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...injunction. "I didn't view it as being against her," he said, in a deposition last April. "They were all truths in that declaration that I had already told Christine." And yet he knew, he said, that "this declaration could be used legally to stand between her and the transplant...

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

...writing, thus ending the need for an injunction. On Sept. 23 Christy entered the medical center to begin treatment. Whether the treatment worked or not depends on who is speaking. Health Net officials are quick to point out how soon Christy "expired" after the procedure. Glaspy says the transplant may actually have shortened her life relative to what she might have expected with standard therapy. But Alan deMeurers recalls how the day before she entered UCLA, she could barely carry a sewing box from one room of their home to another. Within several weeks of her discharge, Alan returned home...

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

Last October the arbitration panel hearing Christy's case determined that Health Net should indeed have paid for the transplant. It also found the company had crossed the line in interfering with the doctor-patient relationship, specifically when Health Net officials phoned Christy's local oncologist and UCLA's Slamon. The latter call "was more heavy-handed" than either man was willing to admit, the panel concluded, and had been made to "influence or intimidate" UCLA and its doctors. Two of the three panelists further saw this interference as constituting "intentional infliction of emotional distress" on the deMeurerses because...

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

...think this system is robbing physicians of their essential goodness," says Dr. Roy B. Jones, a University of Colorado bone-marrow-transplant specialist who saw Christy deMeurers during her journey. "I think physicians are slanting the opinions they give based upon monetary considerations that in many cases they wouldn't have allowed to influence them before." Vincent Riccardi, a neurologist and expert on "Elephant Man" disease, says the issue of trust in California is already moot. He has gone so far as to establish a company, American Medical Consumers, that plans one day to dispatch "personal medical advocates" to negotiate...

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

...than most of the other plans surveyed and more on marketing, salaries and other administrative expenses. The company is known among California doctors as one of the most aggressively cost conscious in the state, a reputation that stems in part from an earlier attempt to deny a bone-marrow transplant to a subscriber named Nelene Fox, who by coincidence lived just minutes from the deMeurerses. The jury in that case awarded the Fox family $89.1 million, later negotiated down to an undisclosed...

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

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