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INSURANCE CUTS DELAYED
Some Ontario motorists will wait as long as 22 months to benefit from insurance premium cuts that Dalton McGuinty's Liberals promised to deliver within 90 days of taking office.
Data obtained by the London Free Press shows the delay, caused by slow processing, will cost drivers about $575 million.
The processing bottleneck came about because the new provincial government didn't add staff to the office to which insurers were required to file rate reductions by Jan. 23.
''The rate filings were very complex and it takes time to go through them,'' said Rowena McDougall, a spokeswoman for the provincial Finance Ministry. Ontario's 61 insurers typically file rate changes once or twice a year. With those filings spread out across the year, fewer than 10 typically come in a single month, a regulator said.
But regulators weren't able to keep pace when all 61 insurers filed rate reductions in January. While some took effect April 15, others won't until next month, perhaps later.
Drivers won't enjoy lower premiums until they renew their insurance, and since most renew once a year, that means some won't get a break until as late as August 2005.
On average, motorists will have to wait until the end of October -- a year after the Liberals took office.
Exposed: ploys of health tourists who exploit NHS
THE scale of NHS tourism is revealed today. Letters from doctors and hospital managers expose the methods used by foreigners to obtain free treatment.
The documents, sent to the Department of Health and never published, provide firsthand accounts of the way the system is being abused.
A string of NHS staff speak out about the problem for the first time, detailing how visitors avoid paying for care.
Among the practices revealed are:
. Foreigners granted visas to come to Britain for private medical treatment transferring to the NHS.
. Abuse of maternity services, with heavily pregnant women flying to Britain to give birth.
.Overseas nationals enrolling on cheap courses to exploit exemptions from NHS charges for foreign students and their families.
In another example of how resources are being drained, it is revealed that nurses are regularly forced to escort failed asylum seekers home if they are too sick to travel alone. Health chiefs admit there is little hope of recovering the cost of plane tickets.
The letters were sent by NHS staff in response to a public consultation on how to tackle health tourism.
Details of the responses come days after doctors at the British Medical Association's annual conference claimed up to one in 10 patients is fraudulently claiming NHS care.
Doctors agree that foreigners should get free treatment in an emergency, but say many seek free care for longterm conditions.
Under guidelines introduced in April, overseas patients seeking NHS hospital treatment must prove they qualify. Staff are supposed to question them when they turn up in hospital.
Anyone who fails to satisfy the criteria is expected to pay in advance. But many NHS staff say they will not grill patients in clear need of medical help.
Several hospital trusts say the only solution is identity cards, or compulsory medical insurance for non-EU citizens visiting the UK.
Bids to beat system
.Arriving pregnant: Heavily pregnant Nigerians and Jamaicans are coming to Britain to give birth on the NHS.
Aruna Murgai, income generation manager at North West London Hospitals NHS Trust, said: "These ladies are quite maturely pregnant when obtaining visitors' visas. Why are they permitted to do so?"
.Trying to register with GP: A Middle Eastern woman studying in Britain tried to register her mother with the NHS, thinking she would then be eligible for free long-term care. GP Dr John Lethem, chairman of the British Association of Health Services in Higher Education, said: "The mother ... was initially treated as an emergency case but when continued admission was planned, a hospital charge was raised. The student tried to register her mother at our practice, stating that her mother's intention was to stay for one year."
.Enrolling at college: Visitors from abroad are enrolling on the cheapest college courses to use the exemption from NHS charges for foreign students and their immediate relatives. The visa system which allows overseas visitors to enter Britain to receive private medical care is also being abused. The cases are revealed by Westminister councillor Barry Taylor, representing St Mary's Hospital in Paddington, who says the patients transfer to the NHS when they run out of money.



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