Posts tagged as:

HIPAA

October 14 roundup

by Walter Olson on October 14, 2009

  • Uh-huh: new report from federal Legal Services program calls for gigantic new allocation of tax money to, well, legal services programs [ABA Journal]
  • “Judge: Man’s a ‘vexatious litigator’” [Cincinnati.com]
  • Wisconsin governor signs bill requiring prescription to buy mercury thermometer [Popehat]
  • “Injured by art?” Woman sues Museum of Fine Arts Houston after fall in artist-designed light tunnel [Mary Flood, Houston Chronicle "Legal Trade"]
  • On Carol Browner and the cry of “environmental racism” (a/k/a “green redlining”) [Coyote]
  • New York: “Lawyers implicated in $9 million mortgage fraud” [Business Insider]
  • In Canada, as in the U.S., medical privacy rules hamper police investigations [Calgary Herald]
  • Stalin’s grandson loses lawsuit in Russia against newspaper that supposedly defamed the dictator [WSJ Law Blog, Lowering the Bar, Volokh]

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Nearly every policy wonk in the health care debate favors faster adoption of electronic medical records, but laws passed at the urging of other policy wonks seem to be getting in the way:

Hospitals have seen a decrease in EMR adoption in states where privacy laws restrict their ability to disclose patient information, according to a study published in the journal Management Science.

The study shows that states that have enacted medical privacy laws restricting the ability of hospitals to disclose patient information have seen a reduction in EMR adoption by 11 percent over a three-year period or 24 percent overall. States with no such regulations, on the other hand, experienced a 21 percent gain in hospital EMR adoption.

[Health Care IT News via HIPAABlog]

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FERPA meets HIPAA

by Walter Olson on January 24, 2009

The feds have issued guidance on the interplay of two complicated laws enacted by Congress in the name of privacy, FERPA (college students) and HIPAA (medical information). The intersection between the two was the subject of considerable attention at the time of the Virginia Tech massacre, carried out by a mentally disturbed student whose deteriorating condition had been kept a secret from many interested parties because of the laws. [HIPAA Blog]

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October 27 roundup

by Walter Olson on October 27, 2008

  • NYC judge tosses injury suit against Lawyers Athletic League filed by a player on Milberg’s team [NYLJ]
  • Kentucky fen-phen lawyers Gallion and Cunningham disbarred [Lexington Herald-Leader]
  • Worker’s comp doc claims he noticed abnormal lab result and told patient to check with his primary doc. Patient didn’t and harm ensued. Malpractice? [CalLaw Legal Pad, KevinMD, Happy Hospitalist]
  • Federalist Society publishes text of Judge Dennis Jacobs’s speech on pro bono, but Chemerinsky digs in rather than apologize [PoL]
  • Are HIPAA privacy rules suspended during emergencies? No, and what lovely situations that’s likely to cause [HIPAA blog, more]
  • One of the more unusual personal injury lawyer websites is “like a touchy-feely hybrid of Myst and The Office” [Above the Law]
  • Gold-collar criminal defense work? McAfee decides $12 million too rich a sum for defending CFO Prabhat Goyal [Bennett & Bennett, Greenfield]
  • Sounds promising: “Texas Supreme Court decision could end peremptory strikes in jury selection” [SE Texas Record]

General links

by Walter Olson on May 16, 2008

*Blogroll, cont’d*

Other sites by our authors: Point of Law (Ted Frank, Walter Olson and others) / Ted Frank’s AEI Legal Center / Walter Olson home page / Our Facebook group

Law:

BlawgRev / Brennan Center / Briefcase (Ohio) / CalBizLit / ConsLw&Pol / Day / Decs & Exs / EvilHRLady / Genova / Goldman / ILR / LawBeat (Obbie) / Legal Ethics Forum / LexMonitor / Lexis Nexis Torts / Likel’d of Succ’s / MassTortLit / Miller, Maryland Injury / Nordberg / O’Keefe / OnPointNews / Perlmutter Schuelke / Prawfs / Scruggs scandal in Mississippi: Folo, YallPolitics as well as Rossmiller / Sui Generis (NY) / TortDeform / WorkplaceProf

And more law: AdamSmithEsq / ACSBlog / AJP / AGWatch / ArmsLaw / Bay / BLT / Bluestone / Cal Wage & Hr / Comm for Just / Complex Lit / Concur Op / Conglom / Counterfeit Chic / EmpirLS / Ernie the Atty / Friable Thts / Justia / Kranenburg / LawSites / LegalJuice / Legal Rdr / Legal Scholarship / Low’g the Bar / NAM / Ninomania / Ohio Employment / Opinio Juris / Petit / Pop Tort / Proof & Hrsy / QuizLaw / Sports Law / StonePosts / TrollTracker (now underground) / WAC?

Med: Cut to Cure / Dr. Wes / GruntDoc / HIPAA blog / MedProgToday / MedPundit (RIP) / MedRants / Orac / Pipeline / RangelMD / Seidel / SymTym / Throckmorton

General interest:

Discr’ns / Empire Center / Gawker / Jay P. Greene / Haspel / Housing Bubble / IRB / Dan Kennedy / Manh Inst / David Nieporent’s Jumping to Conclusions and Likelihood of Success / MindingCampus / NYObserver / NYT Board, Freak’cs, Lede, Opin’tor, Tierney / Pratie Place / Rauch / SalonBlogRep / Siegel on tobacco / Truth on the Mkt / Tushnet

Right:

Betsy’s / Bookwm Room / City Jrnal / Contentions / Flash Report (Calif.) / Kopel / Lileks / McLaughlin / Marria Deb / Massie / Moldbug / PowerLine / RightCoast / RightRbw / Steyn / Zincavage

Left:

Bogdanski / Drum / Edroso / Effect Measure / Lambert / LG&M / Mencimer / Mother Jones / Pump Handle / ReformNY / SadlyNo / Tobias / Wolcott

Libertarian:

Antipl’r / Brayton / Cafe Hayek / Cato-at-Lib’y / Chapman / Henley / Palmer / Stossel / Young

Odd:

Fark / News of the Weird / Our 404 / Lawyer jokes (About.com) / Spurious “Stella Awards”

Science/skepticism:

Hoax / Snopes / Myers / Unoff Dawkins / Free Inq / Rowe / Lehmann / Quackwatch / Secular Right Skept Inqr / Skeptic.com

This site’s reprinted articles library, with articles by authors Michael Fumento, Peter Huber, Walter Olson, and Jonathan Rauch.

Following up on our discussion of HIPAA and the New York therapist murder, police have reported a break in the case, arresting a mentally disturbed man who has told investigators of having been committed to a mental institution 17 years ago by Dr. Kent Shimbach, the doctor who was injured in the rampage (and who shared offices with the therapist who was killed, Kathryn Faughey). Dr. Shinbach apparently has told investigators that he did not recognize the assailant and has no memory of any contact with him in the past.

Helen Smith (”Dr. Helen”) at Pajamas Media recalls the case of Vallejo, California psychologist Ira Polonsky, Ph.D., “who was shot and killed by what family members believe was a former patient. Unfortunately his death is still a mystery. Why? Blame the confidentiality laws in California:”

…police have been stymied in pursuing that line of investigation because of confidentiality laws protecting Polonsky’s patient records and appointment books.

Vallejo police detectives are in touch with a court-appointed attorney – a “special master” – who is working with the county court to see if there can be at least a limited review of protected records, but neither police nor court officials will comment on progress in that area.

And Hans Bader takes note of a recent Volokh thread discussing cases in which it seems Massachusetts privacy law was construed to prohibit the taping of ransom discussions with kidnappers (Commonwealth v. Jackson, 1976, mentioned in passing here) and a Florida court considered (but rejected!) the argument that a murderer’s privacy was infringed by his victim’s having tape recorded the murder.

More HIPAA madness? On Wednesday, in a crime that cast a chill through the mental health community, a Manhattan therapist was brutally slaughtered in her office by a man whose actions seemed consistent with those of a current or former patient with a grudge. The assailant escaped on foot, and although his image had been captured on surveillance tape, police were nowhere near beginning to know where to start looking for him: “Because of privacy laws, police hadn’t been able to access patient records as of late yesterday, sources said.” (New York Post, Feb. 14)(via Bader). On medical privacy laws and the Virginia Tech rampage of Seung Hui Cho, see Jun. 16, 2007.

More: Commenter Supremacy Claus says not to blame HIPAA, which has an exemption for police reports.

Friday morning sequel: This morning’s New York Post sticks with the original story and fleshes out the HIPAA role somewhat:

The hunt for the savage beast who butchered an Upper East Side therapist has hit a roadblock – because detectives can’t access her patients’ medical records under federal privacy laws, The Post has learned.

Police believe the meat-cleaver-wielding psycho who killed Kathryn Faughey on Tuesday night inside her office on East 79th Street could be the doctor’s patient – and need access to her records to identify him.

But police sources said because of the Health Insurance Portability and Accountability Act, signed by President Bill Clinton in 1996, investigators are having a hard time gaining access to those records.

“A case like this gets complicated because of medical privacy protections,” a source close to the investigation told The Post yesterday.

The federal law states that doctors, hospitals and health-insurance companies must protect the privacy of patients – even in a murder investigation – and that only through the use of subpoenas can authorities hope to obtain such information.

Police sources said investigators have applied for a subpoena, but have yet to receive it. Even if the subpoena is issued, patients can sue to keep their records private. …

[D]etectives have tried to get around the law by tracking down patients through sign-in sheets at the building’s front desk and through surveillance cameras in the lobby, sources said.

(Murray Weiss, Jamie Schram and Clemente Lisi, “Vexed by ‘Slay File’ Madness”, New York Post, Feb. 15). My Times (U.K.) article on the problems posed by health privacy laws is here.

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January 4 roundup

by Walter Olson on January 4, 2008

  • Housekeeping service in Florida proclaims, “We Speak English”. So will they get sued? [Smerconish/Phila. Daily News]
  • Update: Dad who long ago walked out on his family won’t get chunk of estranged son’s $2.9 million 9/11 fund benefit [NY Post (link fixed now); earlier]
  • Did Illinois state’s attorneys advise Marine sergeant complaining of car vandalism that there wasn’t much point trying to recover from the suspected offender since he was a lawyer? [Blackfive via Zincavage and many readers; Kass/Tribune] And what kind of trouble might the lawyer be in if he suggested slipping the repair costs along to an insurer? [Patterico commenters, Goldberg/NRO Corner correspondent] More: Bainbridge.
  • Not long after American Lawyer pronounces the demise of securities class actions, we learn they may be back on a cyclical upswing [August TAL; new Stanford Clearinghouse]
  • If rising tide of outrage leads to abolition of peremptory challenges, many lawyers won’t have anyone to blame but themselves [Reed]
  • Brooklyn judge’s presenting of box of candy to plaintiff among grounds for reversal of $14 million brain-damaged infant verdict [NYLJ]
  • Yet more health privacy madness: “HIPAA is adversely affecting our ability to conduct biomedical research” [Reuters on JAMA study via Kevin MD; relatedly, Karvounis/HealthBeat]
  • People kept tearing down no-swimming signs at much-used park in Bellingham, Wash., and you know what’s going to happen next without our having to tell you [AP/Seattle Times]
  • Two Illinois judges in drunk-driving accident that broke other driver’s leg draw mere reprimand with “no consequences other than public embarrassment” [Post-Dispatch]
  • Suit against Avvo lawyer-rating suit dismissed on First Amendment grounds [Seattle Times, Post-Intelligencer; earlier]
  • Saves her friend’s life, then sues her [seven years ago on Overlawyered]

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October 15 roundup

by Walter Olson on October 15, 2007

  • Louisiana attorney general Foti, under fire over his attempt to prosecute Dr. Anna Pou in Katrina deaths, faces tough re-election challenge [Times-Picayune, Lafayette Advertiser; earlier]
  • Classic “Hershey’s liable to obese Americans” print satire now has a short audio version [Onion radio]
  • Criticize alternative medicine at your peril? U.K. libel law helps stifle an opponent of homeopathy [Orac]
  • Tennessee trial lawyers’ lobbyist comes under harsh public spotlight following lurid crackup of House Judiciary chair Rob Briley [Nashville Scene; earlier]
  • Invoking CAFA, judge throws out coupon settlement in Sharper Image air purifier class action [Krauss @ Point of Law]
  • In 4-4 split, Supreme Court lets stand a ruling that NYC must pay private school tuition for Hollywood exec’s ADHD son though he wouldn’t give city program a try; issue likely to return soon [NYTimes; earlier]
  • Veteran journalists Patrick Dillon and Carl Cannon ink deal for book on rise and fall of Lerach tentatively titled Circle of Greed [WSJ law blog]
  • Unforeseen consequences dept.: plan for retirement community catering to gays may be derailed by workings of antidiscrimination law [Miller, Independent Gay Forum]
  • HIPAA an impediment to doctor-patient emails? [CareCure Forums via KevinMD]
  • Update on fraudulent liens filed by prison inmates to harass court personnel (Mar. 31, 2004): system strikes back with extra 20-year term for one offender [Texas Lawyer]
  • EEOC says Massachusetts employer must accommodate eyebrow-ring-wearing employee who claims membership in “Church of Body Modification” [five years ago on Overlawyered]

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The UC Irvine-Erwin Chemerinsky debacle has been covered extensively in the blogosphere — Walter has a roundup of links over at Point of Law. One thing is for certain, though: regardless of the wisdom of UC Irvine’s actions, it clearly has the right to choose its dean based on any (non-discriminatory) criteria it wants. If the university isn’t happy with Chemerinsky’s ideological viewpoint, it obviously has the right to choose someone more compatible, right?

Well, maybe not, as Eugene Volokh explains. Under the wonders of California employment law, the mere fact that someone has abhorrent views doesn’t give you the right to fire him, and it doesn’t give you the right to decide not to hire him:

In fact, if the statute is read according to its text, coupled with the way the California Supreme Court has interpreted it, then all California employers must retain employees despite their controversial off-the-job statements, even when those statements are incendiary and alienate the employer’s customers, donors, employees, or others.

[...]

So it seems that an employer’s policy (written or not) that it won’t hire or won’t retain employees who make public statements that alienate members of the public — or more specific policies applying to, say, racist statements, religiously bigoted statements, sexist statements, and the like — would be illegal.

Employers would thus not only be barred from firing employees because they are Democrats or Republicans. They would also be barred from refusing to hire Klansmen or people who have made racist, anti-Semitic, or anti-Catholic statements, even when the candidate is being hired for a high-profile public contact or leadership position, and when many of the employer’s customers would be deeply alienated by the person’s statements (past or future).

That one may well fall under a “damned if you do, damned if you don’t” situation; hiring an outspoken Klansmen will expose employers to potential liability for creating a racially hostile work environment.
 
 
 
And as a special employment-law related bonus: the AP explains that companies that might want to try to save money on health insurance by financially incentivizing employees to stay healthy have to worry about HIPAA (if they provide too much in the way of incentives), and the Americans with Disabilities Act (if employees can convince a court that their obesity is a disability).

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August 27 roundup

by Walter Olson on August 27, 2007

July 9 roundup

by Walter Olson on July 9, 2007

  • Judge Ramos disallows settlement of Citigroup directors derivative suit: deal had met defendants’ needs, plaintiff’s lawyers’ too, but not shareholders’ [PDF of decision courtesy NY Lawyer]

  • Drove a golf cart into the path of his car as it was being repossessed, jury decides he deserves $56,837 [MC Record]

  • Per ACOG, 92 percent of NY ob/gyns say they’ve been sued at least once [NY Post edit; more]

  • New British online-gambling law could trip up some virtual-world/massively multiplayer online games [GamesIndustry.biz]

  • Good news for bloggers: Iowa-based site can’t be sued in New York just because it answered questions from NY reader and accepted NY donations [Best Van Lines v. Walker, Second Circuit; McLaughlin]

  • Another great idea from Public Citizen: let’s not use new drugs till they’ve been on the market for seven years [Pharmalot via KevinMD]

  • After conviction of Mississippi trial lawyer Paul Minor in judicial corruption scandal, squabbling drags on over sentencing [Jackson Clarion-Ledger]

  • Conservative public interest law firms “can win some big cases [but] are notorious for lacking follow-through” [Tushnet, L.A. Times]

  • Contestants in Australian business dispute probably wound up spending more on the litigation than had been at stake in the first place [Sydney Morning Herald]

  • New at Point of Law: New Hampshire governor vetoes trial lawyers’ bill; global warming litigation to be bigger than tobacco?; the Times notices HIPAA;

  • It’s my emotional-support dog, and my lawyer says you have to let it into your store [eight years ago on Overlawyered, before these stories started getting common]

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My new column in the Times (U.K.) is on the many costs of HIPAA, the federal law which even now prevents institutions from releasing the Virginia Tech psychopath’s health records (privacy rights extend after death) and played a notable role (along with the Buckley Amendment/FERPA) in restricting the chances for relevant actors to compare notes on his symptoms of madness before it was too late (Walter Olson, “Could less rigid privacy laws have prevented the Virginia tragedy?”, Apr. 20).

More: Dr. Wes has some additional HIPAA thoughts, as does Jeff Drummond at HIPAA Blog.

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WashingtonPost.com’s “Think Tank Town” feature has a symposium on the policy implications of the Virginia Tech massacre, including contributions from Ted on fear of litigation and from me on the legal constraints on universities faced with problem students, as well as from Jim Copland (Point of Law, Manhattan Institute) on gun control.

This morning’s New York Times (Apr. 19) includes a must-read article by Tamar Lewin spelling out in more detail the problems I refer to in my short commentary. Writes Lewin:

Federal privacy and antidiscrimination laws restrict how universities can deal with students who have mental health problems.

For the most part, universities cannot tell parents about their children’s problems without the student’s consent. They cannot release any information in a student’s medical record without consent. And they cannot put students on involuntary medical leave, just because they develop a serious mental illness….

Universities can find themselves in a double bind. On the one hand, they may be liable if they fail to prevent a suicide or murder. After the death in 2000 of Elizabeth H. Shin, a student at the Massachusetts Institute of Technology who had written several suicide notes and used the university counseling service before setting herself on fire, the Massachusetts Superior Court allowed her parents, who had not been told of her deterioration, to sue administrators for $27.7 million. The case was settled for an undisclosed amount.

On the other hand, universities may be held liable if they do take action to remove a potentially suicidal student. In August, the City University of New York agreed to pay $65,000 to a student who sued after being barred from her dormitory room at Hunter College because she was hospitalized after a suicide attempt.

Also last year, George Washington University reached a confidential settlement in a case charging that it had violated antidiscrimination laws by suspending Jordan Nott, a student who had sought hospitalization for depression….

Last month, Virginia passed a law, the first in the nation, prohibiting public colleges and universities from expelling or punishing students solely for attempting suicide or seeking mental-health treatment for suicidal thoughts.

The article also refers to the role of the Buckley Amendment (FERPA), the HIPAA medical-privacy law, and disabled-rights law, which prohibits universities from inquiring of applicants whether they suffer serious mental illness or have been prescribed psychotropic drugs. Incidentally, the Allegheny College case, in which a Pennsylvania college came under fire for not notifying parents about their son’s suicidal thoughts, was discussed in a W$J article last month: Elizabeth Bernstein, “After a Suicide, Privacy on Trial”, Mar. 24. And Mary Johnson suspects that HIPAA will turn out to have played a role in the calamitous dropping of the ball regarding Cho’s behavior (Apr. 18). More: Raja Mishra and Marcella Bombardieri, “School says its options were few despite his troubling behavior”, Boston Globe, Apr. 19; Ribstein.

And: How well did privacy laws/policies work? Why, just perfectly:

Ms. Norris, who taught Mr. Cho in a 10-student creative writing workshop last fall, was disturbed enough by his writings that she contacted the associate dean of students, Mary Ann Lewis. Ms. Norris said the faculty was instructed to report problem students to Ms. Lewis.

“You go to her to find out if there are any other complaints about a student,” Ms. Norris said, adding that Ms. Lewis had said she had no record of any problem with Mr. Cho despite his long and troubled history at the university.

“I do not know why she would not have that information,” she said. “I just know that she did not have it.”

(Shaila Dewan and Marc Santora, “University Says It Wasn’t Involved in Gunman’s Treatment”, New York Times, Apr. 19). And Barbara Oakley, a professor at Oakland University in Michigan, has an op-ed in today’s Times, recounting her experience with a disturbing student: “It must have seemed far more likely that Rick could sue for being thrown out of school, than that I — or anyone else — could ever be hurt.” (”The Killer in the Lecture Hall”, Apr. 19). The tease-quote from the Times’s editors: “Do universities fear lawsuits more than violent students?”

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January 4 roundup

by Walter Olson on January 4, 2007

Usually it’s Ted who posts these, but I don’t see why he should have all the fun:

  • Latest ADA test-accommodation suit: law school hopeful with attention deficit disorder demands extra time on LSAT [Legal Intelligencer]

  • John Stossel on Fairfax County (Va.) regulations against donating home-cooked food to the homeless, and on the controversy over Arizona’s Heart Attack Grill

  • More odd consequences of HIPAA, the federal medical privacy law [Marin Independent Journal via Kevin MD; more here, here]

  • UK paternalism watch: new ad rules officially label cheese as junk food; breast milk would be, too, if it were covered [Telegraph; Birmingham Post]; schoolgirl arrested on racial charges after asking to study with English speakers [Daily Mail via Boortz]; brothers charged with animal cruelty for letting their dog get too fat [Nobody's Business]

  • Stanford’s Securities Class Action Clearinghouse reports impressive 38 percent drop in investor lawsuit filings between 2005 and 2006, with backdating options suits not a tidal wave after all [The Recorder/Lattman]

  • Ohio televangelist/faith healer sued by family after allegedly advising her cancer-stricken brother to rely on prayer [FoxNews]

  • Legislators in Alberta, Canada, pass law enabling disabled girl to sue her mom for prenatal injuries; it’s to tap an insurance policy, so it must be okay [The Star]

  • California toughens its law requiring managers to undergo anti-harassment training, trial lawyers could benefit [NLJ]

  • Family land dispute in Sardinia drags on for 46 years in Italian courts; “nothing exceptional” about that, says one lawyer [Telegraph]

  • “For me, conservatism was about realism and reason.” [Heather Mac Donald interviewed about being a secularist]

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More scary paternalism in the name of public health from the Bloomberg crew: the New York City government has begun “legally requiring laboratories that do medical testing to report to the Health Department the results of blood-sugar tests for city residents with diabetes — along with the names, ages, and contact information on those patients. City officials are not only analyzing these data to assess patterns and changes in diabetes prevalence in the city, but are planning ‘interventions.’ … If you wish to keep your medical data confidential, you cannot.” Coercive public-health techniques originally seen as needed to combat communicable and infectious disease will now be deployed in hopes of correcting less-than-healthy individual behavior. Where’s HIPAA, the manically overbroad federal patient-privacy law, now that it might actually do some good? (Elizabeth Whelan, “Big Brother Will See You Now”, National Review Online, Apr. 25).

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Like libertarian blogger Amber Taylor, I’ve been enjoying the DVD of the show “Veronica Mars.” Kristen Bell plays a perky private eye who uses bugs and stolen medical records to solve cases. I just have to suspend my disbelief, and understand that Mars lives in a fictional world like that of Bruce Wayne where the laws that would have her sued into oblivion for her wiretapping and HIPAA violations don’t exist.

The Pellicano scandal (Apr. 3 and links therein) shows the real-world results. It’s natural that wiretapping victims are suing Pellicano and the law firms that hired him over his alleged wiretapping and bribery tactics.

But plaintiffs’ lawyers aren’t stopping with the egregious wrongdoers. For example, Craig Stevens pled guilty to taking bribes to run searches on Pellicano clients—a sign of Pellicano incompetence, since the data would be available from public databases on the Internet. (Want to know who’s in jail?) Stevens has resigned from the Beverly Hills Police Department, but the city (along with Los Angeles, who allegedly had their own bribed cops) is being sued for failure to stop their officer from being bribed. Los Angeles attorney Kevin McDermott predicts that the telephone company will also be sued for not doing enough to stop Pellicano wiretapping and, sure enough, Lisa Bonder Kerkorian has sued AT&T. In the Vanity Fair article, don’t miss the bit about how Daniel and Abner Nicherie allegedly used a blizzard of over a hundred lawsuits to protect a $40 million swindle. (Bryan Burrough and John Connolly, “Inside Hollywood’s Big Wiretap Scandal”, Vanity Fair, June 2006; Gabriel Snyder, “Names take aim at Pellicano article”, Variety, Apr. 28 (via Defamer); Greg Krikorian and Andrew Blankstein, “Filmmaker Says He Lied in FBI Probe”, Los Angeles Times, Apr. 18).

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“Doctors want to provide relief, but they also want to keep people safe and stay out of trouble themselves — since doctors have been sued for undertreating pain and jailed for overtreating it.” (Lois M. Collins and Elaine Jarvik, “Doctors walk narrow line in treating pain”, Deseret Morning News/Casper Star Tribune, Jan. 5). Commenters at Kevin Pho’s (Jan. 6) get specific about some of the legal headaches that an emergency room doctor may face when a chronic pain patient shows up claiming to need immediate relief: calling other local practitioners to check on whether the patient is known for “drug-seeking activity” is now a violation of the federal HIPAA health-privacy law, while giving a day or two’s worth of medication to tide them over risks litigation from family members accusing the doctor of enabling their relative’s narcotic habit.

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