On Monday’s "Good Morning America," the ABC program shifted into full advocacy mode as anchor Chris Cuomo investigated the health insurance industry. A week after the network promoted Michael Moore’s new documentary "Sicko" for over 21 minutes, co-host Diane Sawyer announced that, regarding health care, the program was demanding "some answers" with a new segment. According to Sawyer, the series is "for you, for all of us." At the close of the report, the ABC anchor even pleaded with the audience for examples of nefarious health care companies:
Diane Sawyer: "...If you have an insurance company policy, a question that you want to raise, you want us to tackle something that you think the insurance companies are doing, you write to us. You let us know about it. ABCNews.com. We are on the case."
And while Cuomo was "on the case" of a woman who had difficulty getting her insurance company to approve a much needed eye surgery, there has been no similar look at Canadian horror stories where government run health care made one woman with breast cancer wait three months for radiation treatment.
A report by the Canadian Fraser Institute found that the average wait time in that country to see a general practitioner was 17.7 weeks. One such incident found a woman waiting over three months to receive radiation therapy for breast cancer:
A similar lawsuit was filed in Quebec on behalf of 10,000 women with breast cancer who were forced into long waits for radiation therapy. Anahit Cilinger was one such patient. After having a lymph node removed in October 1999, she was put on a waiting list for radiation therapy. Three months later and with no end to the waiting in sight, she traveled to her native Turkey and paid $12,000 for the treatment.
Sawyer began the piece by proclaiming "a GMA commitment to take a hard look at the health insurance industry, to get some answers about those policies we keep hearing about, about what happens to sick people in a time of need." One would assume that such a commitment would include investigating long wait times and other ramifications of adopting government controlled plans.
The case of Shannon Dagher, the woman featured in the GMA piece, is certainly sad. After being diagnosed with a rare eye disorder, Ms. Dagher needed a surgery to prevent blindness. Instead, her insurance company, Blue Cross, launched an investigation into her claim. (They ultimately payed for the surgery.) But while unfortunate, it’s no less real then that of Canadians who must resort to leaving the country to obtain treatment. Sawyer describe the "GMA Gets Answers" segment as a new feature, one that viewers should expect to see again. Hopefully, the ramifications of universal health care will also be discussed.
Michael Moore’s appearances promoting his new health care movie, "Sicko," can be found here and here.
A transcript of the segment, which aired at 7:39am on June 18, follows:
7:20am tease
Diane Sawyer: "And we got word this woman's health insurance company was threatening to cancel her coverage when she needed it the most, so GMA went into action. She's not the only one and we're going to get some answers."
7: 30am tease
Sawyer: "And coming up in this half hour, this is one of those stories that has Americans up in arms about insurance companies. You're going to meet a young woman whose doctors say that she needs surgery or she could go blind. But her insurance company threatened to cancel her coverage. Why? A controversial practice. This morning, Chris Cuomo's on the case. It's our new series 'GMA Gets Answers,' for her and for you, for all of us."
7:39am
Sawyer: "Well, today we are announcing a GMA commitment to take a hard look at the health insurance industry, to get some answers about those policies we keep hearing about, about what happens to sick people in a time of need. Today, you're going to hear about something called rescission. It is a controversial practice where insurance companies retroactively cancel the policy, often after you're trying to make a claim. Chris Cuomo here again with the story of a young woman who faced a real crisis. Her sight was at risk."
ABC Graphic: "GMA Gets Answers: Can Your Insurance Be Taken Away?"
Cuomo: "Absolutely. Now, as background, in this country there are thousands of people purchase their own insurance. They don't get it through a union or through their work. The young woman you're about to meet has a story that could happen to any of them. According to the industry's, the insurance industry's own estimates, thousands of similar rescission investigations into policy holders occur every year. And most of them lose their coverage as a result. It's a frightening practices you might miss in the fine print of your health insurance policy. Shannon Dagher, a 22-year-old college student, says she was at the eye doctor for a check-up last November, one month after her new insurance policy kicked in when she received terrible news."
Shannon Dagher (Denied Insurance): "I was diagnosed with a very rare disorder It's called pseudo tumor cerebri. It basically looks and acts like a brain tumor."
Cuomo: "Now, Shannon's doctors say she needs surgery or she may go blind."
Dagher: "I'm petrified of the thought of going blind. I've never been sick before in my life. And now, in the past six months, I've started to lose my peripheral vision and I'll never get that back."
Cuomo: "But instead of authorizing the surgery, here insurer, Blue Cross of California stopped processing her bills. The company, whose slogan is 'Put the power of blue to work for you,' instead launched and investigation into Shannon. It threatened to cancel her coverage if she had failed to disclose accurate information about her health, like headaches on her original application. But look at Shannon's Blue Cross application. It lumps headaches with more serious conditions like epilepsy, paralysis, stroke, all in one question. She didn't have any of those serious conditions, so she checked no."
Dagher: "I never lied to Blue Cross on my application. At the time when I got the insurance, I had no knowledge that anything was wrong with me."
Cuomo: "Legislators around the country are paying attention to this little known practice. The state of Connecticut has just passed a law to make it harder for health insurers to pass rescind policies."
Connecticut Attorney General Richard Blumenthal: "These instances are hardly isolated or random. They are part of a pattern, a prevalent practice in this industry that very simply has to be stopped."
Cuomo: "Just getting an insurance company to talk about rescission is not easy. It's Chris Cuomo from ABC News. The best we could do was get Blue Cross on the phone. Why do you rescind a policy?"
Voice of Shannon Troughton (Wellpoint Spokesperson): "It's an very important tool for us to address any identified issues of abuse or misrepresentation. Anyone who causes fraud in the system increases the costs of health care for all of our members."
Cuomo: "We called eight other insurers. None would talk to us on camera and referred us to their trade group. Isn't this about saving money for the company?"
Susan Pisano (America's Health Insurance Plans): "Health insurers pay large claims and pay millions of dollars in claims every day."
Cuomo: "Isn't it a little fishy though that this rescission review process only begins after someone files a claim? Isn't that suspicious? You know, why don't you just do it when I'm applying in the first place, figure out whether I'm telling you the truth, like most industries. Here, I filed a claim because I'm sick and now you start looking at me?"
Pisano: "Well, here's the way it- Here's the way it work. Here is the way it works. A policy is rescinded only if someone could have known that the condition existed, they were asked about it on the application and they didn't provide the information."
Cuomo: "GMA went back to Blue Cross for clarification on Shannon Dagher's case. What really surprised us was that shortly after we asked about Shannon's policy, she learned that her investigation was complete and her policy would not be canceled. Then, Blue Cross denied Shannon's policy had ever even been considered for rescission. It said in a statement to GMA, 'Although she may have received a letter from us indicating a review was being conducted in the past, her policy was not rescinded. For you to report that this member's issues are in any way linked to rescission would be erroneous and misleading.' But Blue Cross had sent Shannon multiple letters telling her that the, quote, 'rescission review process was under way.' And while Blue Cross says it sent Shannon this letter telling her the review was complete, Shannon tells us she never got anything in the mail."
Cuomo: "You're the trade group. You're speaking for them. They don't want to talk to me about it. All they say is 'Don't say she was rescinded,' but she was going through that review process. She wasn't getting her claim paid."
Pisano: "The companies we represent understand full well the impact of the process of rescission. It must be terribly disruptive, especially at a time when somebody is sick."
Cuomo: "Like Shannon, who recently had to drop out of college because of her sickness and hopes her insurance company will not add any more to her troubles."
Dagher: "To be accused of fraud when I have no defenses, when I'm sick and when I'm relying on the coverage that they promised me and that is due to me, it really shakes my faith in humanity and the good of people."
Cuomo: "But there is some good news. The company authorized the surgery. Shannon, who has a basic policy with a high deductible, did not file suit. And just recently, Blue Cross of California did authorize the surgery that surgery that may save her vision, so remember that. And a California attorney is currently settling a class action suit against Blue Cross of California. The settlement will require the insurer to prove there was intentional misrepresentation before they can cancel a problem. The insurer is denying any wrongdoing but has agreed to revise and clarify the application policy filled out by potential clients."
Sawyer: "So, after we started looking into it, word came-"
Cuomo: "Yes. We're not saying cause and effect, but we started looking into it. All of a sudden they started saying that's not even going on what you said was going on, but Shannon certainly thought it was."
Sawyer: "Well, we want to let everyone out there know that if you have an insurance company policy, a question that you want to raise, you want us to tackle something that you think the insurance companies are doing, you write to us. You let us know about it. ABCNews.com. We are on the case."
—Scott Whitlock is a news analyst for the Media Research Center.



















Editor at Large
Comments Policy
Well I guess most of us are
September 22, 2008 - 08:58 ET by GordmanWell I guess most of us are sick of this charade, we are sick of words, we need facts, the health insurance industry needs facts. There are countless problems related to the current health insurance system, this is not comfortable for none of us, how about change this? How about giving the people the opportunity to choose for themselves, they would definitely vote for cheap Insurance.
Your health insurance
October 1, 2008 - 18:27 ET by voitenkoYour health insurance policy lists a package of medical benefits such as tests, drugs and treatment services. The health insurance company agrees to cover the cost of certain benefits listed in your policy. It is always free to get health insurance quote.
So Wait....Someone with no pr
June 18, 2007 - 14:14 ET by KhyrisSo Wait....
Someone with no prior conditions makes a huge claim within one month of signing up.
This raises a red flag to be investigated... why is that wrong? Why shouldn't that be normal procedure?
Continuing, the company concludes their investigation, and finds no fault with her claim, and agrees to pay.
"What really surprised us was that shortly after we asked about Shannon's policy, she learned that her investigation was complete..."
Which shows that the length and scope of the investigation had nothing to do with ABC's inquiries. If they were already in the process of sending a notification out to her, then the investigation had already been completed.
Kudos to ABC for the needless scare campaign.
Silly ABC...
June 18, 2007 - 14:23 ET by Six String SpiffSilly ABC... All upset over the COSTS of health care, but fail miserably to mention the "elephant on the couch" which is ILLEGAL ALIENS sponging and draining the country of it's finacial medical resources. Nope, let's crucify the health care companies just like we do with 'big oil'. Because after all, NOBODY deserves to make more than the poorest, dumbest bastard these MSM type defend. There is a war against success in this country, and Liberal are on the front lines.
Islam should have it's religious status revoked until it can prove it's not a hate group.
This is soooo obviously tied
June 18, 2007 - 14:30 ET by Joe4CoulterThis is soooo obviously tied in with the release of Moore's 'Sicko' that it's making me sicko...
Talk about out of touch and vacant of any new 'ideas'. One has to wonder whether they came up with this on their own or struck a deal with the portly one??
Good Orderly Direction
Compensation
June 18, 2007 - 14:32 ET by deerjerkydaveI remember watching one of those "surgical-tools-left-inside-people" programs on TLC. There was a noticeable pattern, the American patients received settlements worth hundreds of thousands of dollars. In the countries that had socialist health care, those patients received letters of apologies.
As much as these few people hate their insurance, a government health care scheme is going to be worse. Can you imagine Post Office quality and options? Or DMV quality and options? Read Milton Friedman's book Free to Choose and a common theme in that book is that government will "fix" the perceived problems of capitalism only to create a new set of problems that are even worse only now with an expensive bureaucracy on top.
I thought many insurance comp
June 18, 2007 - 14:40 ET by dscottI thought many insurance companies have at 30 or 90 day waiting policy on new enrollees and exclusions for prior existing illness? It is prevent this very thing, someone who hasn't been paying for health insurance finds out they have a problem then gets insurance to make everyone else pay while all that time they themselves didn't pay for insurance. It is hardly fair to demand the rest of us pay for someone else's treatment when they didn't bother to participate in the insurance system in the first place. Also the point of prior existing exclusion is to force the prior insurance company to pay their fair share since the illness developed during their plan coverage.
“The object of life is not to be on the side of the majority but to escape finding oneself in the ranks of the insane.” – Marcus Aurelius
Michael Moore and MSM fears &
June 18, 2007 - 15:00 ET by ZoneDaiatlasMichael Moore and MSM fears "THE TRUTH" about Free Health Care...
TheRealCuba.com
The Truth about the broken health care in Canada..
http://www.youtube.com/watch?v=X_Rf42zNl9U
http://www.youtube.com/watch?v=oXZaTXDu3Os
Speaking of government run healthcare disasters, Scott.
June 18, 2007 - 15:25 ET by Gary HallSpeaking of government run healthcare disasters, Scott -- we're all familiar with this story from the LA county hospital - oh, is that a government hospital; a publicly funded hospital; a socialized hospital? (AP wire) :
Now, it's ture that the story got plenty of media attention, however I'll submit that the media did not make the connection that the pieces of socialized healthcare which are in operation are the source of the horror stories in medicine today in the US.
PS. great spot, Scott. (;~> gh
So simple it's obvious
June 18, 2007 - 15:52 ET by Cool ArrowI've been wondering how America's retirees will be cared for in the next decade. Answer: They won't.
All we have to do is go to Canadian style healthcare and retirees will die off due to lack of proper care.
Brilliant!
insurance companies
June 18, 2007 - 16:06 ET by LionKingTo me, one of the biggest problems is the cost of medicine which relates back to insurance companies. Malpractice insurance is so expensive that doctors much increase their charges. Insurance companies increase their rates to consumers to cover the higher doctor charges.
IMHO, a good start would be major tort reform. Obviously, people deserved to be compensated for malpractice (I prefer gross-negligence). We need to find a better way to start reducing costs. Making health insurance more affordable does not guarantee the consumer will receive the care they need.
Again, IMHO, I think all health insurance should have to cover certain things. I think prescriptions should be a part of all plans.
Speaking of prescriptions...I believe we have over-regulated the pharmaceutical companies. The cost of introducing a new drug is too expensive and the cost gets shoved back onto the consumer.
Finally, the notion of national health insurance is a failed concept. First, it is yet another attempt to move us from capitalism to socialism. With out the competiveness of capitalism, the quality will degrade. I know there are problems with our existing health care system, but the solution is not to make a change that will make it worse.
"Again, IMHO, I think
June 18, 2007 - 17:55 ET by ckc1227"Again, IMHO, I think all health insurance should have to cover certain
things. I think prescriptions should be a part of all plans."
No they shouldn't. That's part of the problem. A better option would be to allow insurance companies to cover what they want. That way, customers have more options, and coverage could be provided at different price points. Why should I be forced to pay for prescription drug coverage, psychological counseling coverage, prenatal care coverage, breast exam coverage, pap smear coverage, doctor's office visits, etc, when all I want is catastrophic care coverage? If you want these things, by all means, choose an insurance company that offers them. But don't force me to buy them. Sadly, that's the way it is today. You have to get it all.
Insurance is intended to cover the unexpected, not the daily "wear and tear" issues, lol. Car insurance doesn't cover gas fill ups, oil changes, tire rotating, wiper blade replacements, tune ups etc; health insurance shouldn't either, unless you want it and are willing to pay for it. But don't force me to pay for it too. This one change in how health insurance is handled would do wonders for the cost.
reread...certain things
June 18, 2007 - 18:02 ET by LionKingI did not say it should cover all things. I agree, that would not work. I merely mention prescriptions as an example of a costly item that most people need at some point. I am not claiming expertise...as I said, though, our healtcare system needs help and I think it is with costs for consumers and doctors. I think your a la carte approach would not be cost efficient, but I certainly understand where you are coming from.
The media have already decided.
June 18, 2007 - 17:02 ET by c5thenSocialized health care is "better" than ours because the "poor" don't have to pay for anything even if they have to wait 17 weeks to see a doctor. The liberals have decided that charging everybody for the same mediocre service is better and "more fair" than having grades of service that cost varying amounts based on how much you are willing to pay. They ignore the reality of almost all socialized healthcare systems where the wealthy pay for better service (sometimes in another country) and the middel class and the poor are stuck with the mediocre service anyway.
The day that "politician" became a career choice is the day we started losing the Republic
Mitt Romney
June 18, 2007 - 17:04 ET by deerjerkydaveDidn't Mitt Romney deregulate the health insurance industry in Massachusetts to bring premiums down such that there is no excuse not to have health coverage? I wonder how that it working out these days.