"Everyone but the claimant derives some monetary benefit
from the never ending culture of denial. . . . One of the proposals of Meredith
was to have workers pay a proportion of their wages into the system along with
the employer. . . There would be no need for an Appeals Commission, Decision
Review Boards, Adjudicators, Case Managers, Medical Services, Legal Services,
Appeals Advisory Boards, Directors of these Boards etc. The bureaucracy could
be reduced by more than 80% with employers premiums being reduced
significantly. "
After studying workers compensation programs throughout
the world, a person can only come to one conclusion. It does not work! Every
WCB system is constantly being criticized for the way they handle claims. When
claimants benefits go up, premiums also go up to pay for increased benefits,
the pendulum swings to where Governments bring in changes to reduce benefits
and premiums. This pendulum swing goes on continuously without any abatement. A
good example is the State of California where benefits to claimants were
reduced by 70% with massive profits and premium reductions for employers. The
pendulum is now shifting to increasing the benefits for workers and attempting
to maintain premiums at the present level. The system simply does not work as
it either swings in favor of the claimant or swings in favor of the employer.
We have seen great changes in all our daily lives, yet the way workers
compensation operates still remains the same. One of the proposals of Meredith
was to have workers pay a proportion of their wages into the system along with
the employer. The State of Washington does this and rarely do I ever hear
anything relative to any problems they are having. Inclusion of workers into
the plan would most likely result in very few fraudulent claims.
The
system we have now relies on a culture of denial which creates jobs for Boards,
just as crime creates jobs for the police, legal profession, the courts etc.
Because of the lucrative nature of the jobs created by a culture of denial,
claim costs are greatly exaggerated due to the number of doctors involved, each
providing an opinion that is not based on any medical certainty. These medical
opinions then are used by decision makers who have no medical expertise and
claims are denied. The appeals system then bring in the costs associated with
the Appeals Commission, adding more costs to the system. The Appeals Commission
and WCB then disagree and go to the courts, again driving up costs. Everyone
but the claimant derives some monetary benefit from the never ending culture of
denial.
A better system could be put into place where there is no
culture of denial reducing the costs by significant amounts. If the system was
changed simply to a sickness and disability compensation scheme where workers
would pay say a small proportion of their gross wage to supplement employers
premiums and the system was changed to provide sick benefits for workers for
short term sickness, short term disability and long term disability without any
hassles whether the sickness or injury was work related would ensure that all
workers received benefits without the constant wrangling over whether the
injury or disease was work related. Who cares! Most if not all unionized
workers as well as Government workers have these benefits without having to go
through the Gestapo like environment of the workers compensation systems that
feeds off the culture of denial like bloodthirsty sharks. With a system of this
sort, there is no need for special presumptive legislation for firefighters or
any other occupational group who has the finances to fund epidemiological
studies. There would be no need for an Appeals Commission, Decision Review
Boards, Adjudicators, Case Managers, Medical Services, Legal Services, Appeals
Advisory Boards, Directors of these Boards etc. The bureaucracy could be
reduced by more than 80% with employers premiums being reduced significantly.
More employers would relocate to the Province because of the significantly
reduced premiums. MLA's would no longer be inundated with calls from
disgruntled workers, the legislature could get on with other matters not
pertaining to workers compensation problems.
The way WCB is run today
is a concept that should have been revamped years ago. If you think like a
dinosaur, progress can never be attained no matter whether it involves the
health systems, workers compensation systems or whatever. We live in the
present, we do not live in the past, nor should we. Workers compensation in the
early 1900's may have served a worthwhile purpose but in today's world it is
nothing more than an excuse for the people involved in the process to have a
well paying job at the expense of workers and employers.
Gerry
Miller (Gerry Miller is a long time WCB critic from Alberta.)