Literature Review

Daughter stole $25K using [dying] father's credit, debit cardsLatrobe Bulletin, Latrobe, PA; by Joseph Bell; 6/6/24 A Vandergrift woman is facing multiple felony charges after she racked up over $25,000 in credit and debit card debt using her father’s accounts. According to court records, 44-year-old Kimberly Sue Shaw of Hancock Avenue is accused of using three of her father’s credit and debit cards for unauthorized purchases, in addition to transferring a sum of money from one of his bank accounts to another while he was hospitalized and later under hospice care. The defendant’s father, Dennis Lee Barger of Washington Township, died May 2.Editor's Note: Often, we think of elder abuse as being physical harm. However, it includes much more, and your interdisciplinary team members must be trained to signs, assessments, interventions, and safety (for the patient and self). Definitions are available on the CDC's "About Abuse of Older Persons" webpage. These definitions include physical abuse, sexual abuse, emotional or psychological abuse, neglect, and financial abuse.

Coercive careSTAT; by Eric Boodman; 5/21/24For decades, physicians have steered sickle cell patients toward sterilization. I want to bring to your attention a deeply disturbing but vital series of stories STAT is publishing beginning today. It reveals that an injustice often relegated to the distant past persists to this day: For decades, physicians have steered sickle cell patients toward sterilization, their stories echoing the ugly history of eugenics in America. This series had its origins when reporter Eric Boodman read a research paper about the increased risk of pregnancy complications associated with sickle cell disease, which is most prevalent among people of African descent. As he began interviewing physicians and patients, they kept telling him about people who’d been discouraged from having kids — and in some cases, felt pressured to have sterilizations they weren't sure they wanted.Publisher's Note: This series of articles may require subscription.

When doctors withhold futile treatments, that isn’t ‘assisted dying’ The Guardian; by Dr. James Haslam; 5/15/24 [Commentary / Letter] I write in response to Dr Jagat Aulakh’s letter (A form of assisted dying already happens in hospitals, 8 May). It must be made clear that withholding or withdrawing futile treatments is not and never has been assisted dying. Stopping – or not starting – treatments that are not wanted, are not working or are not worthwhile is good medicine and the law of the land. Whereas “assisted dying” is the modern euphemism for physician-assisted suicide and euthanasia, both forms of medicalised killing [the author's choice of words]. ... Intentions are important. ...Editor's Note: This thoughtful response puts forth ethical support against Medical Aid in Dying (MAiD), also known as "physican assisted suicide." Likely, different opinions can be inflammatory among your hospice and palliative employees, board, community, and more personally among your family and friends. As hospice and palliative leaders, we must address this issue with respectful dialogue, critical thinking, case studies, personal beliefs and values, empathy, and humanity.

MultiPlan, insurance giants sued over out-of-network rates Modern Healthcare; by Nona Tepper; 4/29/24 A rural health system sued technology company MultiPlan and eight of the country's largest insurance companies over alleged schemes to strongarm providers into accepting low out-of-network rates. At issue in the proposed class-action suit are MultiPlan's repricing tools, which allegedly rely on insurers' data to deflate their out-of-network reimbursement payments. 

The moral compass of medicine: Exploring ethical dilemmas Medscape, by Lambeth Hochwald; 4/23/24 While the ethical conflicts discussed in medical school once focused primarily on patient privacy, end-of-life issues, and conflicts of interest with pharmaceutical companies, today, the list of ethical dilemmas facing physicians has risen to include everything from gender care and vaccine issues to weight loss drug access and abortion regulations in some states. ... So, what happens when a physician’s expertise clashes with local, state, or national politics?

Houston hospital says doctor’s changes to a database made patients ineligible for liver transplants NBC News 13; by Jamie Stengle and Carla K. Johnson, The Associated Press; 4/12/24 A Houston hospital has halted its liver and kidney transplant programs after it says a doctor manipulated a database for liver transplant patients, making them ineligible to receive a new organ. ... Data from OPTN [The Organ Procurement and Transplantation Network] shows that four patients died or became too ill for a transplant in 2021, 11 in 2022, 14 in 2023, and so far this year, that number was at five.

AHA seeks federal probe of MultiPlan, insurers Modern Healthcare, by Michael McAuliff; 4/9/24 The American Hospital Association wants the Labor Department to investigate the analytics company MultiPlan and its large insurer clients to determine whether they engage in business practices that disadvantage patients and providers. According to a New York Times investigation published Sunday, MultiPlan and customers such as UnitedHealth Group subsidiary UnitedHealthcare, CVS Health subsidiary Aetna and Cigna boost their finances by dispensing low payments to out-of-network providers and burdening patients with large bills.

‘We’re the telescope looking forward’: Medical ethicists ask tough questions as part of $66 million research project CU Department of Medicine, by Mark Harden; 4/5/24 In the original “Jurassic Park” movie, after the process of bringing dinosaurs back to life is explained to a team of consultants, one of them voices a warning: “Your scientists were so preoccupied with whether or not they could, they didn’t stop to think if they should.” University of Colorado Department of Medicine faculty members will be asking the “should” question years before there’s an answer to “could.” They’ve joined in a nationwide study of whether tiny, battery-powered electric devices and genetic material, swallowed in capsule form, could one day replace surgery or injections as treatments for metabolic diseases such as diabetes and obesity.

New documentary explores how Lower Moreland’s Terri Schiavo’s story captured the nation Delco.Today, by Tracey Romero; 4/3/24 Between Life & Death: Terri Schiavo’s Story, a new documentary about the right-to-die case of Lower Moreland Township native Terri Schiavo is streaming on Peacock, writes Brian Brant for People. Schiavo who lived in Florida with her husband lived in a persistent vegetative state for 15 years after experiencing cardiac arrest. The documentary explores the familial legal battle over whether or not Schiavo’s feeding tube should be removed.

Survey shines light on health care discrimination against LGBTQ+ people  KFF Health News; 4/3/24Members of the LGBTQ+ community are twice as likely to experience discrimination in health care, a survey found. ... The survey, conducted by KFF, noted that members of the LGBTQ community have historically faced disparities while receiving health care, including challenges to accessing mental and physical health care. Editor's Note: This article includes specific examples from Utah, Colorado, and New Hampshire.

Ethical conflicts: Making care decisions when the right choice isn't clear Medical Economics, by Jeff Bendix; 3/29/24 What should a physician do when their ethical training conflicts with the circumstances or needs of a particular situation or patient? ... Ethical battlegrounds are growing. [Dr. Melissa] Lucarelli’s experience epitomizes, in a small way, a problem with which doctors have grappled for as long as medicine has existed as a profession: what to do when their ethical training conflicts with the circumstances or needs of a particular situation or patient. That question has taken on new urgency in recent years due to several converging trends. 

Nurse arrested after morphine, other stolen medical drugs seized in Owensboro14 News WFIE, by Aaron Chatman; 3/26/24 Eight suspects were arrested and facing numerous charges after a massive drug bust in Owensboro. That’s according to the Daviess County Sheriff’s Office, who says they opened an investigation after receiving dozens of tips about a drug trafficking operation at the home of Pamela Bartimus. Deputies say Bartimus was an employee of Hospice & Palliative Care of Western Kentucky and had been stealing medication at her job.

Voices of Grief to host workshops for families victimized by funeral home Pikes Peak Courier, by Pat Hill; 3/18/24 In October, investigators with the Fremont County Sheriff’s Office discovered 200 bodies that had not been cremated but rather were improperly stored, many of them for four years. The owners, Jon and Carie Hallford, have been arrested and face 200 felony charges. Of 1,200 families affected, 190 of them were directly impacted. ... [Kathy] Sparnins, [filmmaker and producer of the documentary “Voices of Grief,”] who lives in Woodland Park, was recently contacted by the FBI Victim Advocacy Program to work the families whose deceased loved ones were taken to Return to Nature Funeral Home in Penrose.