The most prevalent fraud & crime in the WC system is that which is facilitated against the injured...
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The doctor who did the surgery on my shoulder is refusing to testify in court. I am not sure why. He may be protecting the workman's compensation doctor that refused to believe I was injured. I was accused by the workman's compensation doctor of lieing about the injury and just wanting drugs. That blew my mind after 6 or 7 years of sobriety. Drugs were not my drug of choice, they should have researched. I find workman's compensation was wrong for refusing me another doctor. I begged for another opinion for three months with no response. She stated the workman's compensation doctor did not require any further treatment and I was released to full maximum duty. How long do they a human being can tolerate pain from injury? I tried to work injured. I was not only tortured by the pain from the injury, but by the doctor and workman's compensation case worker. Pain causes mental agony so does the lack of resources to pay bills. I remember the day I went to the doctor on my own and he sent me for an MRI. They technician had to lay me down and strap my body and arm in a certain position. As I lay there in severe pain with the inability to move and relieve myself, all I could do was squirm, move my toes and cry. The technition told me if I cannot be still I would have to take come back another day. I waited four or months already and there was no way I was going to let that happen. It was the first time I realized I was in hell and there was nothing I could do about it. I prayed and...The doctor who did the surgery on my shoulder is refusing to testify in court. I am not sure why. He may be protecting the workman's compensation doctor that refused to believe I was injured. I was accused by the workman's compensation doctor of lieing about the injury and just wanting drugs. That blew my mind after 6 or 7 years of sobriety. Drugs were not my drug of choice, they should have researched. I find workman's compensation was wrong for refusing me another doctor. I begged for another opinion for three months with no response. She stated the workman's compensation doctor did not require any further treatment and I was released to full maximum duty. How long do they a human being can tolerate pain from injury? I tried to work injured. I was not only tortured by the pain from the injury, but by the doctor and workman's compensation case worker. Pain causes mental agony so does the lack of resources to pay bills. I remember the day I went to the doctor on my own and he sent me for an MRI. They technician had to lay me down and strap my body and arm in a certain position. As I lay there in severe pain with the inability to move and relieve myself, all I could do was squirm, move my toes and cry. The technition told me if I cannot be still I would have to take come back another day. I waited four or months already and there was no way I was going to let that happen. It was the first time I realized I was in hell and there was nothing I could do about it. I prayed and cried. I am trying so hard to get my shoulder to work and I still hurt. I take aspirin, Tylenol, ibuprofen. I got severe kidney and gall bladder infection with over the counter medications. So, because of a few people who lack empathy, my physical health has gone from bad to worse. I cannot tell you the struggle to survive and the mental stress took me there folks. I do not know what to do anymore. My future and life is about to be over. I cannot do the work I use to do without pain, I cannot get a doctor to treat me or put a shot in it so I can use it because it is a workman's compensation case. What good is an education if you do not have the physical capacity to perform. All of my future has been compromised over a fucking work injury. I never saw it coming. Show more
I'm sure there are more stories like mine out there, put them all together and perhaps we could do something?
In 2013 and 2014 I was going through the workers comp system in New Hampshire. I was watched, photographed, had attorney client email redirected so that I did not receive it. I was evaluated by Doctors who never ever saw me, one was over a thousand miles away from me. My reputation was destroyed to the point that I was considered " An Unreliable Witness" by the insurance company. I am convinced that Guard Insurance sabotaged what was a simple case with five of my own Doctors all saying it was a work injury, but because I was "Unreliable" the court ruled that they were too. I took the case all the way to the Supreme Court, but because of my declared unreliability the Supreme Court refused to hear the case and I lost. Stalking, photographing, email tampering, document tampering, and breaking Attorney Client priviledge is about as bad as it gets. I reported the email issue to the FCC, and had a trace done by a pro who found exactly where all the emails were diverted to - the insurance attorney's office. If there were a way that I could do something about this I would, but it would be my unreliable self against a "well respected" attorney. All this after a life of 65 years doing the right thing and being honest. Not fair, no recourse, and that's why only 50% of WC cases in NH actually win in my opinion.
Are you being harassed in any way by the defense in your workers comp claim? Have there been intrusions into your home while you are not there? Is your phone tapped? E-mails hacked? An onslaught of computer viruses? Vandalized automobile or personal property? Tainting of food in your home or the removal of documents from your workers comp files or medical history files? Are you stalked overtly? Have your documents been changed over and above your signatures? Falsified Medical Reports / studies? There are many injured workers who are enduring these and many other crimes that include "mal-ordorant attacks", false caller ID, hang up calls, false collection account calls, pets poisoned... these "tactics" and crimes are used by law firms, insurance carriers, employers and others. They are referred to as "organized group stalking". According to the National Center for Victims of Crimes, they are very difficult to prove in court.Crimes Against Injured Workers
The documentary Almost Broken was inspired by mystatefundstory .com website. The website was created after there was evidence that California's Workers Compensation system was allowing State Compensation Insurance Fund, to " close the file on an accepted industrial injury " to save the carrier money. The WCAB has shown State Fund that using fraudulent documents will simply be rubber stamped and the injury claim is closed leaving the injured workers and their families to be forced into poverty and suffer from State endorsed insurance fraud. To make matters worse State Fund uses the UnitedStates mail repeatedly to both send the knowingly fraudulent documents to the WCAB,and also to send a letter to a state senator to cover up their unlawful claims handling,To this day they have not been held accountable, thereby putting countless injured workers at risk of suffering at the hands of state endorsed insurance fraud. www.youtube.com/watchCrimes Against Injured Workers
Why aren't employers, insurers and their defense legal representatives prosecuted for the fraud that they commit in the course of a workers compensation claim?Crimes Against Injured Workers
Injured workers (IW) are experiencing horrific crimes & deceitful scenarios set against them in their workers comp claim, including but not limited to;
- Employers who lie about the circumstances of the injury in efforts to deny the employee WC benefits, employers who take control of the forms that the IW is to complete while either falsifying the information or leaving out information, causing the IW to be ostracized or bullied at work, tampering with the IW’s computer (shadowing) while the IW is working in an effort to “create mistakes” thereby adding to “cause” for termination (not at the IW’s/employees fault), unplugging the IW’s computer causing the IW get down on the floor to plug the computer back in
- Terminate / fire the employee due to the WC claim (includes the employer falsely documenting derogatory or defaming information about the employee to create the appearance of just cause to terminate)
- Documents, forms, charts altered over and above IW’s signatures
- Surgery & medical reports falsified, medical studies falsified
- A multiple page form marked one way on the top page of a form however, fraudulently marked differently on the flow through pages underneath
- IW’s are intentionally maimed and battered. One IW in particular was brutally forced under anesthesia & awakened maimed from the skull down to the tailbone thereby causing permanent disability, chronic and excruciating pain
- IW’s systematically maimed over time during multiple medical treatments (NOTE: Maiming IW’S is done for strategic reasons that may include A. To create the look of a condition, B. To deter the IW from seeking more medical treatment, C. Retaliation from a vindictive employer, D. Transfer the IW off the books of the insurance carrier and onto social services and social security disability, E. Aid in an attack of the IW’s credibility once the IW’s speak out about what has been happening
- Unwarranted denial, delay of medical treatment for the injured worker thereby causing permanent injury and chronic pain/suffering
- Video and audio is surreptitiously placed inside the IW’s home
- Intrusions into the IW’s home, theft of documents related to medical studies, thefts of documents acknowledged by the WC Justice system
- Surreptitiously tainting the IW’s food and drink with chemicals that may cause heart or nervous system issues
- Personal property is vandalized including their auto, other tricks to their trade is letting the air out of the IW’s tires
- Biased in favor of the insurance carriers, some Primary Treating Physicians, AME’s, QME’s will not document the IW’s file honestly, removing evidence & information from the file to downplay the seriousness of the injury or leaving out important matters, falsely documented statements that appear to have been made by the IW
- Insurance carriers who interfere with the IW’s healthcare and medical visits OUTSIDE of workers comp preventing the IW from getting medical treatment or having their medical studies those medical studies falsified or treatment is delayed or denied there as well – YES, they have the power!
- Health history can be changed or lost
- Hacking into the IW’s computers, cell phone, e-mails and social media accounts. Harassing the IW’s by changing their passwords on e-mail accounts, altering their social media pages, uploading malware, trojan, etc to the IW’s computer & cell phone
- Wire tapping the IW’s cell and home phone
- Harassing family members in different ways for example calling the family member with false debt collection calls, threats of incarceration by phone
- Interfering with the IW’s cell phone calls, disconnecting phone calls, intercepting incoming or outgoing phone calls, calling the IW’s on their home number with false caller ID that indicates the IW’s is calling from their cell phone which is obviously not in use
- Causing 911 phone calls to be dropped repeatedly
- Overt aggressive stalking which may include following the IW in a fashion that is NOT sobrosa in order to harass or intimidate – smiling, laughing waiving at the IW, speaking to someone on the cell phone about the IW
- Malicious prosecution – falsely painting the IW’s as a liar and intentionally but fraudulently prosecuting the IW for workers comp fraud
- Fraudulently painting the IW as mentally ill after they speak up about the crimes pitted against them. Efforts to encourage the IW into a psych claim that will also be falsified and used to destroy the credibility, reputation of the IW
- WC Justice system employees who participate in these crimes including corrupt Judges who are biased in favor of the insurance carrier / employer. Participating by denying the IW their right to present their case, not allowing the IW to finish speaking while being questioned, removing documents from the IW’s stack of exhibits and moreCorporate American greed is what is driving these and other crimes. IW’s have found that the workers compensation system is NOT what it appears to be. It is intended to be a tool to protect the employer while providing medical treatment and compensation to the injured worker. We use the term “legitimate” when describing medical treatment in the workers comp system due to the fraud, crimes and corruption that is pervasive in the industry (especially in the State of California). What many injured workers don’t understand is that filing a workers comp claim, although an administrative process, it turns out to be as negative as filing a lawsuit. In any other arena, would you file a lawsuit and then expect to receive “legitimate” medical treatment, studies and reports paid for by the parties to the defense whom you have an open lawsuit against? Especially in the State of California wherein IW’s must go to the insurance carrier’s “network of medical providers”. Aside from the “go to” medical providers who are willing to harm the IW’s, we believe that there are a few good souls who will provide legitimate medical treatment IF APPROVED BY THE INSURANCE CARRIER.
Insurance carrier fraud is a well-known fact. Workers comp insurance carriers have been known to falsify or cause to be falsified medical reports/studies of the injured workers injury (ies). Add to the mix those who practice law – attorneys. Not all attorneys are un-ethical, however there are those that are intensely corrupt & seemingly psychopathic based on the crimes they are willing to facilitate against IW’s. Pressured to “win” so they don’t risk losing the huge insurance carrier and employer as clients. Invite in a few “go to” medical providers whose primary business is WC claims (workers comp mills) and other approved medical providers including hospitals, surgery centers, anesthesiologists and you have a group of people who are willing to do almost anything to keep the insurance carrier happy by any means. Shocking but true!
Many of us have learned the power of the insurance carrier, employer & to what end their law firm / attorney (ies) are willing to go. Some of the methods of harassing the injured worker are intentionally juvenile, some bizarre and others are done professionally. All of which will be to lend to the attack on the IW’s credibility or mental health if or when the IW speaks up about the attacks & fraud.
Crimes which IW’s are the target of have been in full swing for decades. They are the most heinous of crimes, fraud and acts of violence in the workers comp system. Yet, the public is not made aware and IW’s are NOT WARNED! Why is that? Less than 1% of claims in the workers comp system are fraudulently filed by employees. No less than 12% of employers are actively committing some sort of worker compensation fraud every year! Doctor’s, attorneys, medical providers, surgery centers, hospitals, workers comp Judges, AND, the insurance carrier itself, all in some way or another commit WC related crimes.