Being a physician, Dr. Maguire knew about the waste and fraud in healthcare and he aggressively implemented policies to deny payment whenever there was a question about the validity of a charge. He also exploited the small physician office that had neither the resources nor expertise to challenge United's denials. United is at least partially responsible for the mass exodus of primary care physicians from medicine. As CEO, he had an opportunity to rectify many of the reimbursement inequities between cognitive and interventional medicine, but instead he exploited physicians and lined his own pockets. Unless integrity becomes a fundamental attribute of our leaders, society will continue to suffer from the misdeeds of corporate miscreants. I'm not holding my breath for a change any time soon.
David L. Winn, M.D., FAAFP
CEO, e-MDs
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