the van nockers appealed that denial. that appeal was denied again. they appealed it a second time. this time paul actually went to health america, pled his case, health america sent the file out to an independent, outside reviewer. the committee heard from kyler s doctor. they got a report back from their outside reviewer, and their outside reviewer actually said there was medical literature to support the use of this treatment for a patient like kyler in kyler s condition with his prognosis. the committee then denied it again, sent a letter to the van nockers saying, you know what, we ve denied it again and our decision this time is final and the only thing you can do is file a lawsuit. that s what we did. paul, if you had any time during all of this to follow this health care debate at all, what did you think when you heard people were criticizing the prospects of health care
the insurance company is keeping the money. kyler s father next on countdown. my muscles feel like they ve been pounded. my muscles just ache. . all over my body. .it just doesn t go away. it s so baffling. (announcer) does this sound like the pain you ve been experiencing? this is fibromyalgia. chronic, widespread pain and tenderness that affects millions. sometimes i need a hug. .but i know it s gonna hurt. (announcer) there is hope. understanding your pain. .is the first step to treating it.
kyler went home. last september it came back. doctors had only one course of treatment. ibg radiation therapy, $55,000 per session. this time health america said no. kyler is getting the treatments anyway but now the family is on the hook for $110,000 and counting and the insurance company? the ceo tuesday telling analysts, quote, this company knows how to control costs and we will. the company reporting a loss ratio of 82% meaning 82 cents of every dollar they got from the family went to treatment and 18 cents went to things like wise s $23 million compensation. what is washington doing about it? congresswoman michelle bachman for one is playing games poorly writing president obama s health care sitdown must be a pr stunt. why? because an aide to speaker pelosi said he thinks democrats will have to pass health care using reconciliation. quoting bachman it looks like democrats have already decided on a plan to pass their original
that august they took out a kidney. in october they asked health america to cover another drug not yet approved by the fda and thumbs up again. the cancer in remission and kyler went home. last september it came back. doctors had only one course of treatment. ibg radiation therapy, $55,000 per session. this time health america said no. kyler is getting the treatments anyway but now the family is on the hook for $110,000 and counting and the insurance company? the ceo tuesday telling analysts, quote, this company knows how to control costs and we will. the company reporting a loss ratio of 82% meaning 82 cents of every dollar they got from the family went to treatment and 18 cents went to things like wise s $23 million compensation. what is washington doing about it? congresswoman michelle bachman for one is playing games poorly writing president obama s health
this is something that we spoke to members of congress and, honestly, we re not seeing a lot of action on it. this is not about access to health coverage. i work hard. i have health coverage. kyler actually has two health insurances covering him. this is about insurance companies making decisions instead of the doctors. you just nailed it. and boiled it down to what s essential here. i have to ask you. the philadelphia daily news reported that you re bankrupt. is that correct or is it close to being correct or is it i mean, what does it do, what does it mean in terms of kyler s coverage going on if these insurance companies con tuna have the attitude they ve had in the last few months on this case? well, what i can tell you is anybody in our situation, middle america, we did all the right things. we put money away. we have insurance. you know, retirement funds, college funds for the kids. unfortunately, we started dealing with these kind of medical expenses.