The Daily Populous Sunday January 11st, 2026 night edition
Authored by abc7news.com and submitted by GarfieldLeZanya-

City asked to intervene after SF firefighter's stage 4 lung cancer treatment denied by Blue Shield

SAN FRANCISCO (KGO) -- A retired San Francisco firefighter battling cancer is asking the city to intervene after getting denied by his insurance provider.

For 17 years, Ken Jones fought fires in San Francisco. Now, he is fighting cancer, and the insurance company that insures him and many city firefighters.

"It came up so quickly. Yesterday, we were at the UCSF infusion center ready to get this treatment that we have been waiting for, a while for, and his doctor realized that at that time, the treatment wasn't approved. Today, we should be home recovering, building strength for the next treatment, and we are doing this," said Helen Horvath, Ken Jones' wife.

Jones sat in the back of the City and County of San Francisco's Health Service Board meeting wearing a mask. He was diagnosed with stage 4 metastatic lung cancer in 2025.

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His colleagues and family spoke on his behalf, asking the board that approved the Blue Shield insurance to intervene.

"Today I'm forced to stand here and beg because an insurance company decided that profits matter more than the life of a man who spent his career protecting this city," said Rachel Jones, daughter of Ken Jones.

One of the board commissioners and San Francisco Supervisor Matt Dorsey promised to question Blue Shield.

"We want to get answers on whether this practice that we are seeing represents a change or something new that is a diminution of service from Blue Shield of California, because that is not what we signed up for," Dorsey said. "I don't think that's what this board signed up for when we made the decision on the basis of the RFP process. I lost my own mother to lung cancer, and she raised a son who was going to fight, to make sure that people get this care that they're entitled to."

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A year ago, Blue Shield took over from UnitedHealthcare, insuring many San Francisco city retirees, including firefighters. Now, many firefighters are asking for the city to intervene as a number of them have reported problems with Blue Shield's coverage.

"Most of the people are retired -- 60, 80, 90 years old -- when they get a denial, they say, 'Oh, I guess that is, and they give up," said Fred Sanchez with the Protect our Benefits, watchdog for San Francisco City and County retiree benefits Protect our Benefits.

In statement Blue Shield said in part: "Blue Shield values our relationship with the City and County of San Francisco and we are committed to working closely with the Health Service Board to address any issues that are raised by members."

Former San Francisco Fire Chief Jeanine Nicholson is hoping this fight helps other firefighters and her friend, Ken Jones.

"This is a fight, not just for Ken Jones, but for all firefighters in the future who may need lifesaving treatment," Nicholson said. "They are killing him."

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"Due to privacy laws, we are not able to comment or provide information about our members. We do encourage members to reach out to Blue Shield of California by calling the number on the back of their member card for any questions or concerns they may have about their coverage.

It's important to note that for Medicare members, all prior authorization decisions are governed by criteria established by the Centers for Medicare and Medicaid Services (CMS), not by Blue Shield of California.

Appeals can be filed directly with health plans or with independent organizations known as Beneficiary and Family Centered Care Quality Improvement Organizations (BFCC-QIOs).

Blue Shield values our relationship with the City and County of San Francisco and we are committed to working closely with the Health Service Board to address any issues that are raised by members."

A GoFundMe has been started to help Jones pay for health care costs. You can view it here.

DanimalPlays on January 10th, 2026 at 17:39 UTC »

If a firefighter doesn't qualify for lung cancer care, what the fuck are we doing here?

Frosty_Ingenuity5070 on January 10th, 2026 at 17:37 UTC »

I still love how during Obamacare’s debate everyone worried about “death panels” form the government. What the hell is an insurance company if not a death panel that you have ZERO recourse against

Hesitation-Marx on January 10th, 2026 at 17:31 UTC »

Imagine being a health insurance CEO and thinking, “yeah, this is good.”

Now take a shower, because eeeeeuch.