Investigate: money, healthcare, misbehaving doctors, retaliatio.

Here are some recent items that go over money and health care, misbehaving surgeons & other doctors, selling nutritional supplements, and money/healthcare as a business. I also include retaliation that was done to a nurse, a single mom of two who had life miserable made for her due to whistleblowing when she served indigent & low income patients.

Ethics and docs: do they turn a blind eye:
Blind eyes
Unethical unprofessional behavior
Syracuse Hospital Says it may be sued over patient slapping

Hospitals turn a blind eye to bad physician behavior
“Hospitals often turn a blind eye to bad behavior by physicians, especially if the doctors generate a lot of revenue, according to Syracuse.com.”

Last week’s lawsuit by a Virginia patient who claims doctors mocked and defamed him while he was unconscious during a colonoscopy is just the latest example of disruptive doctor behavior.

A Syracuse, N.Y. surgeon allegedly slapped sedated patients’ buttocks and called them derogatory names and though staff complained, St. Joseph’s Hospital Health Center didn’t do anything about it until a formal complaint was filed in December, according to the publication.

“Although experts say the vast majority of physicians aren’t troublemakers, bad behavior clearly isn’t an isolated problem. There have been several cases of physicians throwing objects in the operating room, yelling and hitting patients, and sexual abuse, the Association of Health Care Journalists reports. However, in most of these instances hospitals didn’t investigate the claims, according to Syracuse.com.

Hospitals often don’t do anything about the problem because the accused physician brings in a lot of money, Michael A. Carome, M.D., director of health research at the nonprofit consumer rights advocacy group Public Citizen, in Washington, D.C told Syracuse.com. And when hospitals do report cases to state medical boards, it’s rare for physicians to receive more than a slap on the wrist for the misconduct, he said.”

“In many instances, the bad behavior distracts the healthcare team, which can lead to medical mistakes.

“When we allow bad physicians to remain in practice, that can ultimately expose hundreds if not thousands of patients to substandard and unprofessional care,” Carome said.”

Lawsuit on docs who mocked patient during anesthesia
The suit is emblematic of the decline in doctors’ professional reputations in recent years. “The once-venerable medical profession has taken quite a tumble from its pedestal, with the terms ‘untrustworthy’ and ‘greedy’ used to characterize doctors more often than ‘respected’ and ‘benevolent,'” Linda S. Ellis, M.D., of the Frank H. Netter M.D. School of Medicine at Quinnipiac University wrote in an opinion piece for Live Science.

Pressure on physicians to always be “right” contributes to a mistrustful culture where physicians fear asking questions or conceding mistakes, according to Ellis. “We tell one another and our students to never admit wrongdoing,” she wrote. “[E]ven worse, we model bad behavior to our medical students and residents, training new doctors to perpetuate behaviors that engender distrust.”

Hospitals bullies pose danger to patient safety
This isn’t just psychologically damaging to staff, according to Yurkiewicz; it also affects patient outcomes. For example, an abusive attending physician may discourage residents and nurses from openly discussing a patient’s problems, which gives time for those problems to worsen. “In a system dependent on hierarchy, it works like this: when anger and intimidation flow down, information stops flowing up.”

“This correlation echoes results from a 2013 study in the UK, which found that one in four doctors and surgeons and one in three nurses said bullying has caused them to behave in ways that are bad for patient outcomes”

Johns Hopkins unveils $11Billion hotel/hospital
Johns Hopkins today unveiled plans for a new $1.1 billion hospital with a “hotel-like” atmosphere, The Baltimore Sun reported. As one of the largest hospital construction projects in the country, the 1.6 million-square-foot building will feature 560 private rooms, 33 operating rooms, new adult and children’s emergency rooms and include gardens, artwork, sound-proofing, Internet and food options. The new hospital replaces the East Baltimore campus, constructed in the 1930s and 1950s.

Officials say the upgrades are needed to maintain business by luring patients and keeping doctors and other personnel, the article noted. “Our new facilities will enable us to provide that excellent care with greater comfort and private for our patients and their families in a state-of-the-art environment,” said Edward D. Miller, dean and chief executive of Johns Hopkins Medicine.

*** Maintain business?

Medicaid debt isnt stopping Maine hospital construction
“Hospitals in Bangor, Augusta and Portland found the capital and loans for major construction projects even though they’re owed $484 million in overdue Medicaid payments from the past four years. The construction boom comes as hospitals warn of having to phase out services or lay off workers to cope with the Medicaid debt, the paper notes.
Eastern Maine Medical Center in Bangor, for example, recently resurrected its plans for a $250 million addition, a project the state approved in 2008 but was delayed in part by Medicaid debt–now more than $75 million, according to the paper.”

*** So how much is spent on patient safety?

Patient litagation over insurance billing practices

“St. Luke’s Health System in Kansas City, Mo., will pay $3.5 million and attorneys fees after it refused to accept health insurance from hundreds of patients injured in car accidents in lieu of trying to collect potentially higher payouts from automobile insurers instead.

Three patients sued the hospital after it attempted to recoup payments they received from their automobile insurers for medical treatment. Such payments are often higher than what St. Luke’s can collect from health insurers because the automobile insurers don’t negotiate payment levels in advance, according to the Kansas City Star.

If the automobile insurer didn’t offer a settlement, St. Luke’s often filed liens against patients directly.”

Putting the Patient First
Putting the Patient First — Using the Expertise of Laboratory Professionals to Produce Rapid and Accurate Diagnoses

Doctors & ethics of selling nutritional supplements
Is It Right for Doctors to Sell Nutritional Supplements?

Great blog on how a hospital is facing lawsuits from patients who were lied to on mammograms.
In summary, Perry Hospital technician Rachael Rapraeger lied about the results from over 1,200 mammograms. In her plea deal with a criminal court, Ms. Rapraeger said she got behind in her work and created negative readings for over 1,200 mammograms….mammograms that were never reviewed by physicians. Patients were lied to. Ten patients actually had positive readings, and two have since died. Ms. Rapraeger apologized for her conduct and was sentenced to six months in jail, 9.5 years of probation, a $12,500 fine, and is banned from the healthcare profession for 10 years.
Perry Hospital is currently facing 30 lawsuits from Ms. Rapraeger’s actions, and the hospital issued the following statement after her plea deal: “We are pleased this component of Ms. Rapraeger’s unfortunate action is concluded.”

How rude! Workplace incivility hurts bottom line

CA senator demands hospitals reduce rampant medical errors

“Building a differential diagnosis is in several steps of John Brush’s 12 point diagnostic process outlined that’s been taught for over 100 years. Wouldn’t this help diagnostic errors?”

If you don’t think its all about the money –

I sent this to the admin of the group I was with. I recognized that $$$ was a motive.

Subject: Ketogenx
Date: Fri, 4 Jan 2013 15:55:38 -0500

Admin

This is the stuff that came across to everyone, that I said I would tell you about.

KetogenX weight loss program .. includes visits with the physician, dietitian, exercise people & and optional support groups in one location and one price.

Lawyers, HIPAA laws, profits, banning care

Seems the profit margins on bariatric surgery are in the 45% range.
I’d say a great reason to sell you services/products, wouldn’t you? However, think about losing care forever from below, where the law appears to provide no retaliation. Think about the reputation you get. Ask your surgeon and their group about this in writing.

http://www.generalsurgerynews.com/ViewArticle.aspx?d_id=77&a_id=10933
http://www.bizjournals.com/sanjose/stories/2007/09/17/story2.html?page=all
http://hbr.org/product/weight-solutions-clinic-bariatric-surgerycenter/an/KEL030-PDF-ENG
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1402352/
http://www.anh-usa.org/gastric-bypass-surgery-for-everyone/
http://calorielab.com/news/2005/06/19/hospitals-gorge-on-weight-loss-surgery-gravy-train/
http://blog.sermo.com/2014/01/14/peril-and-profit-for-weight-loss-surgeries/
http://www.bostonmagazine.com/2006/05/the-incredible-perilous-moneymaking-people-shrinking-machine/
http://www.fathomdelivers.com/blog/healthcare/marketing-bariatricweight-loss-surgery-online/
http://www.amednews.com/article/20120423/business/304239976/4/
http://abcnews.go.com/Health/100-million-dieters-20-billion-weight-loss-industry/story?id=16297197

http://articles.mcall.com/2012-09-24/business/mc-pennsylvania-ambulatory-surgical-centers-20120924_1_surgery-centers-fairgrounds-surgical-center-surgical-care
http://www.ncbi.nlm.nih.gov/pubmed/9793808
http://www.ascassociation.org/AdvancingSurgicalCare/ascpolicyfocus/pressroom/phc4reportmissestruestoryofascsvalue/
http://www.beckersasc.com/asc-turnarounds-ideas-to-improve-performance/10-signs-your-surgery-center-is-in-trouble.html

I alleged a HIPAA violation and was dismissed by the bariatric surgeons’ office 2 days later (proof in writing). I have no care in the area now. I have the phone records to prove that I called the publically posted helpline to lodge a complaint. Although the hospital group advertises that they will respond within writing in 7 days, they haven’t to this day, more than 1 year later. NEVER file a HIPAA violation or allege one unless done to the OIG. I also have my last records in writing from the office the day the office wrote it. All of which are complimentary.

Please contact me. I’d be happy to show the documents until they’re posted here – including my phone records showing I contacted them.

HIPAA regulations
§160.316 Refraining from intimidation or retaliation. A covered entity or business associate may not threaten, intimidate, coerce, harass, discriminate against, or take any other retaliatory action against any individual or other person for (a) Filing of a complaint under §160.306; (b) Testifying, assisting, or participating in an investigation, compliance review, proceeding, or hearing under this part; or (c) Opposing any act or practice made unlawful by this subchapter, provided the individual or person has a good faith belief that the practice opposed is unlawful, and the manner of opposition is reasonable and does not involve a disclosure of protected health information in violation of subpart E of part 164 of this subchapter

New links on patient rights: HIPAA antiretaliation
Understanding HIPAA rules
Culture coverups
Patient Partnerships
Common biases
HIPAA complaints
HIPAA guide

I’m going to post all my comments from encounters I have had with risk managers. The risk manager (now remember, I’m not suing them so I don’t need a lawyer, wonder why they do?) has a disclaimer on theirs, but I can repeat mine. This should give you some idea of what you might deal with, in my case filing a HIPAA violation & concerns about communication, direction, and then being dismissed and getting blamed for it, ending up with no care in the area and suffering for it.

When the doctor has told you, ‘I’m a big boy, I can take it, I had someone tell me Dr. Bariatric Surgeon, I just can’t work with you’, maybe the people should have done something.

Sent Sunday April 16, 2014

Well?

Privacy Officer included you, Risk Manager, in this email. I’ve not seen a justification why you all need lawyers to answer (or even copy them on):

1) why a publicized on the website statement says that I (from the Privacy Office) will get an answer in writing in X days but didn’t in my case
2) why it took longer than 60 days, the legal deadline, to get me an answer on my first records change (again dealing with the Privacy Office)
3) whether or not you are denying that I submitted a complaint on 4/17/13 and was dismissed from the practice complained about on 4/19/13 and whether or not you know that there is a law against retaliation for filing a HIPAA complaint (again Privacy Office)
4) whether Person Y is a bariatric surgeon representative, as I received a fax from Person Y but no other identifying information (which if it had to do with my case, would be a Privacy Office issue)

Bariatric surgeon didn’t need a lawyer to follow me three times in public, wearing their lab coat emblazoned with the groups’ logo, their name and title. The police handle those situations, not lawyers. So maybe someone can explain why a lawyer is needed because I’m failing to see why any one would need one. This is not about the bariatric surgery practice, this is about publicized hospital practices and HIPAA laws published on the internet that any one can look up. I’ve never authorized any lawyer to contact you so there is no evidence you have on my behalf that you need legal resources.

I would like to invite you all to Colonial Baptist Church. We’re also a hospital: for sinners. We don’t need lawyers. We have one who pleads our case before Him: Romans 8:26,27.

On 4/9/2014 12:27 PM, wrote:
When it comes to retaliation for filing a HIPAA violation, that is a valid question. I will publicize my timeline with phone records & the dismissal date, so that others can review this, the law regarding HIPAA violation retaliation, and see that you have refused a timeline. I also have documentation that you were researching at the time I was dismissed.

((removal of identifying information) No written reponse was ever received although you advertise the above. I will publicize those facts also, since I’ve not gotten a response except the within 7 day dismissal letter.

I’ll also note how I lost all care, dropped by another doctor and refused at another group due to Bariatric Surgeons actions, but that hospital is making a profit by hiring Doctor Y, since that practice has people waiting months to get in. Its enlightening to know how the Bariatric surgeons’ practice treats those who’s suggestions adds to its bottom line.

Thank you.

—–Original Message—–
From:
Sent: Tuesday, April 08, 2014 12:23 PM
Subject: Re: Addition to records request status

I have requested the time line for that investigation. That is what has never been answered. I will let others know the multiple times of asking those questions w/no answers, so that they can see my evidence and be more educated about the bariatric centers practices as a whole. I’ve found other doctors to be different, several of which I recommend because of their knowledge, ability to access appropriate and valid resources when needed & ability to apply them, honesty, judgement, working with other doctors in collaboration, emotional control, non favoritism, clear and consistent directions, etc.

When an urgent care PCP and a specialist can figure out {{I am referring to complications of bariatric surgery}}, both from the patient and from medical research, indications of an issue, but the center cannot, then that is education for others as to fields of expertise, and allows greater knowledge for choices in where they might decide to spend their healthcare dollars.

From:
Sent: Tuesday, April 08, 2014 10:35 AM
Subject: Re: Addition to records request status

I’ve stated it multiple times. Do you need a lawyer to answer?

You received the complaint, investigated it, but never sent out a written response. Why not? I have sent my phone records showing that on 4/17/13, I filed a complaint. By your records, you were investigating at that point and a dismissal (retaliation) letter was sent out during that time. I had an appt. in June with Bariatric Surgeon, which I possess a copy of. The only change was the complaint/HIPAA violation allegation. The records for months before the dismissal that state I was in compliance with the directions, and actually if the allegations of noncompliance were true, then Bariatric surgeon would have gotten rid of me when they were made. They did not.

I also note the dates/times of the phone calls from the office indicate this is correct.

Hospital paperwork is where it indicates non retaliation. Does retaliation work only for patients?

I note that of the items I suggested, bariatric surgeon still holds their title (I stated I was not asking for them to be punished), you hired another MD (doctor Y didn’t even have certification and was working at the bariatric center until they got it, it is a highly successful thing as I hear they’re booked months in advance, thanks to me), and Nurse Practioner is helping out with some of the other hospital/patient duties.

Do you have any physical non changeable evidence that disagrees with the above facts? Also, the answer should be shareable to any one and every one.

Thank you,

—–Original Message—–
From:
Sent: Sunday, April 06, 2014 9:05 AM
Subject: Re: Addition to records request status

The second part of my question hasn’t been answered, as to why we are promised in writing (as I’ve proven before) that within X days an answer, and you never did that. Is the answer we get in writing a dismissal, therefore retaliating for making the complaint?

Thank you,

On 3/20/2014 8:46 AM, wrote:
Thank you. Since it is only 3 pages and doesn’t require anything but scanning in, why would it take so long to scan in? I can scan in a document in 5 min. or less.

I didn’t see the second part of my question answered. Is that because it would verify the retaliation for filing the HIPAA and like complaints, that go against Title II of the Federal Health Insurance Portability and Accountability Act (42 USC 1320d to 1329d-8, and Section 264 of Public Law 104191), and its accompanying Privacy Regulations, 45 CFR Parts 160 and 164, and hospitals Published Policy. Hospital X published paperwork does not say that retaliation for filing a complaint will not be tolerated. Has that policy changed? Retaliation will occur, then?

Thank you,

—–Original Message—–
From:
Sent: Thursday, March 20, 2014 8:30 AM
Subject: Addition to records request status

Good morning,

I am inquiring about the status of the mail I sent on Monday, March 17, 2014. I am also inquiring about why the Privacy Office refuses to put in writing what is guarenteed to us by hospital in its published documents. I am requesting the timeline (that could be independantly verified) that was never given to me of when your office started investigating the HIPAA violation complaints and the other complaints regarding the bariatric center.

Thank you,

Health Care & Money, Bad docs, Medical Research, Obesityhelp.com warning,blogs

I had heard (and of course, always check things out) that obesityhelp.com sends reviews back to the surgeon. If they don’t like it, obesityhelp.com will delete it and not allow you to post. This is the surgeon experience form. When I asked about this, the response I got on 3/18/2014 at 11:14 am from membermail said, “Send us what you want to post and we will review it before you post it. Also let us know what surgeon it’s for.” Now if I have to have it approved, do you feel obesityhelp.com is a fair place to get ALL comments about a surgeon or is it only going to list their good ones. How can you learn if you only have good and don’t see how they deal with the not so good ones?

THE LATEST:
On 3/22/2014 5:32 PM, ObesityHelp Staff wrote:

When a member writes a testimonial on a surgeon, the surgeon receives a notice that a testimonial has been left on their profile. We do not review testimonials before or after they are written. We will conduct a review if a testimonial violates our Terms of Service and is reported to us by a member, a lurker or a professional. Unless a testimonial violates our Terms of Service, is slanderous or involves a potential legal action, we do not remove testimonials. If a testimonial is removed for slander or a legal issue, we do so for the protection of our member. Whenever a testimonial is removed, we notify the member by PM.
Member Services

Here are some recent items that go over money and health care, misbehaving surgeons & other doctors, selling nutritional supplements, and money/healthcare as a business. I also include retaliation that was done to a nurse, a single mom of two who had life miserable made for her due to whistleblowing when she served indigent & low income patients.

Syracuse Hospital Says it may be sued over patient slapping

Hospitals turn a blind eye to bad physician behavior
“Hospitals often turn a blind eye to bad behavior by physicians, especially if the doctors generate a lot of revenue, according to Syracuse.com.”

“Although experts say the vast majority of physicians aren’t troublemakers, bad behavior clearly isn’t an isolated problem. There have been several cases of physicians throwing objects in the operating room, yelling and hitting patients, and sexual abuse, the Association of Health Care Journalists reports. However, in most of these instances hospitals didn’t investigate the claims, according to Syracuse.com.

Hospitals often don’t do anything about the problem because the accused physician brings in a lot of money, Michael A. Carome, M.D., director of health research at the nonprofit consumer rights advocacy group Public Citizen, in Washington, D.C told Syracuse.com. And when hospitals do report cases to state medical boards, it’s rare for physicians to receive more than a slap on the wrist for the misconduct, he said.”

“In many instances, the bad behavior distracts the healthcare team, which can lead to medical mistakes.

“When we allow bad physicians to remain in practice, that can ultimately expose hundreds if not thousands of patients to substandard and unprofessional care,” Carome said.”

*** Just so you know, my blog links to items showing a 45% profit rating

Lawsuit on docs who mocked patient during anesthesia
The suit is emblematic of the decline in doctors’ professional reputations in recent years. “The once-venerable medical profession has taken quite a tumble from its pedestal, with the terms ‘untrustworthy’ and ‘greedy’ used to characterize doctors more often than ‘respected’ and ‘benevolent,'” Linda S. Ellis, M.D., of the Frank H. Netter M.D. School of Medicine at Quinnipiac University wrote in an opinion piece for Live Science.

Pressure on physicians to always be “right” contributes to a mistrustful culture where physicians fear asking questions or conceding mistakes, according to Ellis. “We tell one another and our students to never admit wrongdoing,” she wrote. “[E]ven worse, we model bad behavior to our medical students and residents, training new doctors to perpetuate behaviors that engender distrust.”

Hospitals bullies pose danger to patient safety
This isn’t just psychologically damaging to staff, according to Yurkiewicz; it also affects patient outcomes. For example, an abusive attending physician may discourage residents and nurses from openly discussing a patient’s problems, which gives time for those problems to worsen. “In a system dependent on hierarchy, it works like this: when anger and intimidation flow down, information stops flowing up.”

“This correlation echoes results from a 2013 study in the UK, which found that one in four doctors and surgeons and one in three nurses said bullying has caused them to behave in ways that are bad for patient outcomes”

Johns Hopkins unveils $11Billion hotel/hospital
Johns Hopkins today unveiled plans for a new $1.1 billion hospital with a “hotel-like” atmosphere, The Baltimore Sun reported. As one of the largest hospital construction projects in the country, the 1.6 million-square-foot building will feature 560 private rooms, 33 operating rooms, new adult and children’s emergency rooms and include gardens, artwork, sound-proofing, Internet and food options. The new hospital replaces the East Baltimore campus, constructed in the 1930s and 1950s.

Officials say the upgrades are needed to maintain business by luring patients and keeping doctors and other personnel, the article noted. “Our new facilities will enable us to provide that excellent care with greater comfort and private for our patients and their families in a state-of-the-art environment,” said Edward D. Miller, dean and chief executive of Johns Hopkins Medicine.

*** Maintain business?

Medicaid debt isnt stopping Maine hospital construction
“Hospitals in Bangor, Augusta and Portland found the capital and loans for major construction projects even though they’re owed $484 million in overdue Medicaid payments from the past four years. The construction boom comes as hospitals warn of having to phase out services or lay off workers to cope with the Medicaid debt, the paper notes.
Eastern Maine Medical Center in Bangor, for example, recently resurrected its plans for a $250 million addition, a project the state approved in 2008 but was delayed in part by Medicaid debt–now more than $75 million, according to the paper.”

*** So how much is spent on patient safety?

Patient litagation over insurance billing practices

“St. Luke’s Health System in Kansas City, Mo., will pay $3.5 million and attorneys fees after it refused to accept health insurance from hundreds of patients injured in car accidents in lieu of trying to collect potentially higher payouts from automobile insurers instead.

Three patients sued the hospital after it attempted to recoup payments they received from their automobile insurers for medical treatment. Such payments are often higher than what St. Luke’s can collect from health insurers because the automobile insurers don’t negotiate payment levels in advance, according to the Kansas City Star.

If the automobile insurer didn’t offer a settlement, St. Luke’s often filed liens against patients directly.”

Putting the Patient First
Putting the Patient First — Using the Expertise of Laboratory Professionals to Produce Rapid and Accurate Diagnoses

Doctors & ethics of selling nutritional supplements
Is It Right for Doctors to Sell Nutritional Supplements?

Great blog on how a hospital is facing lawsuits from patients who were lied to on mammograms.
In summary, Perry Hospital technician Rachael Rapraeger lied about the results from over 1,200 mammograms. In her plea deal with a criminal court, Ms. Rapraeger said she got behind in her work and created negative readings for over 1,200 mammograms….mammograms that were never reviewed by physicians. Patients were lied to. Ten patients actually had positive readings, and two have since died. Ms. Rapraeger apologized for her conduct and was sentenced to six months in jail, 9.5 years of probation, a $12,500 fine, and is banned from the healthcare profession for 10 years.
Perry Hospital is currently facing 30 lawsuits from Ms. Rapraeger’s actions, and the hospital issued the following statement after her plea deal: “We are pleased this component of Ms. Rapraeger’s unfortunate action is concluded.”

How rude! Workplace incivility hurts bottom line

CA senator demands hospitals reduce rampant medical errors

“Building a differential diagnosis is in several steps of John Brush’s 12 point diagnostic process outlined that’s been taught for over 100 years. Wouldn’t this help diagnostic errors?”

*** Note that in Virginia, a doctor can “plea bargain” something from the Medical Licensing Board. There is a doc in Va. named as a “top doc” in the DC area that is on the brink of their license. Nothing in the public record for 3 years. Someone mentioned in another list that they should rename boards to something like a Protective Agency. In Florida, the doctor can see your complaint but you can’t see the doctors’ response. So if they lie, the lies are *protected by the state* as the *physician*. It is the same in Va. where you can’t comment on anything. They also don’t consider anything other than their own reports, nor how or where they get specialists to review other specialists, and whether there are conflicts of interest.
Boards of licensing are not transcribed/recorded. The doctors know this. Wonder why they get told that? They’re not sworn to tell the truth either.

Whistleblower lawsuit & what they did to the whistleblower
“Frohsin & Barger Qui Tam Suit Prompts Amedisys to Pay $150 Million
In 2009, Frohsin & Barger client, April Brown was a nurse and single-mother of two, struggling to make ends meet in the sleepy town of Monroeville, Alabama, best known as home to writer Harper Lee and the inspiration for her fictional town of Maycomb in To Kill a Mockingbird. Brown travelled rural Alabama caring for homebound patients: elderly shut-ins and the indigent infirm. What she witnessed about her employer’s Medicare billing, however, eventually caused her to become a whistleblower in the groundbreaking case of United States ex rel. April Brown v. Amedisys, Inc., CV-10-BE-0135-S (NDAL 2009), which today resulted in the largest home health fraud settlement in U.S. history, prompting the company – which denied all wrongdoing – to return $150,000,000 to the taxpayers, according to court documents.”

New WellPoint CEO Swedish Took Home $17 Million in 2013
(with Table: 2013 Compensation Among Five Highest-Paid WellPoint Executives)

General items:

Your rights and responsibilities according to Blue Cross Blue Shield.

Patient Advocacy:

Activated Patient
Patients are people too
Patient Visit Guide
Health Coaching

Protein Issues:
How much protein do I need each day?

Other patients blogs:

Was a bubble butt.
Ad Winters
Bariatric Beginnings
Beauty & the Bypass
Judi’s great spot
Bariatric Girl
What another patient went thru
Another link from Gary

Information on the bariatric surgeries from less than 6 months ago:
BMI Loss Lasting w/3 Bariatric Surgery Options.
Firing of Rex doctor