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440 Davis Court #1602
San Francisco, CA 94111-2496
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S U M M A R Y


DIARY: December 15, 2007 11:03 AM Saturday; Rod Welch

Clinical trials IBC treatment SF Chronicle reports payment dispute at Kaiser.

1...Summary/Objective
2...Clinical Trial Payment Denied Experimental Drugs
3...Payment Clinical Trial Required Doctor Prescribes Experimental Drugs
....Insurer said no, so cancer patient pays for experimental treatment


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SUBJECTS
Clinical Trials Payment Denied Experimental Drugs Payment Clinical T

2503 -
2503 -    ..
2504 - Summary/Objective
2505 -
250501 - Follow up ref SDS 15 0000, ref SDS 14 0000.
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250503 -
250504 -
250505 -
250507 -  ..
2506 -
2507 -
2508 - Progress
2509 -
250901 - Clinical Trial Payment Denied Experimental Drugs
250902 - Payment Clinical Trial Required Doctor Prescribes Experimental Drugs
250903 -
250904 - Follow up ref SDS 15 TH8L, ref SDS 11 WU6M.
250905 -
250906 - Millie received a letter from a friend at the office, N&P, citing a
250907 - story published today in the San Francisco Chronicle by Victoria
250908 - Colliver. ref OF 1 0001  This is excellent reporting on health care
250909 - issues, including payment for testing cutting edge treatments.
250910 -
250911 -              http://www.sfgate.com/cgi-bin/article.cgi?file=/c/a/2007/12/15/MNQETTOVL.DTL
250913 -     ..
250914 -    Insurer said no, so cancer patient pays for experimental treatment
250916 -  ..
250917 - The Chronicle reports today that Kaiser refused payment of $235,000,
250918 - ref OF 1 SE48, for treatment in a new clinical trial at MD Anderson
250919 - Cancer Center in Texas, ref OF 1 SE52, using a bone marrow transplant
250920 - procedure that was not effective in early clinical trials. ref OF 1
250921 - SE96
250923 -  ..
250924 - Like Millie, the patient has IBC. ref OF 1 SE71
250925 -
250926 -     [On 080221 letter thanking Chris for the article, and copy to the
250927 -     reporter, and to the medical team commending scrutiney of
250928 -     important health care issues. ref SDS 16 KQ5P
250930 -  ..
250931 - Millie had similar problems securing payment from Kaiser of about $20K
250932 - per year for treatment in a clinical trial.  Mil's case is different
250933 - from the patient in the Chronicle story, because the clinical trial
250934 - was prescribed for Millie by the doctor on 070105, ref SDS 8 PK68, and
250935 - has proven very effective, reported by Kaiser on 071116. ref SDS 13
250936 - XU4H  Further, after 12 months, the billing dispute was finally
250937 - resolved favorably, at least for the moment, reported on 071128.
250938 - ref SDS 14 TH8L
250940 -  ..
250941 - Millie's experience reversing denial of payment for treatment in
250942 - clinical trial reveals looming problems in health care, reported on
250943 - 070927, ref SDS 11 WU6M, especially for 20,000,000 baby boomers
250944 - entering Medicare over the next 15 years or so, reviewed on 070328.
250945 - ref SDS 9 TG6O  Insurers seek to bank insurance revenues by avoiding
250946 - payment for clinical trials that are essential treatment for cancer
250947 - patients, see again on 070927. ref SDS 11 OW6P
250949 -  ..
250950 - While some strive to redress rising health care costs with financial
250951 - engineering, illustrated on 071006, ref SDS 12 454M, few have
250952 - recognized the opportunity of filling up wasted years that often
250953 - accompany retirement, with public service to fill the gap providing
250954 - administrative and even rudimentary clinical services for the elderly.
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