Chapter 17 : A Claim of a Right to Health Care
|Section 5. Case Study HMO
Name: Samantha Sparta
Case Title: Pegram v. Hedrich
Description of the case: Cynthia Hedrich had insurance coverage with Carle Clinic Association through her husband?s job at State Farm Insurance. Mrs. Hedrich went to see her doctor, Dr. Pegram, with complaints of pain in her abdomen. Dr. Pegram palpated a large mass in Mrs. Hedrich?s abdomen but told her that she would have to wait eight days and drive 50 miles to the nearest clinic that was covered by her HMO to get an ultrasound. In the meantime, Mrs. Hedrich?s appendix burst and has since sued both Dr. Pegram and her insurance provider.
URL?s for the articles describing case:
Supreme Court opinion in the case of Pegram v. Hedrich
CNN article describing some of the case
Proposed patient protection legislation
American Dental Association?s fight for patient protection
URL?s for articles with ethical position:
American Medical Women?s Association position on ethics and managed care
National Coalition of Mental Health Professionals and Consumers ethical view on managed care
Article written by Dr. Ronald Bronow, Vice President of Physicians Who Care
Christian (Natural Law) bioethics and managed care
case studies : uncovered medical services
description: You may find that there is a pattern of claim denials for a particular usage of a certain drug. Many onocologists can exert considerable influence of new treatment. Efforts involves may effect reimbusement policies both locally and nationally.
url address: http://www.pbmi.com/V6N3Legal.html
url address etical articles:
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