Healthcare Updates is something I created to aggregate healthcare-related news from around the web. I’ll usually throw in some snarky commentary and possibly some tired old cliches to try to make things more interesting.
If you’ve seen an interesting medically-related story, I’d be interested in reading it. E-mail a link to me at whitecoatrants [at] g mail dot com with the words “Healthcare Update Link” in the title. The words “Healthcare Update Link” MUST be in the title of the e-mail because I have set up filters on my e-mail account to help streamline the posting process.
Patient in Ontario Canada’s Guelph General Hospital emergency department has “interaction” with two police officers, both officers whip out their guns and shoot the patient dead. No further information available.
Kentucky newspaper reminds everyone that stroke is an emergency and requires immediate care. Anyone having signs of a stroke should immediately contact Dr. Louis Caplan at Beth Israel Deaconess Medical Center. Don’t waste your time in “dangerous” emergency departments.
I wasn’t being serious about contacting Louis Caplan. If you have signs of a stroke, go to your nearest emergency department. We’ll get you the help you need regardless of what some ivory tower neurologists think.
Maryland patient in “horrible pain” calls ambulance. As paramedics “rushed her away,” her husband tucked her purse under her arm. She had her purse in her clutches until she reportedly had a “cardiac arrest” and went unconscious in the emergency department. She woke up the next day on a ventilator and the $1,100 that was in her purse was gone.
I sympathize with the woman for losing her money, but something just doesn’t smell right about this story.
Crystal meth is bad. In fact my uncle knows a guy whose cousin was on meth, gouged his eyes out, and ate his eyeballs like little hors doeuvres. Unfortunately, this story, told by an Australian member of parliament, was not able to be verified. That didn’t keep news agencies from picking up the story and running with it. Anything for the clicks.
Nearly a year after the VA scandal was made public and what’s happened to the people responsible for the fraud? One person was fired, a few others were “disciplined” with paid leave and transfers. In addition, the number of patients waiting longer than 90 days to receive medical care has nearly doubled.
This is the system we’re hoping to implement on a widespread basis?
Here we go again with the antibiotics for appendicitis debate. According to several small studies in Europe, antibiotics can cure about 70% of patients with acute appendicitis. This article also states that most people who develop a ruptured appendix do so before they get to the hospital. And – because American sailors who were on submarines for six month stints did well when given antibiotics for appendicitis, obviously antibiotics should be a good treatment.
The problem with this logic is that submarines didn’t have CT scanners to prove that patients actually had appendicitis. This just means that everyone who had a belly ache got antibiotics. We don’t know if any of the sailors actually had an inflamed appendix.
In addition, even if antibiotics did cure appendicitis, who’s going to want to run to the hospital for repeat ED visits and CT scans every time they get lower abdominal pain? Remove the inflamed appendix and be done with it.
Rise of the machines. iControl-RP is a machine that monitors brain wave activity, pulse ox and vital signs during surgery and adjusts the dose of anesthetic accordingly. A professor once told me that anesthesia is a boring specialty … about 95% of the time. The other 5% it is life or death. Not sure how a machine would respond in one of the 5% situations. Despite this, the machine’s co-developer is “convinced the machine can do better than human anesthesiologists.” Wonder how its intubation skills are …
Pedialyte is advertising itself as a cure for hangovers. Probably because kids won’t drink it. Take a sip some day and you’ll see why. The stuff tastes horrible. The company touts the increased sodium and potassium concentrations in Pedialyte versus Gatorade as the reason it reportedly works so well. With Miley Cyrus as a customer, who would doubt them?
New frontier for the drug wars. Genetically modified yeast is capable of turning sugar into morphine. Now authorities are trying to figure out how to regulate production.
Scientists haven’t gotten to the point where we can dump some sugar in a can of yeast and come out with liquid heroin, though. Right now the process needs almost 3 gallons of genetically engineered yeast to create one milligram of morphine.
Cure for HIV getting close? Experimental vaccine blocks every form of HIV, including the “hard to stop” variants. Vaccine works by blocking HIV from exiting the lymphocytes once they infect them.
26-year-old army sergeant checks into El Paso County Detention Center to serve a 2 day sentence for drunk driving. By the second day, he was dead. The coroner said the cause of death was a sickle cell crisis. Fox News was able to obtain video from the jail showing the sergeant laying on the ground bleeding and saying he was unable to breathe … shortly before a group of guards in riot gear went into his cell.
World Health Organization wants $100 million to create a medical “SWAT Team” to travel to deploy to health crises around the world. Would it have the resources to deal with the problems, though?
They weren’t claimed by any members of Congress, so they were assumed to be from dogs or sheep. Nine brains found along a street near railroad tracks in northern New York town.
Emergency department patients in Ohio upset over unexpected excessive charges. Reporter Marlene Harris-Taylor does a great job at explaining the different levels of care discussing how hospitals come up with their charges – and she compares ED charges from around the area. This topic is complicated even for most medical providers.
More health related news from around the web on my other blog at EP Monthly.
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Arkansas personal injury attorney Michael Smith implies that outpatient clinics should all have “the right kind of life-saving equipment” at hand at all times. He never says what the “right kind of life-saving equipment” should be, but mark his words – if a patient ever suffers a bad outcome in an outpatient clinic, he’ll be sure to find something that the clinic didn’t have that would have prevented the bad outcome.
I hate articles like this. On their face, they are appealing. Sure, everyone should have the “right kind of equipment.” That’s like saying that attorneys should always file the “right kind of motions” and use the “right kind of case precedent” in their briefs. But if you ask personal injury attorney Michael Smith exactly what equipment to purchase in order to be compliant with whatever standards he thinks should apply, he’ll suddenly change the subject. I guarantee it.
Inappropriate opinion by expert witness surgeon Dr. Michael Drew causes $19.5 million judgment against treating surgeon to be overturned by Pennsylvania Superior Court. Court opinion (.pdf file) notes how Dr. Drew’s opinion on how treating physician breached the standard of care “morphed each time he opined on how [the treating physician] breached it” and how Dr. Michael Drew’s opinion created an “untenable” “no-win” situation for the treating physician. Kudos to Pennsylvania Superior Court Judge Jack Panella for the well-reasoned court opinion.
Recent court opinion expands liability for medical providers. A passenger on a Royal Caribbean Cruise fell and hit his head while his ship was docked in Bermuda. The patient was then wheeled back onto the ship where a nurse allegedly didn’t evaluate his head trauma and a doctor didn’t even evaluate him for four hours. After the doctor examined him, he started the patient on a mannitol drip and transferred the patient to a Bermuda hospital for further care. A week later, the patient died from his injuries. Maritime law of the US normally prevents a shipowner from being liable for negligent medical provided by the ship’s crew. However, the US Court of Appeals held that evolution of legal norms, rise of a complex cruise industry, and progression of modern technology have made those prior laws inapplicable (.pdf file). Pertinent quotes from the opinion include “medical negligence triggers the same equitable concerns whether it arises on land or at sea” and “we can discern no sound basis for allowing a special exception for onboard medical negligence.”
I’m guessing that there will be a petition to the Supreme Court on this case.
Nearly $1 billion in medical malpractice payments from VA hospital coming from federal treasury, not the VA budget … and payouts are occurring at a higher rate than in the private sector. The Veteran’s Administration declined a request for an interview in the article. A vet who had his esophagus punctured gave an interview and stated “If I had it to do all over again, I’d never go to the VA.”
New Jersey’s St Lukes Hospital closing its behavioral health unit for cost cutting measures. Police and county prosecutors concerned that closing the unit will increase the burden on law enforcement. After closure, patients requiring inpatient behavioral care will be held in emergency departments until transfer can be arranged to remaining behavioral health centers in New Jersey or Pennsylvania.
Ummmm. Yeah. I’m suffering from acute incarceritis and need an evaluation quickly. Utah’s own William Doutis Jr. leads police on a high speed chase through three cities before pulling up at an emergency department and going inside. Actually, the driver said he was trying to find an emergency department because his passenger was choking. His passenger denied that. Drug testing showed that Mr. Doutis was positive for amphetamines, methamphetamines, and marijuana. Booked on a half dozen charges and now is drying out in Utah County Greybar Motel.
Obamacare regulations that all prepared foods include calorie counts – including mixed drinks – receiving lots of opposition from vending machine owners, convenience stores, pizzerias, and movie theaters who call the rules “a large and costly regulatory burden.”
This fast food franchise owner notes that calorie counts won’t fight obesity, only job productivity.
I can only imagine what kind of fines will be levied by the government if a label’s calorie counts are off … all for patient safety reasons, of course.
Helicobacter pylori infections cause a majority of stomach ulcers. Amid growing concern over microbial resistance, researchers have found another substance that is highly effective in treating H. pylori infections … linolenic acid. You might know it better as vegetable oil. Accompanying article here. Just think, the diets that the government thinks may be bad for your health could help to treat stomach infections.
If lamotrigine doesn’t work, other scientists in Switzerland have created artificial lipid particles called “liposomes” that resemble host cells. The liposomes then attract bacterial toxins, protecting the actual host cells from attack. In one study, mice that were given potentially fatal blood infections recovered solely by using liposomes without using any other antibiotic therapy.
If linoleic acid, lamotrigine and liposomes don’t work, scientists can also put a wireless implant into your body made from magnesium and silk that will treat a bacterial infection and then dissolve. Second article on the wireless infection treatment technology here.
If that doesn’t work, then just have your doctor write another prescription for a ZeePack which will keep you preoccupied until the infection either cures itself or until the infection gets worse to the point that you’ll need surgery to fix it.
Finally from the “What Would Possess a Human to do THIS?” Department: A Chinese weightlifter decided to lift 80kgs in bricks and swing them around for 10 minutes … while tied to his testicles. According to the weightlifter and his teacher, “testicle-lifting” can improve one’s quality of life. Yeah, except when you have to toss them over your shoulder to go jogging.
The video of the week is more science-related than medical-related, but is still quite interesting. Which falls faster: a bowling ball or a feather? Watch what happens inside of this giant vacuum.
More healthcare related news from around the web on my other blog at EP Monthly
Let’s call the first part of this post the
Treating one Ebola patient would wipe out the ICU in an average-sized hospital and may even bankrupt some smaller facilities. Most states won’t even allow disposal of waste from Ebola patients.
Then there’s the Ebola patient in the US you didn’t know about. Doctor infected with Ebola while working for the WHO in Sierra Leone was treated in Emory Hospital’s biocontainment unit for the past 6 weeks. Now is “well on his way to a full recovery.”
Clipboard idiot walking alongside Dallas Ebola patient Amber Vinson and directing people in hazmat suits grabs hazmat trash bag and discards it, then boards the flight — with no hazmat gear. Were he and his clipboard quarantined after touching waste from the Ebola patient? Of course not. The only conclusion we can make from this scenario is that clipboards must prevent Ebola.
Vomiting is now an actionable offense. California’s Southwestern College evacuates and institutes quarantine after student who flew on same airplane as Amber Vinson gets sick and vomits in class
But vomiting and dying … not so much. Patient on Nigeria flight to JFK vomits and dies. Officials give corpse a “cursory” exam, declare he does not have Ebola, then whisk him from the airplane. Nothing to see here, folks. Move along. Move along.
Don’t look now … actress Tori Spelling quarantined in hospital with symptoms of Ebola. Well, she did have a fever and an “uncontrollable” cough, but she was hospitalized for bronchitis.
That reminds me. I have symptoms of Ebola, too. My muscles are sore … after I worked out yesterday.
Just wait until flu season hits.
And finally, the lawyers are already figuring out ways to profit from Ebola, suggesting that hospitals may have liability if they miss a diagnosis of Ebola.
Now back to regular news …
Buying insurance on the Obamacare exchange? Last year’s enrollment period began October 1. This year, you can enroll and find out how much your rates have increased … on November 15, 2014 … after the elections.
This strategic timing can only mean that rates are set to skyrocket. If they were trending downward, the elected officials who voted to pass Obamacare would be using that fact in their campaigns.
Want to see the names of the numbskulls who voted for this abominable law?
Roll call of Senators who voted for Obamacare (a party line vote by Democrats)
Roll call of House members who voted for Obamacare (pretty much a party line vote by Democrats as well)
Did I mention that elections are a couple of weeks away and that many of these people want to be re-elected?
More on the microbiome. Stress and shock may really cause a heart attack – by affecting the bacteria present in arterial walls. The stress hormones released during sudden stress may cause the bacterial biofilm over the arterial walls to dissolve, causing placques within the walls to rupture. In the future, managing bacteria within an arterial plaque (carotid arteries typically have Pseudomonas growing inside) may be just as important as managing a patient’s cholesterol.
What happens to all the kids who are sent from schools to the emergency department for psychiatric evaluations? In 92.2% of cases, they’re sent home, and in half of those cases they aren’t even given psychiatric follow up.
The study notes that only 18% of kids receive any evaluation from a school nurse or social worker before being sent to the emergency department, even though the screening decreases the chance of “unnecessary” ED evaluations by 50%.
Even though the study was done in Europe, I suspect that many of the cases of ED referrals were initiated due to liability concerns. If a child acts out and a teacher disciplines the child, the teacher may be accused of inappropriate actions. The safer and easier approach is to call the police or call the ambulance. Disruptive student is removed from the premises, hassle eliminated, no liabilty for having child evaluated by a professional.
Neat idea for a self-help emergency department kiosk. Hey – they have them in airports and grocery stores. Why not? They are being tried out in New Zealand, but it would be interesting to see whether they would be of benefit in busy US emergency departments. The kiosks collect key data like patients name, date of birth and gender and allow hospitals to check screening questions such as medication allergies and medical history. In addition, the kiosks measure blood pressure, height, weight, heart rate, oxygen saturation, and calculate that useless metric called BMI. It could technically be used to tell patients they need to go see their primary care doctor instead of being in the emergency department as well, but I’m sure someone would get pissed off at the suggestion and break the machine.
The video link of the week is enough to make you yak and make your head itch.
I present you with … a girl with head lice getting her hair combed. Scroll to the end of the video for the retchworthy part. Just get rid of the comb and get an electric razor, pal.
See more medical news from around the web at my other blog at EP Monthly.
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Straight out of Men in Black. UC Davis researchers have discovered that they can erase certain memories in mice by using flashes of light.
China is cracking down on pharmaceutical price fixing. Some company executives received prison sentences of between 2 and 4 years for their actions – although unfortunately those prison sentences were suspended. Government department heads are also being investigated since they are responsible for and must be punished for law violations committed by their subordinates.
Even the cats were amazed. 18 year old woman who had habit of chewing on her hair goes to doctor with abdominal pain and malnourishment. Rushed to surgery where a 9 pound hairball was removed. Yes, you read that correctly. A nine pound hairball. Like she had a baby Cousin Itt inside of her.
The Limits of Friendship. How many friends can an average person realistically have in their social circle? Based on human brain size … about ….
Oh go on and read the article. The discussion is pretty interesting.
Baylor University Medical Center reportedly at risk of losing all federal funding if it doesn’t submit an acceptable action plan regarding psychiatric patient elopement. CMS inspectors recently found six cases in which psychiatric patients walked away from the hospital’s emergency department before treatment concluded and determined that those “elopements” put patients in “immediate jeopardy” of their health and safety.
The Netherlands has a slightly different way to treat patients with severe psychiatric problems: Euthanization. The rate of death by lethal injection for patients with severe psychiatric problems tripled from 14 cases in 2012 to 42 cases in 2013. Counting “terminal sedation,” euthanasia accounts for one in eight deaths in the Netherlands. But at least the patients in the Netherlands have insurance – just like us.
No more curly fries for me for a while. Woman puts potato in her vagina after being assured by her mother that doing so would be a fail-safe contraceptive method. Turns out mom was right. Guys tend to run the other way when they see roots growing out of your hoo hah. Fortunately, doctors were able to remove the budding spud without surgery.
And if anyone makes any Mr. Potatohead jokes, I’m going to be sick. I just know it.
The hormones from birth control pills found in sewage found to cause feminization of of male minnows. This caused the number of minnows in the Ontario waterways to decrease to 1% of the usual population. As a result, the number of lake trout decreased – lake trout are the minnow’s main predator. Also as a result, the number of insects in the area began increasing – insects are the minnow’s main source of food. When estrogen was removed from the water supplies, all of the changes reversed.
Wait a minute. Obamacare requires that birth control pills be provided at no cost. That must mean that the government wants less fish and more insects in our country.
What effect has the Affordable Care Act had on employment in the US? Mostly negative, according to this paper from the Mercatus Center at George Mason University.
It creates financial incentives for employees to work less. Part time workers receive subsidized coverage, full time workers do not. That equates to about $3000 extra each year that full time workers have to earn just to break even. The effect will be a loss of an additional 4 million full time equivalent workers. Women are more likely to be affected than men.
When antibiotics don’t work for your clostridium difficile infection, there’s always something else you can take: poo pills. Researchers as Massachusetts General Hospital have developed pills made from strained, centrifuged, and frozen human feces. Two days worth of the pills can cure C. difficile infections and are a lot easier to administer than current fecal transplants.
Patients gone wild. West Virginia’s own Misty Crabtree was arrested after she gouges triage nurse’s arm with her fingernails, then tells the nurse that she has hepatitis and hopes that the nurse dies. There goes THAT hospital’s Press Ganey scores.
More health care news from around the web on my other blog at EP Monthly.com
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Woman undergoes colonoscopy and biopsied show that she has rectal cancer. She undergoes four operations to remove parts of her rectum. Five months later, the hospital notifies her that her biopsy specimens actually belonged to another patient and that she never had rectal cancer. Now she’s suing.
Five most common presenting complaints at Kings County Hospital emergency department in Brooklyn: Headache, chest pain, pregnancy, limb pain, back pain.
Vaccines are good? Of the 100 or so children who died from influenza last year, 90% did not receive an influenza vaccination.
Vaccines are bad? 15 Syrian children die and another 50 children sickened after “bungled” measles immunizations occur. Medics may have accidentally used a muscle relaxant to reconstitute the powdered measles vaccine.
Archaeologists uncover 700 year old skeletons in England. They were laid to rest holding hands and their fingers were still entwined together when they were found.
Your children belong to US. Parents remove 5 year old son from British hospital after being refused proton beam treatment for his brain cancer. Take child to Spain to continue treatment in addition to obtaining proton beam therapy. Britain then issues an international arrest warrant against parents based on “explicit medical advice” that the child’s “life was in danger.” Interpol picks the family up in Spain’s Materno Infantile Hospital.
North Carolina’s Fayetteville VA Medical Center converting to an urgent care clinic because the company with which it contracted “failed to staff the emergency department with “an adequate number of well-trained physicians.” Veterans at the facility have reported that there was no medical officer on duty at the facility and that there have been long waits in the emergency departments. And … taking a play from George Bush’s playbook … many veterans were told to just “go to the emergency department” for their health care while they were waiting months for their appointments with primary care physicians.
One 69 year old veteran who was having heart palpitations with a rate in the 150s went to the VA emergency department at 3:30 PM and learned that there was no doctor there to evaluate or treat him. The put him into a monitored bed and left him there until a doctor could see him.
The veteran and his wife were “scared by the lack of care” they received. Let that quote sink in for a second. They have insurance yet they were scared because had no medical care. Another example of how medical insurance doesn’t mean a thing if you don’t have the medical providers willing to provide medical care in exchange for the insurance.
More importantly, the couple noted that nurses in the emergency department were “turning many veterans away and telling many to return at 8 p.m., when a doctor would be on duty.”
If true, the Fayetteville VA Medical Center is violating federal EMTALA requirements. If a patient comes to an emergency department seeking medical care, the patient must receive a medical screening examination to determine whether an emergency medical condition exists.
I won’t hold my breath waiting for news of the investigation of these incidents.
Chinese patients increasingly violent when they are unhappy with the treatment from their doctors.
In September, 2011, a calligrapher in Beijing, dissatisfied with his throat-cancer treatment, stabbed a doctor seventeen times. In May, 2012, a woman attacked a young nurse in Nanjing with a knife because of complications from an operation performed sixteen years earlier. In a two-week period this February, angry patients paralyzed a nurse in Nanjing, cut the throat of a doctor in Hebei, and beat a Heilongjiang doctor to death with a lead pipe. A survey by the China Hospital Management Association found that violence against medical personnel rose an average of twenty-three per cent each year between 2002 and 2012. By then, Chinese hospitals were reporting an average of twenty-seven attacks a year, per hospital.
Hat tip to Overlawyered.com
More on the microbiome. Drinking diet sodas may cause diabetes … by altering the bacterial flora in your gut. I’m not paying $32 to download the study from Nature, but according to the abstract, the researchers show how there is a link between artificial sweeteners, altered gut flora, and metabolic abnormalities.
I missed this little spat when it first came out. National Nurses United erects billboards in Mississippi and Tennessee regarding the high prices charged at Community Health Systems hospitals. Billboards promptly taken down after “complaints”. But the message remains. at CHS’ Biloxi Regional Hospital, charges are set at $674 for every $100 of its total costs, making it the sixth priciest hospital in Mississippi. Nine of the 10 most expensive hospitals in Mississippi are affiliated with either CHS or Florida’s Hospital Management Associates. The co-president of National Nurses United asks “If CHS believes such high charges, and its aggressive collection strategy is justified, why does it want to prevent the public from knowing about its behavior?” I don’t suppose that the disagreement would have anything to do with the fact that NNU is a union trying to get more members from CHS hospitals.
Even so … if statistics are true, I agree with the NNU. As Louis Brandeis once said, “Publicity is justly commended as a remedy for social and industrial diseases. Sunlight is said to be the best of disinfectants; electric light the most efficient policeman.”
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40 year old father/husband went to emergency department two days after feeling nauseous when he ate breakfast. Reportedly had cardiac symptoms, including chest pain. Was in the emergency department 4-5 hours, during which time no cardiac enzymes were ever ordered, and then released. Two days later, clutches his chest and dies from heart attack. Jury awards family $4 million.
Good news: Chinese researchers discover new way to kill cancer cells by injecting the metal gallium into the arteries supplying the tumors.
Bad news: In rabbit studies, the metal somehow finds its way into the heart and lungs and forms deposits there.
$62 million medical malpractice award to patient who goes to Winthrop University Hospital for endoscopic removal of an ectopic pregnancy, developed complications from an unnoticed bowel perforation, then developed sepsis that eventually required amputation of both legs. In addition, the high doses of antibiotics she was receiving caused her to lose her hearing.
When a front page story about the patient ran in the newspapers during trial, the hospital’s attorneys requested a mistrial, stating that the plaintiff “should be thankful the doctors were able to save her life.” Not really a good argument to use.
In the end, the plaintiff and her attorney were happy that “justice was served” and someone in the comment section to the article suggests that everyone “remember this case the next time you find yourself asking why a Tylenol in the ER costs you 30 bucks.”
Ohio jury awards patient and husband $1.2 million when patient had persistent pain after undergoing partial hysterectomy and physician didn’t order CT scan to diagnose perforated bowel until the patient was “critically ill.” By the time the complication had been diagnosed, she had developed respiratory distress syndrome and now requires a walker to help her walk.
Remember how the government is making elderly patients pay for more care when they’re admitted as “observation” versus fully admitted? Then they came up with the “two midnight” rule, where providers had to predict whether a patient would need to stay in the hospital for two midnights – and then sign an attestation to that effect. The government won’t give “prior authorizations” for admissions, so providers are left to guess whether the government will retrospectively consider an admission appropriate, and anything deemed as “unnecessary” care is considered fraudulent when the government is billed for it. End result? Community Hospital Systems pays $98 million to settle false claims allegations.
“The United States alleged that from 2005 through 2010, CHS engaged in a deliberate corporate-driven scheme to increase inpatient admissions of Medicare, Medicaid and the Department of Defense’s (DOD) TRICARE program beneficiaries over the age of 65 who originally presented to the emergency departments at 119 CHS hospitals. The government further alleged that the inpatient admission of these beneficiaries was not medically necessary, and that the care needed by, and provided to, these beneficiaries should have been provided in a less costly outpatient or observation setting.”
Several emergency physicians and emergency nurses were “whistleblowers” in the case.
When a hospital wants to admit you as an “observation” status, keep criminal investigations and settlements like this in mind.
One US Attorney was quoted as saying “We will not allow this type of misconduct to compromise the integrity of our health care system.” Widespread fraud in the VA causing death and disability to our veterans? Who cares? Fraud and waste in creating the healthcare.gov site? No problem. Fail to have a crystal ball to determine how long a patient will need to be admitted? Hey! THAT’s not allowed!
Kanye West experiences “excruciating” migraine after playing basketball before a show in Australia and rushes to the emergency department for treatment. One of my son’s friends thinks he was just losing at his basketball game.
Some plaintiff attorneys pretend that “defensive medicine” doesn’t exist and is some creation of [insert the group you want to demonize here – insurance companies/hospitals/attorneys/physicians] to fleece the patients. What about “defensive lawyering”?
“In defensive lawyering, a list is developed of every document having even marginal relevance, every witness who might know something about a subject and every interrogatory that can be propounded. Lawyers practicing defensively live in mortal fear of the smoking gun buried in the pile of documents or the mystery witness who appears out of nowhere to sink our client’s case.”
Both sides preparing for battle as they take positions on California’s Proposition 46 ballot vote to quadruple limits on noneconomic damages in medical malpractice cases and to require drug and alcohol testing of physicians. This article by a local city council member notes that in voter guide information, attorneys are trying to downplay the increase in damages and the benefit it would have to the malpractice attorneys. The article also notes that many parts of the state already have physician shortages and that passing the proposition would likely worsen those shortages.
“Paving the way for more malpractice lawsuits is not a way to improve health care coverage nor will it help slow the rapidly growing cost of health insurance premiums. But it will certainly be good for the lawyers behind Prop. 46. Unfortunately, getting this message to the voters will surely be more difficult due to some deceptive official voter guide information.”
We can’t sue our way to better health care.
Dog waits outside emergency department as elderly owner undergoing surgical procedure. A lot of people commenting on these pictures express disgust that a dog would be allowed inside of a hospital. On one hand, I suppose there would be a risk of contamination from the animal, but I’m not sure that risk has ever been proven. On the other hand, it would light up my day to see my dogs there with my family if I was in a hospital recuperating from surgery.
Instapundit posts a link regarding how health care costs are taking a bigger bite out of Americans’ budgets, asking “How’s that Hopey-Changey stuff workin’ out for ya?” The commenters to the articles are full of insight. One of my favorites is from a commenter named Carl who initially noted that a large percentage of health care costs are in response to government regulations and liability protection and then stated “the parasites [referring to the government] all think the host should get much more efficient at using what little blood is left to it — so there’s more for them!