Five year old Kyler Is Dying of Cancer Because His Insurance Company Refuses to Pay For Treatment!

So often during the health care debate, you'd hear some people say.  "I want my doctor making my health care decisions, not the government!" It was almost as if they really believed their doctor was in charge. 

When the sad truth is that Doctors in the American Health Care System are mere "Advisors" and the Insurance Companies are Now and Always have been the "Decider's".

Take the case of  five-year-old  Kyler Van Nocker...

When Kyler was only 2 1/2 years old.  He was diagnosed with Neuroblastoma, which is a very rare form of childhood cancer that targets the nervous system and creates tumors throughout the body.  Kyler was successfully treated at Children's Hospital of Philadelphia and it seemed as though the young boy had his childhood back.  Unfortunately however, the cancer returned in September of 2008.

Kyler's Doctor along with a team of medical experts prescribed MIBG Therapy.  A treatment that has been used very successfully in Europe.  Doctors said the boy needed this treatment if they were going to save his life.

In direct contradiction of the advice of medical professionals however, the HealthAmerica Insurance Company, a division of Coventry Health Care*  denied the treatment, calling it  "experimental"  and  "not medically necessary."  -  Which of course in layman's terms means  -  it's too expensive.  

The company is obviously engaging in the time honored industry practice of  "Delay and Deny".  A tactic frequently used with expensive cancer treatments in the hopes that,  in the meantime -  The Patient Will Just Die!

This is a perfect example of why our  "For-Profit"  Health Care System is Terminally Flawed.

As a self-employed small business owner, most of my adult life, I definitely believe in Capitalism and Free Enterprise, but not when it comes to Health Care.  Profit motives should have no place in the human health care system.

As a society,  Our Humanity causes us to spare no expense when it comes to treating beached marine life, wounded animals or endangered species.  But somehow we manage to look the other way when  Men, Women and even Children fall through the cracks of our profit driven health care system.

 Now I ask you, How Sad is That?


*The Dow Jones Newswires reports today that Coventry Health Care's fourth-quarter earnings rose 24%, beating profit expectations, as overall membership rose while medical costs fell.

"Coventry's medical-loss ratio, or the percentage of premium revenue used to pay patient bills, declined [to] 83.2% from 83.8% a year earlier and 84.4% in the prior quarter," notes Dow.

This has helped boost Coventry Health Care's profits to $109.1 million, or 74 cents a share, up from $88.2 million, or 60 cents, a year earlier. Revenue increased 15% to $3.43 billion as premium revenue rose 17%.

According to CNBC, Company Chairman and CEO Alan F. Weiss stands to make $23 million in salary, compensation and bonuses.

How nice that little five-year-old Kyler Van Nocker was able to help with that.  Kyler's mom and dad and the entire Van Nocker family must be proud.  -   Just Thinking


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