Who do you trust?

If you don’t trust the government, do you trust the insurance companies more?

From today’s LA Times,

State fines Kaiser again
The HMO’s second such penalty in a year targets its handling of patient complaints at nine hospitals.

Kaiser Permanente will be assessed a record fine today for its haphazard investigations of questionable care, physician performance and patient complaints at its California hospitals, according to state HMO regulators.

The California Department of Managed Health Care said it will levy a $3-million fine against Kaiser, the largest HMO in the state, with 29 medical centers and more than 6 million members. If Kaiser makes necessary improvements, agency director Cindy Ehnes said, she will forgive $1 million of that.

The penalty marks the second time in a year that Kaiser has been publicly rebuked and fined for glaring breakdowns in oversight.

The state’s latest inquiry grew out of its investigation into problems that forced the closure last year of Kaiser’s kidney transplant program in San Francisco. Hundreds of patients were endangered when Kaiser forced them to transfer to its own fledgling program from established transplant centers at outside hospitals.

Last August, the state fined Kaiser $2 million for the transplant debacle, and the HMO agreed to pay an additional $3 million to promote organ donation.

Do you send letters and expect them to arrive? Do social security checks get delivered every month – usually on the same day? Do you expect streets to be cleaned? Garbage to be picked up? Aren’t the mistakes the government makes so glaring because they are so rare? Government works every day.

But the effects are so common place, many choose to ignore them.

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