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WellPoint/Anthem Shareholders Revolt!

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Wasichu is the Lakota (Sioux) word for "those who take the fat," the greedy ones. WellPoint/Anthem, the health insurance behemoth born of Blue Cross, is a wasichu corporation.

As the Blue Cross movement grew in the 1930's, one of the foundational standards established in 1937 was "No private investors should provide money as stockholders or owners." There was no concept of pre-existing condition. Excluding someone from health insurance because they might be likely to become ill (and need to actually use the policy) was felt to be immoral. Their mission was essentially charitable.

Over the following fifty years the Blues grew dominant, but in late 80's the marketplace began to change, and many state Blue plans found themselves in trouble. Blue Cross of California established a for-profit subsidiary in 1994 and that summer the national Blue Cross Blue Shield Association changed its policies so that its licensees could convert to for-profit status and distribute their earnings to those who controlled the company. Enter WellPoint, under the guidance of Leonard Schaeffer.

A similar story played out in Indiana where the local Blue Cross began by merging with surrounding state plans and then "de-mutualized" to become a publicly traded company. Their initial stock offering in late 2001 raised $1.7 billion, which only fed the acquisition and for-profit conversion rampage, culminating with the mother of all insurance mergers when WellPoint of California and Anthem of Indiana came together in 2004 to create the largest health insurance company in the country, with 34 million lives covered. Today one American in ten carries their card, and WellPoint is number 32 on the Fortune 500.

Corporate headquarters moved to Indianapolis, under Anthem's Larry Glasscock, whose bonus was $42.5 million for closing the deal. WellPoint's Leonard Schaeffer retired with a package valued at $337 million. Wasichu.

In 2005 my wife Karen and I bought five shares of WellPoint stock so we could make the hour's drive up to Indianapolis for the company's annual meeting and "speak truth to power." Last year I warned the WellPoint board that I would be coming back in 2010 with a shareholder resolution to change the direction of the company back toward its Blue Cross, charitable, non-profit roots.

We beat the odds and were successful in placing our resolution on the proxy ballot. The proxy was sent to all shareholders last week, to be voted on at the annual meeting May 18.

People ask me, why should WellPoint shareholders vote for a proposal to radically change the course of the company?

The reasons are being published everyday. Going back just 12 weeks:

The Indianapolis Star on January 16 revealed WellPoint to be covertly funding U.S. Chamber of Commerce attack ads against health care reform. WellPoint spent tens of millions on other non-covert lobbying. Keep in mind that the bill recently passed was largely written by former WellPoint Vice President Liz Fowler in her role as Max Baucus' chief health care legislative aide.

McClatchy Newspapers on February 24: "While Anthem Blue Cross proposed a 39 percent rate increase on thousands of its California customers, its parent company gave 39 of its executives more than $1 million each and spent more than $27 million on 103 lavish executive retreats, congressional investigators said."

The Los Angeles Times on March 10 updated its readers on the rescission scandal involving WellPoint in California. "Only a small fraction of eligible Californians have benefited from agreements that Anthem Blue Cross made to settle accusations that they systematically and illegally dropped sick policyholders to avoid paying for their care." These were people whose insurance coverage was canceled after they were diagnosed with cancer and other serious conditions.

Consumer Watchdog reported March 31 that WellPoint sent a message to investors describing how it would simply re-label administrative costs as "medical care" in response to the new health reform law. The message follows revelations that WellPoint, also intentionally padded already huge premium increases in California, in case regulators demanded reductions.

I could cite hundreds more, and now the news of CEO Angela Braly's 51% compensation increase, up to $13.1 million. Their arrogance is overwhelming. Why wouldn't shareholders be concerned about where the company is heading? It's not like WellPoint even pays any dividends, while it has plenty to spend on its executives and lobbying.

Last Tuesday I heard Allan Hubbard speak on health care reform at Indiana University. Mr. Hubbard, an Indianapolis businessman, served in the GW Bush administration and is a former Director on WellPoint's Board.

He made no bones about being a Republican and shared a Republican view on where health care reform should go from here. At the end of his talk he concluded with this prediction, "My guess is that in 15 years we will have a single payer health plan, Medicare for All." He wasn't saying this gleefully.

He explained that all health insurance companies do is serve as middlemen between patients on one hand and doctors and hospitals on the other. He fears that as health care reform moves forward, Congress and the people will turn on them as a way to cut spending.

They (we) should.

The health insurance industry adds huge administrative costs to our system, not to mention the profits they siphon off. WellPoint is a parasitic middleman that adds no value, but actually increases the cost of health care for all of us.

I see the day when socially responsible investors will divest themselves from health insurers' stocks.

My recommendation is that WellPoint investors support a drastic change in direction for the company, and not wait for the stock price to plummet, for the health insurance bubble to burst.

Check your pension plan and mutual funds. If you own any WellPoint (WLP) stock, vote for Proposal No. 3, shareholder proposal concerning a feasibility study for converting to nonprofit status. TIAA-CREF is the 12th largest holder of WellPoint stock. If you're invested with them, tell them what you think. If you have any affiliation with a university, ask them about their endowment holdings. Does your faith tradition have a policy for socially responsible investing?

Polls in 2008 and 2009 consistently showed over 60% of the public favoring a single payer plan. The public option polled over 70% approval well into the Fall. Have those people gone away? No, but they (we) are disappointed, discouraged, and weary. They (we) look back and say, "I wrote letters, made calls, went to rallies, and some of us were even arrested. And what did we get? Tens of millions of Americans forced to buy private insurance with our tax dollars subsidizing the premiums, a huge transfer of wealth from taxpayers to shareholders."

People ask me what I think about the new health care bill. My reply: "Health care reform: We're STILL FOR IT... and we're not done yet."

Money talks, like Arianna's Move Your Money campaign. Let's speak to the insurance behemoths in language they understand.

For more information, go to Hoosiers for a Commonsense Health Plan. To read the text of the resolution, go to the HCHP blog. View TV coverage of the 4/7 press conference in Indianapolis.

 
 
 
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03:26 PM on 05/05/2010
Great article, great job!
01:35 AM on 05/01/2010
How long is this going to keep up with the health insurance companies losing so much money by giving in? WellPoint, United Health-- their stock price is way down now and no signs of improvement.

http://www.latimes.com/features/health/la-fi-anthem-20100501,0,4343712.story

http://www.cjr.org/the_audit/reuters_is_excellent_in_diggin.php

http://krugman.blogs.nytimes.com/2010/03/17/demons-and-demonization/
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Samalabear
02:00 PM on 04/28/2010
TIAA-CREF a major WellPoint stockholder? Well, that certainly explains the totally-biased reporting on NPR regarding health care reform and their minuscule coverage of single-payer -- which really only occurred after Obamacare was signed, sealed and delivered. Indeed, they took their cue from Obama and Co. and took it off the table at the beginning. TIAA-CREF is a major sponsor of NPR.
03:33 PM on 04/25/2010
Doc Stone,
Wasichu indeed! Growing-up underprivileged in So. Indiana we always said: "The rich get richer, the poor just get more screwed!" It seems that we can now throw the middle class into that mix. Many, many thanks for all the many, many hours of research and citations you've provided in the (sordid) history of the 'Blues' , recent CEO greed, as well as their most recent, most shameful lobbying efforts. I teach in the public schools and have been involved with BC/BS/Anthem (as well as AIG) for over 25 years. This has resulted (monetarily) in larger and larger proportions of my income going to insurance and pension, such that I'm actually bringing home less money, and getting less in coverage/services than years previous. More simply said: I'm earning less, and forking out more, for a MUCH diminished benefits package.
All that said, I truly hope the idea of 'socially responsible investors' isn't oxymoronic; if so then
Walt Kelly (Pogo) had it right: "...and the enemy is US!"
Onward, Rocinante!
09:03 PM on 04/14/2010
I'm curious to know if you've gotten any feedback from shareholders regarding the proposal. Has there been any support? What is the next step if this doesn't work?
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Rob Stone M.D.
03:55 PM on 04/17/2010
I've heard from some shareholders who are very interested and supportive, but none of the big ones. I don't expect we have a chance of passing this year, but if we can get just 3% of the vote this time, then the SEC allows us to bring it back again next year. Last year, a shareholder resolution on "Say on Pay," calling for WellPoint to be more transparent in reporting their executive and board reimbursement packages received 46% of the vote despite a strong "NO" recommendation from their Board.
Ultimately, this is about going beyond WellPoint and building a South Africa-style divestment movement aimed at all of them, UnitedHealth, CIGNA, Aetna, Humana, Coventry, etc.
03:13 PM on 04/13/2010
Should we be divesting ourselves from WellPoint/Anthem, as Dr. Stone suggests, or should we be buying up their stock. at least for a little while, so we can vote for his shareholder resolution? Oh, if we only had the money!
03:07 PM on 04/13/2010
Insurance was never meant to be a charity, it is for those who want to mitigate risk by paying into a system so when the time ever comes that they need to get medical attention they will actually be able to afford the expensive rates that providers charge. Should there be some cleaning up of the insurnace industry? Absolutely, but to control costs you will be able to do very little through insurance companies alone. Doctors who crank up more utilization rather being concerned with keeping us healthy are just as much, if not more to blame, as insurance companies, medical device manufacturers, pharma, etc. The numbers show that of all the players in the health care industry, insurers have the lowest margins, yet the politicians and doctors continue to point the finger at them as if they are the main problem for high costs. How many times have we heard doctors take kick backs from pharma and medical device reps to push their products, while insurnace companies try to encourage members to try generics and preventive services to reduce costs? The whole system needs to be fixed, including how doctors are incented. We need to move to a society where the goal is to get and keep people healthy so utilization is reduced. Until that day comes, costs will continue to go up. Let's keep in mind that the AMA lobbied the government hard to keep reform from hurting doctors' wallets.
03:43 PM on 04/13/2010
HAP5 makes some good points. As Dr. Stone writes, insurance companies are middlemen that add no value. As such, all they do is add cost to the system. Therefore, eliminating them will reduce costs. And since they add no value, eliminating them comes with no cost. As HAP5 notes, though, they are not the only factor driving up costs. In the town I live in, it seems that just about every doctor has a financial interest in the corporation that does most of the medical testing. In other words, doctors have a financial interest in ordering tests, whether they be necessary or not. Single payer is an elegant solution to the insurance industry mess, but I'm not sure I see a way out of the morass created on the other side of the equation (nor apparently does HAP5). Tests (and drugs/pharma) do add value; hence we cannot simply eliminate them. Legislate against doctors having financial interests in pharma/medical device/medical testing companies? Is that perhaps too restrictive? going too far? unenforceable? What about the doctor's spouse or children? Perhaps this is an area where we can learn something from our more backward friends in Europe.
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Rob Stone M.D.
02:14 PM on 04/14/2010
HAP5, don't be fooled by the argument the insurers brandish about their low margins. Compared to Pharma health insurance margins are meager. I'm no apologist for Pharma, but the insurance industry gets a pretty free ride in comparison.
The real problem caused by the patchwork quilt of insurance coverage in this country is the huge inefficiency, cost shifting, and opportunities for gaming the system that their presence in the marketplace causes. The New England Journal of Medicine (8/21/03, Woolhandler et al) published the classic study “Cost of health care administration in the United States and Canada" which showed how the US spends $1000 per person per year more on healthcare administration and overhead than in Canada.
They went on to do the math and projected that expanding Medicare with its 3% overhead to cover all Americans would end up with a NET SAVINGS of $286 billion a year (in 2003 dollars). This finding was in line with previous studies done in the 90's by the Congressional Budget Office and the General Accountability Office which concluded "If the US shifted to coverage like that in Canada, savings would offset the cost of universal coverage."
Single payer won't solve all our problems, but no other country has achieved universal coverage with FOR-profit health insurance companies. And remember that all the rest of the world's wealthy democracies have universal coverage, have better health outcomes by almost any objective measure, and spend about half per capita of what we spend.
02:41 PM on 04/13/2010
Great article, Rob. I want to share with your readers another point you made (in a local call-in program on health-care) before the current health-care was passed. The caller asked then "wouldn't your energy ... be better expended working to influence and improve what has a good chance to pass." The implication is that spending time advocating single-payer is a waste of time. Here's Rob's response :

"I've been working for single payer for many years, and I'm in it for the long haul. I've talked with a lot of folks who are working for the President's plan because they feel that's what is politically feasible. What I always say is 'I'm a doctor. If you come to me with a medical problem, I'm going to look you over, gather some data (do some tests), and then, using my best judgment, tell you what I think is the ideal treatment for your problem. Not what you want to hear, or what I calculate you might be willing to do, but what I think is really the best.' Then, it's up to them to decide what they will do.

"Any education about single payer that I can provide can only help the President as he tries to move us on the path to real reform, even if he is not advocating single payer at this time. "
02:38 PM on 04/13/2010
I've been with Anthem since they were non-profit Blue Cross Blue Shield. Since they switched over to be for-profit Anthem, my premiums have quadrupled and my deductible has increased TEN fold--all without a major claim in 30 years.

We need a single payer plan.

Thanks Rob and Karen for fighting the Good Fight!
02:28 PM on 04/13/2010
I find it moderately amusing and certainly ironic that all the pop up ads associated with my time to read this article and the comments were for Anthem and Blue Cross Health Insurance. As a social worker I see and hear every day how devastating our health care industry is for people. I am not speaking of the historically poor--they have a health care system, even if it is in shambles in the State of Indiana, but I am speaking of those folks who have recently lost jobs, lost healthcare because they are truly sick or priced out of the market. I was of two minds with recent reform - one one hand bitterly disappointed that as one poster said it was health insurance reform, not health care reform and on the other hand elated that ANY sort of reform was able to pass. I have actually heard it expressed that these "marginal persons should just die, they are a drain on our country's resources". When did Americans become so hateful and mean-spriited? How could holding such beliefs be considered a virtue?

Rob and Karen - you two are an inspiration to me. I wanna be you when I grow up! Thanks for keeping up the good fight. We'll contribute where we can.
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Rob Stone M.D.
02:22 PM on 04/14/2010
I was raised in a conservative Republican family in southern Indiana, but my parents instilled values in me like equality, everyone getting a fair chance, and Brother's Keeper. If I'd had a sister, it would have been Sister's Keeper too. One summer during high school in church camp we learned the old spiritual "All My Trials, Lord". One stanza from that song still haunts me: "If religion were a thing that money could buy, then the rich would live and the poor would die." That's the healthcare "system" (better described as a "non-system of illness care") we have in this country now. The rich live, the poor die, and the middle class are getting squeezed out.

And since when did the DENIAL of charity and caring become "patriotic" American values?
02:15 PM on 04/13/2010
Good work Pop!
12:40 PM on 04/13/2010
This is excellent and true. A not-for profit health care system is the best and sanest way to heal our nation.
12:35 PM on 04/13/2010
A very powerful piece of writing! It's very interesting to understand the origin of the Blues. I hope we don't have to sink into a 30's-style depression to get things moving that way again, because many will suffer in the process--many will not only suffer, but die.

Thanks for your dedication to this cause. Whether you move the WellPoint shareholders or not, you will help to educate all of us.

It would be helpful if you posted links to the sources of your information.
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Rob Stone M.D.
03:07 PM on 04/14/2010
All the recent press references are hot-linked to the sources, but I didn't reference the history of the Blue Cross movement. Consumers Union, particularly their California office has been the best source for this, especially this document: http://yourhealthdollar.org/pdf/yourhealthdollar.org_blue-cross-history-compilation.pdf.
The other non-referenced part concerns the reimbursement packages given to Glasscock and Schaeffer, and it can be located on Consumer Watchdog: http://www.consumerwatchdog.org/patients/articles/?storyId=13284.
10:37 AM on 04/13/2010
Thank you, Dr. Stone for an excellent post, and more than that, for showing us another way to work for universal health care (an equitable and affordable single payer system) despite being frozen out of the legislative process by the Washington D.C. establishment and the media.

No, we're not done yet - we've probably just begun. In fact, let the fun begin!!!!!
10:12 AM on 04/13/2010
Thank you Dr. Stone!