Category Archives: Uncategorized

The Patient Laughed

It was a scene that is played out daily in Greater Cleveland.  The participants may change, but the message is always the same – The Rules Apply to Everyone But ME.  A physician, we’ll call her Dr. Peg, was discharging … Continue reading

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I Fought The Law And The Law Won

I apologize for the wait Sir.  Unfortunately, you are not going to like my answer. That was, of course, an understatement.  After three separate attempts to insure a young family through Healthcare.gov, after today’s efforts which had already wasted an … Continue reading

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So, How Are We Doing? (The Update Post)

Pat Carr, the CEO of UnitedHealthOne, the individual health insurance division of UnitedHealthCare, had a goal.  On Tuesday, January 21st, Mr. Carr sent an email to insurance agents in which he shared the news that his company had had a … Continue reading

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Fiddler On The Roof

In the opening number of the movie Fiddler on the Roof the town Rabbi is asked if there is a prayer for the Tsar:      Lebisch: Rabbi! May I ask you a question?      Rabbi: Certainly, Lebisch!      Lebisch: Is … Continue reading

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Buy 11, Get 1 Free!

Some people just know how to shop. You and I may pay retail, but they always seem to find the best deals. And if they have to cut a corner or two? Well, they’ve got great scissors. We are in … Continue reading

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The Defense Rests

It is exhausting.  This choice.  This job.  This desire to craft a non-ideological, pragmatic path is taking all of my energy.  Confronted daily by people who either cannot, or will not, see the full picture that is the Patient Protection … Continue reading

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Where Do They Bury The Survivors?

A plane crashes on the Mexican – United States border.  On board were U.S. citizens, Mexicans, Brazilians, and three passengers from Argentina.  Where so they bury the survivors? It is a classic misdirect.  A mental sleight of hand.  You know … Continue reading

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Crashed

  Frank (name changed) is a successful attorney in his early 40’s.  He lives in Greater Cleveland.  On Friday he completed his health insurance application, hit the submit button, and watched the website crash.  This message, in bold red and … Continue reading

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The New Normal

  Under the old rules, the underwriting rules we’ve lived by for decades, health insurance premiums were determined by risk.  Healthy people paid less than those that weren’t.  We asked questions such as: Do you smoke? What is your height … Continue reading

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Plotting Your Escape From The PPACA

William was damned near ecstatic.   My client had a right to be.  William is a 57 year old self-employed Republican pragmatist.  He is also very unhealthy.  There are no imminent threats.  He just suffers from the kinds of things that … Continue reading

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