@blueshieldca

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Insurance company

paul goeltz 0aaaaa663 is social, and out of state, so special CS, heck they try, but i think i spend to much money and cutting cost to pay the ceo seem to be of more importance then helping ppl

 

btw i’m half dead from lack of case management, ur doctors that deny my back the right ops, meds, now i guess my pain meds is a no no so retire have to pay 30 its all profit so that fat white man can make 35 million dont worry the world will see it all, you all should be ashamed at your corupt industry money over health

Thank you for supplying your info, Paul. One of our Specialists will reach out shortly to assist. – SR

and thank for calling, but we had to hang up as i was waiting forBS of ca to call, she said she would call back yesterday was here all day, will be back here today, after pt so after10.30am MT
and no call so maybe u can let them know here latter today..

I apologize for missing our call yesterday. I’ll call you after 10:30 today. – Krista

well here we are 6 months later almost dead still zero
@BlueShieldCA thanks claiming to #care #fastservice #CustomerService &blah blah blah, i have been trying 2get treetment 4almost a yr, ur #contractor doing #casemanagement has no clue, ur #phone reps dont call back, i dont think BS cares if i live or die its all #money and #F me.
ask Esperanza Ramos RN she can explain how sick ur case mangement is and how mr goelts is stuck in the middle of hell and getting nothing
well i can start going to the er every 2 days that will cost about 100k real quick
as ur call center says all the help is at the er they will help[ you and call us to figure out what to do with you, thats from ur call center

anotherday waiting while BS and records and doctors try to figure out why or how paul can use benifits in both medical and mental, oh no, if we?BS keep hold off and FOOLING HIM WE WILL NOT HAVE TO PSAY AND CEO MAKES MILLIONS AND GETS GRT MEDICAL CARE, WELL STILL WAITING
I SHOULD BE TAKING PICTURES OF ME WITHERING AWAY 40 LBS ALREADY….

We’re sorry for your frustration. A Specialist will reach out to you shortly. – Jessica
Hi Paul. I’ve reviewed your policy and see that you’re trying to receive inpatient detox care. I also see that your case manager Esperanza is currently out of the office, which is why she hasn’t reached out to you. In some of your case notes I see that you stated the appeal filed on your behalf is incorrect. Can you please clarify if this is true? The appeal was assigned to a coordinator this morning, so if I need to remove the appeal I can. Also, if you could clarify exactly what you are wanting, I can work with your case manager to get you the required treatment. Please let me know as soon as possible. – Cortney
more than that if you want to talk call pls
i dont have a case manager
they were fired as no brains
4066423052

fyi Esperanza is not my case managedr she is trying to help after seeing the messing your case management co got me in, i have no case manager, and i need one to work both side of this medical and mental, So shortly is that longer than 3 hrs? yes the appeal that was filed is all wrong, meanwhile that much closer to death, hope everyone is getting a good laugh
no you dont need to remove tghe appeal it should have been filed a month ago as i called to file and the lady did nothing not even contact esEsperanza , and the grievence filed is wrong, i dont have time for this i needed help almost a yr ago when does this stop
per doc kemple i need a level 4 detox or better, and admit in to a pain program such as siera tuscon, hohn hopkins miami jewish health this all are for pain ppeole not drug addicts, while i explain this for the 300th time why dont you ask sherly jones who screwed it all up and that case management co
hello anyone calling so i can blab for 302 times to see if i can get help

Hi Paul. Your case has been escalated to upper management. You should be receiving an answer from them by Tuesday. We have our very best working on your case. – Cortney

 

on Wed, May 1, 2019 at 10:00 AM paul goeltz <pgoeltz@gmail.com> wrote:

Attn: Carmen G.”/  Cortney W.

So the grievance is all wrong, those are not my words. the program if opened

1 per doc kemple i need a medical detox 4 or higher and inpatient pain rehab or best might end up back on a pump, reeading mjh, not sure they do detox and what levels?

there is many pain clinics that are hooked to hospital, for ppl like me with medical conditions.

the couple i gave was my research.

i also want to complain about the company you hired to do case management, they did nothing and left this in a mess.

that said i need case management or help with this.  are you saying in one week if  the codes are not right i will be in the first week of a 5-8 week in patient stay, as the detox is part one learning to try to live with out pain meds are reducing them takes learning, so i might as well shoot myself now, it took a year of begging to get this and now it being forced down my throat, i have talked to no one about any of these places!! Sheryl and that company was to help me decide and make a wise choice but what happened?  so ur saying the hell with Paul  after one week, it gives the hospital no faith in blue shield and they probably will not give me the care i need seeing BS want to still play games.

Another part is why no case manager/ i don’t know how when I’m out of it both detoxing and with out pain meds, you can get me out and who will fight for me,  you tell ppl don’t should NOT! make decision when on opiates, well over 20 yrs so your asking me to make a life decision even though it bad a dangerous//??  why is this all messed up you ask us to make the bad decision even though you know your to help??

if this is what there is, your blue shield doctors don’t talk, how do you sign them up, this is real said, messing with ppl life’s here, no case, you figure it out goeltz, i have been but now its all wrong, well the best is after a week when they boot me, i;ll go er to er.  so what about the case manager telling me to go to drug and booze detox, for 2 months she had me calling those places and listing to there lies you’ll be fine with the serenity bed etc, and Sheryl just said yes to everything, like she had to help another person with one place, does it not take 3-5 place to make an informed decision??  i wanted kemples medical necessity letter and records sent to 5 to make the right choice for me and bs so you get value.  you should be a part that what Sheryl was do do not just chicken out.

miamijewishhealth.org/healthcare-services-programs/rosomoff-center/  maybe not best fit, but maybe lowball for you and no one has even compared them, does BS not want whats best??

https://www.hopkinsmedicine.org/psychiatry/specialty_areas/pain/patient_information/inpatient.html

https://www.sierratucson.com/programs/pain-management-recovery/

https://lasvegasrecovery.com/pain/

so it appears all the help for a week in a long program, is just insane? is the bottom line the only thing BS of ca cares about.

DO I JUST NEED DETOX?

It’s important to know that detox alone will not solve a drug use problem. Some individuals find that once they have successfully completed detox, they still need to enroll in a program to help them rebuild their life after prescription pain killers. Freedom Model Retreats offers a Cognitive Behavioral Learning program that uses self assessment and self change to teach guest to reevaluate their choices and decisions and to make choices that are more productive. Guests learn the importance of forming habits and behaviors that are positive and more purposeful and they realize that they have the power to take back control of their life and to have a life that is permanently free from substance use. see most detox is for abuser, they get to learn to cope and so do i it takes tiome 5-8 weeks to tryiong out different meds, drips, etc, we dont get this right i will be back, i will take this to the highest court.  the boozes and dopers dont have any issues but paul goeltz who omnly takes what is giving noting lost stolen etc, i been told your not hooked so no detox and you can go to any detox and blue shiled will get with the place to decide?? ok what is the plan after detox? is there detox what level, can i pay for higher like 5/

anyway please dont leave me after one week if you want me to go to miami jewish is a program, they are layughing at BS all ready, your showing your card, they know you dont want to pay.  i can say if i dont get into a good program

this just seems like here toss paul a bone and we dont even know if this is right place

pg

so i spoke with a couple doctors< they all came to the same conclusion, BS could care less, and this will make a great best seller, why paul died while trying to get help/   kemple told me he spoke with higher ups there, and going into a program that is 5-8 weeks with just a week approved is a death sentence!
  people detoxing from drugs or booze don’t have to deal with this?
It sounds like MJH does not understand the codes and billing, which would mean me suffering, and having to appeal a program??  Not even sure if MJH does detox, i was told they do from that case management company you hired and relieved??    Did we get all of there case notes??
What happened to https://lasvegasrecovery.com/pain/ or
sierratucson.com/programs/pain-management-recovery/
miamijewishhealth.org/healthcare-services-programs/rosomoff-center/
 
how can BS pay for drinkers at these places but not a rehab pain patient??
also why cant that company that you hired to do case management help? yes they got tossed off, but that is there job i have the sheet in front of me, it does no say i can have case manger if just using medical or mental, as i had them with just medical, so i demand there help. and a nurse that will help me make informed thoughts ideas etc, this also is in the job description.  there number is 1 866 567 6195, i called them again week ago asking for help and was told they will be in touch this seems to be very common at BS, were laddies say oh we will call back or i will file a grievance and have not … i called 3 times about grievance and the last one went but not my words, 2 ladies did nothing, same with that company, they claim an inability to help.

yes is paying the ceo over 42 million, meanwhile my pain doctor is trying to get spinal rehab 5-8 weeks inpatient, yes it will cost, but no BS wants to pay there brass billions, and us the workers we get sort of like living in

Opinion I Am Part of the Resistance Inside the Trump Administration

I Am Part of the Resistance Inside the Trump Administration

I work for the president but like-minded colleagues and I have vowed to thwart parts of his agenda and his worst inclinations.

The Times is taking the rare step of publishing an anonymous Op-Ed essay. We have done so at the request of the author, a senior official in the Trump administration whose identity is known to us and whose job would be jeopardized by its disclosure. We believe publishing this essay anonymously is the only way to deliver an important perspective to our readers. We invite you to submit a question about the essay or our vetting process here.


President Trump is facing a test to his presidency unlike any faced by a modern American leader.

It’s not just that the special counsel looms large. Or that the country is bitterly divided over Mr. Trump’s leadership. Or even that his party might well lose the House to an opposition hellbent on his downfall.

The dilemma — which he does not fully grasp — is that many of the senior officials in his own administration are working diligently from within to frustrate parts of his agenda and his worst inclinations.

I would know. I am one of them.

To be clear, ours is not the popular “resistance” of the left. We want the administration to succeed and think that many of its policies have already made America safer and more prosperous.

But we believe our first duty is to this country, and the president continues to act in a manner that is detrimental to the health of our republic.

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That is why many Trump appointees have vowed to do what we can to preserve our democratic institutions while thwarting Mr. Trump’s more misguided impulses until he is out of office.

The root of the problem is the president’s amorality. Anyone who works with him knows he is not moored to any discernible first principles that guide his decision making.

Although he was elected as a Republican, the president shows little affinity for ideals long espoused by conservatives: free minds, free markets and free people. At best, he has invoked these ideals in scripted settings. At worst, he has attacked them outright.

In addition to his mass-marketing of the notion that the press is the “enemy of the people,” President Trump’s impulses are generally anti-trade and anti-democratic.

Don’t get me wrong. There are bright spots that the near-ceaseless negative coverage of the administration fails to capture: effective deregulation, historic tax reform, a more robust military and more.

But these successes have come despite — not because of — the president’s leadership style, which is impetuous, adversarial, petty and ineffective.

From the White House to executive branch departments and agencies, senior officials will privately admit their daily disbelief at the commander in chief’s comments and actions. Most are working to insulate their operations from his whims.

Meetings with him veer off topic and off the rails, he engages in repetitive rants, and his impulsiveness results in half-baked, ill-informed and occasionally reckless decisions that have to be walked back.

“There is literally no telling whether he might change his mind from one minute to the next,” a top official complained to me recently, exasperated by an Oval Office meeting at which the president flip-flopped on a major policy decision he’d made only a week earlier.

The erratic behavior would be more concerning if it weren’t for unsung heroes in and around the White House. Some of his aides have been cast as villains by the media. But in private, they have gone to great lengths to keep bad decisions contained to the West Wing, though they are clearly not always successful.

It may be cold comfort in this chaotic era, but Americans should know that there are adults in the room. We fully recognize what is happening. And we are trying to do what’s right even when Donald Trump won’t.

The result is a two-track presidency.

Take foreign policy: In public and in private, President Trump shows a preference for autocrats and dictators, such as President Vladimir Putin of Russia and North Korea’s leader, Kim Jong-un, and displays little genuine appreciation for the ties that bind us to allied, like-minded nations.

Astute observers have noted, though, that the rest of the administration is operating on another track, one where countries like Russia are called out for meddling and punished accordingly, and where allies around the world are engaged as peers rather than ridiculed as rivals.

On Russia, for instance, the president was reluctant to expel so many of Mr. Putin’s spies as punishment for the poisoning of a former Russian spy in Britain. He complained for weeks about senior staff members letting him get boxed into further confrontation with Russia, and he expressed frustration that the United States continued to impose sanctions on the country for its malign behavior. But his national security team knew better — such actions had to be taken, to hold Moscow accountable.

This isn’t the work of the so-called deep state. It’s the work of the steady state.

Given the instability many witnessed, there were early whispers within the cabinet of invoking the 25th Amendment, which would start a complex process for removing the president. But no one wanted to precipitate a constitutional crisis. So we will do what we can to steer the administration in the right direction until — one way or another — it’s over.

The bigger concern is not what Mr. Trump has done to the presidency but rather what we as a nation have allowed him to do to us. We have sunk low with him and allowed our discourse to be stripped of civility.

Senator John McCain put it best in his farewell letter. All Americans should heed his words and break free of the tribalism trap, with the high aim of uniting through our shared values and love of this great nation.

REACTIONS TO THIS OP-ED
Trump Lashes Out After Reports of ‘Quiet Resistance’ by Staff

Anonymous Op-Ed in New York Times Causes a Stir Online and in the White House

It Wasn’t Me: Pence, Pompeo and a Parade of Administration Officials Deny Writing Op-Ed

‘Anonymous’ vs. Trump: Resistance From Within

We may no longer have Senator McCain. But we will always have his example — a lodestar for restoring honor to public life and our national dialogue. Mr. Trump may fear such honorable men, but we should revere them.

There is a quiet resistance within the administration of people choosing to put country first. But the real difference will be made by everyday citizens rising above politics, reaching across the aisle and resolving to shed the labels in favor of a single one: Americans.

The writer is a senior official in the Trump administration.

Follow The New York Times Opinion section on Facebook and Twitter (@NYTopinion).

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The story behind the unsigned Op-Ed.
The Anonymous Senior Administration Official