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If penicillin were invented today, would your HMO balk at letting your doctor prescribe it for a “routine” infection? Can’t you just hear their response? “Soap and hot water are the standard of care. Penicillin may only be used when reviewed by your provider group and deemed medically necessary.” Oh, you SO know they would. Why am I down on HMOs? Because I just had to go to the mat with mine to get an OK for a digital mammogram screening instead of the traditional film screening. I won, but only after two days of pushy and demanding phone calls to my medical group. I’m not writing to crow about my success but to lament that I had to go through this exercise at all. I’m also wondering how many women, who are far less belligerent than yours truly, just take what they’re given by their medical groups and don’t know they can and should demand more? Of the four medical groups I talked with, only Golden Empire Managed Care...
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