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The Lighter Side of Health Law – September 2022

The Lighter Side of Health Law – September 2022

Released Friday, 30th September 2022
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The Lighter Side of Health Law – September 2022

The Lighter Side of Health Law – September 2022

The Lighter Side of Health Law – September 2022

The Lighter Side of Health Law – September 2022

Friday, 30th September 2022
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Episode Transcript

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0:06

This episode of ala Speaking

0:09

of Health Law is brought to you by HLA members

0:11

and donors like you. For more

0:13

information, visit american health law.org

0:15

.

0:21

Hi, I'm Norm tab . With this month's edition of the lighter

0:24

side of health law. It's the Thought Accounts. Brown

0:26

University has agreed to pay $1.5

0:28

million to settle a class action brought by students. Their

0:31

complaint, Brown charged them its regular tuition

0:33

and fees, and then simply because of a deadly

0:35

pandemic sweeping the nation switched some

0:37

classes to remote learning rather than live

0:39

and in person . 1.5 million is

0:42

a lot of money. So why do I call this piece?

0:44

It's the thought that counts because there

0:46

are 10,000 members of the class. That means that

0:48

even if there were no attorneys' fees or costs, each

0:50

student would receive a whopping $150.

0:53

If the lawyers take the typical one third that

0:56

lowers the figure to $100. Maybe

0:58

it's the principle of the thing. Don't make a

1:00

pig of yourself. How many times did your mother tell

1:02

you not to make a pig of yourself? Apparently, Astair

1:05

Crosby's mother didn't tell him often enough, or

1:07

maybe he simply ignored her. At any

1:09

rate, acting like a pig cost him his job.

1:11

Astair was a fraud investigator with Highmark

1:14

Health. During an audit, he found that several

1:16

doctors had felony convictions and

1:18

others didn't have Medicaid licenses. He

1:20

reported the findings, but nothing was done about it.

1:22

Fast forward one year, Allister was

1:24

fired. He sued claiming the firing

1:26

was retaliation for reporting fraudulent activity.

1:29

But Astair lost the case and his

1:31

job. Why ? Because the real reason

1:33

he was fired was for consistently

1:35

calling a coworker , Ms . Piggy

1:38

and Aking at her. Yes,

1:41

Aking at her hurt . So listen to

1:43

your mother. The case is Crosby versus Highmark.

1:45

Third Circuit, A change of heart. Judge

1:48

Jenny Rivera of New York State's highest court made

1:50

headlines for her principle stand against Covid

1:52

vaccination. When the court decreed that all

1:54

judges must be vaccinated, she stood

1:56

her ground and refused siding, health issues

1:59

and conducting her court business by Zoom.

2:01

Then in late July, she announced

2:03

that her health issues had suddenly

2:05

disappeared and yes, she would be vaccinated

2:08

after all. Meanwhile, in

2:10

totally unrelated court news, the

2:12

chief judge of that court announced her

2:14

own resignation creating a vacancy.

2:17

In that position, a vacancy filled

2:19

traditionally by the most senior judge

2:21

on the court and purely by coincidence,

2:24

the most senior judge is the newly

2:26

vaccinated judge Jenny Rivera. Another

2:29

downside of working at home, Okay, there are

2:31

tons of upsides to working at home, No

2:33

commuting time or costs , lower dry cleaning

2:35

bills, comfy clothes and all the rest. But here's

2:38

a case revealing a downside and associate with

2:40

one of DC's biggest law firms. Worked

2:42

at home on Farm Giant Mercks

2:44

acquisition of a company called Pan. Her

2:47

boyfriend Seth. Mark was living with her

2:49

and he overheard her on the phone talking about

2:52

the project. He supplemented what he overheard

2:54

by rifling through her work documents

2:56

when he wasn't looking, he gained enough inside information

2:58

to recognize that Pantheon stock was

3:00

due for a big increase in price once

3:03

Word got out about the acquisition. So he

3:05

bought a ton of Pantheon stock. He and a cohort

3:07

made it cool and illegal. 1.4

3:10

million on the transactions. Well, the

3:12

authorities suspected something, so they interrogated

3:15

Seth and Seth Being Seth lied about

3:17

everything, he's now charged with 17

3:20

counts of fraud each carrying a maximum of

3:22

20 years. His cohort is charged with

3:24

22 counts, so that's a downside

3:27

of working at home and of sleeping with the enemy.

3:29

Sick of insurance company denials. Have

3:31

you ever been sick of medical insurance company denials?

3:33

Sandy honing was literally

3:36

so she did something about it. Sandy has

3:38

a stomach condition called gastroparesis,

3:40

which causes frequent vomiting over

3:42

three times a day. It can be treated through Botox

3:45

injections to her specter done endoscopically,

3:48

but Anthem Blue Cross denied coverage

3:50

claiming it wasn't medically necessary. Sandy

3:52

wrote a letter appealing the decision, but when

3:54

she tried to hand deliver it to Anthem headquarters,

3:56

they wouldn't let her in the building. She said she

3:58

was told she had to mail the letter along

4:00

with appropriate documentation. So

4:03

with someone taking a video of the incident against

4:05

the backdrop of Anthem headquarters, she

4:08

opened the envelope and vomited into

4:10

it. She continued to vomit several times

4:12

in the parking lot. The video has now been viewed

4:14

all over the world on Instagram, Twitter,

4:16

and YouTube. But where

4:19

the reply all trap, this is

4:21

a variant of the reply all trap.

4:23

You know when someone replies to everyone

4:25

on the email chain rather than just the sender.

4:27

In this case, it was a text rather than an

4:29

email. Texas prosecutor Kacha PTO

4:32

chatted about a ruling against her on

4:34

a current criminal case. The chat audience was

4:36

a sympathetic group made up of fellow prosecutors,

4:38

just one problem. The judge in the current

4:41

case is a former prosecutor and no

4:43

one had taken him off the chat list, so

4:45

he received catches text when the

4:47

defense lawyer heard about it, he moved for a mistrial

4:49

based on catches unilateral conversation

4:51

about the case with the judge. The judge was

4:54

fuming as he granted the mistrial motion

4:56

legal quiz. Here's the legal quiz. A

4:59

doctor on the voluntary faculty staff of

5:01

Yale Med School tweets that Donald

5:03

Trump and Allen Deitz have similar speech

5:05

patterns, which suggests that

5:07

they have a quote shared psychosis. After

5:10

receiving a complaint from Deitz, the

5:12

med school fires the doctor for the tweet. She

5:15

sues for wrongful termination. Does she have a

5:17

case? No. Rule. The federal court

5:19

for two reasons. First, she was

5:21

a quote voluntary faculty member

5:23

and not a true employee. There was

5:25

no contract for the med school to breach. Second,

5:28

she violated professional ethics by

5:30

quote , publicly diagnosing the two men in

5:32

her tweet. The case is Lee versus Yale,

5:35

District, Connecticut. The days of

5:37

her life. This is another

5:39

installment in the saga called The

5:42

Days of Her Life. At

5:44

the end of our last episode, Elizabeth Holmes and

5:46

her boyfriend Sonny , be wonk , have been convicted

5:48

of defrauding investors of hundreds

5:50

of millions of dollars. By perpetrating the

5:53

Theranos blood test fraud, young Elizabeth

5:55

nervously awaited sentencing, a sentencing

5:57

that could result in years of prison and a

6:00

facility with no spa, tanning

6:02

booth or nail salon. Young

6:04

Elizabeth's future looked bleak indeed

6:06

, but await This week's

6:08

episode brings renewed hope to Elizabeth.

6:10

She has filed a motion for a new trial on

6:13

what grounds Because of information

6:15

and prosecution witness Adam Rosen has

6:18

tearfully confided to her boyfriend, not

6:21

son . He was the old boyfriend, but Billy , the

6:23

new boyfriend . And just what did

6:25

Adam tell Billy That

6:27

he feels very bad about his testimony and

6:29

that the prosecution tried to make things sound worse than

6:32

they really were. Will Elizabeth

6:34

get a new trial, New hope, a

6:37

new boyfriend. Tune in next weekend

6:39

. Remember like Sands through

6:41

the hourglass. So are the days

6:43

of her life a razor distinction.

6:46

Jennifer Harkey has suffered from some nab from

6:48

an early age. She walks in her sleep. She

6:51

was on an overnight business trip when her condition

6:53

reared its ugly head, or should I say its

6:55

sleepy head . Jennifer sleep walked

6:58

to the hotel room of her colleagues . Scott

7:00

O'Donnell knocked, entered and climbed

7:03

into bed asleep all the time.

7:05

Scott repeatedly told her to leave, but

7:07

she didn't wake up. Scott colleague

7:10

, HR director, who after several tries, woke

7:12

Jennifer and let her back to her room back at

7:15

the office . HR ordered her to see a

7:17

doctor who confirmed her condition as some

7:19

neb . When she was fired for the hotel

7:21

incident, Jennifer sued alleging discrimination

7:23

against her for a disability. The

7:26

court granted the employer summary judgment and

7:28

the fifth Circuit affirmed the reasoning. Jennifer

7:31

wasn't fired for her sleepwalking. She was fired

7:33

because of what happened when she

7:35

sleepwalked. To me, that's a little like saying,

7:37

I didn't fire you for being blind. I

7:40

fired you for walking into things. The

7:42

case is Harky versus next to Jan

7:44

Healthcare Fifth Circuit complaint department. This

7:47

month, the complaint department deals with the term throw

7:49

under the bus, as in when the partner

7:51

complained that the memo was late , the associate threw

7:54

the legal assistant under the bus. We

7:56

know what it's supposed to mean because we hear

7:58

it so often, but that doesn't make it right as

8:01

a metaphor. It doesn't make sense. It's

8:03

supposed to mean shifting the blame, but it doesn't. How

8:06

would killing the legal assistant get the associate

8:08

off the hook? The partner would still blame

8:10

the associate for a late memo and

8:12

also for murdering a perfectly good legal assistant.

8:15

Besides that, we already have time honored

8:17

metaphors that work. How about the associate

8:20

scapegoated the legal assistant or made

8:22

the legal assistant the scapegoat, or maybe

8:24

even made the legal assistant the

8:26

patsy? Those metaphors make sense. Plus,

8:29

nobody gets killed . Well, that's it for this

8:31

month's edition . I hope you liked it . I'll be back next

8:33

month with another edition of the Lighter Side of Health

8:36

Law .

8:43

Thank you for listening. If

8:45

you enjoyed this episode, be sure to

8:47

subscribe to ALA Speaking of Health Law

8:50

wherever you get your podcasts. To

8:52

learn more about ALA and the educational

8:55

resources available to the health law community,

8:57

visit American health law.org

8:59

.

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