After an accident, your insurer may not be in your corner
Ralph is a 49-year-old millwright. He
was always healthy and never needed a family doctor. He paid his car
insurance premiums just like everyone else in Ontario who drives. He has
to; it is the law. One day, his life changed forever. It happened in
the blink of an eye. He was at a red light when another car came
barrelling into the back of his vehicle. Ralph hit his head on his side
window and his knees smashed into the dashboard. He felt dazed and
disoriented. Fire and police cut him from the car and took him to the
nearest hospital. He was examined, X-rayed, told nothing was broken and
discharged to the care of his family physician. From that point, Ralph's
life would never be the same. He was now dependent on the car insurance
industry for his and his family's welfare.
Ralph assumed that because he paid his
insurance premiums for more than 20 years, he would receive service in
return. He was in for a surprise. Ralph had a fairly quick assessment by
an occupational therapist and an orthopedic surgeon. It was their
opinion that Ralph could go back to work. Two weeks later, his income
support of $400 per week was cut off. All treatment stopped. Now Ralph
got a lawyer and an eight-year battle began.
During those eight years, Ralph went
from earning a nice living to relative poverty. He lost his home and his
car. He lost his ability to pay for his children's college education.
Eventually, Ralph lost his wife. She could not tolerate the changes in
her husband and the strain of living in poverty. She left by year six.
No matter what Ralph did, he could not
access treatment. Any time a recommendation was made, the insurance
company refused it. After each refusal, he was sent for an assessment by
a doctor selected by the insurance company. Not one of these doctors
overturned the decision of the insurance company. By the time his case
settled, Ralph had gone to seven of these assessments. He was sure the
assessments cost more than the treatment he was trying to get.
The insurance industry has become progressively more
powerful, taking control of almost everything that happens after a car
accident.
As time passed, Ralph started to gain
weight because he was inactive. His friends abandoned him because he was
not fun anymore. He ate poorly because fresh fruits and vegetables were
expensive and he simply did not care. Ralph started to think his life
was not worth living. One day, he tried to hang himself. He did a bad
job of it and the rope he used broke. He knew he needed help and he was
hospitalized in a psychiatric service for two weeks.
Eventually, Ralph's case came to an end.
The insurance company refused to make any reasonable offer to Ralph,
but one week before the official court date, it gave in. Ralph received
what seemed like a large payment, but it did not cover his losses. He
now had enough money to live on, if he was careful. The only problem was
that Ralph no longer had his family, his friends or his wife. He had no
life.
Ralph is just one of thousands of people
whose lives have been changed by a simple motor vehicle accident. The
automobile insurance industry in Ontario is designed to make a profit.
It is the job of the Ontario government to protect us from inappropriate
behaviours on the part of these companies in their efforts to increase
profits. The government is not doing its job. It has supported the
insurance industry in its efforts to increase its profits at the cost of
its own citizens. Over time, the insurance industry has become
progressively more powerful, taking control of almost everything that
happens after a car accident.
Until the citizens of this province
recognize that the behaviour of the insurance industry is not
acceptable, nothing will change. It is not reasonable for us to be
legislated to pay profit to a company while that company withholds its
services when required. Anyone involved in a car accident will tell you
their lives changed in the "blink of an eye." Rather than waiting until
there are enough people injured in motor vehicle accidents in Ontario to
force a change to the system, the healthy citizens of Ontario must
demand a change to the Automobile Insurance Act before their lives are
changed forever — before they become like Ralph.
Dr. Jeffrey H. Ennis is medical director of The Ennis Centre for Pain Management in Hamilton.
Source: http://www.thespec.com/opinion-story/4363491-life-can-change-in-the-blink-of-an-eye/
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