National Nurses United

Registered Nurse March 2007

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ance, but they're unwilling to discuss whether instead of more private insurance, it's publicly-provided insurance that the nation needs. The problem for the Wilkes has never been that they do not have insurance; it's that theirs doesn't do them any good. Nathan Wilkes, a computer network security expert, earns more than $100,000 a year at a Colorado start-up telecommunications company he helped build called Virtela. Before that, he worked as an engineer for Qwest and Sprint. Except for a brief period before full-time work when he and his wife paid for their own insurance, he and his family have always enjoyed large-group coverage. Then Thomas was born in 2003 and diagnosed with severe Hemophilia A. When at age 1 Thomas became resistant to the clotting factor that he normally took for bleeds, his treatment became a lot more complicated and expensive. Suddenly, Virtela's health insurance premiums with United Healthcare skyrocketed nearly 40 percent. As a company trying to become profitable, Virtela tried to shop around for a better deal, but found no insurers willing to bid on its business. The company ended up staying with United Healthcare and negotiated lower premiums, but in exchange had to shift from a PPO plan to a high-deductible plan for employees. © 2007 JON ORLANDO/JONORLANDOPHOTO.COM previous spread: Thomas Wilkes, 3, bikes at a park around the corner from his home in Englewood, Colo. opposite page: Thomas double high-fives his mother, Sonji, during a session at his physical therapy clinic. above: Thomas during his monthly chemotherapy treatment at The Children's Hospital in Denver. The chemo is to help lower his resistance to hemophilia treatment. left: About $95,000 worth of clotting factor that Thomas takes for major bleeds sits in the family refrigerator. MARCH 2007 W W W. C A L N U R S E S . O R G REGISTERED NURSE 17

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