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That's just the problem Mariner. There are so few cases where I can prove someone is lying to me, and if I deny their claim my company gets sued. I have to pay a lot of claims when it is clear to me the person is being dishonest. People hate insurance companies for ripping them off, but the real blame needs to go to all the dishonest people out there committing fraud and trying to make money off minor car accidents.
And don't even get me started on lawyers They're the real reason you pay the premiums you do.
Last edited by Patrick; 02-28-2005 at 12:44 PM. |
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Actually, lawyers keep people from getting screwed over by insurance companies that would otherwise not be paying. The system being screwed up is certainly a two-way street. If you're going to claim that the insurance business handles all claims highly morally, please take a look at some of the moral debacles in the medical insurance biz. I understand that many things are done in the name of keeping rates down, but trust me, lawyers simply react and capitalize on the flaws already in the insurance system. For example, fraud would not be nearly so rampant if insurance companies would pony up and spend a little money in court defending themselves from bogus claims.
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It's a friendlier OKCTalk! Last edited by Patrick; 02-28-2005 at 12:45 PM. |
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I dont really blame insurance companies on the rising cost of insurance, it is the people who abuse the system that costs us all more money. Lawyers dont hlep much either, but then again, if people would not abuse the system, we would not need the laywers, it is a viscious circle.
Last edited by Patrick; 02-28-2005 at 12:46 PM. |
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i hurt my back when some truck hit me and ran. The doc, at i believe it was at SW Integris(44th street and western), from ER told me to just dismiss it because it was just my muscles.
Visited my physician and he prescribed me high doses of ibuprofen. Went back a month later and my physician sent me to um...a back place I cant remember..haha They took x-rays and then had an mri done. Turns out I have a ruptured (bulging) disc. Never did anything about it even thought the specialist wanted to operate. I've left it alone because he told me it is possible that it will partially heal after some years. Actually, I've tried acupuncture therapy and it has helped to relieve pain that I had when I had to work manual labor. It sucks but hey its life I guess. When I get surgery I'll use my health insurance to care for it. I don't even want to think about the hassles of auto insurance. Last edited by Patrick; 02-28-2005 at 12:46 PM. |
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Midtowner, I'm not criticizing all attorney's--just those who capitalize off of minor car accidents. The insurance industry is highly regulated and as an adjuster I'm scared to death of even THINKING about stepping outside the line that has been drawn for me by insurance laws. Attorneys, however, have no real checks and balance system. This is why we desperately need tort reform. And I'm not talking about serious accidents where cars are totalled and people are put in the hospital and miss work. In those cases, you made need representation to get the maximum pay out. I'm talking about the tiny fender benders, rear-endings, and parking lot accidents where there is no more than a scratch on someone's vehicle and yet they have to spend weeks in a chiropractor's office. Insurance fraud is and blatant dishonesty is the reason people spend so much on premiums. And a lot of attorneys out there play into this whole concept of entitlement. I'm not saying all lawyers are bad, but you do have to admit it is a serious problem.
And Mr. Anderson, this thread was long dead until I posted what I did. Someone posted a reply to it, and it spurned a tangential discussion. It didn't hurt anyone. And it is still fairly related to the topic as it relates to what I do for a living. I'm so tired of all the rants on here about "staying on topic" and threats of editing and deleting threads. No one is attacking anyone, and this is a fairly interesting discussion for me as it relates to what I do for a living. Chill out. Last edited by Patrick; 02-28-2005 at 12:48 PM. |
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Actually, the job of a moderator is to make sure people play fair, and to keep people on topic. If you want to discuss another topic, it might be wise to start a new thread! Most threads typically stay on topic, but occasionally I'll split a thread if it starts to get off topic. I'll just do that here. |
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To blame attorneys for the rising cost of insurance is a true red herring perpetuated by the insurance industry. The fact is that around 9/11, the stock market and investments took a dive. As we all should know from our business 101 classes, insurnace companies do not make any profit off of their premiums -- in fact, in the long run, if you ran an insurance company with just premiums and payouts, it would go under really fast.
Insurance companies make their money through investments. The fact is, that when their investments started to go south, they had to get money from somewhere else -- their customers. It is very easy for them to point their fingers at trial attorneys and a few nutsy jury verdicts and tell us all that "There is the problem!". But that is simply not the case. Absolutely nothing has changed in tort law and insurance really in the last 10 years. However, only over the last 4 or so have rates really started climbing. Also, if you want to look at medical insurance specifically, you have a broken system. The system does not hold doctors accountable when they cost it money. The fact is that about a small number of doctors (that still have their licenses) actually account for the vast majority of claims. In our state, it is especially untrue that medical malpractice suits bring overly damaging verdicts. Insurance companies know that in our state, due to the amount of negative publicity and general public perception about trial lawyers and medical malpractice that Oklahoma juries are VERY unfavorable to handing out big verdicts. Harvard study done in 1991 concluded that as far as medical malpractice goes, the fault is largely with the doctors, and that the real problem is that they are "not sued enough". It also gave an alarming statistic that doctors through negligence/mistakes kill as many as 80,000 patients per year in the United States.
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He was bleeding quite a bit from the head. He drove up in one of our driveways bleeding and limping, and I took him to the Emergency Room down at Baptist. At Baptist, of course the stitched up his head wound. This is where it gets bad though. After MULTIPLE XRAYS, they diagnosed him with having a severe sprain and gave him a splint. Doctor giving the diagnosis... of course a D.O. from OSU.. Patrick, I'd love to hear your opinion on these future colleagues of yours ![]() The next day, he went to his general practitioner who took off the splint and looked at the leg. Just from looking at the leg (no xray needed) he remarked that it sure as heck wasn't a sprain. It was a severe break! Of course, we've handled some eye-popping medical malpractice cases. Sometimes the doctors kill people through gross negligence. For example, one of our former clients spouses went to their general practioner with a sudden fever , severe headache, tiredness, deep muscle pain, chills, nausea, a rash, and a tick bite... Easy diagnosis? Yeah? Rocky Mountain Spotted Fever... Doctor diagnosed it was the flu, sent patient home, told to take asprin, drink plenty of fluids. 3 days later, patient dies. The doctor still practices medicine today and short of the lawsuit we won against him which was covered by his insurance (and wasn't really that much money), he suffered no professional repercussions. I feel like the medical licensing board needs to be given more power to pull licenses of the few doctors that cause the majority of these lawsuits through their incompetance, negligence and arrogance. The medical/insurance communities would rather point their fingers elsewhere when the real problem lies within their ranks.
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Did you get a chance to see the x-rays? I tend to wonder if the x-rays were clear. I could see how in certain positions a break could look like a severe sprain. X-ray film isn't always perfectly clear. It's all up to interpretation. Still, a break shouldn't be difficult to establish if a variety of positions and angles were used when taking the images. If the physician wasn't certain, he should've had the x-ray tech take more images, and at more angles. The ER physician can make specific requests to the x-ray tech, i.e., certain angles, etc. Sounds to me like this doctor was too dependent on x-rays when he should've been able to extablish the diagnosis from a general orthopedic physical exam, performing several movement tests and palpations to determine whether the leg was broken. The physician probably didn't spend enough time with your father. Unfortunately, that's quite common in the ER, mostly due to the patient load. There's been a trend over recent years for people to use the ER for non-life-threatening injuries/illnesses. Personally, I think ER's need to start turning away flu cases, colds, etc. to a general family medicine clinic. Only problem with that is, what happens when that 1 flu case gets turned away and it ended up being something more serious? Of course, you see the problem here. Obviously, I'm not aware of the whole situation, so I'm just speaking from the information I know. I don't think the physician's education at OSU can be blamed for this. There are many competent physicians that come out of OSU, and just as many incompetent physicians that come out of OU. Oh, and about the Rocky Mt. Spotted Fever case....that's just pure negligence. Some of the symptoms of the flue and Rocky Mt. Spotted Fever overlap, but a properly trained physician should be able to distinguish between the two. |
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My family used used to have cleaning contracts for a lot of buildings and I've always had an admiration for the chiefs at the law firms.
They were usually the only ones who acknowledged our presence while the rest either just ignored us (which is okay) or treated us like their housekeeper. I was a kid back then and when I was absent they would always ask where I was and why I wasn't helping out. Maybe it was because they were old school or something. I had much admiration for them because of the way they can present themselves and communicate effectively. Heating them yell at the other lawyers was always fun too, hehe |
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It's funny how after a little discussion and information that it can be so clearly obvious to people that attorneys really have very little to do with the current insurance crisis in the medical community.
But I guess the members of OKCTalk are smarter than most folks out there. |
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