Iread with great interest your recent article (Aug. 31) on Sacramento's newest and most disastrous plan ever conceived.
This cynically named experimental plan, conceived by the Deukmejian administration with the help of two years of closed-door meetings, will actually give no choice of health care to the poor people of the San Fernando Valley. The 90,000 San Fernando Valley poor, handicapped, disabled and elderly people on MediCal and MediCal/MediCare, as of Jan. 1, 1986, will no longer be able to go to their own doctors, pharmacists or hospitals. They will be forced to go to a few approved health maintenance organizations, which will be prepaid each month for the care of these patients and thus will have a strong financial incentive to neglect and underutilize services.
Many of these patients have been going to physicians for over 20 years. These doctors know their complex medical histories well and the treatments which have been used in the past. These patients are the sickest people in the Valley, and usually this is why they are on MediCal. Also, they are poor, which always worsens illnesses and often indirectly causes them.
Many of these patients have spent years looking for competent physicians to care for them and who will accept the reduced fees that the state allows . . . and as a state will require these patients to leave their doctors and go elsewhere. "Expanded Choice"? How cynical!