While every city has its hospitals and medical clinics, few can claim they're
the home base for one of the biggest health care providers in the country, and
even fewer can claim that such a company rose up from local roots. However,
this is exactly what Oakland is able to brag about. While other businessmen
were off speculating in Toronto resale homes, Kaiser Permanente founder Henry
J. Kaiser was creating the basis for one of the nation's largest HMOs.
To learn more about this remarkable story, follow along with this article.
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What is a HMO?
If you've been living in Milton, Ontario homes up until moving to the
United States or if you're a citizen of another country that offers free
health care, you probably won't be familiar with the term HMO. HMO stands
for Health Maintenance Organization. It consists of a practice of doctors who
agree to provide care for a specific group of people designated by the HMO.
These patients often come from companies who have paid the HMO a fee in order
to get them to provide health care services for the company's employees
whenever they need them. In this way, a HMO acts like an insurance company.
The History of Kaiser Permanente
Although Kaiser Permanente wasn't the first HMO in the United States,
it went on to become the largest. It was formed as the result of a partnership
between Henry J. Kaiser, a construction contractor, and Sidney R. Garfield,
a medical doctor, in order to comply with workers' compensation regulations.
Kaiser and several other contractors would pay a certain amount of money on
a regular basis to cover any potential work-related injuries, while the workers
themselves also would make contributions to cover non-work-related injuries.
In this way, the workers could go on building Toronto condos without fear
of getting hurt and ending up being saddled with astronomical medical bills.
All this happened in 1933.
Kaiser Permanente Today
From its modest beginnings, Kaiser Permanente rose to prominence as the largest
managed care organization in the United States. It has facilities in nine states
plus the capitol district and nearly 9 million plan members. The company has
156,000 administrative and support employees and 13,000 doctors in 37 medical
centers and 400 offices. The company's revenue stream is in excess of
34 billion dollars every year, but despite this most of the company remains
a nonprofit organization, with company funds going toward programs to create
vaccines and study conditions like seasonal affective disorder. Hamilton,
Ontario is another locale where SAD study occurs.
Controversy
Like all health care providers, Kaiser Permanente has been both praised for
care quality and accused of profiteering to buy their managers expensive lofts.
Toronto, even though it's in Canada and has free health care, comes under
the same scrutiny. The British department of health studied it as a model of
integrated care and patient management. Meanwhile, the company has also been
the subject of numerous malpractice suits and has also been accused of dumping
homeless patients onto other agencies instead of footing the bill for their
treatment.
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