Workers Compensation investigation reveals shocking denial of treatment and neglect of people with chronic pain
An investigation into Australia's $60 billion workers compensation system has revealed "immoral and unethical practices" by an industry ombudsman. A joint Four Corners investigation with The Age and Sydney Morning Herald has found the schemes in Victoria and NSW have systematically been denying access to treatment for many consumers, with insurance agents reportedly 'gaming' the system for financial incentives
The investigation also revealed that the Victorian Ombudsman had seen evidence that some agents were gaming the system for financial incentives.
Two separate investigations by the Ombudsman, including one in December 2019, found agents were doctor shopping and cherry-picking evidence to terminate claims. With many clients of the scheme living with pain conditions, the impact of these revelations has prompted many consumers from our networks to share similarly shocking stories.
“The workers comp system is a joke. I’m stuck in it almost 4 years with an injury that requires a multidisciplinary approach and I can’t get any treatment at all. I haven’t had treatments for CRPS for a year while the lawyers play games with my life.”
“9 years battling them. My latest surgery has been declined as have previous surgeries that were needed. The system is a joke, they injure people more with their treatment”
“I’m approaching that 130 week mark and am quite scared of what will happen. I’ve had multiple treatments declined and refused. My condition has worsened only to need more invasive treatments because of their holdups and muck around. Back and forth fighting to just be heard. Constantly begging for pain relief just so I can perform the basic functions of a human.”
Painaustralia will pursue the implications of this investigation for people living with chronic pain. If you or someone you know has been similarly impacted, please contact us via email at admin@painaustralia.org.au