture of a castle on my desk -
representing Fortress Kaiser (a term expressed by a
frustrated patient which I since borrowed). It is a dark
castle and can easily represent a Death Star when my
communication symbolism varies. (I am not sueable for
all of these comments because I have kept track of the
deaths! In fact, Kaiser calls itself internally a "mean
machine.") All of this has made Kaiser cocky and nearly
invincible in this state. And ... Kaiser would love to
be perceived as a "national model," ....
Back in this state it is as if we had allowed a Nazi
like regime to flourish in the middle of a "civilized"
state. Kaiser makes money off well people; Kaiser loses
money off sick people. Hitler could build armies off of
[a] well Aryan race and could only lose money off those
in ghettos who could not be allowed to work due to being
of the Jewish race. And as the trains pulled up to the
Gas Chambers, sadly it was physicians that decided who
among the condemned could work for a while.
The Final Solutions to the very sick Kaiser patient
include: 1) encouraging them to get mad enough to
dis-enroll; 2) calling them into Hospice too early to
bring in more federal monies to the organization; 3)
calling them deceased (but still charging Medicare) so
that services would become more difficult to obtain; and
4) withdrawing the support needed to fight infection and
let disease be the internal gas chamber. Your father
(and thus your family) experienced every major tactic.
To disguise all this to families and the front line
care givers (who might only be hourly and have no pledge
of silence to Kaisers methods), the Kaiser system
burdens such care givers with too many patients to do
good care. Then, cutting corners falls to the care-giver
to simply get through the day's tasks and try to get
home to the family. The choice given is take care of the
patient correctly or see your family. This is how they
morally break almost everyone in the organization. But
morally broken leads to financially restored.
Meanwhile, Kaiser holds out to be nonprofit and
therefore devoid of evil intent. But the . Medical Group
is the dog that wags the Kaiser tail. And ... the
Permanente [the parent corporation] is for profit.
Bonuses are created when care is withheld. It is called
"productivity." Bonuses are protected when there is
silence about error. It is called "collegiality." All of
this is done without any paper trail.
Now let us go to your situation. I will comment as a
physician who observed Kaiser carefully for 18 months
within the Firm. I am still listed on staff so that
Kaiser can only come at me through by-laws or bombs.
Excerpts from your letter: 1. "it is a crime of willful
homicide to intentionally kill someone that had both
verbally and in writing repeatedly stated that they
wanted their life saved in any and all circumstances."
My Comment: the worst level of homicide is that which
is calculated over the greatest period of time and
requires the cunning of those with the highest
education; (interestingly to me [the] CEO ... was an
[Ivy League] College premed graduate of the class of
2. "My father was on home health. We were informed by
Kaiser that due to his Medicare benefits running out for
the year that he had to be transferred to Kaiser Hospice
program. His care from Kaiser consisted of his nurse
visiting once a week and asking me how my father was
My Comment: this is Medicare fraud; a patient can only
be transferred to Hospice when a specific physician
makes a specific decision that someone has less than six
months to live; this is a way to get more money for
3. "His care from Kaiser consisted of his nurse visiting
once a week and asking me how my father was doing. He [the
nurse?] was also verbally and mentally abusive to our
My Comment: I will assume that the nurse was abusive
to your family. Often the Kaiser attitude gets expressed
through those in the front line particularly when they
feel that a patient is breaking Kaiser (by being sick).
A nurse can mistakenly feel that he or she has become
the gatekeeper holding back the plague.
4. "I believe that he was under great stress because he
kept stating that Kaiser did not have any services such as
physical therapists or instruction nor respiratory
therapists to assist us nor could my father have a
wheelchair that he could fit in, nor was there any
physician for him to see because there were budget
problems and they were cutting back."
My Comment: Every front line worker is given an
impossible load. That is how rationing is accomplished.
The Kaiser morale is similar to an army of zombies. The
lack of a physician is more Medicare fraud. Nurses
cannot just make up care orders on their own. And Kaiser
is very much making money this last year.
Questions: Did your father take any medications? Who
was the physician who wrote them? Were any of them
5. "As it turned out Kaiser did bill for these services
to Medicare and also there are supposed to be reports for
these services at Kaiser.
My Comment: This may be the best case using the
Medicare Fraud hotline or getting a percentage of the
recovery for false billing under Qui Tam approaches.
6. [He was] "Strong enough that we were told that it was
obvious that he was not going to die any time soon and
that he was being upgraded to palliative care. It took
about a month for Kaiser to form their palliative care
department, as we were repeatedly told by the Kaiser staff
and so we patiently waited."
My Comment: Your father had a silent physician who did
not like to come for home visits. Such a physician did
not need a "palliative care department" in order to act.
There was no reason to delay care. But this is simply
another form of giving up on your father. The VA is also
excited about its new "palliative care" program. Funds
for all this come from withholding intensive treatment
7. "Another nurse in the hospice department, and this is
not public information due to the fact that she requested
we not mention her involvement, came to the house and
advised us as to how to care for a sore that had opened on
my father's elbow. She could not touch him but she did
instruct me in proper care for this type of wound. It was
not a pressure sore."
My Comment: a nurse can touch an elbow. But Kaisers
style of retaliation on its own staff prevents those who
would like to help from doing anything. After all, this
is the prototype Medical Firm.
8. .... We insisted that our father be treated for his
infection and demanded that a urine specimen be taken or a
blood sample. We were informed that it could not be done
because she needed a doctor's prescription for tests like
that and our father did not have a doctor."
My Comment: Your father did have a doctor so this was
a lie. The doctor was probably the head of the Home Care
Program and preferred to hide. (Medi-Cal is also famous
for its "verbal control" physicians who like to go
unnamed.) This is more fraud.
9. "Bear in mind that by this time there were no less
than three people now present when anyone from Kaiser came
to the house that were witnesses because of the
foolishness that they were pulling. We were fully aware
that they were lying to us about services that were
available and treatments but we chose to make it as simple
as possible for our father."
My Comment: Lying is possible when the pre-calculated
risk of being discovered is a small fraction of the cost
of achieving the goal of the lie - to withhold care.
Only the rare family can summon three witnesses in a
home and pursue the issues like you have.
10. "Two weeks later we were informed that the wheelchair
still hadn't arrived because our father was listed as
deceased in Kaisers records. Of course we have all of this
in writing from Kaiser least you think that I have no
My Comment: Putting "deceased" on the computer will be
blamed on an encoder and thus is another bad apple in a
good barrel. Someday an encoder will step forward and
turn evidence on this bad barrel behavior. The goal of
putting "deceased" on your father's name is to delay
care further in the hopes that the label would soon fit.
11. "Three days later, a Monday, September 11, 2000 when
I arrived in the morning to take over for the night shift
(a brother and sister) my father had declined severely in
health. His eyes were sunken in and blisters and oozing
sores had formed all over his body."
My Comment: He was allowed to progress to bacteremia
as well as widespread impetigo, both severe infections.
These sores were not from pressure but from untreated
infection, poorly managed tubes, etc.
12. "My father was on oxygen and that day the machine
suddenly failed. New equipment was rushed to the house. I
repeatedly contacted Kaiser throughout the day and night
asking for assistance. The nurse couldn't be reached we
were told and we were advised to wait. In late afternoon
when the rest of the family came to the house everyone
began calling Kaiser for help. At one point a nurse on the
Kaiser help line told me that she was sorry that my father
had passed away the previous month and asked why I was
My Comment: there is no need to turn off respirators
when you can contract with oxygen supply groups who know
to whom to give the old machines. Most of these
companies are capitated to the number served and benefit
when death occurs.
13. "I was threatened with arrest if I attempted to give
my father any antibiotics, which I regret not doing so to
My Comment: I suppose the police might be called if
you gave an antibiotic to your family to try to keep
your father alive. But more than likely they would
arrest the physician who would not come to the house to
make a proper diagnosis. You would have probably got a
police life saver award.
14. "The head nurse that evening in the home health
department openly laughed at us and stated 'If you don't
like the care that Kaiser is providing for your father you
can always get him different insurance."
My Comment: the way you get to be a head nurse or
medical director in HMOs is to get with the program. You
need to get the vision of medicine as a business and
expenses of the sick patient as a "loss ratio" to
profit. The federal government has asserted that HMOs
wasted billions of dollars in chasing healthy seniors
and dropping out the sick ones as fast as possible.
15. "Our father died a couple of hours later. The
paramedics could not call his death until September 12,
2000 though, because they had to wait for Kaiser to
finally assign a doctor to our now deceased father."
My Comment: Your father always had a named physician
in the background. And paramedics are linked to an on
duty emergency physician. They were probably concerned
that this might be a homicide and turned it over to the
coroner's office. The coroner's deputy then would chase
down a Kaiser physician willing to sign to some benign
cause of death.
16. "The doctor that never even saw my father wrote down
that he died from Parkinson's Disease. Following proper
chain of command, the body fluids at the time of death
were taken to an independent laboratory and analyzed. We
were informed that he had two different types of bacterial
infection and that while they may not have at that stage
killed a young, healthy adult they most certainly did our
father in his weakened state."
My Comment: On the death certificate the physician
must write down the last time that this physician saw
the patient. The physician might have tried to use the
nurse's visit for this purpose - also illegal. This
should have been a full coroner's case. At least you got
some evidence of the infection. I would get the license
of the physician off of the death certificate.
17. "I very nicely asked Kaiser to change its practice of
harming patients and to perform an internal investigation.
I only wanted them to change. Instead they asked me what
it would take to get rid of me. I told them only bringing
my father back. So they offered me $219,000.00 to go away.
I said 'No,' I did not want money because my father died I
just don't want anyone else to suffer as he did at their
My Comment: Kaiser has a budget of about $13 billion a
year. The piggy bank can do better.
18. "Then I was told that if I continued my family would
most likely receive medical retaliation."
My Comment: As for retaliation, Kaiser is a "mean
machine." They retaliate against anyone who gets in the
way from doctors to patients to clerks. This
organization is glued together by a mutual fear. No one
has any value except as they fuel the machine.
19. "So I contacted our state Board [Department] of
Managed Health Care and under duress Kaiser has supposedly
conducted an investigation into this matter. Unfortunately
Kaiser refuses to release the results of this
investigation either to anyone in our family or to the
state of this state. Of course The state of this state is
a wee bit upset about this matter."
My Comment: The state of this state is an obligate
parasite on [the HMO] industry both for rationing care
and for funding the governor. I am waiting for the
Department of Managed Care to make its first systemic
change. If the department really cared, it would quickly
champion getting rid of arbitration as uninformed
consent, suing HMOs as RICO racketeering organizations
(Connecticut style), empowering patients (Massachusetts
style), challenging ERISA (Texas style), speeding
payment of providers (Florida style), etc. Crocodile
tears over your father's care together with a speeding
ticket issued to Kaiser Permanente will not impress me.
20. "I now understand why so many highly educated people
refuse to get even basic medical care. This is the most
shocking breach of trust that I have ever experienced. We
literally begged repeatedly for help. We were ignored and
laughed at. My father wasn't dying until Kaiser got a hold
My Comment: I am considered a bit radical for calling
HMOs Killing Fields. It is not a wild comment by a
raving professional but a focused rage from an oath
expanded to a crystal clear conscience. Thirty-two years
of medical practice helps. Family contact with Ghandi
and Schweitzer also helped.
21. "However, if there is some quicker way to be able to
present proof to the authorities and perhaps those in
government that are accepting Kaiser funding then maybe
changes will take place a little faster. ...Gray Davis is
a smart man and he will turn his back on Kaiser if the
proof is made public as will any other government official
with aspirations to a higher office. This information
would also be of great assistance to the Homicide
Detective in charge of this case. The FBI has also stated
that if the appropriate laws apply to this case that they
will be involved also."
My Comment: I wish I could find the government to be
the innocent investigator of these things. But then you
get the entanglement between Kaiser and its congenital
twin the VA system. And then you find Medi-Cal patients
all forced to choose HMOs or have them chosen for the
patient. Next you follow the ... Gray Davis fund raising
approach using HMO dinners to raise money just before
moderate decisions. You get skeptical at age
I think that you belong at the next Congressional
hearing about the Patient Bill of Rights. And when
Kaiser lobby tries to deflect our representatives that
the answer is the Kaiser model, you speak up. Plane fare
available I'll sit one row back to applaud and confirm.
Then all of the ambivalent agencies you have mentioned -
also afraid of the power of the Kaiser Firm - will have
to do their duty just to be credible. Governor Davis ...
will have to join you just to get on the Newsweek cover
again for his courage.
22. "You seem to me to be a means to do something
meaningful to stop the needless deaths that are
occurring. I have so many people telling me similar
stories that have taken place in their families that I
truly believe that these people, including my father
died to lay the groundwork to stop the terrible things
that are occurring in Managed Care today. I only
personally have this horrible experience with Kaiser
Permanente and I certainly never want to have to
experience it again. This could happen to anyone of us,
don't you think that we should do the right thing and do
what we can to stop it now before it gets worse? Is
there anything else that you would like to know about me
and why I wrote you this evening? I do hope that you
will be able to help in this matter."
My Final Comment: you have identified the enemy any
many of the tricks being used in the Art of Slow
Homicide. Can you channel your energy into periods of
Focused Rage backed by intense preparation? I think you
/Medical Doctor's name