Healthcare Update Satellite — 05-07-2014


They’ve got “insurance” but they still can’t find anyone to provide them with dental care. In Oregon, dental problems are the second most common emergency department discharge diagnosis in patients 20 to 40 years of age and have a 25% repeat visit rate, costing the State more than $8 million annually — just in hospital costs. Problem is that Obamacare’s coverage doesn’t include adult dental care. Even if patients have Medicaid coverage, the reimbursements are so low that dentists won’t treat patients with that type of “insurance.” But don’t worry, everyone, 7.1 million more people now have health “insurance.” Full report can be found here (.pdf)

Belfast emergency department has 100 patients in its waiting room with one patient reportedly waiting 11 hours just to be evaluated. Strain on resources indeed …

New Jersey Supreme Court throws out a malpractice case against an emergency physician who failed to report suspected child abuse when child brought in for ingesting cologne. Child was discharged to parents who later abused the child. Placed in foster care and foster parents sued physician for failing to report suspected abuse as required by New Jersey statutes. The Appellate Court agreed with the parents. Fortunately, the Supreme Court had some common sense and noted that upholding such a decision, every accidental ingestion case presenting at a hospital’s emergency department give rise to a mandatory child abuse reporting obligation. New Jersey medical providers dodged a bullet with that case.

San Francisco General Hospital in the midst of a “culture of chaos” because hospital is failing to provide enough staff to care for the patients. Because the emergency department is short 23 nursing positions, the remaining nurses are often doing clerical and other work instead of caring for patients.
And I’m sure some member of the clipboard brigade will cite one of the remaining nurses for failing to make sure that patients were screened for domestic violence, tuberculosis, wearing seat belts, substance abuse, and guns in the house. Oh, and making sure that there are safety caps on all medication bottles, too.
Decreased staffing in the food services department has decreased quality of meals and resulted in long waits for patients to get meals because no one is available to deliver meals to patient rooms.
Another example of getting what you pay for in health care.

Patient wins $1.9 million judgment in malpractice case where Massachusetts oncologist diagnoses him with non-Hodgkin’s lymphoma then order several rounds of chemotherapy and a stem cell transplant. The patient never had lymphoma, but instead had an “immunodeficiency” that mimicked cancer.
Doctor claims his treatment was based on a pathology report. Pathologist found not negligent.

How often should you shower? Daily showering may not be as healthy as you’d think. Frequent showering may wash away the natural body oils that protect the skin from drying out and from bacteria. Then again, I imagine that most active people would rather sacrifice a little health to avoid smelling like a used tube sock.

Megan McArdle writes about the “ugly spike” in healthcare spending. Is the spike due to the effects of Obamacare or is it that there was a transient slowdown in spending related to the recession – which is now resolving … or neither … or both?

With healthcare reform and increasing “insurance” coverage comes more emergency department use. Happened in Massachusetts with RomneyCare and it is already happening in the US with Obamacare – regardless of what statistics you see.

Elderly patient sent to nursing home. Lives there three weeks before dying. Jury awards $90 million verdict against nursing home, agreeing with plaintiff’s attorneys that patient’s death was due to inadequate staffing in the nursing home and failure to provide patient with food and water.
Now verdict is under review by the West Virginia Supreme Court to determine whether medical malpractice caps apply to the verdict, which would reduce the award to $500,000 for non-economic (pain and suffering) damages. I wonder if the administrators were named in the suit.


  1. I don’t think that reporting case is a true malpractice case in the sense of professional physician negligence. It’s probably based on mandatory reporter statutes, which would include teachers, social workers, etc.

    As far as the nursing home case, it’s possible the administrators were named but the business would ultimately be responsible.

    • Matt
      If the nursing home is found liable, and a jury awarded an amount much greater than the insurance coverage and value of the business combined, would the administrators then be personally liable for the outstanding award?

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