Since 1975 the value of everything has gone up, except the value of my son’s life under California law.

Last week my son, Steven and I went to Sacramento to say “38 years is too late.” We announced a ballot initiative to create stronger patient safety laws and adjust this nearly 38 year-old law. You can join our efforts by reading our story and others of patients like us at the new site “38 is too late” and liking our Facebook page.

In California, no matter how badly a child is hurt, or even if they are killed by gross medical negligence, the value of their life is only $250,000, an amount set by the Legislature nearly 38 years ago. That’s just not right.

When my son Steven was a toddler, he fell on a stick while hiking near his grandmother’s cabin in the mountains. The hospital pumped Steven up with steroids and sent him away with a growing brain abscess, although we had asked for a CAT scan because we knew Steven was not well. The next day, he came back to the hospital comatose. Medical experts later concluded that had he received the $800 CAT scan, he almost certainly would have been successfully treated.

Today, at 23 years old, Steven is blind and has cerebral palsy. Even though a jury heard our case and said Steven should receive $7.1 million for the horrible losses he will suffer for the rest of his life, the judge reduced the amount to $250,000 under California’s one size fits all cap.

The jurors only found out that their verdict had been reduced by reading about it in the newspaper. They expressed their outrage, but the Legislature has not heard them, or patients like me. The cap has not been adjusted for almost 38 years, since Governor Brown signed the law in his first administration.

The ballot measure Consumer Watchdog and The Troy and Alana Pack Foundation announced in the Capitol last week would lift the cap so juries can make their own decisions on a case by case basis. The measure also reforms the state’s Medical Board and creates greater disclosure about prescription drug overdoses and the role of dangerous doctors.

The “38 Is Too Late” group will go to the ballot this fall if the Legislature doesn’t act. I hope you will join me in sending a message to lawmakers that they should act and then join our community online on our website and on Facebook.

You can read more about this historic moment from an article in last week’s Los Angeles Times.
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Posted by Kathy Olsen, Board Member of Consumer Watchdog. Follow Consumer Watchdog online on Facebook and Twitter.

Last month, at an emotional in hearing in Sacramento and in a San Francisco Chronicle op-ed, we called for the state agency that oversees doctors to become a stronger regulator or to go out of business. The Legislature has to renew the doctor-run medical board every ten years, and that’s this year. Sacramento apparently agrees with us.

After an emotional outpouring from families who lost their love ones to dangerous doctors, and thousands of emails from Californians, the chairmen of the Senate and Assembly Business and Professions Committees sent a message. The Los Angeles Times is reporting that chairs Curren Price and Richard Gordon have written the medical board to state that they will not reauthorize the board unless it commits to major changes.

This is a big and important step toward strong patient protections in this state. The California Medical Association has for too long stymied real change for patients in the Capitol, and now Gordon and Price have upped the ante by acknowledging the depth of the problem for patients.

Three important areas need to be reformed, as Carmen Balber and I outlined in the San Francisco Chronicle op-ed:

A true overhaul of physician discipline would move complaint investigators into the attorney general’s office to work hand in hand with prosecutors and would create a public-member majority on the medical board.

Real reform should also include mandatory random drug testing of high-risk surgeons and physicians – as is mandated now for bus drivers, college athletes and pilots.

Finally, the state’s 38-year-old limits on the rights of injured patients need to be revisited, too. It’s time for the public to take the power back for itself.

The movement is afoot, and we have taken another step toward greater patient safety. Stay tuned. Momentum is building but we still have a long march ahead.

Posted by Jamie Court, author of The Progressive’s Guide to Raising Hell and President of Consumer Watchdog, a nonpartisan, nonprofit organization dedicated to providing an effective voice for taxpayers and consumers in an era when special interests dominate public discourse, government and politics. Visit us on Facebook and Twitter.

There aren’t too many great days for patient safety in state capitols, where the medical establishment tends to rule the roost through the power of its political giving and tentacles. But Monday was a great day for patient safety in Sacramento, when powerful testimony reminded legislators of the human cost of inaction.

The families of victims of overprescribing spent an hour and half in the Senate and Assembly Business and Professions Committees and presented some of the most compelling testimony ever heard there. Their stories and faces were felt around the Capitol Tuesday from huge photographs on the front pages of the Sacramento Bee and Los Angeles Times to TV news stories echoing legislative sympathy for reform.

The medical establishment is now on the defensive. A Medical Board overhaul is in the air. Debate is turning to the government not protecting patients enough.

Will the clarity these courageous families brought to the failure of California’s laws to protect patient safety grow or wither in the coming days? It’s up to us, but I think it will grow.

Carmen Balber and I asked in an oped in Monday morning’s San Francisco Chronicle whether it wasn’t time to pull the plug on the current physician-run medical board. We wrote:

For decades, the medical board has failed to identify dangerous practice patterns, such as over-prescribing, which should trigger investigation. In fact, the board only acts on complaints by consumers, and then rarely. Once an investigation is begun, it takes years to resolve, too long for patients who may be at imminent risk of harm.

When prosecuted, an enforcement case can stagnate in five layers of review. Sadly, little other deterrence exists to medical negligence.

Those listening to the tragic stories in Sacramento this week could not help but understand the human consequences of such inaction. Sons, daughters, brothers, uncles lost. Preventable deaths.

All because the California Medical Association and the state medical board it controls won’t agree to a $9 increase in physician license fees — the cost of two cappuccinos — for workers to find overprescribing doctors in a state database. And due to the grip of this medical establishment over our regulators and the legal system — where families who lose nonwage earners to dirty doctors cannot get legal representation due to a 38 year-old cap on their recovery.

We called for these changes in Monday’s Chronicle.

A true overhaul of physician discipline would move complaint investigators into the attorney general’s office to work hand in hand with prosecutors and would create a public-member majority on the medical board.

Real reform should also include mandatory random drug testing of high-risk surgeons and physicians – as is mandated now for bus drivers, college athletes and pilots. Finally, the state’s 38-year-old limits on the rights of injured patients need to be revisited, too. It’s time for the public to take the power back for itself.

It’s Wednesday morning. Eyes are wide open. And we are a lot closer to patients taking power back than we were before.

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Posted by Jamie Court, author of The Progressive’s Guide to Raising Hell and President of Consumer Watchdog, a nonpartisan, nonprofit organization dedicated to providing an effective voice for taxpayers and consumers in an era when special interests dominate public discourse, government and politics. Visit us on Facebook and Twitter.

Leading consumer advocates today called upon the legislature to hold hearings and investigate strong new laws in response to recent Los Angeles Times reports on widespread drug overdoses due to physician overprescribing and the recent case of a convicted methamphetamine-using drug-dealing doctor who will be treating patients again within a year.
 
Consumer Watchdog asked the Governor and legislative leaders in a letter to consider random drug testing of physicians. The advocates, who have already qualified one initiative measure for the next ballot to regulate health insurance rates, said that voters would not tolerate legislative inaction.

Click here to read the full letter.

The recent Los Angeles Times series, which uncovered 71 physicians whose prescriptions have led to three or more deaths, and the decision Friday by the state medical board to allow Dr. Nathan Kuemmerle to treat patients again after pleading guilty to felony drug dealing, prompted Consumer Watchdog to call for hearings and legislative action.

“The recent investigation and past decades of experience show that patients are not safe from drug using and drug dealing doctors,” wrote Consumer Watchdog’s Jamie Court and Carmen Balber. “One in ten physicians develop problems with drugs or alcohol over the course of their careers, yet continue to practice medicine. These physicians hold the lives of patients in their hands every day.”


“Pilots must undergo mandatory random drug testing because they hold the lives of so many passengers in their hands. Physicians who operate on patients and are in a position to overprescribe or use narcotics themselves should undergo similar mandatory random drug tests,” wrote the advocates. “Patients should not have to fear being treated or operated on by addicted physicians. Unfortunately, there is little deterrence to such malfeasance, as evidenced by the medical board’s restoration of Nathan Kuemmerle’s medical license.”

The letter also urged the Governor and lawmakers to consider moving authority for oversight and prosecution of over-prescribing to the pharmacy board, as is already the case in many states, to data mine information in the state’s prescription drug database to identify problematic prescribing patterns, and to strengthen the doctor disciplinary system and preventive measures to protect patients before they are harmed.

“Prescription drug abuse by physicians is something the public will not tolerate without a remedy that’s reasonable and effective. Though any action to detect and discipline dangerous doctors will undoubtedly bring protestations from the medical establishment, the small minority of physicians that overprescribe and use drugs need to be dealt with quickly and effectively to ensure the safety of California patients. Now is the time to act,” wrote the advocates. “An overhaul of the Medical Board is four decades overdue and necessary to protect patients.”