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Kaiser Patient Orthopedic Stories

The purpose of this section of The Kaiser Papers is to help save lives by learning from the experiences of others.

Tyler LUSK - A young man denied needed medical care by Kaiser Permanente - as written by his father Jeff Lusk

Tyler was in a serious auto accident.  Kaiser refused to provide recognized needed medical care but did want to warehouse him in a nursing home.  Tactics that some Kaiser staff took to prevent Tyler from receiving care would be eye raising in any field.  They went so far as to try to divide a family and intentionally misinform parents to avoid paying for medical care.   Tyler developed a secondary condition due to this denial of care called Heterotopic Ossification which does require medication or surgery in severe cases to correct.  Without surgery Tyler would never walk again normally.  Rather than prevent permanent crippling, Kaiser wanted to wait and later perform amputation and a prosthesis.  That is much cheaper for Kaiser than providing medical care and fixing the problem.  

Standing against this great travesty Tyler's father made sure his son received the needed medical care at his personal expense.  Today, while waiting for the legal process to finalize, Tyler's care is again in limbo or greatly slowed due to the greta personal expense that the family has had to incur.  If only Kaiser had followed through and honored their own contract thus providing recognized necessary medical care things might have turned out differently.
First published 14 Nov 2015 -

Parents Overcome the Odds -- Twice by Dana Parsons 

Chris Royer, a 12 year old boy, developed the debilitating hip ailment known as Perthes disease which causes deterioration of the thigh bone in the hip socket.  Hip replacement surgery is generally performed after the child reaches adulthood. These kids grow up with great pain.

Sinai Hospital of Baltimore and orthopedic surgeon Dr Paley, report 95% success rates for a surgery to potentially avoid hip replacement surgery and alleviate pain.  Kaiser claimed this procedure was not medically necessary, an insurance excuse often used to avoid providing what could be costly medical care.  The California Department of Mangaged Health Care ruled that Kaiser must pay for the $50,000 surgery to be performed.

Synopsis by Kaiser Papers - 14 Nov 2015 - from original article at:

The Kaiser Papers