This leaves me in a quandry. The managed care organizations are (in my opinion) responsible for much malaise in physicians, and responsible for lower quality care (although admittedly I cannot prove that). The trial lawyers ... well you know how I feel about the trial lawyers. Health Insurers Lose Bid on Case Records.

Aetna Inc., the Cigna Corporation, Humana Inc. and other health insurers lost a bid to bar plaintiffs' lawyers from obtaining internal records in cases that accuse the companies of skimping on patient care.

Judge Federico Moreno of United States District Court in Miami issued a one-page ruling today instructing the insurers that, beginning Sept. 30, they must provide documents requested by lawyers for the plaintiffs, according to a court order.