I find it hard to believe that these reviewers are talking about the same Kaiser Permanente I have been using for over 25 years. Could it be different care at different Kaiser facilities? At any rate, over the years I've been hospitalized at Kaiser, had surgery, preventative care, the whole nine yards... and all of it excellent with doctors I liked who would respond to my emails within hours, even on weekends or late at night at a great price with zero ins claim paperwork! What more could you ask for?