You might think we are a bit tone-deaf to do this post today, threats to the Republic and all. But it is still important to note some under-the-radar issues that will be with us well past January 20 and even beyond COVID-19. So here’s what we want to tell you: some of the bosses and political patrons of corporate medicine are creating such misery for people that the Hippocratic oath “First Do No Harm” seems to be in clear violation at the moment. And I don’t know who’s supposed to be enforcing that, but at least we can talk about it.
Let’s start with a couple shocking COVID related stories this week that you may have missed.
First comes this story from the New York Times about close Cuomo ally Northwell Health, run by Northwell’s ethically-challenged Michael Dowling. (Not our first rodeo with Mr. Dowling, BTW.). Northwell is New York’s largest health system. Even though the Governor told state-run hospitals to stop suing patients over unpaid medical bills, Northwell ignored this directive and has launched a “flood of litigation” against patients during the pandemic, more than 2,500 last year.
The Northwell lawsuits each sought an average of $1,700 in unpaid bills, plus large interest payments. They hit teachers, construction workers, grocery store employees and others, including some who had lost work in the pandemic or gotten sick themselves.
And as they were running around suing their own patients, Northwell and New York’s other major hospitals systems lobbied for immunity laws in New York (and in Congress) so that patients severely harmed by negligent hospitals or killed by bad nursing homes would have no remedy and could never hold anyone accountable in court.
Speaking of negligent nursing homes, here’s some chutzpah for you. Pennsylvania nursing home operator Comprehensive Healthcare Management Services is trying to hide behind the COVID-19 federal declaration of emergency, meant to deal with actual emergencies like vaccine production, to infect and kill its patients with impunity. This is even though courts have already said they can’t do that, and their facilities’ staffing and infection control problems existed well-before COVID.
Which brings us to our next topic, forced arbitration. When it comes to medical care, turns out this is not just a problem with nursing homes. As Bloomberg reported last week, more and more doctors are forcing patients to sign these anti-patient clauses in order to get medical care, guaranteeing that if they or their child are victims of negligence no matter how egregious, they must resolve their cases in rigged, secretive systems and cannot hold the culpable health care provider accountable in court.
This is due to a new trend, which COVID-19 is accelerating - doctors themselves are being told they cannot provide care without patients signing these horrendous clauses. The requirement is coming from out-of-state private equity firms that now buying up physician offices and surgery centers. Says Bloomberg,
Over the past decade, almost 4,000 independent clinicians in women’s health have come under private equity ownership, according to a study published in August in the Journal of the American Medical Association. The figure is likely much higher, according to the study’s authors, but the deals aren’t uniformly disclosed.
And as the story also describes, these clauses are being forced on patients even though state Supreme Courts have prohibited use of them.
Oh, make sure to give the insurance industry proper blame for this trend too. As Bloomberg reports, “[t]he insurance industry has encouraged this trend by offering better terms to physician groups that can get their patients to preemptively waive their right to a jury trial.”
And finally, CBS just did a couple great pieces (here, here) about the failure of state medical boards to oversee and sanction even the most incompetent physicians with records of medical malpractice. As CBS points out, it is no secret that a small number of doctors are responsible for most malpractice. If medical boards simply did their job and weeded them out of the system, deaths, injuries, claims and lawsuits would all drop. Instead, the medical industry is relentlessly focused on stripping victims of their legal rights.
Stupid is as stupid does.
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