Word: hmo
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...real Patients' Bill of Rights, and the crowd was really roaring. Tipper noticed a woman crying softly near the front of the crowd. Afterwards, we both went up to her and asked her what was wrong. She explained that her daughter had a prescription for a wheelchair, but her HMO wouldn't pay for it. I promised her I would fight for her, and help her stand up against the powerful interests...
Most of these lawyers grew up working class or as outsiders. Scruggs and most members of his tobacco and HMO litigation teams were born in the small-town South. Jamail is the son of Lebanese immigrants. Levin is the son of a Jewish pawnbroker. Angelos, a child of Greek immigrants, put himself through law school working in his family's tavern. Most started out small. Reaud began by representing workers in the East Texas petrochemical industry who had smashed their fingers and toes at work. In Levin's first case, he won a $50,000 verdict against an insurance company...
...almost every stop in his bid for the G.O.P. presidential nomination, Senator John McCain of Arizona asked, "Why can't we get HMO reform? Because the Republicans are in the grip of the insurance companies, and the Democrats are controlled by the trial lawyers." McCain adds today that Congress "can't get anything done [on the Patients' Bill of Rights], so what is Dickie Scruggs doing? He's suing the HMOs. Is Dickie Scruggs doing the right thing? No. But do you blame him? No." Scruggs adds that "we wouldn't have made the progress we've made in civil...
...Bloomington, Ind., was first filed seven years ago, and focused on the monetary incentives HMOs offer to member physicians who find ways to avoid costly procedures. In 1992, Herdrich was forced to wait eight days for an ultrasound after doctors found a mass in her abdomen; according to her HMO, Herdrich's condition was not an emergency. Her appendix ruptured and necessitated emergency surgery, as well as several rounds of antibiotics. Herdrich sued her doctor in state court for monetary damages, and collected $35,000; she then sued her HMO under a federal law that regulates how employers distribute health...
Monday's decision reverses Herdrich's victory using the federal statute, and also puts the brakes on any pending anti-HMO litigation currently headed for federal courts. "The Justices obviously do not want to see these lawsuits federalized," says TIME legal reporter Alain Sanders. The Court, says Sanders, may be signaling its dissatisfaction with current health care statutes and using this ruling to prod Congress and the President into addressing that vacuum. "They could be saying, look, we're not the branch of government that's supposed to make social policy," he says. In other words, the Court sees itself...