The good guys at the Consumer Watchdog have started a new little site, ArnoldWatch, that is going to keep tabs on the new governor of California.
I think the man will need to be watched. For example, this article contains the following passage:
"Schwarzenegger said legislation passed this year doesn't do enough to lower the cost of workers' compensation. The governor-elect said he will take steps to close loopholes and eliminate incentives that encourage fraudulent claims."
So, it appears that the California Workers' Compensation System will be under attack by Arnold. This doesn't bode well for injured workers. I live in Texas right now, which is another state that had its workers' compensation system overhauled to prevent "fraudulent claims" and to "lower costs."
Here's an example of how the workers' compensation system "works" in Texas:
Are you injured on the job? Good luck finding an attorney to handle your case; very few lawyers in Texas will represent injured workers in a workers' compensation claim, because it's nearly impossible to get paid. Let me tell you about a client I will call "Mr. K" who was represented by an attorney I know.
Mr. K was working in a medical facility when a wall-mount broke and a television fell on his head. This was witnessed by a couple of other employees and never disputed by the employer. He was seriously injured, and filed a workers' compensation claim, which was denied entirely by the insurance carrier.
After his claim is denied, Mr. K searches for an attorney, and finds the attorney friend of mine. The attorney appeals the denial of the claim, and the game begins. One of the requirements for a Texas workers' compensation claim (and almost everywhere, I believe) is that of the Independent Medical Exam, or IME. An IME is a medical exam performed by a supposedly independent doctor, although the doctor is actually paid by the insurance carrier. During the IME, the doctor examines the patient to check for the existence of and extent of the disputed injuries.
Mr. K has to undergo several IME's. A couple of the doctors claim they don't think a TV even fell on him - remember, the employer never tried to dispute this, only the insurance carrier. One of the other doctors agrees a TV probably fell on him but repeatedly points out how Mr. K is a former alcoholic and claims that he reaked of alcohol during the exam.
After dozens of hours of work, the attorney won the first hearing with the Texas Workers Compensation Commission (TWCC). This entitled Mr. K to workers comp. medical benefits and lost wages, and entitled the attorney to 25% of those benefits.
However, the carrier appealed the decision to the next administrative level. This appeal held off the benefits and the pay for the attorney. The insurance carrier again tried some defenses that lacked merit, and again, Mr. K wins and is entitled to his benefits... Until the carrier appeals again.
By this time, Mr. K has been unable to work for months, and has lost his car because he couldn't make the payments. The attorney wins the third appeal, and the carrier doesn't choose to appeal from the TWCC to an actual court of law. This means Mr. K and his attorney can finally get paid.
The attorney got his first check for all his hard work last week, for $36.00. Why? Well, in many states, injured workers (and their attorneys) receive a "lump sum" payment for their injuries, but not in Texas. So, Mr. K will get $144 a week for the next 20 months, and the attorney will get 25% of that, which is $36 per week.
Few Texas attorneys handle workers' compensation claims anymore because not only will it take 6+ months to get paid a dime, but instead of getting a "lump sum" payment, the attorneys will get 25% of the worker's weekly benefits.
All of these "reforms" were put in place to lower the insurance premiums for workers' compensation insurance. So, are low premiums worth a system that is stacked against the injured? Texans can't answer that question, as we still have some of the highest premiums in the nation.
I have a sneaking suspicion that Arnold will look towards the Texas model for some guides on how to "reform" the California system.
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