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...Gupta, reviewing his notes on the case, says Dr. McMillan agreed Christy was a candidate for a transplant but said she would first have to undergo several cycles of chemotherapy to demonstrate that her tumor would respond to the potent drugs used in bone-marrow therapy. In the deMeurerses' eyes, however, it was a deeply troubling encounter. Dr. McMillan declined even to describe what was involved in a bone-marrow transplant or give the family a tour of the Scripps facilities, according to Alan deMeurers and Christy's mother, Joyce Nesmith. "I believe he was told to send us away...

Author: /time Magazine | Title: MEDICAL CARE: THE SOUL OF AN HMO | 1/22/1996 | See Source »

Christy deMeurers at last won approval to see a new oncologist, Stanley Schinke, and met him for the first time on June 21, 1993. She liked him instantly. "He and Dr. Jones were the only physicians up to this point who made us feel welcome," Alan deMeurers says.

Author: /time Magazine | Title: MEDICAL CARE: THE SOUL OF AN HMO | 1/22/1996 | See Source »

When Dr. Jones examined Christy deMeurers, he believed a transplant could help her. "The available proof for its efficacy in breast cancer was at least equivalent to many other procedures that we do every day," he says. As early as 1990, even Health Net had found evidence that bone-marrow...

Author: /time Magazine | Title: MEDICAL CARE: THE SOUL OF AN HMO | 1/22/1996 | See Source »

Christy insisted that he explain his change of heart. "And he became very incensed and got up and walked out of the office without further commenting or anything," Alan deMeurers said in a deposition last May. Says Nesmith: "It was just such a devastating thing to know that he'd...

Author: /time Magazine | Title: MEDICAL CARE: THE SOUL OF AN HMO | 1/22/1996 | See Source »

Health Net's Dr. Ho called Dr. Schinke, who in a deposition and interview says he found the call coercive. "I didn't understand an administrator calling up and in an abrupt tone saying, 'Why in the world, what was your thinking, why are you recommending this patient consider such...

Author: /time Magazine | Title: MEDICAL CARE: THE SOUL OF AN HMO | 1/22/1996 | See Source »

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