An Open Letter to the Workers’ Compensation Industry

As many of you may know, I recently observed my one year anniversary as a blogger on the subject of medical tourism and its implementation into workers’ comp. Yet, in that time, I have had very little, if any, positive feedback from anyone in the workers’ comp sector of the insurance industry. Using the social media website, LinkedIn, I have posted my blog articles to groups in either health care, managed care, medical tourism, or workers’ compensation.

I have also tried, unsuccessfully to date, to get some individuals I have either connected to, or know of from another connection, to get to discuss my idea. These individuals are heads of companies that service the workers comp industry, so one would naturally assume that they would be interested in what I have to say, and what I have written. And so far, one of them has not even acknowledged receipt of material or letters I have written to them telling them about my idea and why I am contacting them in the first place.

Yet again, nothing but silence. I have even been told that I am far in front of the crowd on this subject, which is something I welcome, but would like some company with. Heck, I even had it translated into Spanish. But alas, crickets.

I have covered many topics in work comp from employee choice, to the boom in manufacturing, to rising hospital costs, to immigration and immigration reform, to opioid abuse, etc., and still not one word of discussion or debate from anyone in the industry. What little I have gotten in the way of commentary comes from the medical tourism industry. I welcome this, and have gained more knowledge about the industry from these individuals. I am grateful and thankful for their input.

Yet, the one industry that I have actually earned a salary in, the workers’ comp industry, has shut their ears, their eyes, and their minds to anything anyone else has to say that might be thought of as “outside the box”. I have heard of some industries being conservative, but being afraid to explore new ideas and new ways of doing things, in light of the constant repetition I see over the same subject day after day, week after week, month after month…”how do we solve the opioid abuse problem?” is being too conservative, and even crazy, as I have stated before.

Maybe too many of you are busy doing whatever it is that you do for a living to read your emails, and I have sent many of you emails about my white paper and about my job search, as well as being able to respond to the over 80 posts I have posted to the same LinkedIn groups you and I belong to. But you have no problem discussing drug abuse, physician dispensing, yada, yada, yada, ad infinitum.

Would it be so terrible if you at least opened you minds a little and asked me some questions about medical tourism, about how it might be implemented, about what barriers I see or what would need to be put in place for this to be a viable alternative to high cost, poor quality surgeries here in the US? I know I am not the smartest person on earth, but I do have three college degrees, one even in Health Administration.

I know times are tough, and I know companies in work comp are being bought up by other companies or by private equity firms, but should that mean that everything grinds to a halt and no one thinks? Does that mean that you just keep doing the same thing over and over again, and expect different results? Well, you know what that is.

I have been told on more than one occasion that the industry has to be dragged kicking and screaming into exploring this idea of mine as an alternative. I am not interested in dragging anyone into anything. I just want people to recognize that the world is changing, that the status quo ante is no longer a viable option. One other blogger has said this a few times recently in his blog, so why the industry continues to do business the same way it has always done so, is beyond me. His main point was that the injured worker has been forgotten. My idea remembers the injured worker is a person, a human being, and one who deserves the best medical care possible, even if it is in another country. This is especially true now that the US workforce is increasingly Latino and Caribbean, the closest medical tourism region to the mainland US. Flying time could be under four hours and the cost and quality available is lower and better than at home. If you don’t believe me, check it out yourselves, but I would appreciate being brought into any undertaking in that area; sufficient compensation, of course, is also welcomed.

So what say you, workers’ comp industry? Are you willing to open your minds and your horizons to new ideas and new ways of doing things, or are you just going to sit there in your modular cubicles and corner offices doing the same damn things you and many others in the industry have always done with workers’ comp claims? Let me know, I’m eager to find out just how brave and daring some of you are, or are you just prey for the carrion of Wall Street?


I’d like to get to know you better, so please complete the form below and let me know who you are, where you are from (country and city, please), and what you like about my blog.

Thank you so much,


This entry was posted in Medical Tourism, Workers' Compensation and tagged , on by .

About Transforming Workers' Comp

Have worked in the Insurance and Risk Management industry for more than thirty years in New York, Florida and Texas in the Claims and Risk Management spheres, primarily in Workers’ Compensation Claims, Auto No-Fault and Property & Casualty Claims Administration and Claims Management. Have experience in Risk and Insurance Business Analysis, Risk Management Information Systems, and Insurance Data Processing and Data Management. Received my Master’s in Health Administration (MHA) degree from Florida Atlantic University in Boca Raton, Florida in December 2011. Received my Master of Arts (MA) degree in American History from New York University, and received my Bachelor of Arts (BA) degree in Liberal Arts (Political Science/History/Social Sciences) from SUNY Brockport. I have studied World History, Global Politics, and have a strong interest in the future of human civilization in all aspects; economic, political and social. I am looking for new opportunities that will utilize my previous experience and MHA degree. I am available for speaking engagements and am willing to travel. LinkedIn Profile: Resume:

2 thoughts on “An Open Letter to the Workers’ Compensation Industry

  1. Joe Burgess

    Richard –

    I understand your frustration at lack of acknowledgement and interaction. Certainly people discuss and share and there can be a certain hierarchy in that. I do not know who is executing and who is just talking – it is definitely all about application.
    I would observe that there is probably a degree of “content fatigue”. People institute their own filters to manage their work lives. I have read some of your posts, not read many others for that reason (filtering).
    One suggestion: don’t make things up about what is happening with other people. My sense is that if anyone wants to communicate broadly to different communities, they need to do so without expectations. Looks like you have been intentional in some of your communications to some in the industry – perhaps you have not yet had the outcomes you wanted, persist.

    Joe Burgess
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    1. richardkrasner Post author

      >>>> One suggestion: don’t make things up about what is happening with other people. My sense is that if anyone wants to communicate broadly to different communities, they need to do so without expectations. Looks like you have been intentional in some of your communications to some in the industry – perhaps you have not yet had the outcomes you wanted, persist.<<<


      Can you be more specific about your first sentence?



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