Gilbert Simon

Born: April 13, 1937, Brooklyn, New York. Education: A.B. Colgate University, 1958 Phi Beta Kappa, High Honors, and Cum Laude M.D. University of Rochester, 1962 Whipple Scholarship Internship, Residency, and Fellowship: Intern in Pediatrics, Upstate Medical Center at Syracuse NY, 1962-63 Research Fellow in Preventive Medicine and Pediatrics, University of Virginia, 1963-65 Resident in Pediatrics, Babies Hospital, Columbia-Presbyterian Medical Center, 1965-67 Academic Appointments: Instructor in Pediatrics, Columbia University School of Physicians and Surgeons,1968-72 Associate in Pediatrics, 1972-73 Assistant Clinical Professor of Pediatrics, 1973-83 Associate Professor of Pediatrics, University of California Davis School of Medicine, 1986-89 Clinical Professor, Calfornia NorthState University School of Medicine 2014 Military Service: United States Public Health Service, Communicable Disease Center ( Centers for Disease Control), Epidemiology Intelligence Service, 1963-65 Publications: The Parents Pediatric Companion, Simon and Cohen, Morrow & Sons, 1985 RIPPED OFF!, Paper Raven Books, March 3, 2020 Numerous articles in peer-reviewed journals and lay magazines Activities: Founder, Medical Director, and CEO of Sacramento Family Medical Clinics Member of countless Plan and Independent Practice Association advisory committees including but not limited to Peer Review, Credentialing, and Pharmacy and Therapeutics. Member of Subcommittee on Medi-Cal, California Medical Association. Senior Medical Director, River City Medical Group 2016-2017 Completed book 2019 started 2018 Office Pediatrician. Roseville. Oct 2019 to March 2021 Honors: Regional Medical Hero 1999 Heart of a Hero 2000

INSURANCE FRAUD:CHERRY PICKING AND LEMON DROPPING

Private insurers have been allowed to offer Medicare Advantage (MA), a competing version of Medicare, since 1985. These insurers receive a fixed amount for each Medicare beneficiary who chooses to enroll with them based on the most current formula. Over the years, MA plans have artfully adapted to each formula change in order to extract …

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THE CRUELTY OF THE WORK REQUIREMENT FOR HEALTHCARE BENEFITS

Arkansas was the first State to do it.  As soon as the Centers for Medicare & Medicaid Services’ (CMS) gave them the green light in 2018 they introduced a work requirement as a requirement for Medicaid benefits.  CMS felt that work requirements would “promote better… health” because they will increase employment and thereby improve health …

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FREE MARKETEERS HAVE NO PLACE INTHE HEALTHCARE MARKET

 In a free market, competition is open. Both providers and consumers are equally knowledgeable about the worthiness of the product or service.  Each is free to walk away if not satisfied. The price is set by the unfailing law of supply and demand. There’s no coercion or influence from the government.  let’s see if each …

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MEDICINE’S ROBBER BARONS

Industry had its “robber barons.”  John D. Rockefeller, Andrew Carnegie, Cornelius Vanderbilt, Leland Stanford, and J.P. Morgan more than 100 years ago. They grew rich through paying starvation wages, ruthless union busting and monopolistic control of the steel, petroleum, and transportation industries. It’s now the medicine industry’s turn to produce robber barons of equal avarice. Here are the top …

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