Read in Spanish,
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 government reasons.
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
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 him.
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 Lethal!
(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
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
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
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 us children.
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
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 was ignored.
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 times.
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
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 tracheostomy tube.
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
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 for
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
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
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
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
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
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
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
A Medical Doctor Speaks Out and Analyzes
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 Kaiser Permanente.
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 passive observer.
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 large organization.
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
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
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
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 19__);
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 doing."
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 Kaiser;
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 split?
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
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 from patients.
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
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
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 proof."
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 calling."
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 this
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
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 hands."
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
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 of him."
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 can.
/Medical Doctor's name