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Re: Misinformed Public

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Posted by tonyb on August 31, 1999 at 18:11:35:

In Reply to: Misinformed Public posted by Jon on August 31, 1999 at 07:03:54:

Fraud: ...A generic term, embracing all multifarious means which human ingenuity can devise, and which are resorted to by one individual or group to get advantage over another by false suggestions or by suppression of truth, and includes all surprise, trick, cunning, dissembling, and any unfair way by which another is cheated; synonymous with "bad faith," dishonesty, infidelity, faithlessness, perfidy, unfairness, etc.

Fraud comes dressed in different clothes. It can be a padded claim, arson for profit, or insurance fraud ring. It can also be misleading advertising, or denying information to both sides, which is also a form of deceit. Conspicuously missing from the entire insurance transaction is any mention of possible criminality of the insurance company or its agents, adjusters, investigators and experts who might participate in collusion, provide misinformation, conceal policyholder rights, conceal facts, and negotiate claims in bad faith. They are after all, people--not saints. If an adjuster is trained to act according to a bias claim manual of misinformation and nonexistent authority, that adjuster can come to feel righteous in that misinformation and entitled to that authority. The same is true for policyholders who have given up their responsibility and authority, and come to feel entitled to lay their problems at the feet of insurance.

If the system expects a person to act according to principle it must take into account the self-interest factor and temper it with responsibility--otherwise the principle is diminished to the extent of self-interest predominance. This inescapable equation applies to the policyholder and company alike. Fundamental rights and responsibilities must be provided to both sides as a matter of course. We need this puzzle piece, which is in itself reform, before equity is served. Lack of information and misinformation are not a reasonable guide for either side, and can eventually bring any system to its knees. The new face of insurance must decree both sides be genuinely informed and responsible, if only for its own sake.

>You buy a Honda, don't expect the comfort of a Rolls. Face it, you didn't pay for it.

^I buy a Honda or a Rolls....I'll do the driving or choose the driver, thank you.

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