Sunday, March 29, 2009


  1. Utilization Review, the technique by which insurance companies restrict access to health care, depriving injured workers of treatment, thereby enriching corporate profits and enhancing executive compensation, is heating up but hasn't yet come to a boiling point.

    Here is a "Heat item" from the letters section of the San Jose Mercury News, 3/28/09, by Russell Wyllie, Mountain View:


    The Mercury News (Editorial, March 23) describes how the 2004 workers' compensation reform has "worked wonders," but it hasn't been so wonderful for injured workers ... the lower costs of workers' compensation insurance has come at the expense of employees injured on the job ... "

    See for the complete letter.

    In the meantime, let it be known that I am currently reviewing a denial of care for an injured worker in California that was issued by a doctor with a Florida license who, quoting from textbooks, misrepresented the injured worker's plight. This doctor did not interview or examine the injured worker because under current law he does not have to, nor need he even have a California license ... he is free to recommend neglect of injured workers while enjoying immunity under the law. He is not responsible to the Medical Board of California because utilization review doctors are not required by California law to be licensed to practice medicine in California -- some might say it's a license to perpetrate malpractice. He is also not responsible to his own medical board in Florida because the Florida board does not have jurisdiction in California.

    This system is made in heaven for the insurance companies and their bought-and-paid-for utilization review companies. Others would say that by mentioning heaven I'm pointing in the wrong direction.


  2. Thank you ... I have made known your comment to others and appreciate your efforts. I hope you'll stay with it. AB 933 (fong) is still being held in the California state senate for rfe-emergence in Jan. 2010 - RW