YS | “deductible for Breast implants: THERE IS truth to be found on mudguards. Catherine JUST ADD WATER The other day I was driving along one of the major arteries of our metropolis when a shiny new pickup cruised by me in the pass- ing lane. My eyes were drawn to some- thing silver on the mudguards of the truck, On each guard was a cut-out of a cowgirl — with a tiny waist and hips and a bust big enough to drive any cowboy crazy. There she was, the perfect woman, right there on th mudguards. ‘ You could easily dismiss images of busty wenches as trivial if it weren’t for the latest health crisis now facing women. It’s a familiar tale of mind- numbing corporate callousness on the part of Dow Corning Corp.,' one of the world’s largest manu- facturers of silicone-gel breast implants. And it’s the story of the physical pain and mental anguish of women who believed they were getting a safe product. From internal company docu- ments released reluctantly by Dow Corning, we know that company employees suspected as early as 1971 that there was insufficient scientific data to guarantee the safety of the implants. Keith McKennon, Dow Corn- ing’s new chief executive, explain- ed his company's behavior this way: “Dow Corning must say, “Gee, we didn’t do everything perfect, and if we were able to do it over, we would perhaps do it _ differently.” °° I'm sure those words were com- forting to women who have been left with weirdly shaped or rock- hard breasts after a stream of operations to correct an initial implant. They’re women like Jenny Jones, the Canadian-born Chicago talk show host who has had five sets of implants in a des- perate effort to have something MAILBOX Column wide of mark on auto repair figures Dear Editor: The Automotive Retailers ' Association represents businesses ‘in the automotive service and repair industry throughout B.C., including over 300 collision repair facilities. We are recognized as the ’ legitimate voice of the industry and negotiate with the Insurance Corporation of British Columbia (ICBC) on an ongoing basis on j .issues such as labor and material , Charges. We feel strongly that in Doug Collins’ March 4 column com- ments were made with no research and that he unfairly intimated that members are ‘‘gouging’’ ICBC. Over 55% of the cost of claims ‘to ICBC is for bodily injury, not for material damage. This is in contrast to many other jurisdic- tions in both Canada and the U.S. which have much lower bodily in- jury quotients. Those bodily inju- fy awards are eventually deter- “ mined by the courts and are, for the most part, out of ICBC’s con- trol. Collision coverage premiums, should Mr. Collins care to check, - have been reduced for 1992, not increased. Here are three examples _ (the Mazda and Cadillac are my own velricles, and I chose the -Honda because of its popularity): oR 199: : 2 1991 1978 Cadillac Seville $247 $252 1988 Mazda Pickup 319 327 1991 Honda Accord 524 541 All examples are for $100 the collision coverage only. , - There are several errors and omissions in Mr. Collins’ example repair. The labor rate for the whole province on ICBC passen- ger car repairs was $45.25 per hour in 1991, As far as ‘‘generosi- ty”? is concerned, ICBC’s respon- a sibility is to put the vehicle back § into its pre-accident condition. That means repairing all of the related damage. a The discrepancy could be a result of several factors, one of which may be the accuracy of the repair shop’s first estimate. There may have been hidden damage which could only have been discovered upon disassembly. If the repair shop felt that they were being paid for work that was unnecessary, they should have pointed this out to ICBC and had the items deleted, Our member collision repairers are by no means being over- compensated for their work. Hourly shop rates for mechanical tepairs in dealerships are substan- tially higher — in most cases they charge from $65 to $75 per hour. Many collision shops are finding it very difficult to survive at the - present ICBC rate of $47.40, as our labor costs are essentially the same as the dealerships. ICBC exerts as much control over the industry as possible — even to the extent of fixing the profit shops make on parts and sublet items. Materials used are a “no profit’? item, and sometimes even result in a loss. The $63 per hour figure quoted is what ICBC would have paid in 1991 for the labor plus materials used — and applies to painting processes only. The rate for repair work was * $48.05 per hour, which included the body repair materials. (The dealership mechanical rates quoted above do not include any materi- als used.) We are constantly bargaining with the insurance corporation. They rightfully try to reduce their cost as much as possible and we, as an industry, must negotiate as hard as we can to get increases‘ required to keep up with inflation and technological change. Mac Fish Division Liaison Automotive Retailers Association Burnaby INSIGHTS Friday, March 20, 1992 - North Shore News — 7 a modern female tragedy close to normal breasts. Jones’ breasts are scarred and so hard she doesn’t need to wear a bra. She has no feeling in her breasts. Closer to home there’s Delta resident Linda Wilson, who has had nine operations and been hospitalized five additional times for infection. Wilson, who had a mastectomy, had the extremely bad luck to have Meme as her first set of im- plants. Manufactured by Surgiteck, the Meme implant features a polyurethane foam shell that has begun to disintegrate in a matter of weeks in some women (as it did in Linda Wilson). After strong pressure from the American Foud and Drug Ad- ministration, Surgiteck voluntarily withdrew the implant in April 1991. Just Wilson’s bad luck again that her Meme implants were replaced with the Dow Corning models. Wilson decided not to remain a victim. She helped form the I Know/Je Sais support group for women who have problems with breast implants. She has also launched suits against Surgiteck and Dow Corning. Nobody really knows the per- centage of women who have been or could be adversely affected by silicone-ge! implants. Though North Shore plastic surgeon. Dr. Denis Morris maintains the per- centage of problems with gel im- plants is small, he acknowledges: ‘*We don’t know the long-term effects of loose silicone in the body from ge! implants.** Plastic surgeons in B.C. have agreed to cease doing gel implants pending a final FDA (Food and Drug Administration) ruling, ex- pected before the end of April. It’s interesting Linda Wilson believes that, despite the implant horror stories, many women will still want breast augmentation surgery. In fact, 80% of breast implant recipients have the surgery purely for cosmetic purposes. Among this group, Dr. Morris estimates that in his practice over 90% aren't pressured into the surgery by a partner, but are doing it for increased self-esteem. I’m not about to knock a woman who is seeking self- esteem. But surely we have to question whether potentially dan- gerous invasive surgery is the best way to feel good about ourselves. We must also question a society that suggests to women it’s desirable, even preferable, to have one type of breast — full, firm and perky — into middle age. We must ask ourselves how we reached a stage when the natural drooping of the female breast is considered undesirable, even ugly. in her book The Beauty Myth, author Naomi Woif reports that a current trend in the United States is for graduating daughters to get breast implant surgery while boys get a trip to Europe. Some people might call this sick. I'll call it iragic. } i spiel! fate jew Many factors affect repair costs Dear Editor: . Doug Collins raised some inter- esting points in his March 4 col- umn (‘‘Is ICBC largesse driving car insurance rates up?’’) to which we would like to respond. We had ICBC’s Material Dam- age Research group examine Mr. and Mrs. Butler’s claim file to see why our repair estimate was higher than the one prepared by the auto repair shop in Princeton. The body shep’s estimate did not go into very much detail, but ICBC's estimator identified a number of needed parts and repairs that they appear to have missed. The additional items in- cluded the gas tank, damaged when the vehicle slid backward off the snow-packed road into a ditch. ICBC’s labor rates are negoti- ated with the auto repair industry. Our rate for mechanical repairs is $48.05 per hour, the same as that quoted by the shop. Body and paint work is more expensive and the rate allowed is $63 per hour. The area in which the two estimates differed most was in body work and painting, and therein lies the main reason for the increased repair costs. The body shop quote appeared to be based on four hours’ work to repair and repaint two panels. ICBC found far more body dam- age, and 27.6 hours was required to properly repair the vehicle. It is quite common for shops to discover additional ac- cident-related damage once work gets under way. Another factor affecting the cost of repairs is an. insurance company’s obligation to return an individual’s property (home, boat, car, etc.) to its condition prior to the loss. This prescribes the parts and* repair methods used. An owner faced with paying for repairs could opt for a lower estimate rather than fully restore the property to its pre-accident condition. Mr. Collins also commented on the length of time ICBC’s Dis- count Review Committee takes to determine whether a claim such as the Butlers’ would result in the- loss of claim rated scale discounts. While our notification letter in- dicates that the review could take 10 to 12 weeks, most are com- pleted in two or three weeks. Finally, we would like to assure Doug Collins that, as a journalist dealing with an ICBC matter, he can expect our full cooperation should an issue such as this one arise in the future. Ken Hardie Manager, Media Relations Public Information Department Insurance Corporation of British Columbia