Join your fellow employees who are fighting for your benefits—Join the Alliance!
Retirees, vendors, contractors, temps, and active employees are all eligible to become members of the Alliance@IBM
The last time IBMers got a memo from their leader about the state of the company was in early spring, when CEO Sam Palmisano was raving about corporate profits and the stock price increase. In fact, he did his job so well that he received $20.9 million in compensation, an 11 percent increase. In contrast, most resources did not receive a pay raise this year, and the lucky resources that did cannot say that the raise is outpacing inflation.
The math is very clear to me: Rob people of their livelihoods so that the fat cat can get even fatter. The corporate greed of the 21st century and the return of the robber barons is nothing new. IBM is not the only multinational corporation that has total disregard for the people it hires and fires. The bigger question is: Why are people doing nothing about it?
How low will the American middle class go before it starts demanding a New Deal from the government to protect it from modern-day robber barons? In France, for example, a corporation needs to show at least three consecutive quarters of losses before it can lay off a single person. It makes sense to me. How about this one from Japan: salary caps!
Unfortunately, a lot of people in the U.S. still believe in the American dream. They still hope that one day they will strike it rich and make millions of dollars. Statistically speaking, that will never happen to Joe Average. As long as Joe Average does not realize this, the fat cats will continue to use the American dream as a carrot on a stick to prevent the people from uniting and demanding a change.
After working about 24 hours in two days, I get a phone call at 9:00am in the morning stating this: "due to internal resource actions, IBM is going to have to lay you off...this is a definite lay off...however I am going to dedicate the next 30 days to finding you a job internally."
So here I am in shock because 1) I just bought a house; 2) I have bills to pay; 3) I was never AWARE that a layoff was imminent for PROFITS were being reported. I applied for about 10 internal positions and was turned down for the majority of them due to the fact that a 90 day internal freeze was in effect for any positions that had anything to do with SWG was in effect.
Now, in the package I received it stated I had 30 days...yes a grand spanking 30 days to find a position within IBM or I will be laid off. (This is total BS because we all know how slow the Big Blue wheels turn when it comes to job application processing internally or externally). My boss found two positions in Texas (he is located there and I am in Atlanta) that were a 25% percent match...but I cannot leave the state because my mother has breast cancer which is why I opted to work remotely.
I came into the position that required at least 5 years development experience internally, as a new hire (my information was received from Project View which later led to a interview). During out interview I asked "Will I be trained on the product in which I will be supporting" and the answer was "Yes you will be, I promise you will be up to speed in 6 months". Well...6 months into my career no training was offered in the product I was supporting.
Development was to help me along...however that never occurred due to them being overworked and understaffed and well...not wanting to deal with someone who was "not up to their speed". I was told to "learn by trial by fire".
My L2 counterparts received all the training courses for the product however, I was only able (due to "budget" limitations") approved to take an advanced level 2 course. One would think that it would make more sense for me to be allowed to take the pre-req courses before this...right? Well, it did not happen that way.
So here I am as a college new hire, working for one of the world's greatest companies which is reporting profit gains, but I could not get a approval to take courses designed to TEACH me the basics and how to support the product. The very same product that I am to support and create bug fixes for.
As a side note, I just found out that an actual developer was to fill the position I was in. However, he went on vacation and never came back...therefore Development proposed to bring in a new hire and they will bring him/her up to speed on the product because they could not afford to loose anymore team members.
In closing, IBM has basically spit on my American dream and has left a horrid taste in my mouth. When I met with the IBMers I have been out of college for about one year now and due to the situation in the economy it is going to be difficult to get a new job with only 1 year worth of experience. I was proud to say "I worked for a company that who is actually doing things to help the world". But, in actuality I was just a resource, with a lot of broken IBM promises.
Also, sorry if there are some grammatical errors or tense issues...but i'm typing this from my 8525 pda.
As you have said, who would except a layoff when the company finances are stellar. Unfortunately, that is no longer the case. The multinational company like IBM has a good balance sheet because most of the work is being done in low cost regions of the world while gradually and continually reducing the work force in high cost areas like the US and Western Europe.
Quote: "A longer view of this trend reveals a troubling trajectory. In 1980, CEOs made 42 times the pay of average factory workers. In 1990, they made 85 times as much. By 1999, CEOs made 475 times as much as workers. Sklar asks, "How big a gap will we tolerate?" from http://www.westfairinc.com/future/archive/081808.php
In addition to steady outsourcing of all kids of jobs to low cost regions, the executive greed went through the roof! The US executives are rolling in dough, their cost cutting plan is working and no one is even thinking about stopping them from robbing the employees, let alone doing something about it. That's why I am a big fan of salary caps. If 42 times was good enough for them in '80s lets make that cap again now. Without that, we can all work as hard as we want to and never obtain "the American dream". Not just American dream, but stable secure middle class lifestyle.
At this rate, if nothing gets in the way of continual wage gap, I wonder how long will it take before we see social unrests spilling into streets. Argentina anyone? Do you remember how that country has lost middle class layer overnight? In the US is not happening overnight, but it can get there.
Going back to IBM... if you are from Atlanta, I assume you must be GA Tech grad. If so, no one can ever take away your excellent education. Use it wisely. Unfortunately, I really don't see much future in IBM as it has embraced the cost cutting strategy and it is being awarded by Wall Street. There are few things that I and anyone else that have a job today can do is: save extra money, live below your means and bitch at government for change because corporations will not do it. I'm sure you are guessing correctly by now that there is no way in hell I will vote Republican.
He also felt the rankings for performance pay, from one to four, were distributed arbitrarily, because managers could only give a limited number of ones, and if a worker received the top score last year, he was unlikely to get it again the year after no matter how hard he worked. ...
Another employee said the problem was money. "Bottom line was king," he stated, adding that working in the outsourcing division, staff were encouraged to always stick to the letter of the contract, providing the minimum level of service and making sure that anything extra was charged as an upgrade. He acknowledged, however, that the mentality may have been a recent development. "Speaking to people who had been there for a longer period, 20 or 30 years, it hadn't always been that way," he said.
The aim of the strike is to achieve rights for all Flightdeck employees including regular pay rises, pay equity, travel allowance, fair redundancy and retrenchment provisions, paid shift handover periods, fair access to leave entitlements and time off in lieu, shift penalties and the option to work from home.
Offshoring to poor quality environments whose low standard of service tars local staff with the same brush, dumbing down of local roles, ever shrinking resources to perform ever increasing workloads and on it goes.
The pay issues are more about internal equity amongst flightdeck employees not simply getting more money. It'd be ill advised to reduce it to that. Yes it's obvious many other 9 -5 depts in IBM outside Strategic Outsourcing have it relatively easy and indeed years ago that same 'no need for bloody unions here' attitude was prevalent on the Flighdeck. However its hard to swallow the 'IBM is a great place to work' line when there's no funding to replace obsolete and unreliable equipment, a skilled and competent employee has no pay increase in several years and redundancy entitlements have been completely removed while IBM profits continue to rise and Sam gets his $25,000,000.
I understand how easy it is to spout off about union stereotypes but I suggest you acquire a more in depth knowledge of the situation before passing judgement so quickly.
Today - it's about shareholders, not employees. Sales teams sell deals that the delivery teams can't deliver for the price - so companies hire less skilled staff to deliver and put them under pressure to "self educate".
Once upon a time the "flight deck" team was called "operations". A bunch of tape jockeys and batch jockeys. Today, they need to be level 1 & 2 diagnosticians for networks, servers, mainframes, backup, security and in many circumstances manage the facilities as well.
They should be a highly valued and highly trained set of staff. Sadly - most organisations view them as just "ops staff" I have built and run data centres (up to 4000sqm) over the last 5 years - so I know what I am talking about. IMHO there is no organisation that is an employer of choice in the IT space anymore.
The middle management are incredibly naive in their attitude to staff and focus on revenue and outsourcing at the expense of solid business foundations. Expect Sam to cash in his shares in the next 12 months as the company has eroded its intellectual assets and is currently taking cash from customers without providing value.
IBM stinks in the way it works and I pity the people that work the flight deck as this action taken may have implications in their future employment. IBM tends to have project codes that IBM execs know and when the action is taken i.e. outsourcing it is known to all the name of project code name. Very very disappointing.
I wish the guys of the flight deck good luck and good stuff for taking the action as it gives other teams/departments a little courage to take some similar actions.
It is all nice and dandy for managers to be in place and change the world and when it gets tough they **** off elsewhere and screw up the next department.
IBM has done major damage to its internal structure and customers are starting to feel it. IBM is not the same place as 5 years ago. In honesty it has moved backwards allowing the competitors to take more chunks out of IBMs space.
I hope the shareholders and execs feel the pinch and stop being so greedy screwing this company to the ground.
National Car Rental custom benefits for IBM: Rates and all provisions can be used for both business and leisure rentals. Frequent Flyer Miles and Rewards Program offering. Guaranteed vehicle availability with 12-hour advance reservation. Complimentary membership in The Emerald Club. Bypass the rental counter and go directly to the Emerald Club Aisle® at more than 50 major airports in the United States and Canada. Choose any car from the Emerald Club Aisle and be on your way. Speed up returns with an E-Receipt. Sign up to receive this benefit and receipts will be automatically e-mailed to you within 24 hours. To learn more about The Emerald Club enrollment information, go to the IBM Web enrollment link at https://nationalcar.com/offer/IBM and sign up using the IBM National Account number 5666666.
Enterprise Rent-a-car custom benefits for IBM: A network of 7,000 neighborhood locations in North America to service local off-airport needs With advance notice, free pick-up service allows travelers to receive their vehicle at their hotel, office and home. Free enrollment in the Enterprise Rent-A-Car member program, Enterprise PlusTM. Print a copy of your receipt anytime you need it by going to http://www.enterprise.com. To learn more about Enterprise Plus enrollment information, go to http://www.enterprise.com/plus and sign up using the IBM account number XZ24Y01 and the three-character access code IBM.
Hertz #1 Awards Program coming to IBM renters in February, 2008. Fee waived membership in Hertz #1 Club Gold Guaranteed vehicle with six hours advance notice on Midsize, Full Size and Premium car classes. Special reduced contract rates, including benefits, at Hertz off-airport Local Edition locations. All insurance provisions continue to apply. Hertz Reservations IBM Corporate Discount Program ID (CDPID): 40000. Custom Reservation web site for IBM is http://link.hertz.com/link.html?id=5013885&LinkType=HZLK&TargetType=Reservations\.
W. R. ('Bart') Bartholomew President, IBM Greater Atlanta Quarter Century Club (QCC)
1999: 5.5%
2000: 6.0%
2001: 6.8%
2002: 3.9%
2003: 2.7%
2004: 2.3%
2005: 3.1%
2006: 5.0%
2007: 6.0%
2008: 5.2%
So, if your account earned only 1% in the 2007-2008 time frame, something does indeed appear wrong.
As Don suggested, to protect your legal interests, you should write to the Plan Administrator via certified mail, return receipt requested and tell them you believe your account may be in error and ask for a complete accounting of your C-B account, including an explanation of the interest rates paid each year. Also, be sure to keep a copy of the letter you send for your records. The address to write to is:
Plan Administrator
IBM Employee Services Center
5411 Page Road
Durham, NC 27703
Once you straighten that out, if you no longer work for IBM, I would suggest that you seriously consider rolling your account balance over to an IRA with a good mutual fund company, like Fidelity or Vanguard. The C-B plan is one of the worst places to leave your money since it pays fairly low interest rates. You can make investments that will give you a better return with an IRA, even if you want to keep the money in fairly safe investments.
Once you receive an answer, if you are willing to do so, please let us know what they tell you so others may learn from your experience. And perhaps we can help you with the next step if you don't get a satisfactory answer.
As for IBM, my husband had felt for years as though it was "his family". When "your family" treats you badly, because of your age,it hurts. In his last stages of cancer, his only sense of satisfaction came from believing he had helped provide me with medical benefits for life. (I know—no one can find the written word.) At least he didn't have to endure that last disappointment because he never knew. Don't worry I am still relatively happy but tired of the flaunting. Dorie
As a result, companies constantly will be chasing the problem. When the economy picks up, they are going to be paying a higher premium for talent, experts say. The lack of workforce planning is going to put many U.S. companies at a disadvantage in competing with their counterparts in Asia and Europe, which for the most part have workforce contingency plans. ...
European companies may be more proactive about workforce planning because they are, for the most part, dealing with unions, which are more prevalent in Europe than in the U.S., says Gary Rich, a New York-based leadership consultant. “Having contingency plans could be part of companies’ agreements with their unions,” he says.
But the fact that so few companies have developed contingency plans for their workforces shows how shortsighted U.S. employers still are, Rich says. “This is a comment on American companies’ planning processes and the quarter-to-quarter mentality at public companies,” he says
“This was the first chance we’ve really had to live out our values,” says Latondra Newton, general manager of Toyota’s Team Member Development Center in Erlanger, Kentucky. “We’re not just keeping people on the payroll because we’re nice. At the end of all this, our hope is that we’ll end up with a more skilled North American workforce.” ...
Despite Toyota’s contingencies, it is unclear that the large-scale retraining will be enough to see the San Antonio and Indiana workers through until production resumes. The automaker says it has not decided what employees will do after completing their classes, but they probably will work in community service programs around San Antonio and southern Indiana. That would put Toyota employees to work cleaning public parks and scrubbing graffiti from buildings around San Antonio, a company spokesman says. And if executives can resolve logistics and safety issues, they may authorize a weeklong employee assignment to clean up the shoreline of a Texas lake.
Why is there a crisis? The only retirement savings for the 80% of Americans in the private sector are the assets in their 401(k) plans. Because the typical rate of employer contributions to 401(k) plans is a stingy 3% of pay, the average American household head between 62 and 65 has a nest egg of only about $110,000.
That is the sum of the median 401(k) account balance and the median rollover IRA balance — or less than twice the median annual salary of $61,600 for that age group. This average American nest egg of two times "final pay" is just one-fifth the sum recommended by many pension actuaries in calculating a defined benefit pension.
What this means, unfortunately, is that our nation's de facto retirement program, the defined contribution pension, is nowhere near able to provide the retirement income that boomers will need. Ironically, the U.S. mutual fund industry, whose products constitute the bulk of 401(k) assets, doesn't measure retirement readiness. ...
The inconvenient truth that most investors in their 40s and 50s need to hear is that no investment product can make up for decades of little or no saving. That is why baby boomers must stay in the "accumulation phase" until they have achieved a minimum of 10 times their final salary. For our average pre-retiree earner of $61,600, that means a nest egg of $616,000. ...
The best fix for America's 401(k) system is to adopt the Australian system, which mandates a 9% contribution rate by employers. Until that happens, the entire financial community should be obliged to disclose that the only solution to the retirement shortfall is to keep working.
A closer look confirms what Americans already know: most families reaped none of the benefits of the previous six years of solid economic growth. Median household income last year was still 0.6 percent less than it was in 2000, when the last economic expansion peaked. Households led by someone 65 or under made an average of $56,545 last year — 3.4 percent less than in 2000.
The census offers the same mirage when it comes to health insurance. While the overall number of uninsured dropped — from 47 million in 2006 to 45.7 million last year — that still left the number of uninsured Americans 7.2 million higher than in 2000. The improvements were entirely attributable to an increase in the number of people enrolled in Medicaid and other public programs. ...
There are multiple reasons why Americans are working harder and not getting ahead, including a weak labor movement, globalization, technological change and a slowdown in educational attainment. Except for a few years in the late ‘90s, wages and benefits have grown more slowly than the nation’s income for nearly 30 years. Under the Bush administration workers’ share of national income has fallen with a vengeance, to its lowest point since the 1960s. The Bush expansion may be the first in recorded history in which poverty rose and typical American families never regained the level of income they had attained at the end of the prior one.
The pay for Ellison, 64, doesn't include the $544 million he made last year exercising stock-option grants. His package was examined and ranked in a study by compensation specialist Graef Crystal, a consultant to Bloomberg News who's based in Santa Rosa, California. Crystal included Ellison's $1 million salary and $10.8 million bonus, plus $1.45 million to cover such items as his home security system and air travel. The study valued the CEO's options granted during the year at $58.8 million, a more conservative estimate than Oracle's figure, $71.4 million.
''It is now evident that speculators in the energy futures markets play a much larger role than previously thought, and it is now even harder to accept the agency's laughable assertion that excessive speculation has not contributed to rising energy prices,'' said Rep. John Dingell, D-Mich. He added that it was ''difficult to comprehend how the CFTC would allow a trader'' to acquire such a large oil inventory ''and not scrutinize this position any sooner.'' ...
''When the CFTC granted the 1991 hedging exemption, it signaled a major shift that has since allowed investors to accumulate enormous positions for purely speculative purposes,'' said Rep. Bart Stupak, D-Mich. Now, he added, ''legitimate businesses that hedge and take physical delivery of oil are being trampled by the speculators who are in the market purely to make profit.'' A second turning point came when Congress passed the Commodity Futures Modernization Act of 2000. The law formally allowed investors to trade energy commodities on private electronic platforms outside the purview of regulators.
Assuming a normal life expectancy and using the interest rate on government bonds, the actuarial present value of lifetime benefits are the same for those taking early retirement as for those waiting to take benefits at a later age. Of course, if one’s life expectancy is not normal (either because of illness or particularly good genes), one retirement age will look more attractive than another. Fortunately, you can have the best of both worlds: You can retire at age 62, then pay back and reapply for Social Security benefits at age 70 if you come to regret your earlier decision.
Boeing announced in June that its pension plan will be closed to nonunion employees hired or rehired after January 1, 2009 (See Boeing Announces Switch to DC Only). The company hopes to avoid a labor strike at a critical point in the manufacturing of its new 787 Dreamliner (See Boeing Attempt to Drop Pension for New Hires Sparks Conflict).
Companies across multiple industries are trying to dump their pension plans as health-care expenses have climbed and as former employees now live longer. At the same time, companies have been posting record profits and paying their top executives salaries in the millions of dollars, leading many unions to cry foul over such attempts to trim employee packages.
Employers are providing a valuable benefit in the form of a defined contribution savings plan, a self-directed investment program that has little in common with defined benefit retirement and pension plans. It's not free money at all. It's a clever, goal-directed, business expense that is both touchy-feely visible to you and far less expensive for your boss. It's a good deal, but not a retirement plan.
Although it is true that you do not pay taxes on your contributions during your earning years, you will undoubtedly pay through both nostrils when you retire. If your karma is off, you may find yourself trying to retire at a time when the stock market is not in a party mood and your shrinking mutual funds just don't seem as secure as you thought they were a few months earlier. Typically, the 65-year-old retiree can expect four or five major mutual fund shrinkages during retirement.
Similarly, more fortunate retirees (those who get the "gelt" during a rally) generally fail to lock in a guaranteed stream of income, and find themselves in the same cyclical conundrum as their less market-timely brethren. The money worries continue well after retirement; the taxes become much larger than anyone ever anticipates; the misconception that the 401(k) is a retirement plan continues. In fact, a recent president once proposed to change the only true retirement program that most of us belong to into a similar non-retirement program. ...
Retirement programs are income machines designed to support people, not to make them feel wealthy, investment savvy, or temporarily tax-free. Pension plans produce fixed amounts of monthly income that don't change appreciably when dot-coms, real estate, CDOs, or index funds (they're next) self-destruct. You just can't buy dinner or medications with currency futures, gold bars, or appreciated acreage.
The investments contained in a pension plan are designed to produce income, and are managed by trustees who are experienced in constructing safe, conservative, diversified programs that are just as boring as they can possibly be. Most pension plan benefits are calculated as a percentage of the amount earned while employed.
Besides Congress, IBM lobbied other agencies in the April-June period, including the departments of Defense, Commerce, Agriculture, Education, Health and Human Services, Transportation, Energy, Labor and Homeland Security, as well as the office of Vice President Dick Cheney, the Environmental Protection Agency, Central Intelligence Agency, Federal Trade Commission, Federal Communications Commission and the Food and Drug Administration.
My second reaction was that in Mr. Clinton’s speech — as in the speeches by Hillary Clinton and Joe Biden (this column was filed before Barack Obama spoke on Thursday night) — one heard the fundamental difference between the two parties. Democrats say and, as far as I can tell, really believe that working Americans are getting a raw deal; Republicans, despite occasional attempts to sound sympathetic, basically believe that people have nothing to complain about.
As it happens, the numbers support the Democrats.
That Census report gives a snapshot of the economic status of American families in 2007 — that is, before the financial crisis started dragging the economy down and the unemployment rate up. It’s a given that 2008 will look much worse, so last year was as good as it will get in the Bush years. Yet working-age Americans had significantly lower median income in 2007 than they did in 2000. (The elderly, whose income is supported by Social Security — the program the Bush administration tried to kill — saw modest gains.) Meanwhile, poverty was up, and health insurance — especially the employment-based insurance on which most middle-class Americans depend — was down. ...
Last week John Goodman, an influential figure in Republican health care circles, explained that we shouldn’t worry about the growing number of Americans without health insurance, because there’s no such thing as being uninsured. After all, you can always get treatment at an emergency room. And Mr. Goodman — he’s the president of the National Center for Policy Analysis, an important conservative think tank, and is often described as the “father of health savings accounts,” a central feature of the Bush administration’s health policy — wants the next president to issue an executive order prohibiting the Census Bureau from classifying anyone as uninsured. “Voilà!” he says. “Problem solved.”
The truth, of course, is that visiting the emergency room in a medical crisis is no substitute for regular care. Furthermore, while a hospital will treat you whether or not you can pay, it will also bill you — and the bill won’t be waived unless you’re destitute. As a result, uninsured working Americans avoid visiting emergency rooms if at all possible, because they’re terrified by the potential cost: medical expenses are one of the prime causes of personal bankruptcy. ...
You see, Mr. Goodman’s assertion that lack of health insurance is no problem precisely echoed what President Bush said a year ago: “I mean, people have access to health care in America. After all, you just go to an emergency room.” That’s because both men — like Mr. Gramm — were just saying in public what modern Republicans say when they talk to each other. Despite attempts to feign sympathy, the leaders of today’s G.O.P. fundamentally feel that Americans complaining about their economic and health care difficulties are, well, just a bunch of whiners.
Outrage tends to bubble up when denials become human drama, triggering media interest. There's the 17-year-old girl who died before her liver transplant was approved. Or the people in California whose insurers canceled their policies retroactively after they got sick. What's often missed is that these cases are the tip of an opaque iceberg. An estimated 10 to 15 percent of claims are denied for various reasons, some of them technical, such as not meeting filing deadlines or failing to get pretreatment authorizations. Denials that produce the most disputes are those where insurers judge the care to be unnecessary or unproven, pitting a proverbial sick David against a multibillion-dollar Goliath. What few Davids know is that insurance contracts by law grant companies the legal right to manage a patient's care, including denying it, sight unseen, and give them the final say, if challenged. Unless the state steps in. ...
When insurance authorization is required for each new service or each hospital stay for the same serious illness, who's best to say what's medically necessary? Doctors and their staff will spend hours trying to get the approvals, but patients should be warned that if the company ultimately denies payment, for whatever reason, it's the patients who are responsible—with bill collectors ready at their door.
The problem is bound to grow as insurers make use of sophisticated data tools dubbed "denial engines," which are touted to reduce reimbursements by 3 to 10 percent. Bearing brand names like Ingenix Detection Software and Bloodhound Technologies' ClaimsGuard, they search patient records for any signs that claims have strayed outside company parameters. Weeding out fraud or speeding up processing is one thing; serving up excuses to deny legitimate coverage is another.
Most consumers don't realize it, but this common practice, known as balance billing, often is illegal. When doctors or hospitals think an insurer has reimbursed too little, state and federal laws generally bar the medical providers from pressuring patients to pay the difference. Instead, doctors and hospitals should be wrangling directly with insurers. Economists and patient advocates estimate that consumers pay $1 billion or more a year for which they're not responsible. ...
National statistics aren't available, but there's little doubt that many consumers unwittingly fall victim to balance billing. The California Association of Health Plans, a trade group in Sacramento, estimates that 1.76 million policyholders in that state received such bills in the past two years, totaling $528 million. The group found that 56% paid the bills. "Patients think they owe this money, and it causes tremendous stress and anxiety for people," says Cindy Ehnes, director of the California Managed Health Care Dept. "It is inappropriate to put the patient in the middle of this." ...
Quest Diagnostics, the country's largest lab chain, with revenue last year of $6.7 billion, has faced investigations and lawsuits over allegations of balance billing. A private suit that seeks class-action status in federal court in Newark, N.J., alleges that Quest has balance-billed thousands of patients covered by private insurance and Medicare, turning over many accounts to debt collectors. Quest, based in Madison, N.J., denies any wrongdoing.
Doctor after doctor expressed the same worries that their clinical decisions are increasingly overruled by insurers, at times harming patients. The delays and denials affect all types of patients in a multitude of ways, doctors say — from grade-school children who terrorize classmates when insurance won't pay for their behavior medication to a man who waited weeks to learn whether he would be covered for a second opinion on a potentially life-saving kidney-liver transplant. ...
The profit factor. Insurers are in business to make a profit. Last year the nation's largest insurer, UnitedHealth Group Inc., made $4.7 billion, with its president and chief executive, Stephen Hemsley, receiving $13 million in total compensation. Physicians say that the drive for profits is partially to blame for the tension between doctors and insurers.
'Insurers have been trying to practice medicine from an economic standpoint, and what we are finding is that what we think is the best thing for the patient isn't the best thing for the insurance company monetarily, and therefore it gets nixed right off the bat,' said Dr. Marc Saunders, a Warren, Ohio, surgeon.
Dr. Robert Jandl, an internal medicine physician in North Adams, Mass., said he feels like a midlevel bureaucrat for insurance companies. 'There are so many ways in which we are either coerced or recruited to deal with medication issues or preapproval for testing,' said Dr. Jandl, who chafes at sending his patients to specialists he views as inadequate when there are physicians he trusts available but not in network.
The new study estimates the government pays 75%, or $42.9 billion, of the amount uninsured patients can't pay -- through Medicaid, the federal-state health-insurance for the poor and Medicare, the federal program for the elderly and disabled, as well as state and local taxes.
And both candidates propose to do so through the existing private health insurance system. The idea is that with more customers, insurers will compete for business by offering good policies and finding ways to make care more efficient and thus cheaper. But at least one health expert says that whatever savings their plans might provide won't be enough to offset rising care costs.
Vault's IBM Business Consulting Services message board is a popular hangout for IBM BCS employees, including many employees acquired from PwC. A sample post follows:
This site is designed to allow IBM Employees to communicate and share methods of protecting their rights through the establishment of an IBM Employees Labor Union. Section 8(a)(1) of the National Labor Relations Act states it is a violation for Employers to spy on union gatherings, or pretend to spy. For the purpose of the National Labor Relations Act, notice is given that this site and all of its content, messages, communications, or other content is considered to be a union gathering.