Which only becomes apparent at night. First, the roof of one building is opened to the stars. Then, the walls retract, and an object straight out of star wars appears, shooting a laser into the sky. If you thought space was a peaceful haven, think again. Its a competition that i wish wasnt occurring, but it is. And if were threatened in space, we have the right of selfdefense, and well make sure we can execute that right. Martin and use force if necessary. Thats why we have a military. You know, im not nasa. Kroft im steve kroft. Stahl im lesley stahl. Safer im morley safer. Whitaker im bill whitaker. Pelley im scott pelley. Those stories tonight on 60 minutes. My advice . Look on the bright side. With aveeno® skin brightening scrub. It has moisture rich soy and gentle exfoliators for brighter more radiant skin. Aveeno® naturally beautiful results®. It may seem strange, but people really can love their laxative. Especially when its miralax. It hydrates, eases and softens to unblock your system naturally so you have peace of mind from start to finish. Love your laxative. Miralax. People with type 2 diabetes come from all walks of life. If you have high blood sugar ask your doctor about farxiga. Its a different kind of medicine that works by removing some sugar from your body. Along with diet and exercise farxiga helps lower blood sugar in adults with type 2 diabetes. With one pill a day, farxiga helps lower your a1c. And, although its not a weightloss or bloodpressure drug farxiga may help you lose weight and may even lower Blood Pressure when used with certain diabetes medicines. Do not take if allergic to farxiga or its ingredients. Symptoms of a serious allergic reaction include rash, swelling, or difficulty breathing or swallowing. If you have any of these symptoms stop taking farxiga and seek medical help right away. Do not take farxiga if you have severe kidney problems, are on dialysis, or have bladder cancer. Tell your doctor right away if you have blood or red color in your urine or pain while you urinate. Farxiga can cause serious side effects including dehydration, genital yeast infections in women and men, low blood sugar, kidney problems, and increased bad cholesterol. Common side effects include urinary Tract Infections changes in urination and runny nose. Do the walk of life yeah, you do the walk of life need to lower your blood sugar . Ask your doctor about farxiga. And visit our website to learn how you may be able to get every month free. Pelley two and a half years ago, we were reeling from the shock of the murders of 20 first graders and six educators at sandy hook elementary school. Since then, weve learned that the killer suffered profound Mental Illness. His parents sought treatment but at least once, their Health Insurance provider denied payment. Because of recurring tragedies and an epidemic of suicides, weve been investigating the battles that parents fight for psychiatric care. As we first reported in december, we found the vast majority of claims are routine but the Insurance Industry aggressively reviews the cost of chronic cases. Long term care is often denied by Insurance Company doctors who never see the patient. As a result, some seriously ill patients are discharged from hospitals over the objections of psychiatrists who warn that someone may die. In the pictures, theres no sign of the torment of katherine west. But by the age of 14, she was wasting away, purging her food. Nancy west, katherines mother was told by her doctors that the bulimia was rooted in major depression. Nancy west in fact, prior to the eating disorder, she was cutting, so there were self harming behaviors from, i would probably say, at least 12 on. Pelley to stop purging, she had to be watched around the clock. Her doctors prescribed treatment that could cost more than 50,000 at a hospital for 12 weeks. The Insurance Company stopped paying after six weeks . West six weeks pretty much was it for them. They were done. And if you know about a Mental Illness, you dont cure a Mental Illness in six weeks. Pelley the Health Insurance company was anthem, second largest in the nation. An anthem reviewer found katherine should leave the hospital because she had put on enough weight. Her doctor warned that she was desperate to shed those pounds. West they were telling the Insurance Company, she needs to stay here. She needs more longterm treatment. She isnt ready for this. Pelley the Insurance Company overruled the doctor. Katherine west came home as an outpatient. West i was texting her no response. I got home at 12 30 that day and i found my daughter in bed. Shed been gone for hours. And i just remember running through the house screaming. I couldnt believe it. My beautiful girl was gone. She was gone. Pelley katherine was dead at the age of 15. As her doctors predicted, shed been purging again, which led to heart failure. Did it make sense to you that a doctor at the Insurance Company was making these decisions based on telephone conversations . West no, no, they didnt observe my daughter. Youre talking about a psychiatrist, a pediatrician, a therapist who observed my daughter on a daily basis. But some nameless, faceless doctor is making this decision. And i was furious, because basically, to me, he was playing god with my daughters life pelley the kind of review that resulted in the discharge of katherine west works like this after a patient is admitted, an Insurance Company representative starts calling the doctor every day, or every few days. If that representative decides that the patient is ready for a lower level of care, then the case is referred to an Insurance Company physician who reads the file, calls the doctor, and renders a judgment. We have found in these chronic expensive cases that judgment is most often a denial. How often the results are tragic, no one can say. But we have found examples. In 2012, jacob morenos further hospitalization was denied, even after a doctor warned, the patient states that he wanted to kill other people, many people. The next day, moreno was naked in the street, swinging at strangers and attacking a police officer. They used a taser to take him down. The state ordered him back to the mental hospital. Richard traimans hospital stay was also cut short. As he was being discharged, he said he would throw himself off a bridge. He didnt. He hung himself the next day. Harold koplewicz theyre called managed care, but its really managed cost. Pelley dr. Harold koplewicz knows insurance review calls well. Hes a leading psychiatrist and founder of a research organization, the child mind institute. Koplewicz when i was running an inpatient unit, i would have to literally speak to a clerk on the phone to say, i need approval for this patient to stay here another five days. And they would say to me, well, is the patient acutely suicidal or acutely homicidal . Well, not right now because hes in the hospital. We took the knife away. We took the gun away. We took the poison away. And they would say, well, then why does he have to be in the hospital . You think to yourself, am i in. Is this oz . Pelley the Insurance Company wants to send them home. Koplewicz well, its a lot cheaper, in the short run. And if youre managing costs on a quarterly basis, you can understand why, from a business point of view, for that quarter, it makes sense. For the sake of the child, for the sake of our society, for the sake of the childs future, it doesnt make any sense. Pelley of all the cases we looked at, one of the most revealing was ashleys. She suffers from bipolar disorder. Ashley in 2012, i had had a suicide attempt. I couldnt find a way out. Pelley was this a cry for help, or did you want to die . Ashley this one was real. I was alone. I tried my best. Pelley ashleys mother maria, asked us not to mention the family name. Maria one of the doctors told me on the phone, im really sorry, but you will probably bury your daughter. Pelley in 2012, ashley was in the hospital for the fourth time that year. They thought they had taken away everything that could hurt her. But she smashed her cell phone and cut her wrists with the glass. What did that tell you, in terms of the treatment that she needed . Maria it told me that she needed longterm treatment to survive. Pelley maria says that anthem recommended treatment at timberline knolls, a residential facility. A doctor said ashley needed 90 days. But after sending her to illinois from california, anthem denied payment after six days, saying that ashley could be safely treated with outpatient services. Did the people at timberline knolls believe that. . Maria no, they didnt. Pelley that she was well . Maria no. They absolutely didnt believe it. They gave us the option of paying 22,000 for. To complete the 30 days. And at that, we. There wasnt a chance that we could do that. Pelley now, look at how ashleys care was denied. This log shows dr. Tim jack, a psychiatrist working on behalf of anthem, called ashleys doctor three times in 32 minutes. One call was disconnected. He left two messages. Dr. Jack waited 22 minutes for a call back, and then denied coverage. From the first call to denial 54 minutes, speaking to no one. Why so fast . Well, it may be, in part because many insurance doctors are paid by the case. Dr. Jack is a contractor who gets 45 per patient. In court records, dr. Jack says he does 550 reviews a month. So, working from home, that comes to 25,000 a month. We spoke to 26 psychiatrists from across the country, and every one brought up dr. Jacks name. Some called him dr. Denial. This is a recording of dr. Jack telling a physician that a patients level of care should be lowered. Tim jack because given what his current progress is and his current symptoms are, he can be managed at a lower level of care as effectively as in an intensive outpatient program. You know, doctor, i just want to say that i have spoken to you on so many different occasions and with so many different clients, and ive never really had a positive outcome as far as authorization from you, so i just needed to bring that to your attention. Jack this is not a personal matter. I understand, sir, but the client appears to meet the criteria, so. Pelley we found dr. Jacks denial rate averaged 92 in one sixmonth period in 2011. But that was typical among 11 reviewers contracted by anthem. Some of them had denial rates of 95 and 100 . Whats the impact on a family after a phone call like that . Kathryn trepinski devastating. Pelley Kathryn Trepinski is a lawyer who represents patients. She does not represent ashleys family, but she has filed suit against anthem and other insurers. Trepinski theres untold suffering, and the family is usually left in the very difficult position of either paying for the care out of pocket, which is tens of thousands of dollars, or they say no to their loved one, to their child. Pelley anthem says that the reviews are checked by a supervising doctor, but when we obtained ashleys denial letter, we found her review by tim jack, m. D. , was supervised by timothy jack, m. D. So, he signs the documents twice . Trepinski yes, except that he doesnt actually sign them himself. Its a robosignature. Pelley dr. Jack has acknowledged an anthem computer put his name to letters that he does not see, and on cases he didnt review. Trepinski it suggests a layer of review thats not there. Because the signing doctor is described in the letter as having made that coverage determination, and he didnt. Pelley we tried to reach dr. Jack in calls and a letter. We stopped by his home. But he declined to speak. Katherine wests and ashleys parents gave us permission to ask anthem about their cases. Anthem declined an interview but its chief medical officer wrote that they explored and provided the families numerous care options that went beyond their covered benefits. He goes on to say, successful outcomes require a partnership between patients, families medical professionals, and health plans. For the Insurance Industrys view, we found anthems former california medical director, dr. Paul keith. He retired in 2014 after years supervising anthem reviews including those of dr. Jack. He told us that, too often Insurance Companies are abused by care providers. Paul keith doctors will spin the clinical information. They will make things appear more serious than, perhaps, they are, because they feel strongly the patient needs this level of care for a little longer. So you do have a somewhat adversarial relationship between the reviewer and the attending physician. Pelley youre saying the. The doctor will overstate the case to get the Insurance Company to approve the client . Keith unquestionably, that happens not all the time. And ive been doing this for you know, over 30 years. Pelley you describe these conversations as adversarial. Is that best for the patient . Keith well, its like our legal system if you. Each side does a good job in presenting their case and asking the right questions, you ultimately arrive at the truth. Pelley but these can be life and death decisions, and you dont know till its too late. Keith i cannot, offhand, think of a situation where a decision was made to discharge a patient from a hospital and some terrible consequence occurred soon thereafter. Im sure it happens, but. Pelley we found quite a few. Keith id have to look at them to see. Theres one that occurs to me that i was involved with where the child left the hospital with his parents, escaped from his parents, drove crosscountry to another state, and days later, committed suicide. Keeping that individual in the hospital longer is not likely to have made any difference. Pelley i would have to imagine that the parents would say, if youd kept him in the hospital, he wouldnt have been in another state killing himself. Keith parents become fearful that, if they leave too soon the same things going to happen that may have happened in previous occasions, but you cant keep an individual in the hospital forever. Pelley so, to the parent who says the Insurance Company is just trying to get my child out of the hospital, you say what . Keith its half true the Insurance Company may very well want that child to go to a lesser level of care, but money is not the basis for the decision. Pelley a lot of people watching this interview are going to have trouble with the idea that Insurance Companies are not trying to save money. Keith of course, your Insurance Companies are trying to save money. Theres a lot of treatment that is not medically necessary that is provided, and that is a waste of healthcare dollars, and the resources are scarce. Pelley ashleys family hired a lawyer and appealed to the california Insurance Board which overturned anthems denials. Now, she is in treatment for bipolar disorder, treatment that may last a lifetime. After katherine west was buried, her mother filed suit against anthem. After the mass murder at newtown, the state of connecticuts Sandy Hook Commission studied mental health. In its final report, it says the insurance review process is a formidable barrier to care, and it recommends a state Agency Review all denials. Cbs money watch update correspondents correspondentsered by lincoln financial. Calling all chief life officers. Good evening. President obama unveils new regulations tomorrow calling for Carbon Pollution to be cut 32 in 15 years. Verizon workers in nine states will continue to work without a contract. And a 1952 mickey mantel Baseball Card was sold for a record 400,000. Im elaine quijano, cbs news. Introducing the Samsung Galaxy s6 active only from at t. Tested to withstand pretty much anything life throws your way. Switch to at t and get a 300 credit with eligible purchase and tradein. You ever think about how the cement of your driveway. Connects to the ends of the earth . From roller coaster hills. To musical streets and movie chase scenes. Its all one road. Everywhere you take it tells your story. And wherever you are is where the road begins. The camry. Toyota. Lets go places. Yes, we are twins. When i went on to ancestry i just put in the name of my parents and my grandparents. I was getting all these leaves and i was going back generation after generation. You start to see documents and you see signatures of people that youve never met. I mean, you dont know these people, but you feel like you do. You get connected to them. I wish that i could get into a time machine and go back 100 years, 200 years and just meet these people. Being on ancestry just made me feel like i belonged somewhere. Discover your story. Start searching for free now at ancestry. Com. Pelley now, cbs news defense correspondent david martin on assignment for 60 minutes. Martin without most of us noticing, our everyday activities everything from getting cash at an atm to watching this program depend on satellites in space. And for the u. S. Military, its not just everyday activities the way it fights depends on space. Satellites are used to communicate with troops, gather intelligence, fly drones, and target weapons. But as we reported earlier this year, top military and Intelligence Leaders are worried those satellites are vulnerable to attack. They say china, in particular, has been actively testing anti satellite weapons that could, in effect, knock out americas eyes and ears. No one wants a war in space, but its the job of a branch of the air force called Space Command to prepare for one. If youve never heard of Space Command, its because most of what it does happens hundreds, even thousands, of miles above the earth, or deep inside highly secure command centers. You may be as surprised as we were to find out how the high stakes game for control of space is played. The research being done at the Starfire Optical range in albuquerque, new mexico, was kept secret for many years and for a good reason, which only becomes apparent at night. First, the roof o