Cort, I was in the insurance industry as well as a stockbroker for 25 years so I also have a perspective as a ex-selling agent. Wessely's time is running out of making money from ME/CFS. It is clear that many new findings are coming out stating that ME/CFS is a serious, medically, psychically based illness and not a mental illness as he has claimed. So his ship of making money staying on the insurance companies' side is going down fast. So he is bailing ship right before it sinks. He believes that by doing so, he is surviving and saving his reputation. he can't right the ship down or he will lose all creditably in the medical industry.
If he declares that he is starting to SWITCH that maybe ME/CFS is a valid read medical condition and not mental illness, he can say he joined in, in helping us. He doesn't make money here. He has made his money.
WHAT HE IS DOING IS TRYING TO SAVE HIS REPUTATION TO SWITCH TO ATTACK THE NEXT VULNERABLE ILLNESS. THE INSURNACE COMPANIES WILL TELL HIM WHICH TO START ATTACKING AND WESSELY WILL REDIRECT AND BECOME AN AMBULANCE CHASER FOR THE NEXT INVISIBLE ILLNESS IN ORDER TO MAKE MONEY THEIR. HE IS THEIR HIGHLY PAID PUPPET.
i GOT MY HANDS ON A UNUM MEDICAL REVIEW OF OVER 20 PAGES. THEY HIRE INVESTIGATORS TO DRIVE WITH A VIDEO CAMERA BEHIND PEOPLE, GET DUNN & BRADSTREET TO CALL THEM, SEND OUT FLYERS TRYING TO ENTRACT THE DISABLED TO DENY CLAIMS.
As an example look at it this way... $2000 monthly x 12 = $24,000 x 20 years = $480,000 for a 45 year old that gets sick. Unum has mental illness clauses that do not allow mental illness claims to be paid.
If Wessely can get other doctors to beleive that this is a mental illness. Then MD will not right it up without a mental illness diagnosis too and the claim does not get paid. So about half a million for one person at 45 YOA x 500 disabled = $250,000,000. That's assume they are only 45 and not 30 YOA and that there is only 500 claims and not 5000.
So it is in the insurance companies interest to pay medical consultants to deny the claim and medical verify you are nuts not sick. Personally, Unum sent me to an independent medical examiner and more than check to see what illnesses I had, the 2 inspectors, tried to find me malingering and trying to falsify the claim. When all was done, the Unum report started that I was NOT malingering one bit even though the symptoms were bizarre. He will change illnesses in the near future as he rode the ME/CFS horse dry... He gets consulting fees for every position he takes and he is only transitioning... for his next killing of fees... AN example...
MetLife Hires Orthopedic Surgeon, Who It Had Previously Paid Over $250,000 to Conduct Over 418 Disability Reviews, to Conduct “Independent Medical Review” and Find That There Are No Functional Limitations
Discouraged, but thinking that perhaps new reports from his treating physicians would convince MetLife that he was indeed disabled, Mr. Rowles decided to submit a final appeal for disability benefits. The reports from Mr. Rowles’ treating physicians provided noteworthy evidence of the difficulties he was having dressing himself, getting on and off the toilet, and that his physical pain had lead to psychological distress with emotional and cognitive symptoms.
Instead of overturning its decision to deny benefits, MetLife hired Dr. Howard P. Taylor, an orthopedic surgeon, who had spent prior years working for The Paul Revere Life Insurance Company and Unum Life Insurance Company of American as an in-house medical consultant evaluating disability claims, to perform an “independent medical review” of Mr. Rowles’ disability claim.
It was also discovered that Dr. Taylor had been paid over $250,000 by MetLife over a three year period to conduct 418 “independent medical reviews.” Unfortunately for Mr. Rowles his fate was sealed as soon as MetLife decided to hire Dr. Taylor. Without ever physically examining Mr. Rowles, and only reviewing the medical records, Dr. Taylor determined that, since Mr. Rowles attempted to return to work for 4.5 days, he would not be considered to have functional limitations that would include any reduction in his ability to work full time.
Based on Dr. Taylor’s findings, MetLife advised Mr. Rowles that it was upholding its prior decision and that he had exhausted all of his administrative remedies.
http://www.disabilityapplicationser...on-a-hired-gun-ime-doctor-but-court-reverses/