Making a Killing book cover
Common Courage Press • Foreword by Ralph Nader

Making a Killing

HMOs and the Threat to Your Health

By Jamie Court & Francis Smith

Published by Common Courage Press ISBN 978-1-56751-168-0 230 pages
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Making a Killing — book information card
More About the Book

A Landmark Exposé on Managed Care

Jamie Court and Francis Smith take on the corporate world of managed healthcare and explain, in plain language, what HMO Insurance means for your health — and who really profits from the managed-care system.

Through chilling real-life patient stories and hard data, Making a Killing documents how HMOs systematically deny and delay necessary treatment to minimize costs and maximize shareholder returns, often with catastrophic consequences for patients and their families.

A landmark work that exposed the dark side of "managed care" long before the debate reached its current urgency.

  • AuthorsJamie Court & Francis Smith
  • Foreword byRalph Nader
  • PublisherCommon Courage Press
  • Published1999
  • Pages230
  • ISBN978-1-56751-168-0
  • GenreHealth Policy / Consumer Rights / Political Science
Author Interview

Watch an Interview with Jamie Court

Jamie Court discusses the Affordable Care Act, extensions to coverage mandates, and what has — and hasn't — changed since Making a Killing was first published.

Watch on YouTube

Jamie Court Interview — Making a Killing
From the Book

Real Stories. Real Harm.

These are not statistics. These are real patients whose lives were upended by HMO profit decisions.

Bill Beaver

"My problems with my legs and nerves worsened over the next two years and my HMO wasn't able to develop any remedy."

— Bill Beaver
Dr. Linda Peeno

"I had a common task: using my medical expertise for the financial benefit of the organization, often at great harm and potentially death to some patients."

— Dr. Linda Peeno, former HMO Medical Director
Steven Olsen

Steven Olsen's doctors told his parents a scan was unnecessary, ignoring his mother's concerns — saving all of $800 the test would have cost. Three days later, Steven fell into a coma.

— Steven Olsen
Stephanie Ulrich

The doctors wanted Stephanie transferred to the National Rehabilitation Hospital. Her HMO denied the request — she had to fight her recovery alone.

— Stephanie Ulrich
Critical Reception

Praise for Making a Killing

"Provides one of the most descriptive records of the horrors of HMO medicine during the 1990s. Court and Smith make a compelling case for the absurdity of a health-care system based on the concept of minimizing care to increase profits. They reveal how and why most HMOs have broken their early promises."

"One of the most powerful indictments of the managed care industry. This scathing exposé presents case histories of those who have lost their health or their lives because an HMO denied or delayed vital treatments, tests or surgery. This lively probe is must reading for anyone concerned with the health of the U.S. medical system."

"A gripping story of excessive power without restraint that comes down hard on powerless and defenseless people. Who speaks for them and those who follow them? It could be you the readers."

Ralph Nader

"Upton Sinclair would be proud."

Jim Hightower, Radio Commentator & Author
Meet the Authors

About the Authors

Jamie Court

Jamie Court

Consumer Advocate & Author

A nationally-recognized consumer advocate and Advocacy Director for the non-profit Foundation for Taxpayer and Consumer Rights (now Consumer Watchdog) in Santa Monica, California. In 1994, Court established Consumers For Quality Care to protect the public interest in high-quality health care. Named Consumer Educator of the Year by the Consumer Attorneys Association of Los Angeles, 1998. A graduate of Pomona College.

Francis Smith

Francis Smith

Public Policy Consultant & Author

President of Future Strategies, a Cambridge, Massachusetts, public policy consulting firm. Senior Fellow at the Institute for Civil Society, a Newton, Massachusetts, non-profit dedicated to strengthening democratic civic society. Smith brings extensive policy expertise to the exposé of managed-care industry practices.

Where to Buy

Making a Killing is Available Everywhere

Available in hardcover, paperback, Kindle, iBooks, and ePub wherever you buy or read books.

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Submit your HMO story to Making a Killing
Your Voice Matters

Have You Witnessed HMO Abuses?
Submit Your Story.

If you have a proposed addition to this book that reveals new evidence about corporate medicine's offenses or reckless medical downsizing, please submit your story.

The HMOs and managed care corporations named in the submissions will be approached for comment before a selected passage is added, and HMO responses will be included. Reader-amended text will be published in future printings of the trade publication.

The authors will examine the documentation and select submissions that:

  • Are credible and well-documented
  • Provide a new dimension to issues already raised
  • Document systemic abuses not yet touched upon
Submit Your Story
Making a Killing Making a Killing by Jamie Court & Francis Smith
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