"Cedars, UCLA cut from L.A. Health Plan"

On September 21, 2012, the Los Angeles Times had a front page article that stated "Cedars, UCLA cut from L.A. health plan".  Anthem Blue Cross (a private insurance company unlike Medicare) has eliminated doctors affiliated with the hospitals from a health plan by the city of Los Angeles.  "Two of the most prestigious names in Southern California health care - Cedars-Sinai and UCLA - are being shut out of a major insurance plan for being TOO EXPENSIVE".  "THESE INSTITUTIONS ARE KNOWN FOR TENDING TO THE SOUTH LAND'S RICH AND FAMOUS".  UCLA is owned and operated by the State of California and thus its people, so where do they get off charging the same money as Cedars-Sinai - a private hospital?  "This dramatic step shows that even some of the most respected names in medicine can't get by on REPUTATION alone.  Major hospitals and medical groups face growing pressure to justify their charges". 

This backs up my belief that UCLA subjected me to major cancer surgery for money, as I have said all along in this blog.  Medicare will only pay a set amount for any medical treatment and all medical centers/hospitals and medical professionals know this when they accept a patient 65 years and older.  If a doctor submits a bill for $1,000.00 for medical services, Medicare will only pay 80% of the APPROVED AMOUNT THEY PAY.  So if Medicare will only approve $600.00 for this service, they will only pay 80% for that and the remaining 20% is left for the patient to pay through private insurance or Medicaid, or if they can pay the amount themselves.  With private hospitals like Cedars-Sinai, if they bill Blue Cross for $1,000.00, they expect to be paid that amount.  That is why it is in UCLA's best interest to bill as much money as they can for any patient and run tests and perform surgeries that are not necessary, but provide the billable dollars for financial gain.

This is a giant step.

Finally – A DNA “No Error Mistake Kit” Regarding Cancer

On July 18, 2012, KNBC (Channel 4) reported that one in one hundred women are misdiagnosed for breast cancer because of lab work on biopsies.  An elderly woman named Rida Worden stated she almost underwent surgery for a mastectomy at an un-named hospital (I’ll bet it was UCLA or Cedars-Sinai) after she was told she had breast cancer.  She knew her body and felt she needed a second opinion as I did. 

She went to another doctor who used the new “No Error Mistake Kit” that would swab her cheek and match that DNA with her biopsy, which proved she did not have cancer – it was someone else.  She was lucky and saved herself from the trauma of surgery and the fear that she could die.

Women are urged to ask for this “No Error Mistake Kit” before surgery, as an absolute with their diagnosis, or if needed, after surgery to prove they never had cancer.  I believe that women who are on Medicare are the most vulnerable because we are expendable.  Finally the truth is coming out but 4 years too late for me.  Think of how many millions of women have had surgery when they didn’t need it, and how many billions of dollars were paid for these surgeries by Medicare and Medicaid.

After I left my doctor at UCLA in September of 2009, I went to a doctor connected with Saint John’s Medical Center where the John Wayne Cancer Center is, and was told for the 1^st time what the CA125 test meant.  And for me, it meant one week before surgery, I had no cancer in my blood stream.  I had asked the Medicare Office about a DNA test and was told “they don’t do that”… well not they must!

When I got my medical records from UCLA, I saw the age of the woman with my name on it as 55 – I was 65, and Dr. Wager chanced the report from the “vulture” to me but not the age.  She used 12/14/52 as her age, making her ineligible for Medicare, so she paid in cash.  I was later told by Medicare investigators “this was a TYPO”

It was not and everyone at UCLA connected to my case knew it.

I was stonewalled at every turn trying to find the truth of my medical status – all Medicare personnel  covered up for UCLA and all doctors involved had an excuse for every complaint I made and evidence to back it up.  Dr. Kim Kieu, Medical Doctor of 13 western states in Seattle, should be held accountable for instructing “investigators” to cover up from Medicare and me.   Medicare investigators should be thrown out and start over with new people who are not bought off. 

Fourth Anniversary of Fraud

May 28th marks the 4th year since my unlawful surgery at UCLA and I am thankful to the Los Angeles Times and their front page article on May 27th, "Patients Save by Paying Cash."   I now believe the motivation for my surgery was MONEY.  I believe a woman who I knew (I call her the "Vulture") was the reason behind my surgery... she is the one who has cancer (starting with breast cancer in 1986) and needed medical treatments, including surgery and chemotherapy, but could not use her real name because she is a criminal and wanted in other states. So she used my name as Janet Winston with December 14th birthday and not my legal name of Janet H. Winston with December 17th birthday.  She had the cash to pay thousands (if not hundreds of thousands) of dollars for her medical treatments and did not have to prove who she was because no insurance was involved.  And I believe she paid Dorigo and Elizabeth Wager big time, and the reason Dr. Wager fled UCLA when I exposed her for meeting with me in secret (in an office she had no reason to be in) was to get an idea of who I was and to give Dr. Dorigo her opinion of me. Elizabeth Wager was the head of pathology.

All the people that were present int he operating room on May 28, 2008 should be investigated, especially since one of the doctors in there said in their medical report "we took her back to the operating room" ... they didn't take me, they exchanged me for the vulture.  There were two different anesthesia's administered and billed to Medicare because there were two different women.  I was the "rehearsal" and she was the "main event".   I then had two trips to the E.R. within 12 days after my surgery.

It started on April 1, 2008 with a CT scan (at a cost of $6,400 for Medicare but not included in the 8 hospitals the Times named) and it showed I had no cancer.  But after I got home, Dorigo's office called to make sure I was there and not still at UCLA, so they could do another CT scan (20 minutes AFTER I was home). During that call, I was told I had a "very rare cancer".   The California Hospital Association says that "discounted cash prices are intended for the uninsured and not for those who have coverage".  I was a front for this horrible woman, even though I could have died. No one cared about that... only the money.  This is like the story both the Times and CBS did on Japanese mob bosses who paid $2,200,000.00 for 4 men to have liver transplants at UCLA instead of men who were on the list before them, and as a result, died.  It appears UCLA is very agreeable to criminals who pay in cash.. and therefore, their license should be pulled.

Is Texas the Heart of Medicare & Medicaid Fraud?

On March 1, 2012, ABC Nightline did an investigation in Texas regarding healthcare providers who were taking advantage of elderly Medicare patients by billing Medicare for medical problems that they did not actually have. Nightline used an undercover Medicare patient - an 82 year old white woman who went into a healthcare office for an exam. She told the doctor that she felt fine. The doctor ran tests and confirmed that she was in otherwise good health. However, that same doctor then turned around and billed Medicare for all sorts of health problems, saying that the woman was "home-bound and needed assistance for all activities, including constant supervision". They also sent a nurse to her home to treat her for "diabetes" and other ailments that she did not actually have.

She was lucky, unlike me, when I was told by UCLA and Dr. Oliver Dorigo that I had a very rare cancer that attacked the "soft tissue" and I needed 36 hours of chemotherapy, when in fact, he knew that was a lie.... I never had cancer and all tests proved that. I was subjected to major surgery and could have died, but Dr. Dorigo didn't care about that. I was used for their residents to perform surgery on. Dr. Elizabeth A. Wagar, who was the Clinical Director of Pathology was on board to say and present a written test to say that I had Stage 3 Cancer and later said, I had a "very rare cancer"... with this news, I felt like Farrah Fawcett.

Now, the question is raised - did all of this start in Texas? Did it start with National Medical Enterprises, who was fined by Janet Reno, the then Attorney General under President Clinton? This was the largest fine for Medicare Fraud in the United States at the time. They moved from Santa Monica, Ca to Texas and changed their name to TENET, and continued with medicare fraud, having to sell off many of their hospitals as a result. Elizabeth Wagar fled UCLA for Houston, TX to "teach" after I exposed her. The woman who responded to Senator Barbara Boxer's inquiry into my request for a congressional investigation let the cat out of the bag when she named James Randolph Farris, MD., CONSORTIUM Administration in Dallas. Is "Consortium" another word for crime syndicate? He controlled all the medicare investigation offices. The woman in Seattle, WA never thought Senator Boxer would send me copies of her response, and she sent a copy of DR. Barry M Straube, CMS Chief Medical Officer in Baltimore, MD a letter who covered up what Dr. Dorigo and others did. And it all comes back to Texas.

The Four Year Plan

I now realize why I was set up to be destroyed starting in 1986 and would result in the filing of bankruptcy probably in Minnesota for the twenty million dollars they defrauded the bank for. These four women: Wells, Kersh, Kerr and Aubrey borrowed the money from the bank as a "production company" for movies, but he intent was to use the money to buy 25 different apartment buildings in California and file for bankruptcy in 1990. They would assume my identity and each flee the United States for Canada and maybe France. Wells went to Toronto and started "Divorce Magazine". Aubrey went to Montreal and maybe started a travel agency before and after the birth of her daughter Alexandra Leigh, and the father was a freind of mine. Kersh went to Vancouver and worked in an accounting company and got my step mother, Rosemary Watson, a job there to oversee the money that either was deposited there, or five million dollars was deposited in each city. Kerr went to Paris, and maybe worked for a public relations firm. The code was my name all around the country - Janet Winston - and the last time I looked many years ago there were over 2 million named in the United States. That is why in 1987, the astrologer told me all would be fine until 1990, and then everything would turn around, and he was right becuase that was the plan. I had trusted Kersh and Aubrey and considered each a "best friend". I realized when Aubrey asked to borrow my mink coat that had my name inside, she was going to take it to Montreal and not to England, as she told me, and never to return. After my son's Bar Mitzvah in October, 1987, I never saw anyone esle again or heard from them, and the people who knew I was set up styaed away such as Ruth Yablans, never to contact me again... she didn't have the nerve to look me in the face.