Posts Tagged ‘medical’

Hiking the cost of home health care

The Labor Department may abolish the longstanding exemption of home health care aides from federal overtime pay requirements. The shift could greatly increase costs for providing agencies, and perhaps also have effects on quality, since agencies might decide to protect themselves by requiring more aides to clock out and go home at points when housebound patients could really benefit from their continued assistance [Weiner, Epstein Becker Green Prima Facie Law Blog]

Buried on page 1431: Potemkin tort reform

Commentary’s Jennifer Rubin notices:

A friend points out a little nugget of absurdity and political mendacity in the Pelosi health-care bill. Remember Obama’s effort to try a “test” for tort reform? (We don’t actually need a test, since it has worked to lower medical malpractice coverage and help increase access to doctors in states that have tried it.) Well, Pelosi’s bill has an anti-tort-reform measure. On pages 1431-1433 of the 1990-page spellbinder, there is a financial incentive for states to try “alternative medical liability laws.” But look — you don’t get the incentive if you have a law that would “limit attorneys’ fees or impose caps on damages.”

In other words, Congress is providing a financial incentive to uncap damages. Marvelous.

FTC vs. bloggers, cont’d

Excitable bloggers like us ought to calm down, because it’s not as if official crackdowns on the dispensing of freebies ever generate absurd results: FreebieDocsDontEatDocblogger White Coat just snapped that picture at the scientific assembly of the American College of Emergency Physicians. (The campaign against drug company freebies for doctors, of course, began with publicity over inducements that were a whole lot more sizable and focused than convention-hall refreshments, but appears to have quickly extended to de minimis courtesies as well).

Meanwhile, FTC officials are getting all huffy about supposed misunderstandings and misconceptions about their new guidelines. Per PRNewser, some blogs have mistakenly reported the applicable fines as ranging up to $11,000, which is an obsolete number and should in fact be $16,000. Besides which, the commission does not have the authority to impose such fines on its own authority — it has to take its target to court. (Feeling reassured yet?) And FTC assistant director Richard Cleland says the agency does not intend to go after bloggers for nondisclosure standing alone (as opposed, apparently, to nondisclosure in combination with claimed misrepresentation of the qualities of the books, movies, conferences or whatever is being promoted). The main targets of regulation, he stresses, are the publishers or others who dispense the freebies — who of course will have new incentives to protect themselves by controls on distribution, as did Schering-Plough in the sign above.

Something to look forward to, no doubt, in the exhibit hall at future conventions: “If you are a blogger or other Social Media user, please refrain from taking any of the free magazines, calendars or sun visors in this display…” (& welcome Glenn Reynolds/Instapundit readers)

P.S. Coyote:

Anyone who has been involved in NCAA recruiting can tell you the absurd results that flow from defining even tiny freebies as violations. For example, when I interview high school students for Princeton, I have to be careful not to buy them lunch or coffee on the off-chance they turn out to be athletes where such a purchase could trigger a recruiting violation.

And Patrick at Popehat identifies another sort of “endorsement” that might arguably be covered by the language of the guidelines: linking to other blogs, especially when done insincerely.

$11 million verdict against pediatrician

Two sisters were repeatedly raped and sexually abused by their older half-brother. This is, a federal jury decided, the fault of their pediatrician, Dr. Patricia Monroe, who failed to report the abuse–though there was no evidence she was aware of the scope of it. Monroe’s attorney “says that’s because the girl refused to speak to Monroe and because the incident wasn’t reportable to Child Protective Services.” The decision will be appealed. (Chris Knight, “Monroe to appeal $11M verdict”, Adirondack Daily Enterprise, Sep. 3).

A message has been sent: make defensive reports to Child Protective Services, and parents will all be worse off when CPS overreacts.

Fortune: “Las Vegas’s medical Mafia”

“Prosecutors say a group of top lawyers and doctors conspired to collect millions in inflated damages by pushing accident victims into dubious surgery.” Riveting, detail-filled account of the alleged involvement of numerous Nevada lawyers and as many as 20 doctors in what prosecutors say was boldly and systematically organized misconduct, with even some sectors of the judiciary in the state at best cowed by the scheme’s managers. An elegant touch: physicians who played ball are said to have been assured protection from malpractice suits from many feared attorneys, while those not in on the scheme appear in some cases to have been at extra peril. This looks to be one of the year’s most important ventures into investigative journalism on the underside of litigation — don’t even think of missing it [Katherine Eban, Fortune, Aug. 19] More: discussed by Darleen Click and commenters, Protein Wisdom.